change strategy and implementation in nursing example essay

change strategy and implementation in nursing example essay

Change Strategy and Implementation

Hospitals develop and execute change strategies to enhance care quality and patient satisfaction. At distinct points in the operation, healthcare institutions must adopt change plans to help transform and meet client and industry needs. Improving and changing the quality of care environment for a specific illness is composite and needs input from healthcare professionals, families, and the patient to recognize gaps, create meaningful interventions, and guarantee that these interventions enhance care and results. The assessment’s central focus is type 2 diabetes, characterized by insulin resistance, high blood sugar, and a lack of insulin. The condition must be controlled and managed frequently to avert elevated issues, which may lead to adverse effects. Change strategies like evidence-based education to manage the illness can help improve outcomes. This education will be successful via the collaboration of different healthcare professionals.

Data Table

Current State

Change Strategies

Projected Outcomes

Patients with this type of diabetes lack sufficient support systems

i). Encounter feelings of anxiety and powerlessness

ii). Less compliant with medication and therapy

iii). At an elevated risk of complications like renal failure and amputations linked to non-adherence

Education on illness medication compliance, procedures, insulin administration, finger stick glucose check, lifestyle changes, complications, and coping mechanisms

 

 

Patients will possess one support

Patients will comply with medications and decrease complications

 

Proposed Change Strategy: Patient Education

Changing the current care environment for diabetic type 2 patients will require evidence-based patient education. The education aims to offer patients skills and understanding to manage their lifestyle habits and clinical situations. Many patients fail to adhere to medications and lifestyle changes leading to an increased risk of complications. If the education strategy is effective, patients will attain metabolic control, avert acute and chronic complications, and enhance the patient’s quality of life (Cruz‐Cobo & Santi‐Cano, 2020). This means the patients will achieve optimal control of the illness. The methods to be applied in diabetes primary care comprise group and personal learning, techniques that can be amalgamated and modified according to the needs and attributes of the patients.

Notably, this education change strategy has encountered critical transformations. Cognitive, psychosocial, technological, clinical, and behavioral elements will be integrated into the teaching-learning and content strategies. The contents of this strategy will be founded on: the transformation of lifestyle (diet, physical exercise), increased understanding of the illness and its management, adherence to medications, and coping mechanisms (Figueira et al., 2017). This education will need an interdisciplinary team to achieve optimum results. Thus, doctors, nutritionists, nurses, and psychologists will partner to offer this education to patients. The patients will experience improved healthcare outcomes with educational support from these professionals. For instance, medication adherence and lifestyle changes will lead to high-quality care.

How Patient Education Leads to Care Improvement

Excellent patient education may lead to patient safety. When education involves different healthcare providers, they learn more about the patient and offer safe services. This may assist in tailoring the patient’s care successfully. Today, patients are involved in medical decisions, and arming them with knowledge and offering them greater control and management of their care may lead to excellent results. For example, when patients understand the type of exercise they are supposed to undertake or the type of food to eat, their safety is preserved. Further, sharing health education about insulin administration or finger stick glucose checks with patients ensures that patients do it safely, enhancing health outcomes. Notably, since education improves safety, it leads to the minimization of healthcare providers’ liability. Also, since education fosters patient-focused care and elevates compliance with medication and therapy, the safety of the patients is improved.

Interprofessional Consideration

As healthcare delivery becomes more interrelated, coordinating diabetes care between physicians, nurses, social workers, dieticians, and pharmacists is becoming critical. Approaching care for diabetic patients from a team-based perspective may provide excellent quality care and patient satisfaction. This partnership means that inefficiencies will be reduced because the nurse communicates with every member involved in the treatment. Also, in interprofessional collaboration, the physician can delegate monitoring, education, and drug administration to other healthcare professionals leading to enhanced care. Treatments and evaluations will be conducted together, focusing on the client as a whole rather than a particular therapy or diagnosis. The collaboration leads to a safe and comprehensive healthcare system responsive to the patient’s needs change strategy and implementation in nursing example essay.

