Implementing Change With an Inter-professional Approach.

Implementing Change With an Inter-professional Approach.

 

Implementing Change With an Inter-professional Approach Presentation

As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent, and spurring positive change on behalf of patients, colleagues, and the industry.Implementing Change With an Inter-professional Approach.

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Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10 slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change.

Describe the background of the situation, including the rationale for and goal(s) of the change.
Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
Discuss an appropriate change theory or model that could be used to achieve results.
Outline how you would initiate the change.
Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.
Make sure to include slide notes of 100 words for each slide.Implementing Change With an Inter-professional Approach.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content

Implementing Change with an Inter-professional Approach
Reducing Fall Rate within the Medical Surgical Unit
Background of the Situation
The rate of patient fall is a direct measure of patient safety
High fall rate in the hospital
Previously the hospital made efforts to reduce rate of patient falls
No significant difference in fall rate

Rationale
Reducing the fall rate in the unit will establish a culture of safety
Fall events during hospitalization associated with:Implementing Change With an Inter-professional Approach.
Injuries
Reduced functional mobility for the patients
Increase period of hospital stay
Increase healthcare costs
Goal(s) of the Change
To achieve a 50% fall reduction in the medical surgical unit within 6-months
Prevent patient harm/injury from fall events & improve patient safety
Engage staff to implement a culture of safety
To decrease the cost for fall with injury
Avoid regulatory fines and negative public image
Key Interprofessional Stakeholders
Patients
Nurses
Physician
Occupational therapist
Pharmacist
Management
Billing Team
Board members
Kotter’s Change Model
Creating a sense of urgency (need to reduce fall rate)
Forming a coalition to guide the change
Creating a vision
Communicating the vision

Kotter’s Change Model Cont’d
Empowering others
Generate & Celebrate short-term wins
Consolidate gains and implement additional improvements
Anchor the change in the organizational culture
Initiating the Change
Form an interprofessional team
The team meets to identify the root cause of falls in the unit
Use the plan-do-study-act cycle (PDSA) to evaluate changes within the unit to improve performance
Identify significant problems on falls through fall risk assessment
Implement standardizing intentional-rounding & patient education in the unit
Study of the Intervention
Compliance of intentional-rounding by the nursing staff
Collecting data between the baseline and current rate of falls

The Impact to the Organization if the Change Initiative is unsuccessful Again
Reduced patient satisfaction
Negative public image
Possible regulatory fines
Increased healthcare costs
Loss of resources/finances
Steps to take if the Change is Unsuccessful
Investigate the cause of the unsuccessful implementation
Continue post-fall huddles
Recruit change champions & change agents
Explore other ways to prevent falls
References
Aziz A. M. (2017). A change management approach to improving safety and preventing needle stick injuries. Journal of infection prevention, 18(5), 257–262. doi:10.1177/1757177416687829
Agency for Healthcare Research and Quality. (2013). Toolkit for using the AHRQ quality indicators: How to improve hospital quality and safety. Retrieved from www.ahrq.gov: https://www.ahrq.gov/professionals/systems/hospital/qitoolkit/index.htm
Barber, R. D., Coulourides Kogan, A., Riffenburgh, A., & Enguidanos, S. (2015). A role for social workers in improving care setting transitions: a case study. Social work in health care, 54(3), 177–192.Implementing Change With an Inter-professional Approach.
Eckstrom E, Neal M, Casey C, Megan M, Gary D, William S & Lasater K. (2016). An Interprofessional Approach to Reducing the Risk of Falls Through Enhanced Collaborative Practice. J Am Geriatr Soc, 64(8), 1701–1707.
Lundsford, B., & Wilson, L. D. (2015). A systematic process to address patients' fall risk can decrease or nearly eliminate falls. American Nurse Today, 29-31.
Morgan, L., Flynn, L., Roberston, E., New, S., Forde-Johnston, C., & McCulloch, P. (2016). Intentional-rounding: a staff-led quality improvement intervention in the prevention of patient falls. Journal of Clinical Nursing, (26), 115-124.

Implementing Change With an Inter-professional Approach.