Posted: January 27th, 2023
It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.
As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.
The Assignment (5-6-minute narrated PowerPoint presentation):
Change Implementation and Management Plan
Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.
Your narrated presentation should be 5–6 minutes in length.
Your Change Implementation and Management Plan should include the following:
Alternate Submission Method
You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader guide found in the left menu of your classroom. This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.
Change Implementation and Management Plan – NURS 6501: Interprofessional Organizational and Systems Leadership – Walden University
oEffective communication and collaboration are necessary for functioning of interprofessional clinical teams
oCommunication flaws and a lack of teamwork skills increase the odds of medical errors.
oIn our L&D unit, interprofessional miscommunication and strained teamwork are associated with:
oJob dissatisfaction and nurse turnover
oDecreased quality of maternal care
Effective communication and collaboration among interprofessional teams are fundamental to the delivery of safe, quality patient care (Yu et al., 2020). Numerous medical flaws are allied to a lack of teamwork skills and communication failures within clinical teams (Yang et al., 2017). In our hospital, cases of interprofessional miscommunication and strained teamwork have contributed to incidences of uncivil behaviors among members of the L&D interprofessional team, which, in turn, led to job dissatisfaction, reduced patient satisfaction with care provided by obstetricians, midwives, and nurses, and ultimately, decreased quality of maternal care.
oThe proposed change:
oTeam Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training
oEnhances teamwork skills and communication in interdisciplinary teams with the aim goal of optimizing patient outcomes
oFacilitates team building and synergistic behaviors
oAllows the L&D team to exercise active listening, compassion and honesty, and effective conflict resolution
The proposed change to strengthen teamwork and improve interprofessional communication, and subsequently address incivility in our L&D interdisciplinary team is the implementation of simulation-based Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training. TeamSTEPPS is a systematic methodology and set of instruments formulated by the Agency for Healthcare Research and Quality (AHRQ) and the Department of Defense (DoD) designed to enhance teamwork skills and communication among medical professionals with the principal goal of optimizing patient outcomes (AHRQ, n.d.). TeamSTEPPS facilitates team building and synergistic behaviors grounded on clearly defined purpose, active listening, demonstration of compassion and honesty, flexibility, and dedication to conflict resolution, all of which are necessary for fostering inter-professional collaboration and mutual respect
oStakeholders: Obstetricians, midwives, physicians, and aestheticians involved in maternal care.
oTraining modality: In-situ simulation Assignment: Change Implementation and Management Plan
oSimulated activities: Group-based management of postpartum hemorrhage
oTarget TeamSTEPPS skills: Mutual support, situation monitoring, leadership, and communication
The training program will involve obstetricians, midwives, physicians, and aestheticians involved in maternal care, including vaginal and cesarean delivery, as well as in the management of postpartum hemorrhage (PPH). The above stakeholders will actively participate in simulated activities, mainly focusing group-based management of PPH, which will allow them to replicate clinical care in a safe setting while learning the TeamSTEPPS principles, namely: mutual support, situation monitoring, leadership, and communication (Buljac-Samardzic et al., 2020).
Project manager, the nurse leader, and the nurse manager will play a critical role throughout the intervention implementation process. Therefore, they will be involved in communicating all aspects of the proposed intervention including the need for interprofessional collaboration and communication, the proposed solution, evidence, resources required, assessment strategies, and the impact on maternal outcomes
oThere is no anticipated risks associated with the implementation of the in-situ simulation-based training
oBurnout of obstetricians and/or midwives
oInadequate finances and educational resources
oInvolvement of the hospital executive and all the L&D staff in every step of the intervention implementation will mitigate the barriers
There is no anticipated risks associated with the implementation of the in-situ simulation-based training; however, a diversity of barriers expected to impede the successful enforcement. Burnout of obstetricians and/or midwives and heavy workload are likely to obstruct efforts to inspire them to participate in the in-situ simulation-based TeamSTEPPS workshop. Besides, inadequate finances and tools to educate the L&D interprofessional team may reduce the capacity for executive support (Seacrist et al., 2018). Involvement of the hospital executive and all the L&D staff in every step of the intervention implementation will mitigate the barriers
oAHRQ. (n.d.). About TeamSTEPPS®. Retrieved August 2, 2022, from https://www.ahrq.gov/teamstepps/index.html
oBuljac-Samardzic, M., Doekhie, K. D., & Van Wijngaarden, J. D. H. (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade. Human Resources for Health, 18(1), 1–42. https://doi.org/10.1186/s12960-019-0411-3
oSeacrist, M., Bingham, D., Scheich, B., & Byfield, R. (2018). Barriers and facilitators to implementation of a multistate collaborative to reduce maternal mortality from postpartum hemorrhage. JOGNN – Journal of Obstetric, Gynecologic, and Neonatal Nursing, 47(5), 688–697. https://doi.org/10.1016/j.jogn.2017.11.009
oYang, L. Y., Yang, Y. Y., Huang, C. C., Liang, J. F., Lee, F. Y., Cheng, H. M., Huang, C. C., & Kao, S. Y. (2017). Simulation-based inter-professional education to improve attitudes towards collaborative practice: A prospective comparative pilot study in a Chinese medical centre. BMJ Open, 7(11), 1–11. https://doi.org/10.1136/bmjopen-2016-015105 Assignment: Change Implementation and Management Plan
oYu, J., Lee, woosuck, Kim, M., Choi, S., Lee, S., Kim, S., Jung, Y., Kwak, D., Jung, H., Lee, S., Lee, Y. J., Hyun, S. J., Kang, Y., Kim, S. M., & Lee, J. (2020). Effectiveness of simulation-based interprofessional education for medical and nursing students in South Korea: A pre-post survey. BMC Medical Education, 20(1), 1–9. https://doi.org/10.1186/s12909-020-02395-9
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