Question 1 Change may not be readily accepted in all instances. In some cases, change is accepted but sustenance of the same becomes a challenge later on. There are quite a number of potential barriers to change that could impede the full implementation of the suggested strategies to end nursing shortage in the OR. To begin with, failure to closely monitor change initiatives could make the desired change impossible to accomplish in the long-term. Failure to monitor the said change initiatives could lead to both deviations from the intended course and lack of commitment from those tasked with overseeing change. According to Magnaye et al. (as cited in Promes, 2016), in seeking to see through change initiatives, there is need for those responsible for the implementation of change “to scientifically track implemented change initiatives in order to accurately plan, evaluate, and monitor elements necessary for changing situation” (69). For instance, with regard to my EBP change proposal, there is need to ensure that the preparation of preceptors for their role continues within the prescribed time limits and that the preceptor program actually accomplishes the learning outcomes desired for those transiting to the perioperative nurse roles. Next, failure to align my EBP change proposal with the culture of the institution could impede change efforts after a certain period of time. In essence, this could lead to resistance to change whereby people...

Towards this end, there is need to ensure that the change efforts are led by persons that not only set the tone for the change efforts, but also embody and understand the institution’s culture. My EBP change proposal, therefore, ought to be implemented in a pace that does not upset the underlying standards of conduct and values within the institution.
Question 2

There are quite a number of avenues I could make use of in seeking to disseminate my EBP project. These include, but they are not limited to, health care or nursing conferences and professional journals. The professional journal I would select for this endeavor is The American Journal of Nursing. This more so the case given that this particular journal happens to be “the oldest and most honored broad-based nursing journal in the world” (American Journal of Nursing – AJN, 2018). Towards this end, I feel that the journal has wide readership and therefore, my project would get the desired exposure. Secondly, my project falls in the category of content accepted for submissions. In essence, the journal accepts submissions from, amongst other areas, “evidence-based clinical application papers and descriptions of best clinical practices, original research and QI reports, case studies, narratives, commentaries, and other manuscripts…” (AJN,…