Screening for Delirium, Dementia and Depression in Older Adults
Screening for Delirium, Dementia and Depression in Older Adults
Screening for Delirium, Dementia and Depression in Older Adults
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Nurs<strong>in</strong>g Best Practice Guidel<strong>in</strong>eAppendix P: Description of the ToolkitToolkit: Implementation of Cl<strong>in</strong>ical Practice Guidel<strong>in</strong>esBest practice guidel<strong>in</strong>es can only be successfully implemented if there are:adequate plann<strong>in</strong>g, resources, organizational <strong>and</strong> adm<strong>in</strong>istrative support as well as appropriatefacilitation. RNAO, through a panel of nurses, researchers <strong>and</strong> adm<strong>in</strong>istrators has developeda “Toolkit: Implementation of cl<strong>in</strong>ical practice guidel<strong>in</strong>es”, based on available evidence,theoretical perspectives <strong>and</strong> consensus. The “Toolkit” is recommended <strong>for</strong> guid<strong>in</strong>g theimplementation of any cl<strong>in</strong>ical practice guidel<strong>in</strong>e <strong>in</strong> a healthcare organization.The “Toolkit” provides step-by-step directions to <strong>in</strong>dividuals <strong>and</strong> groups <strong>in</strong>volved <strong>in</strong> plann<strong>in</strong>g,coord<strong>in</strong>at<strong>in</strong>g, <strong>and</strong> facilitat<strong>in</strong>g the guidel<strong>in</strong>e implementation. Specifically, the “Toolkit”addresses the follow<strong>in</strong>g key steps:1. Identify<strong>in</strong>g a well-developed, evidence-based cl<strong>in</strong>ical practice guidel<strong>in</strong>e.2. Identification, assessment <strong>and</strong> engagement of stakeholders.3. Assessment of environmental read<strong>in</strong>ess <strong>for</strong> guidel<strong>in</strong>e implementation.4. Identify<strong>in</strong>g <strong>and</strong> plann<strong>in</strong>g evidence-based implementation strategies.5. Plann<strong>in</strong>g <strong>and</strong> implement<strong>in</strong>g evaluation.6. Identify<strong>in</strong>g <strong>and</strong> secur<strong>in</strong>g required resources <strong>for</strong> implementation.85Implement<strong>in</strong>g guidel<strong>in</strong>es <strong>in</strong> practice that result <strong>in</strong> successful practice changes <strong>and</strong> positivecl<strong>in</strong>ical impact is a complex undertak<strong>in</strong>g. The “Toolkit” is one key resource <strong>for</strong> manag<strong>in</strong>gthis process.The “Toolkit” is available through the Registered Nurses Association ofOntario. The document is available <strong>in</strong> a bound <strong>for</strong>mat <strong>for</strong> a nom<strong>in</strong>alfee, <strong>and</strong> is also available free of charge from the RNAO website. Formore <strong>in</strong><strong>for</strong>mation, an order <strong>for</strong>m or to download the “Toolkit”, pleasevisit the RNAO website at www.rnao.org/bestpractices.