Implementing change within health care organizations can be challenging. My responsibilities, as stated by the Ghana Health Service (2005), are to: Assess care needs of patients, develop and implement plans of nursing c… Stavrianopoulos (2016) defines patient safety as the prevention of harm to patients. The author has identified the nurses as the main change agents. Healthcare is important to the society because people get ill, accidents and emergencies do arise and the hospitals are needed to diagnose, treat and manage different types of ailments and diseases. With this collaboration, the managers should be in a position to offer assistance through a … GE Healthcare formulates effective change in the equation, Q x A 3 = E. This means, “Quality (Q) can produce effective results (E) only to the extent that there is employee alignment, acceptance, and accountability (A 3).” The health care change models mentioned here just scratch the surface, of course. Consider the amount of regulatory change and emerging new payment and business models that we're seeing. The data can help to highlight problem areas in clinical performance, inform or drive quality improvement activities, prompt reflections on clinical practice, ensure proper channeling of resources and identify important issues for further research. Change is often implemented suboptimally, and can have several negative effects on staff turnover, patient care and budget targets. Despite the increase in our knowledge of evidence-based healthcare practices, we continue to see an increase in the cost needed to provide healthcare. However, they are … 2.3.1 Kurt Lewin’s field theory Kurt Lewin’s theory helps nurses to identify a patient’s barriers to change, how to help the patient become more accepting to the change, and ultimately completing the change. Leadership Strategies for Implementing Change Essay 1779 Words 8 Pages In order for new organizational strategies to be implemented successfully, effective leadership is required to rejuvenate the organization and assist employees with adapting to a changing environment. Awareness and knowledge Awareness and knowledge of what needs to change and why, are vital first steps in enabling change to occur. ...Running head: PHASE 5 INDIVIDUAL PROJECT PHASE 5: Individual Project Affiliation October 2008 How often have you heard it said that planning is waste of time? In fact, if employees and work groups do not change their be- haviors, implementing a new strategy is often impossible (Schneider, Brief, & Guzzo, 1996). An increasing number of hospitals react to recent demographic, epidemiological and managerial challenges moving from a traditional organizational model to a Patient-Centered (PC) hospital model. Sometimes we have a lack of nurses in the long-term unit, while there are plenty of nursing staff available in the skilled nursing units. Nursing degree from the Kwame Nkrumah University of Science and Technology (KNUST) in Ghana in 2008. The proposed change is that of an orientation pack for new staff. Implementing Changes in Nursing – Essay Sample. Therefore, the top management of the hospital deemed necessary that a change is necessary in the current hand hygiene practices. Staff may perceive severity by having an insight of the serious consequences of infection caused by poor hand hygiene compliance. Complexity science offers ways to change our collective mindset about healthcare systems, enabling us to improve performance that is otherwise stagnant, argues Jeffrey Braithwaite For all the talk about quality healthcare, systems performance has frozen in time. In their review of empirical studies of teams in healthcareorganizations,Lemieux-CharlesandMcGuire … Our website is a unique platform where students can share their papers in a matter of giving an example of the work to be done. This Website is owned and operated by Studentshare Ltd (HE364715) , having its registered office at Aglantzias , 21, COMPLEX 21B, Floor 2, Flat/Office 1, Aglantzia , Cyprus. After generating ideas for changes your team might try, use rapid Plan … Although they might not seem very sudden to the reader, the necessary changes occur during the second part of each novel, and so qualify them in a literary sense as epiphanies. Implementing Change Implementing Change Paper HCS/475 Implementing Change Paper Implementing change among all organizations is necessary to achieve success; within the health care industry change is constant and it is the role of management teams to assess, plan, implement and evaluate change to ensure satisfaction. This essay was submitted to us by a student in order to help you with your studies. Introduction Implementing the proposed change (wound care education for healthcare provider) requires an across-the-board involvement by different members in a hospital setting. EssaySauce.com is a completely free resource for students. The use of Kotter's model was highly effective because it was easy to follow, was structured, and provided an effective framework to implement a practice change in a health care environment. Management often follows a “change management process” to change the existing process or activity. In order to have increased adherence to hand washing, proper education using visual reminders and feedback are necessary for the introduction of patient empowerment of patients (Maskerine and Loeb, 2006). When change comes for a health care organization, it happens on multiple levels — and the pieces move differently. If organizations are to experience a greater level of success in their development efforts, managers and executives need to have a better framework for thinking about change and an understanding of the key issues which accompany change management.) Climate change is being dealt with on a global scale. I practised at the Komfo Anokye Teaching Hospital (KATH), also in Ghana, as a general nurse for one year before enrolling at the University of Nottingham for