This document provides guidance for an assignment to prepare a paper on moving a practice issue through the change process. It instructs the reader to review theories of change from the course text and conduct additional research. It asks the reader to consider their practicum setting and assess readiness for change by identifying barriers and facilitators. The reader is then instructed to propose strategies to address barriers and explain why the strategies might be effective based on change theory. The document provides required readings and specifies that the paper should be at least 550 words following APA format, addressing readiness for change, identifying a guiding theory, and discussing strategies for barriers with theoretical support. It also provides a PICOT question related to early patient mobilization in intensive care.

1. Preparing for Change
Preparing for ChangeWhat steps might be utilized to move a practice issue from
development and design through implementation to the realization of positive outcomes?
How does theory provide a framework? What barriers might you encounter?To
prepare:Review the theories and frameworks (i.e., change, organizational, behavioral)
presented in Chapter 3 of the course text, Translation of Evidence into Nursing and
Health Care Practice, and conduct additional research of your own. What insights
do these theories provide regarding how to take your practice issue from development
and design through implementation to the realization of positive outcomes?Think about
your practicum setting and evaluate the readiness for change in this environment.
Identify barriers and facilitators for change.Consider strategies to address the barriers
and assess why they might be effective based on theory.By tomorrow Wednesday
10/17/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3
references (see attached files) from the list of REQUIRED READINGS below. Include the
headers as numbered below:Post a cohesive scholarly response that addresses the
following:1) Assess the readiness for change in your hospital environment. Discuss those
factors: (a) barriers and (b) facilitators that need to be considered (see attached chapter 15
in the file area)2) Identify a theory or framework that will guide your change efforts. (see
attached chapter 3 in the file area)3) Discuss strategies to address barriers and provide one
or more insights regarding why you think they might be effective based on theory.Required
ReadingsWhite, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence
into nursing and health care practice (2nd ed.). New York, NY: Springer.Review Chapter
3, “Change Theory and Models: Framework for Translation” (see attached
file)Chapter 14, “Creating a Culture That Promotes Translation”Chapter 15, “Best
Practices in Translation: Challenges and Barriers in Translation” (see attached
file)Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping
Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519. (see attached
file)Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-
based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.
(see attached file)Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality
outcomes using a champion model for ancillary nursing staff, Journal of Continuing
Education in Nursing, 46(12), 539-541. (see attached file)PIICOT QuestionIn patients in
extended intensive care within an urban acute care facility in Eastern United States, how
does early mobilization as recommended by National Institute of Health and Care

2. Excellence clinical guidelines on rehabilitation of patients after critical illness impact early
transfers from intensive care as measured 6 months post-implementation when compared
to the current standard of care including minimal mobilization of patients?P: Adult
patients I: in extended intensive care within an urban acute care facilityI: increased
mobilization of the patients C: minimal mobilization of the patientsO: early transfers of the
patients from intensive careT: 6 months