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NURS 6053 Change Implementation and Management Plan

NURS 6053 Change Implementation and Management Plan

NURS 6053 Change Implementation and Management Plan

Training is an important element in the adoption of a change agent. It prepares the staffs to incorporate the new practices into their daily routines. It also minimizes incidences of resistance to change. Through it, unnecessary wastage of resources due to poor uptake or resistance to change are eliminated. The use of web-based electronic health records is associated with health outcomes that include improvement in quality of care, efficiency of care, and patient satisfaction with care (Hoyt & Hersh, 2018). The quality of care improves since patients are in constant interactions with their healthcare providers. There is enhanced efficiency in the provision of healthcare since decisions can be made in real-time for faster decision-making. It also minimizes hospital visits, hence, efficiency in healthcare (Onyejekwe, Rokne & Hall, 2019). There is enhanced patient satisfaction with care due to the provision of patient-centered care.

Cognizant of  the role that training plays when it comes to improving a nurse’s competencies in EBP and thus empowering them to contribute to the development of EBP, here are certain strategies that can be undertaken from both an organizational level, to the larger professional level. At the organizational level, the organization can organize for opportunities where their nurses can get trained on evidence based practice. On the greater professional levels, professional bodies such as the ANA and the ANCC have developed certification program for nurses. By including components of evidence based practice  in the certification exams, this ensures that nurses will prepare and apprise themselves on EBP and thus, in order to earn the certification, they will have to be competent in EBP. Alternatively, the institutions can include a whole different certification for EBP, where nurses will specifically be trained on EBP, tested on the same and thus, their competency will be proven by their certification. This will ultimately improve their ability to participate in the development and implementation of EBP.

Proposed change is transformational type of change. It aims at transforming the existing organizational strategy. The change is adopted in response to the need to align with the rapid changes in an industry. The change aims at ensuring that the strategies used at the different levels of the organization support the overall mission of the company. Therefore, it is anticipated that the adoption of web-based electronic health records will transform the quality of healthcare given to the patients. The organization will be able to remain up-to-date on issues influencing its performance in the market.

The change will be implemented in our organization. It will aim at increasing the uptake of web-based electronic health records by the healthcare providers. It will also focus on raising the level of awareness among them on the use of the technology. Through it, the organization intends to transform the experiences of the patients and healthcare providers in service provision.

NURS 6053 Change Implementation and Management PlanExecutive Synopsis

The transition of patients from the hospital to their homes presents a difficulty for healthcare organizations. Significant attempts have been undertaken to improve care transition efficacy. Poor care transition is a challenge for healthcare systems, since it results in high rates of readmission for patients.

As part of an effort to lower the rate of readmission, the healthcare facility must incur financial penalties.

Alteration and Justification

Intervention is required to lower the rate of readmission.

Patients will be educated by nurses regarding treatment adherence.

Treatment noncompliance is the major reason of readmission to the facility.

The penalties-related financial losses sustained by the healthcare institution must be handled.

Low readmission rates indicate that the hospital is not providing safe and effective care.

Impact of Change

There is a need for increased nurses’ participation in the transition process.

The type of modification that has been implemented is a developmental change.

The modification acknowledges the need for enhancements to the discharge procedure.

There is a necessity for transition stage enhancements.

Current discharge procedures are ineffective

Stakeholders and Management Team

Employees and patients will be the stakeholders most affected by the move.

The modification modifies the discharge procedure for patients.

During the patient transition process, the nurses will play a larger role.

The administration of the healthcare facility will be more involved in the patient’s recovery and treatment.

Transmitting Change

Ensure clarity in explaining change objectives

Inform the nurses of the advantages emerging from the process of transformation.

Communication will involve notifying stakeholders of the resulting expectations.

Use email to communicate with stakeholders in a two-way manner.

Risk Mitigation

Overspending to cover the risks that affect budgets.

