Which of the following will positively influence how quickly a practice change is adopted?
a. Clearly defined patient outcomes are expected as a result of the change.
b. Complex and detailed interventional practice changes are implemented.
c. Senior management leaders are the sole members of the team.
d. The new practice is much different from current practice.
A
Certain clear, expected outcomes facilitate demonstrating the need for the change and adoption of the change. Other strategies that influence the adoption of a practice change include staff in-volvement in the topic selection, complexity of the intervention, interest and commitment to the topic, observability of impact of practice change, centrality to the daily work, technical and clin-ical versus administrative focus, pervasiveness and extent of change required, radicalness or the extent that the practice differs for the norm, uncertainty of outcomes, appeal to local power holders, and additional resources needed.
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