Problem Statement
Planned change is necessary in the healthcare setting. Described as “purposeful, calculated, and collaborative,” planned change helps prepare nursing staff for a new technology or process, ensuring its safe and effective implementation (Mitchell, 2012, p. 32). The issue that I wish to address within my organization is technology upgrades. Nurse administrators would like to invest in portable electronic devices for all nursing staff, which would enhance quality of care and promote accuracy and efficiency: which are embedded in the mission and goals of the organization (Leape, Rogers, Hanna, et al., 2006). However, the technology has not been implemented properly because underlying processes and procedures have not yet changed. We need a change management strategy that builds on the Kurt Lewin model of unfreezing, moving forward, and then refreezing. Ultimately, the change needs to result in changed norms of behavior.
Medication errors had been either steady or even slightly increasing over the least two years in our organization. To respond to this problem, administrators investigated a number of systems upgrades to patient databases and electronic health records. The nursing staff already received proper training on how to use the new portable devices, which are linked to centralized databases and client software installed on all station computers. Administrators believed this would be sufficient to implement the new technology, but it was not; medication errors remain a problem.
Aligning the Change
This change aligns perfectly with our organization’s mission and vision, which include a commitment to patient care, to patient autonomy and safety, and to continually striving to improve. As Hamer (2013) also points out, nurses can use technology to improve practice, but the technology does not act alone (p. 1). My proposal also…
References
De Veer, A. J.D., Fleuren, M.A.H., Bekkema, N., et al. (2011). Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. BMC Medical Informatics and Decision Making 11(2011). https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/1472-6947-11-67?utm_source=twitterfeed&utm_medium=twitter
Gesme, D. & Wiseman, M. (2010). How to implement change in practice. Journal of Oncology Practice 6(5): 257-259.
Hamer, S. (2013). Involving nurses in developing new technology. Nursing Times. 22 Nov, 2013. https://www.nursingtimes.net/clinical-archive/healthcare-it/involving-nurses-in-developing-new-technology/5065667.article
Leape, L.L., Rogers, G., Hanna, D., et al. (2006). Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Quality and Safety in Healthcare 15(4): 289-295.
Mitchell, G. (2012). Selecting the best theory to implement planned change. Nursing Management 20(1). http://home.nwciowa.edu/publicdownload/Nursing%20Department%5CNUR310%5CSelecting%20the%20Best%20Theory%20to%20Implement%20Planned%20Change.pdf
Shirey, M.R. (2013). Lewin’s Theory of Planned Change as a Strategic Resource. Journal of Nursing Administration 43(2): 69-72.
Planned Change in a Department Change within the Medical surgery department There are various factors that occasion change within any organization, some may be due to change in the operations of an organization, some due to expansion, relocation, takeovers, mergers, external forces in economies, internal changes in operation modes or even unprecedented needs as unforeseen at the initial stages. This last one seems to be case within the medical surgery unit in
Nursing Theory Analysis Theory-based nursing is the phenomenon that has been researched much during the past two decades. Nursing theory has become the foundation for nursing practice with its own knowledge base. The current paper is an analysis of King's theory of goal attainment. King acquired her goal attainment theory model from an interpersonal system and a behavioral science. The nurse and patient communicate to achieve a common goal of patient
Complete Care Plan Associated care plan completed None -- done Additional research, collaboration, consultation. Additional Risk Factors Very specific evaluation Collaborative or nursing issues that are important but may, by necessity, be delayed Priority identification -- anticipate problem prior to formalizing plan Review, Revise, Assess Fluid and continuous Depending on treatment outcome Surgery or treatment may accentuate (Carpenito-Moyet, 2009, 25-31) Process and Planning -- The nursing care plan is a guide, but is meant to be fluid and responsive to the patient's individual
Nursing during World War II Pearl Harbor, and the United States' subsequent involvement in World War II, had a lasting impact on the country, much as the events of September 11, 2001, had, and will continue to have, a lasting impact on this nation. In particular, this paper will focus on the impact that Pearl Harbor and World War II had on the nursing profession. The events of Pearl Harbor and other
("Summary of the LPN Declaratory Ruling, 2003) The selected tasks and shared responsibilities of the licensed practical nurse define such nurses as responsible for being adequately prepared for the nursing responsibilities they assume because they have obtained the validation of completion of an approved preparatory program and have evidence of the successful completion of a nursing licensing examination. A registered nurse, however, as the title conveys, must be registered as
In fact, nursing staff should have access to mobile technologies that allow for decisions to be made instantaneously at the bedside. For example, a PDA would allow nurses to access the literature directly from the bedside without leaving the patient's care. This would help integrate the caring aspects of nursing with the more objective aspects of evidence-based practice. 3) Discuss methods and specific plan to revise an unsuccessful project solution If
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now