Having deadlines to eliminate project schedule-affecting hazards.

Identification of technical strategies to mitigate staff performance and productivity risks

avoiding risks by having alternatives

Type & Scope of the Proposed Change

 Transformational change
 Preparing and initiating the prosed change
 Assess possible risks and limitations
 Develop acceptable strategies for implementation
 Collecting evidenced based data from staff.
 Prepare corrective action plans
The proposed change falls in the category of Strategic transformational change. This means that the change will affect some aspects of the organization (Neiva, Odelius & Ramos, 2015). It will influence but not completely redefine the organization. In Strategic transformational change, there needs to be thorough planning for the change to attain the desired results (Neiva et al., 2015). The person proposing the change needs to identify the ultimate goal and develop a plan to attain it. For the proposed change, I will need to plan how the resources will be obtained and how the opportunities will be provided to the employees.
It will be important that the staff understand that the goal of the change is to support new strategies and skills instead of fixing their deficiencies. The professional development programs will then be considered as a benefit (Price & Reichert, 2017). Besides, the staff will see that the organization is willing to invest in their professional growth.
The scope of change is the organization’s managerial level. For the change to be successful, the organization’s managers will have to put efforts into ensuring that there is complianve with regulatory bodies, and that the expected safety standards of healthcare policies are met (Neiva et al., 2015).

Stakeholders Impacted by the Change

The primary stakeholders impacted by this change are,
 Administrators-approval of funds to be allocated towards the success of this proposal
 Departmental heads and managers
 Human resources
 Staff nurses are also key stakeholders in the proposal (Ballard, K. 2003).
 Financiers of my organization are very important stakeholders for the disbursement of funding.

Stakeholders involved include

1. Hospital administrators: They will be first in line on the propositions involved in o=im proving the staffing patterns in the organization. They would have to understand the dynamics of the proposal, and ultimately work towards its success in collaboration with all other stakeholders.
2. HR manager: The HR manager will be tasked with identifying employee’s professional needs and deficiencies within the organization. The HR will also plan and organize professional development programs and identify staff to be sponsored for sponsored training programs through appraisal (Price & Reichert, 2017).
3. Nursing supervisors: The nursing supervisors will be tasked with determining nurses’ professional needs in the respective hospital units. They will also interview nurses to identify their motivation and professional needs. This will help provide professional development opportunities that suit the nurse’s needs (Price & Reichert, 2017).
4. Attending physicians: The attending physicians will also determine professional development needs for medical residents and interns in the specialties they supervise

Change Management Team

 Unit Manager- leaders of the team
 Staff nurses on unit
 Human Resources Department
Plan for Communicating The Change
 Appointing a well knowledgeable spoke person or consultant for the proposal
 Publish clear guidelines for the new policies and procedures
 Implement strategies that will Ease the Transition
 Emphasis on why the change is vital for success.
 Provide ongoing promotion of the challenge to keep employees motivated.
 Solicit feedback and questions
Communication about the change will be facilitated by the change management team and through internal memos. The nursing supervisors and attending physicians will inquire from their teams on the professional programs to improve their practice. They will also communicate about the incoming professional development programs to their staff. They will also be tasked with informing the selected employees who will be sponsored for certification and advanced education courses.
An internal memos will be used to communicate with the employees about the changes to help them develop their professions and advance their careers. Internal memos will be used to communicate upcoming CMEs and seminars to the employees, including the topics, venue, and dates to prepare beforehand.

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NURS 6053 Change Implementation and Management Plan
NURS 6053 Change Implementation and Management Plan

Change Implementation and Management Plan Assignment

It’s one of the most overused cliches, yet it’s true: the only constant is change. As a nursing professional, you are probably aware that success in the healthcare field necessitates the ability to adapt to change, as the pace of change in healthcare is unrivaled.
As a professional, you will be expected to share your knowledge, enlighten, educate, and advocate. Your efforts in these areas can help others navigate change. In this Assignment, you will suggest a change inside your organization and offer a complete strategy to put the proposed change into action.

