Implementation is the process of ensuring that colleagues and co-workers act upon the recommendations of the guideline being proposed.
By now you know the various stages required to ensure successful implementation of a guideline. These include:
evaluation of present practice so that you have evidence of why change is necessary to improve patient care;
acknowledgment of the varying attitudes towards the proposed guideline;
recognition of the advantages and disadvantages of the environment; and
consideration of various ways to disseminate information.
Devising an implementation strategy involves planning in detail how and when you (and others) are going to carry out the above tasks. Always involve the whole steering group in this process, including health-care professionals on your unit and members of the audit and governance teams.
List every action that must be taken.
List the tasks in sequential order for completion.
Determine who is responsible for each task.
Decide on the support needed to complete each task.
Identify what may go wrong and list ways to prevent this happening.
Set realistic completion dates for each task.
Set a date to re-evaluate practice.
Inform all those involved in implementing the guideline.
Ensure staff are offered ongoing support and reminders about the guideline once it is introduced.
Once the steering group has completed all tasks leading up to the dissemination process, it is often important to set a date for commencing implementation of the guideline recommendations. This helps staff to start changing their practice.
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