The largest barrier to change in an ambulatory surgery setting would be resistance to change, as people often create habits or specific ways of performing different tasks, asking a group to change the way they think and perform these tasks, is often a difficult undertaking (Strategies for Nurse Managers, 2002). In the ambulatory surgical setting, time and operating room schedules are very important, at times even dominating the day and taking precedence.Overcoming this barrier effectively would require a variety of different strategies to gain compliance and understanding, however, maintain these standards could prove to be tricky. It is expected that five of the major surgeons who share ownership of the center. They will assist in creating the changes to practice, and how they wish the patients receive this information, as well as providing input into changes to their prescribing habits. Through the months after implementation, stakeholder satisfaction with protocol changes and implementation will be assessed through clinical staff meetings. Another way to overcome these barriers is by gaining support from the administration staff (Ginex, 2018) such as our Director of Nursing. The administration will be able to provide important information through surveys that will provide valuable feedback that nurses are continuing to follow protocol through the post-operative patient surveys. Furthermore, the administration can assist with the coordination of education and informational meetings to follow up on the new changes in practice, and reviews of the evidence that supports these changes, and the reason for implementing these new protocols (Strategies for Nurse Managers, 2002). Nurses will also be consulted in follow up meetings as to their satisfaction with the new protocols taking place, and their opinions, as well as any suggestions they may have to further increase satisfaction to the patients and staff. ReferencesGinex, P. K. (2018). Overcome barriers to applying an evidence-based process for practice change. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-changeStrategies for Nurse Managers. (2002). Breaking down resistance. Retrieved from http://www.strategiesfornursemanagers.com/content/31710.pdf