To Get Ready:

• Go over the resources and choose one change you believe is needed in your organization/workplace.
o This may be a necessary modification to effectively address one or more of the issues you discussed in Module 4’s Workplace Environment Assessment. It could also be a reaction to something that was not addressed in your prior efforts. To help identify and vet these ideas, it may be good to discuss them with your organizational leadership and/or coworkers.
• Consider how you will implement this change and how you will communicate it to organizational leadership.
The Task (5-6 minute PowerPoint presentation with narration):

Change Management and Implementation Plan

Create a narrated PowerPoint presentation with video comprising 5 or 6 slides that offers a complete plan for implementing the proposed change.
Your narrated presentation should last 5-6 minutes.
The following items should be included in your Change Implementation and Management Plan:
• An executive summary of the current difficulties affecting your organization/workplace (If applicable, this can include the work you conducted in your prior Workplace Environment Assessment.)
• A description of the proposed modification
• Justifications for the change, such as why addressing it will benefit your organization/workplace.
• Details about the proposed change’s type and scope • Identification of stakeholders impacted by the change • Identification of a change management team (by title/role) • A plan for communicating the proposed change • A description of risk mitigation plans you would recommend to address the risks anticipated by the proposed change
Submit your Narrative Change Implementation and Management Plan by Day 2 of Week 11.

Submission and Grading Details

Do the following to submit your completed Assignment for review and grading:
• Please save your Assignment with the name “WK11Assgn+last name+first initial.(extension)” as the extension.
• To see the Grading Criteria for the Assignment, click the Week 11 Assignment Rubric.
• Navigate to the Week 11 Assignment link. You will also be able to “View Rubric” for this area’s grading criteria.
• Then, in the Attach File section, click the Browse My Computer button. Open the document you saved as “WK11Assgn+last name+first initial. (extension)”.
• If applicable, tick the button next to I agree to submit my paper(s) to the Global Reference Database in the Plagiarism Tools section.
• To finish your submission, click the Submit button.

The healthcare organization deals with a high rate of patient readmission. The high rate of readmission within 30 days after the patient has been discharged indicates poor management of patients during transition stage. A key goals of the healthcare organization is to ensure that there is no readmission of patients discharged. Readmission means more cost for the patient and poor health outcomes. As a nurse, it indicates the need to effectively manage the conditions that lead to increased readmission.

The change process seeks to address the high readmission rate among the patients. The healthcare organization has to deal with the financial penalties imposed due to the high readmission rate. In addition, the patients have to deal with a high cost of care. The proposed change seeks to ensure that there is better adherence to the treatment plan. Many patients fail to adhere to the treatment plan when they transition from the hospital to home. Failure to take medication means that the recovery process will be delayed. The change will involve all nurses who will be tasked with providing the patients’ education as they transition from the care facility to home.

The need to make improvements in the current discharge process is an indication that the type of change being implemented is developmental change. The change seeks to make adjustments to the process of discharging patients from the hospital facility. There is a need to have more involvement of nurses in the discharge process and the post-discharge stage.

The management team will consist of three nurse leaders, finance manager, project manager, operation manager, and human resource department members. The team will be assigned different functions intended to make the intervention successful. The nurse leaders will communicate the change and guide the rest of the nurses to adjust to the enacted changes. Also, the patients will have to be educated before discharge to ensure adherence to the treatment plan.

Emails and newsletters will be used to communicate the change process to the stakeholders. Use of emails will detail to the stakeholders their role and what is expected as a result of the change process. The stakeholders will also have a two-way communication where they can inquire and seek clarification regarding the change process.

Various strategies will be implemented to eliminate the occurrence of risk when implementing the change process. The occurrence of risks that increase the cost of implementing the change will be eliminated by going over on the budget. The excessive budgetary allocation will cover incidences involving increased costs when implementing the change process. In addition, working with deadlines will ensure that the risks of being behind schedule are reduced.