Communication

Change is difficult, and many stakeholders reject it. Thus, there is a need for open and effective communication that involves every member of the interprofessional team (Stouten et al., 2018). The hospital management must share its change vision of how the organization and patients will gain from this specific change strategy. Every stakeholder must be given a role in the change process to avoid feeling left out. Employees who feel engaged support the process, making it a success. Notably, if there are any modifications to the strategy, they should be communicated. Open communication is a two-way procedure, and it fosters values like transparency.

In conclusion, healthcare systems are constantly changing, and it is vital to comprehend elements that impact change and when this change is crucial. Change may take different strategies, and this assessment has focused on evidence-based education to assist type 2 diabetes patients. Education is vital for these patients because it helps encourage lifestyle change and medication compliance leading to quality outcomes and patient satisfaction change strategy and implementation in nursing example essay.

References

Cruz‐Cobo, C., & Santi‐Cano, M. J. (2020). Efficacy of diabetes education in adults with diabetes mellitus type 2 in primary care: a systematic review. 
Journal of Nursing Scholarship
, 
52
(2), 155-163.

Figueira, A. L. G., Boas, L. C. G. V., Coelho, A. C. M., Freitas, M. C. F. D., & Pace, A. E. (2017). Educational interventions for knowledge on the disease, treatment adherence, and control of diabetes mellitus. 
Revista latino-americana de enfermagem
, 
25
.

Stouten, J., Rousseau, D. M., & De Cremer, D. (2018). Successful organizational change: Integrating the management practice and scholarly literature. 
Academy of Management Annals
, 
12
(2), 752-788.

 

change strategy and implementation in nursing example essay

Analyze a professional environment and relevant data, and develop a change strategy (3-5 pages) and discuss how to implement it successfully.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.

Knowing the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.

The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For if we cannot effectively implement changes in practice or procedure, then our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.

This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.

Professional Context

One area in health care that it is necessary to consider is the environment in which nurses work. It is important that this environment evolves and changes so that all patients are adequately supported. For this assessment, you will develop a change strategy to improve the health care environment. These changes can be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug administration, or disease recovery rates. A key skill for master’s-level nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data to reach set goals.

Scenario

Consider a current environment. This could be your current care setting, the care setting presented in the scenario Vila Health: Using Concept Maps for Diagnosis, or a care setting in which you are interested in working. For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course, a relevant data set that already exists (a data set from the case study you used as a basis for your previous Concept Map assessment or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)

After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.

Potential topics for this assessment could be:

Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your previous Concept Map assessment. As a starting point, you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?” change strategy and implementation in nursing example essay

Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point, you could ask yourself, “How could the care environment be changed to enhance coping?”

Once you determine the change you would like to make, consider the following:

What data will you use to justify the change?

How can the team achieve this change with a reasonable cost?

What are the effects on the workplace?

What other implementation considerations do you need to consider to ensure that the change strategy is successful?

How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?

Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?

Instructions

Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: change strategy and implementation in nursing example essay Change Strategy and Implementation [DOCX] to better understand how each grading criterion will be assessed.

Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.

Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.

Justify the specific change strategies used to achieve desired outcomes.

Explain how change strategies will lead to quality improvement with regard to safety and equitable care.

Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.

Communicate the change plan in a way that makes the data and rationale easily understood and compelling.

Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Example assessment: You may use the assessment example, Assessment 2 Example [PDF], to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Submission Requirements

Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.

Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.

APA formatting: The APA Template Tutorial [DOCX] can help you in writing and formatting your analysis. No abstract is required.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.

Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.

Competency 2: Develop change strategies for improving the care environment.

Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.

Justify the specific change strategies used to achieve desired outcomes.

Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.

Explain how change strategies will lead to quality improvement with regard to safety and equitable care.

Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.

Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.

Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence, and adhering to organizational, professional, and scholarly communication standards change strategy and implementation in nursing example essay