When considering implementing a change based on current research, when would you pursue a trial or pilot implementation within one department before implementing the change to the entire organization? What steps would be involved in a trial implementation?
Week 7 DQ 2
Organizational change is a highly engaging endeavor that consumes considerable time and resources. Due to its profound impacts, change leaders should ensure that change implementation does not fail. As a feasibility study, piloting helps change leaders gauge the probability of success through a small experiment. Knowing when to conduct a pilot study and the necessary steps is critical for successful and lasting change.
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Change based on current research should follow the evidence-based practice (EBP) implementation procedure. As a result, the most appropriate time to pursue a trial or pilot implementation is after critiquing research backing the proposed change (Pearson et al., 2020). At this point, there is an answerable question and evidence to answer the question readily available and critically appraised. The other step after critically appraising evidence is integrating the evidence with clinical expertise and patient preferences. Using evidence as the basis for new practice represents change implementation. Piloting within one department would be practical after critically appraising current research.
A trial implementation involves several interrelated steps. The first critical step is sample size selection (Bell et al., 2018). For instance, the entire department or selected members can participate in the piloting depending on their numbers and scope of change. Next, the change leader sets clear goals, determines and specifies the duration of the pilot study. The feasibility study then follows while collecting appropriate feedback. The last step involves addressing issues before implementing the actual change.
Overall, piloting is crucial to minimize the chances of failure. Considering that change implementation is a highly engaging endeavor, it is vital to get it right by all permissible means. Addressing any emerging issue before the actual change implementation ensures that the change brings the desired results as supported by scientific evidence. The most appropriate time for piloting is after critically appraising research evidence.
References
Bell, M. L., Whitehead, A. L., & Julious, S. A. (2018). Guidance for using pilot studies to inform the design of intervention trials with continuous outcomes. Clinical Epidemiology, 10, 153-157. https://doi.org/10.2147/CLEP.S146397
Pearson, N., Naylor, P. J., Ashe, M. C., Fernandez, M., Yoong, S. L., & Wolfenden, L. (2020). Guidance for conducting feasibility and pilot studies for implementation trials. Pilot and Feasibility Studies, 6(1), 1-12. https://doi.org/10.1186/s40814-020-00634-w
When considering implementing a change based on current research, when would you pursue a trial or pilot implementation within one department before implementing the change to the entire organization? What steps would be involved in a trial implementation?