Change Implementation and Management Plan

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

Alternate Submission Method

You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader

Rubric

NURS_6053_Module05_Week11_Assignment_Rubric
NURS_6053_Module05_Week11_Assignment_Rubric
Criteria Ratings Pts

Create a 5- or 6-slide PowerPoint that presents a comprehensive plan to implement changes you propose. Your Change Implementation and Management Plan should include the following:· An executive summary of the issues that are currently affecting your organization/workplace (this can include the work you completed in your Workplace Environment Assessment).· A description of the changes being proposed.· Justifications for the changes, including why addressing them will have a positive impact on your organization/workplace.

40 to >35.0 pts

Excellent
The narrated presentation accurately and completely presents a comprehensive plan to implement proposed changes. … The narrated presentation accurately and thoroughly describes the issues currently affecting the organization in an executive summary. … The narrated presentation accurately and clearly describes the proposed changes. … The narrated presentation accurately and clearly provides justifications for the changes, including why addressing them will have a positive impact on the organization.

35 to >31.0 pts

Good
The narrated presentation adequately presents a comprehensive plan to implement proposed changes. … The narrated presentation adequately describes the issues currently affecting the organization in an executive summary. … The narrated presentation adequately describes the proposed changes. … The narrated presentation adequately provides justifications for the changes, including why addressing them will have a positive impact on the organization.

31 to >27.0 pts

Fair
The narrated presentation vaguely, inaccurately, or incompletely presents a plan to implement proposed changes. … The narrated presentation inaccurately or vaguely describes the issues currently affecting the organization in an executive summary. … The narrated presentation inaccurately or vaguely describes the proposed changes. … The narrated presentation inaccurately or vaguely provides justifications for the changes, including why addressing them will have a positive impact on the organization.

27 to >0 pts

Poor
The narrated presentation vaguely, inaccurately, and incompletely presents a plan to implement proposed changes. … The narrated presentation inaccurately and vaguely describes the issues currently affecting the organization in an executive summary or executive summary is missing. … The narrated presentation inaccurately and vaguely describes the proposed changes or proposed changes are missing. … The narrated presentation inaccurately and vaguely provides justifications for the changes, including why addressing them will have a positive impact on the organization or justifications are missing.
40 pts

· Details about the type and scope of the proposed changes.· Identification of the stakeholders impacted by the changes.· Identification of a change management team (by title/role).· A plan for communicating the changes you propose.· A description of risk mitigation plans you would recommend to address the risks anticipated by the changes you propose.

30 to >26.0 pts

Excellent
The narrated presentation accurately and thoroughly details the type and scope of the proposed changes. … The narrated presentation accurately and clearly identifies the stakeholders impacted by the changes. … The narrated presentation accurately and completely identifies a change management team by title/ role. … The narrated presentation accurately and thoroughly proposes a detailed plan for communicating the changes proposed. … The narrated presentation accurately and thoroughly describes recommended risk mitigation plans that address the risks anticipated by the changes proposed.

26 to >23.0 pts

Good
The narrated presentation adequately details the type and scope of the proposed changes. … The narrated presentation adequately identifies the stakeholders impacted by the changes. … The narrated presentation adequately identifies a change management team by title/ role. … The narrated presentation adequately proposes a detailed plan for communicating the changes proposed. … The narrated presentation adequately describes recommended risk mitigation plans that address the risks anticipated by the changes proposed.

23 to >20.0 pts

Fair
The narrated presentation vaguely or inaccurately details the type and scope of the proposed changes. … The narrated presentation vaguely or inaccurately identifies the stakeholders impacted by the changes. … The narrated presentation vaguely or inaccurately identifies a change management team by title/ role. … The narrated presentation vaguely or inaccurately proposes a detailed plan for communicating the changes proposed. … The narrated presentation vaguely or inaccurately describes recommended risk mitigation plans that address the risks anticipated by the changes proposed.

