NURS 4455 Module 2 Assignment 2 Change Theories Project
Note:YouwillcreateaPowerPointslidepresentation (not an APA paper) for this assignment. Submit your assignmentthrough Canvas for grading for this module. If you do not submit a PowerPoint slide presentation you will not receive credit for this assignment.
Overview: Change TheoriesProject
Each student will produce a plan for implementing a change project in nursingdepartments throughout theorganization.You will beginby selecting oneoftheoptionsprovidedin module oneandproposeachange to solve the problem. If you do not select one of the provided options you will not receive credit for this assignment. Then you will select one of the change theories you have studiedthat modelshowyouwant toimplementtheproposedchange. Youwillconducta SWOTanalysisanddevelop a comprehensive action plan.
You will create a PowerPoint presentation of your planwith a“script”intheNotessectionbelow each slide, asifyouarepresentingthistoanaudience.Your script must be in the Notes section that is below each slide within your PowerPoint presentation. See the Resource tab for examples. These will be your speaker notes as if you are presenting your PowerPoint to an audience. You MUST have a notes section for your slides. There will be a 50 point deduction if your notes are not below each slide.
1. Select and utilize a change theory model to implement the proposedchange (chapter 5)
3. Identify your decision-makingprocess.
4. Demonstrate the elements of the changeprocess.
Change is inevitable in healthcare and other disciplines. It continuously happens in healthcare due to evolving patient needs, population shifts, disease trends, and technological advances. A change theory comprehensively describes and illustrates how and why a desired change is expected to occur in a specific context. It outlines how a specific intervention, or set of interventions, is expected to lead to particular development change. The purpose of this presentation is to describe an expected change in our organization and explore a change theory that can be applied to drive the change.
The Change That Is To Occur & Why It Is Necessary
The anticipated change is adopting a Computerized Decision Support System (CDSS). The CDSS supports clinical decision-making by availing evidence from high-quality scientific research to healthcare providers. The CDSS will link patient-specific information in the electronic health record (EHR) with evidence-based knowledge (Sutton et al., 2020). This will generate case-specific guidance messages through algorithm-based software.
The change is necessary to reduce the hospital’s high medication administration errors (MAEs). The lack of a CDSS is a major factor in the increasing MAEs. Other organizations with the CDSS have reported a significant reduction in MAEs.
The change to CDSS aims to promote using evidence-based guidelines in clinical decision-making by providers and improve the quality of care (Sutton et al., 2020).
Rogers’ Diffusion of Innovations Theory is my theory of choice in implementing the adoption of the CDSS in the hospital. It is recommended in organizational change interventions to help attain the projected outcomes. The theory is the most appropriate for examining technology adoption in organizations. Much diffusion research entails technological innovations (Udod & Wagner, 2018). Thus, Rogers used the word “technology” and “innovation” interchangeably. The theory is the best for implementing the change since it is applied to long-term change projects. Besides, the proposed change involves adopting technology in the organization, making Roger’s theory the best fit.
The Steps in the Change Theory
Roger’s Change theory has five stages:
Knowledge: This entails communicating to employees or staff the rationale for the change initiative, including how it will be implemented and the persons involved (Mohammadi et al., 2018).
Persuasion: Involves persuading individuals to accept the change by providing key information about the change intervention. The change agent also notes the employees’ favorable and unfavorable attitudes toward the change (Mohammadi et al., 2018).
Decision: This stage involves determining whether to implement the change. The change agent analyzes the data and conducts a pilot trial of the new processes brought about by the change.
Implementation: The change initiative is implemented on an established ground as the staff, and the organization take the initiative to accommodate it.
Confirmation: The change agent decides to continue the innovation and may employ it to maximum use.
Operationalizing Each Step
Knowledge: As a nurse leader, I would educate the hospital’s management team and healthcare providers on implementing the CDSS. I would explain the functions of the CDSS and how it will be integrated with the EHR.
Persuasion: I would convince the management team and provider to accept the CDSS by enlightening them on the potential benefits of CDSS in improving clinical efficiency and patient outcomes. In this stage, training on using the CDSS will be conducted. Besides, I would assess the staff’s attitude towards the adoption of CDSS.
Decision: In the decision stage, I would conduct a pilot trial of the CDSS in some inpatient units for two months to measure its practicability and effectiveness in attaining the desired patient care outcomes. I will use the feedback from the pilot to improve the CDSS and identify areas that require further training.
Implementation: This step will involve implementing the CDSS in all the hospital units. The providers will have an informaticist who will guide them in implementing the CDSS and handle any system issues (Mohammadi et al., 2018).
Confirmation: In this stage, I will resolve my decision to continue implementing the CDSS in the hospital based on how it is implemented and the outcomes.
Communication and Team-Building Strategies
Effective communication and team-building strategies are vital in implementing and sustaining change since they foster collaborative decision-making, intra-team communication, and effective team processes. Communication skills will include ensuring the credibility of the messages communicated and maintaining consistency to establish loyalty and create trust with the employees (Smith et al., 2018). I will also listen to the staff and leadership team members and seek input on how to improve the CDSS. Besides, I will provide feedback on how the change is taking place and areas of improvement.
Team building strategies will include promoting a respectful environment, communicating the vision of the change, and defining the roles of each team member (Smith et al., 2018). I will also provide mentorship to the members and acknowledge and reward excellence.
The proposed change is adopting a CDSS. The adoption of CDSS is expected to decrease MAEs and the associated adverse effects, complications, and medical costs. Rogers’ Diffusion of Innovations Theory is the selected change theory for implementing the CDSS in the hospital. It has five stages: Knowledge, persuasion, decision, implementation, and confirmation. The change agent will ensure the credibility of information communicated to the staff and maintain consistency. Team building will be achieved by promoting a respectful environment, communicating the vision, and defining team members’ roles.
Mohammadi, M. M., Poursaberi, R., & Salahshoor, M. R. (2018). Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: a model testing study. Health promotion perspectives, 8(1), 25–32. https://doi.org/10.15171/hpp.2018.03
Smith, T., Fowler-Davis, S., Nancarrow, S., Ariss, S. M. B., & Enderby, P. (2018). Leadership in interprofessional health and social care teams: a literature review. Leadership in Health Services. https://doi.org/10.1108/LHS-06-2016-0026
Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine, 3(1), 1-10. https://doi.org/10.1038/s41746-020-0221-y
Udod, S., & Wagner, J. (2018). Common change theories and application to different nursing situations. Leadership and influencing change in nursing.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
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Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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