Advocating for new Practice Approaches through Policy
My proposed practice approach to improve the experiences and outcomes of intensive care patients was early mobilization of the patients. This research was developed on observation and research showing that longer stays in the intensive care units (ICUs) cause higher chances of bad patient experiences and outcomes. However, for this practice approach to be beneficial for patients, it has to be incorporated into policy. No matter how good evidence is, it cannot have a major impact on healthcare unless it is incorporated into health policy and used in decision-making throughout the system (Catallo & Sidani, 2014). However, there are some barriers that may limit the ability to successfully advocate for policy development based on new evidence to implement new practice approaches.
How I would Lead Policy Development for my Selected Issue
To advocate for the policy development relating to the selected issue, I would use Kingdon’s multiple streams approach. This approach explains three streams that can be used to communicate, package, and implement an evidence-based policy. The three streams include problem, policy, and politics (White, Dudley-Brown, & Terharr, 2016). The first stream is the problem, which is used to bring the practice issue to the attention of the policy makers (White et al., 2016). In this phase, I would explain the problem of extended stays in intensive care units and present evidence that they have a negative impact on patient outcomes. Once the policy makers see the problem, they can come to the agreement that something needs to be done to improve the quality of care in ICUs. The next stage is policy where one presents the new knowledge that can be used to solve the problem (White et al., 2016). In my case, I would suggest that they incorporate a system of early patient mobilization. I would present the evidence from research that mobilization speeds up patients’ recovery and enhances their safety and outcomes. Lastly, the politics stream explains the current contexts within which the issue is running (White et al., 2016). In this stream, I would explain the current need for the government to reduce healthcare costs, some of which are caused by extended hospital stays. This policy change would help the government to get closer to reducing healthcare costs.
Strategies to Overcome Barriers while Engaging Stakeholders
One of the strategies I would use to overcome barriers when engaging stakeholders is careful research and presentation of data supporting my proposed change. One of the ways to convince stakeholders to support a given policy development is to ensure that they can trust the effectiveness of the data presented (Andermann, Pang, Newton, Davis & Panisset, 2016). Once they believe that the evidence presented is effective, then it becomes easier to convince them to support the change.
Secondly, I would be careful in the way I present my research to the stakeholders. Many policy stakeholders do not have the time to read through complex and large research papers to understand the evidence presented. They tend to skim through the information that is presented to them while looking for the important factors (White et al., 2016). Therefore, I would focus my policy proposal on the most important information such as findings of the research and their impacts on healthcare practice. I would also use data charts and diagrams to emphasize my points.
Lastly, I would enhance my engagement with the stakeholders by synthesizing data by past studies on similar issues to strengthen my arguments for policy development. Policy stakeholders have no time to research and check through multiple studies to validate the claims made in a proposal (White et al., 2016). Therefore, through strategies such as meta-analyses and systematic reviews, I can be able to summarize the findings of past researchers to show that the policy change is important.
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3.
Catallo, C. & Sidani, S. (2014). The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument Worldviews on Evidence-Based Nursing, 11(1), 35–45.