20 to >0 pts

Poor
The narrated presentation vaguely and inaccurately details the type and scope of the proposed changes or proposed changes are missing. … The narrated presentation vaguely and inaccurately identifies the stakeholders impacted by the changes or stakeholders are missing. … The narrated presentation vaguely and inaccurately identifies a change management team by title/ role or change management team is missing. … The narrated presentation vaguely and inaccurately proposes a detailed plan for communicating the changes proposed or communication plan is missing. … The narrated presentation vaguely and inaccurately describes recommended risk mitigation plans that address the risks anticipated by the changes proposed or recommendations are missing.
30 pts

Resource Synthesis

5 to >4.0 pts

Excellent
Using proper in-text citations, the response fully integrates at least 2 outside resources and 2 or 3 course-specific resources. … PowerPoint presentation includes references slide.

4 to >3.0 pts

Good
Using proper in-text citations, the response fully integrates at least 2 outside resources and 1 course-specific resource. … PowerPoint presentation includes references slide.

3 to >2.0 pts

Fair
Using proper in-text citations, the response minimally integrates outside and course-specific resources. … PowerPoint presentation includes references slide.

2 to >0 pts

Poor
The response does not integrate outside and course-specific resources or no in-text citations are used. … References slide is incomplete or missing.
5 pts

Presentation Narration

10 to >0.0 pts

Excellent
Narration is present.

0 pts

Fair

0 pts

Good

0 pts

Poor
Narration is missing.
10 pts

PowerPoint Presentation: The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

10 to >8.0 pts

Excellent
The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

8 to >7.0 pts

Good
Eighty percent of the presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

7 to >6.0 pts

Fair
Sixty to seventy nine percent of the presentation follows these guidelines: presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

6 to >0 pts

Poor
Less than sixty percent of the presentation follows these guidelines: presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.
10 pts

Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.

5 to >4.0 pts

Excellent
Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good
Contains a few (one or two) grammar, spelling, and punctuation errors.

3 to >2.0 pts

Fair
Contains several (three or four) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
Total Points: 100

Thanks for your post and sharing your experience with an uncivil co-worker. Based on your response, it sounds like you handled the situation professionally and respectfully. Workplace incivility can directly impact a healthcare organization, nursing staff and the quality of care provided to patients. Threatening and disruptive behaviors may lead to medical errors, decreased patient satisfaction, and increased cost of care. Exploring incivility experiences like yours, from the nurse’s perspective may pose valuable information about risk factors, outcomes, and ways to prevent workplace incivility (Abdollahzadeh et al., 2017). Preventing incivility is not an individual task. It involves many steps that must be taken, the nurses as well as the organization or even society must be unified for efforts to be successful.

Nurses can learn how to recognize and respond effectively to workplace incivility. Organizations offering team building exercises, general education programs about workplace incivility and samples of assertive responses that can be utilized by staff are examples of how to respond and ultimately reduce incivility. Cognitive rehearsal is a form of mental practice, that runs through assertive responses to incivility scenarios and is another method that can manage incivility (Armstrong, 2018). Cognitive rehearsal is an evidence-based framework designed to address workplace incivility. The three-step process includes interactive learning and instruction, rehearsing phrases used during an uncivil encounter and practice sessions for continued rehearsal. Conflict rehearsal can lead to better communication and a conflict-capable team (Clark, 2015).

Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to Prevent Workplace Incivility?: Nurses’ Perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157. https://doi.org/10.4103/1735-9066.205966

Armstrong, N. (2018). Management of Nursing Workplace Incivility in the Health Care Settings: A Systematic Review. Workplace Health and Safety, 66(8), 403–410. https://doi.org/10.1177/2165079918771106/FORMAT/EPUB

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18–23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdfLinks to an external site