Evid Based Nurs 6:68-71 doi:10.1136/ebn.6.3.68
  • Implementation forum

Implementing evidence-based guidelines for nutrition support in acute stroke

Table 2

Main conclusions of the “diagnostic analysis” in relation to change management*16

Levers and supports
• strong areas of expertise (eg, SLT Dysphagia Service, SRW)
• general support for project aims at all levels of the Trust
• some specific concerns about project issues, which key individuals were keen to address
• enthusiastic support from key individuals, including finding additional resources
• a strong managerial structure and ethos
• existing structures, especially CPD programmes, into which to dovetail project activities
Barriers and hindrances
*SLT = speech and language therapist. SRW = stroke and rehabilitation ward. CPD = continuing professional development.
• time and resource constraints
• a strong managerial structure and ethos
• communication channels—could be highly informal or inflexible
• varied knowledge base; a tendency to rely upon local “experts”
• lack of precedent for this type of project in the Trust

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