Driving Change

Driving Change

Develop a 4–6-page proposal for executive leadership that addresses  changes you would like to see within your organization that would  advance the field of nursing.

Nursing is in the midst of many changes. In this assessment you  will consider how you can be a driving force to bring about needed  change within the field of nursing.

Collaborative interprofessional groups are at the heart of resolving  contemporary nursing issues. The work of groups and teams is based on  strong decision-making and problem-solving skills, led by effective and  engaged leaders. Nurses leading collaborative teams are critical for  resolving a number of issues such as errors in medications, accidents  involving patients, and unsafe shortcuts.

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Nurses truly are expert problem-solvers. Tucker and Edmondson  (2002) found that nurses utilized problem-solving skills so often that  it had become a routine aspect of a nurse’s day. However, nurses must be  able to maximize their problem-solving skills in order to lead health  care teams in addressing challenges, identifying evidence-based  solutions, and implementing those solutions.

Reference

Tucker, A. L., & Edmondson, A. C. (2002). Managing routine exceptions: A model of nurse problem solving behavior. Advances in Health Care Management3, 87–113.

Preparation

To prepare for this assessment, you will need to think about  changes you feel are needed to address a problem either within nursing  as a professional field or within the organization where you work.  Narrow down your options by considering which change would best be  undertaken by an interprofessional team. Some examples for you to  consider might include:

  • The use of mobile and portable technology to support patients.
  • Using evidence-based practice (EBP) to improve patient care.
  • Increasing patient safety and quality of care.
  • The use of medical technology such as genes and stem cells, or robots in the OR.
  • Addressing the nursing shortage now and into the future.
  • Improving the work environment (providing calm, supportive spaces  for nurses; improved dialog between health care professionals).
  • Better safety for nurses at work (violence, spreading diseases, physical injury).
  • Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

  • Developing a mobility program for an inpatient unit.
  • Implementing “smart” technology to assist in patient monitoring.
  • Creating a mentoring program to attract and retain nurses.
  • Implementing protocols for infection control and/or treatment of an epidemic.
  • Developing a plan to eliminate physical violence and verbal abuse in the workplace.
  • Other.

Once you have selected an issue to address, look for scholarly and  professional articles that focus on the problem, the needed change, and  how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your  organization that would advance the field of nursing. You have decided  to develop a proposal and submit it to executive leadership. Format this  assessment as a professional proposal. You may want to look at how  proposals are drafted within your organization and follow that format.  You will still need a references page; follow APA guidelines for in-text  citations and references.

Address the following in your proposal:

  • Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
  • Describe possible evidence-based interventions for the problem.
  • Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
  • Describe strategies to overcome barriers and resistance to change.
  • Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
  • Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not  including title page and references page. Support your statements and  intervention plan with references to and citations for at least four  scholarly or professional resources.

Additional Requirements

  • Include a title page and references page.
  • Reference at least four current scholarly or professional resources.
  • Use APA format for citations and references.
  • Use Times New Roman font, 12 point.
  • Double space.

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