Week 4 Assignment Translation into Practice

Week 4 Assignment Translation into Practice

Week 4 Assignment

Translation into Practice

 

Directions:

Complete the Translation into Practice template building on your selected nursing clinical practice problem and Week 2 Evidence Summary assignment.

Answer the questions under each section with explanation and detail.

Correctly cite and reference information from at least
two
scholarly sources that help support the discussion.Sources should be no more than five years old unless they are historical references.

PICOT Question:

In hospitalized adult patients (P), does the implementation of hourly nursing rounds (I) compared to standard care without structured rounding (C) reduce the incidence of patient falls during hospitalization (O) over 3 months (T)?

 

Section 1: Evidence-Based Intervention

Describe the specific evidence-based intervention to be implemented in the change project.

 

The evidence-based intervention involves implementing hourly nursing rounds for hospitalized patients. The purpose is to improve patient outcomes and satisfaction, address needs proactively, and enhance patient safety. The rounds are implemented as regularly scheduled visits that may occur every hour. The focus is on checking the patient’s basic needs, safety, and comfort, including toileting, positioning, pain management, and ensuring personal items are within reach. There are three elements in the nursing rounds. First, documentation of the rounds and interventions taken. Second, environmental assessment to ensure the patient’s environment is safe and conducive to comfort. Third, addressing the five Ps regarding personal care needs, the proximity of belongings, position, potty, and pain (Leamy et al., 2023).

 

Describe factors that influence the need for this change, such as national quality standards, reimbursement, accreditation, or practice guidelines. Cite the scholarly source that help support this discussion.

 

Two main factors influence the need for the change. First is reimbursement, as falls have financial implications for the facility. The intervention implements a fall prevention program that ameliorates the cost of falls and fall-related injuries. Should a fall occur, the facility would have to absorb the cost of the post-fall injuries. Additionally, it may lose some reimbursement and risk financial penalties for failing to meet fall benchmarks (Kizy, 2023). Second, practice guidelines recommend hourly nursing rounding involving nurses conducting rounds on patients every hour to address fundamental patient needs and enhance safety and experience. This presents an opportunity for assessment and intervention, communication, documentation, promoting safety, and enhancing patient care (Leamy et al., 2023).

 

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Describe the potential barriers or challenges to implementing the intervention and how they will be addressed.

 

Two potential challenges are identified. first, lack of staff-buy in. If they do not see the benefits and value of hourly nursing rounding, then they are less likely to comply, thus hindering successful implementation. In addition, there may be insufficient staff education and training on the purpose, process, and benefits of the hourly rounding, leading to resistance and confusion. These challenges will be addressed through education and training that emphasizes the benefits of the change and provides opportunities for participation and skill development (Cheraghi et al., 2023).

 

Summarize how the intervention will be monitored and evaluated for effectiveness.

 

The intervention is targeted at reducing the incidences of falls during hospitalization. It will be monitored and evaluated for effectiveness by evaluating data on fall incidences during the intervention. This will provide an overview of whether there have been any changes to fall incidences reported.  In addition, the nurses involved in implementing the intervention will be engaged to provide feedback that evaluates its effectiveness while making suggestions for improvements (Ogrinc et al., 2022).

 

Section 2: Planning

Discuss who needs to be on the project team involved in the change project and explain how they will be involved.

 

The project team comprises five members. First, primary care physicians review the patient’s medical histories to identify those at risk of falls. They may recommend approaches to reduce fall risk, spot hidden injuries resulting from a fall, and evaluate medication side effects that may increase the risk of falling. Second, nurses who provide primary care conduct hourly rounds to assess patient needs and document findings. Third, the unit nurse manager provides leadership and supports the team, ensuring the project is aligned with the organizational goals, supports best practices, ensures compliance, and addresses any issues that arise. Fourth, a patient care representative who ensures the intervention is patient-centered and addresses their concerns. Fifth, nurse informaticist or quality improvement staff who provides expertise in data collection, analysis, and process improvement (Johnson, 2023).

 

Explain how you will prepare them for the change project.

 

Preparing for the change involves creating a sense of urgency among stakeholders by helping them see the need for the change and the importance of acting immediately. In addition, the preparation will pull together the project team responsible for guiding the change. Besides that, it will develop the change vision and strategy by clarifying how the future will be different from the past and how the change will make the envisioned future a reality. Additionally, it will communicate for understanding and buy-in by ensuring as many other stakeholders as possible understand and access the change vision and strategy (Johnson, 2023).

 

 

Explain the anticipated timeline for implementing the change project.

 

The project will be conducted in three phases over three months (12 weeks). Phase one, conducted over two weeks, will involve preparing a nurse hourly rounding schedule that identifies key focus areas and engaging nurse stakeholders to address their input and concerns. In addition, baseline data and goals regarding fall risk assessment will be established. Besides that, training is provided to ensure nurses understand the need for the project, what it entails, and their position in implementing it. Phase two, conducted over nine weeks, will involve project kick-off and performance, in which the nurse hourly rounding will be conducted, and feedback will be collected to understand areas that can be improved. Phase three, conducted over one week, will involve closing the project by evaluating the performance, consolidating findings and recommendations, and delivering the final report (Johnson, 2023). Week 4 Assignment Translation into Practice

 

 

Discuss how you will track the progress of the change project against established milestones.

 

The change project’s progress will be tracked against established milestones by comparing performance against the established baseline data and goals. This will examine the patient-focused interventions regarding the changes in fall incidences and the number of nursing staff trained. It will apply a standardized system for reporting falls, including the date, time, location, patient details, and nature of the falls. This will then proceed to data analysis to identify trends, assess the effectiveness of the intervention, and make necessary adjustments. The tools used for tracking the progress are the fall risk assessment tools to assess fall risk and track changes over time, databases to organize and track fall data, and electronic health records (EHR) to store and track fall data (Ogrinc et al., 2022).

 

Section 3: Culture of Change

Summarize and describe the setting where the change project will occur.
Do not list specific organization names.

 

The change project will be conducted in a hospital’s inpatient medicine unit. The unit provides comprehensive medical care to patients who require extended or overnight stays for diagnosis, treatment, or monitoring of chronic or acute medical conditions. It is designed to be a safe and comfortable environment for patients. Patient falls are a concern for the unit as they lead to psychological and physical harm, reduce quality of life, and increase healthcare costs. Implementing an effective fall prevention strategy that addresses the risk factors is expected to improve patient safety (Johnson, 2023).

 

Discuss the organization’s current culture of change.

 

The organization adopts a results-driven culture of change. This culture focuses on tangible outcomes and motivates personnel to prioritize accountability and performance, which leads to higher organizational performance. It emphasizes achieving SMART goals rather than just focusing on processes or activities. In addition, there are clear expectations as the personnel understand what is expected of them and how they contribute to the organization’s overall success. Besides that, there is accountability as the personnel are held responsible for their actions and outcomes. This fosters a sense of ownership and pride in the work done. Additionally, performance measurement with regular feedback and performance evaluations tracks progress and identifies improvement areas. Focusing on results encourages continuous learning and improvement (Johnson, 2023).

 

Describe how you will advocate for the change.

 

Two strategies will be applied to advocate for the change. First, research to gather data on the problem (patient falls) and identify a solution (hourly nursing rounding). This will be presented as evidence that educates and engages other stakeholders by raising awareness, sharing the research, and building coalitions. Second, lobbying the decision-makers, petitioning, and volunteering to manage the change (Johnson, 2023).

 

Describe the communication and engagement strategies you will employ to involve the team and develop support for the change project.

 

Four communication strategies will be employed. First, visual aids to explain information and processes. Second, written communication reinforces verbal communication and promotes understanding. Third, stakeholder education to explain the project process and relevant information in a way that they can understand and support. Fourth, encourage and provide constructive feedback (Johnson, 2023).

 

Section 4: Considerations

Discuss the current policies or procedures that should be considered before implementing the change project.

 

Two current policies should be considered before implementing the project. First, risk assessment procedures that identify the fall risk assessment tools, what is considered in the assessment, and when it is conducted. The project is looking to have a fall risk assessment done upon admission and throughout the patient’s stay, with continuous assessment as the patient’s condition changes. Second, staff training policies to understand whether staff are trained on fall prevention procedures and protocols (Levin & Lauder, 2025).

 

Explain the cost analysis needed before implementing the change project and who should be involved.

 

Cost analysis looks at the cost of patient falls and the cost savings that can be made by preventing falls. The occurrence of patient falls has cost implications for the facility, especially if the fall is medically treated. The hourly nursing rounding would save costs by reducing healthcare resources used to treat fall-related injuries, including decreased use of emergency services and shorter hospital stays (Gliner et al., 2022).

 

Describe the possible financial, human, and material resources required to implement the change project. Week 4 Assignment Translation into Practice

 

The human resources required to implement the hourly nursing rounding project are the unit nurse manager and nurse personnel. A unit champion is needed from among the nurse personnel to lead and educate the other staff on the project’s importance. The material resources required for the project are rounding maps that support teamwork and ensure on-time rounds, checklists to ensure consistent and thorough rounds, and rounding logs to document and monitor rounding performance (Levin & Lauder, 2025).

 

 

References:

Cheraghi, R., Ebrahimi, H., Kheibar, N., & Sahebihagh, M. H. (2023). Reasons for resistance to change in nursing: an integrative review.
BMC nursing, 22
(1), 310.
https://doi.org/10.1186/s12912-023-01460-0

Gliner, M., Dorris, J., Aiyelawo, K., Morris, E., Hurdle-Rabb, D., & Frazier, C. (2022). Patient Falls, Nurse Communication, and Nurse Hourly Rounding in Acute Care: Linking Patient Experience and Outcomes.
Journal of public health management and practice: JPHMP, 28
(2), E467–E470.
https://doi.org/10.1097/PHH.0000000000001387

Johnson, D. (2023).
Hospital Quality: Implementing, Managing, and Sustaining an Effective Quality Management System
. Taylor & Francis.

Kizy, D. (2023).
Implementation of Purposeful Hourly Rounding to Decrease Fall Rates
. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection.
https://doi.org/10.46409/sr.XRQX4127

Leamy, M., Sims, S., Levenson, R., Davies, N., Brearley, S., Gourlay, S., Favato, G., Ross, F., & Harris, R. (2023). Intentional rounding: a realist evaluation using case studies in acute and care of older people hospital wards.
BMC health services research, 23
(1), 1341.
https://doi.org/10.1186/s12913-023-10358-1

Levin, R. F., & Lauder, B. (Eds.) (2025).
Evidence-Based Practice Improvement: Merging Evidence-Based Practice and Quality Improvement
. Springer Publishing Company.

Ogrinc, G. S., Headrick, L. A., Barton, A. J., Dolansky, M. A., Madigosky, W. S., Miltner, R. S. & Mate, K. (2022).
Fundamentals of Health Care Improvement: A Guide to Improving Your Patient’s Care
. Joint Commission Resources. Week 4 Assignment Translation into Practice