MSc. Managing change is a complex, dynamic and challenging process. Nurses can be seen to have some autonomy in health‐care delivery. Selecting, testing, and implementing changes is a core element of the Model for Improvement, a simple yet powerful tool for accelerating improvement that has been widely used by the Institute for Healthcare Improvement and hundreds of health care organizations in many countries to improve numerous health care processes and outcomes. Adjusting to change may be difficult and demanding. Informal dinner or lunch each was scheduled each month in order to enhance the level of communication in the organization. Effective change has been characterized as unfreezing old behaviours, introducing new ones, and re-freezing them. milestone_1.doc. All hospital staff must engage in the implementation of change to produce better patient outcomes. To minimise and avoid negative outcomes, a systematic three-stage change process that comprises preparing for change, implementing … Demographic Changes – Shifting demographics and an aging population will continue to impact healthcare in the United States, particularly for specialties such as cardiovascular services. Therefore, a well-formulated strategy will encourage adaptation to change rather than resistance. You can view our terms of use here. Advanced Nursing. Implementing Change Omar Essar HCS 475 January 2, 2013 Dr. Baron Smith Implementing Change Positive or negative, change can be challenging to manage because employees need to be on board and be obliged to make necessary changes as well as adjust his or her work habits. EssaySauce.com is a free resource for students, providing thousands of example essays to help them complete their college and university coursework. Available from: [Accessed 22-01-21]. The change implementation phase can only be successful if a high degree of collaboration between the managers and all the employees is put in place. They also play an important role as a patient advocate by ensuring co- healthcare workers perform hand hygiene as well. As a transformational leader, the qualities and characteristics of the nurse manager will enable them to feel confident and comfortable while engaging in the development of healthcare policies and implementation of changes. Although hand hygiene practices are poor among healthcare workers, increased hand hygiene compliance with an alcohol-based rub has been attributed to product placement in the environment, convenience of use and the minimal time required for use.9 Supported by the evidence-based research, nursing leaders can implement alcohol-based rub into multidisciplinary approach. Selecting, testing, and implementing changes is a core element of the Model for Improvement, a simple yet powerful tool for accelerating improvement that has been widely used by the Institute for Healthcare Improvement and hundreds of health care organizations in many countries to improve numerous health care processes and outcomes. Several factors can influence resistance to change. Patient participation can also be a powerful tool to achieve improvements in health care and reduction in hospital acquired infections. In Stage 2, the ‘change’ stage, change is introduced into what needs to be changed.Once there is sufficient dissatisfaction with the current conditions and a real desire to make some change exists, it is necessary to identify exactly what needs to be changed (Ross A. Wirth, 2004). This essay will aim to discuss and explore the implementation of an initiative to change practice in a clinical area of a primary care setting within an NHS trust. 9. The three sequential stages are unfreezing-change-refreeze. There is no question the U.S. healthcare industry is facing major change. Change has to be supported from the highest level of management to encourage the staff to be positive about the changes that are about to occur. 1st Jan 1970 Nursing Reference this. Define the end goal. Change has to be supported from the highest level of management to encourage the staff to be … The vital goal of transformational leadership is for the leader and the follower to discover meaning and purpose in relation to their work, in tandem with growth and maturity. The change implementation phase can only be successful if a high degree of collaboration between the managers and all the employees is put in place. Yes! It can be used to make change happen in practice by selecting the right group of people who will motivate others to change until the practice becomes the norm. 9 Response and Resistance to Change. Staff may perceive benefits with regards to the efficacy of hand hygiene practice when the number of infection amongst patients decreases causing lesser workload. Although the theoretical managerial literature on the PC hospital model is vast, quantitative evaluations of the performance of hospitals that moved from the traditional … You may not submit downloaded papers as your own, that is cheating. The brightest students know that the best way to learn is by example! This is where the change is made permanent. Lippitt’s theory is a goal directed theory in which the change agent uses a process of confrontation to accomplish the change. With this collaboration, the managers should be in a position to offer assistance through a training program. Only 50-60% of care has been delivered in line with level 1 evidence or consensus based guidelines … As transformational leaders in the healthcare setting, their roles include promoting teamwork among staff, encouraging positive self-esteem, motivating staff to function at a high level of performance, and empowering staff to become more involved in the development and implementation of policies and procedures. Refreezing is the final stage where new behaviour becomes habitual, which includes developing a new self-concept & identity and establishing new interpersonal relationships (Ross A. Wirth, 2004). The healthcare industry is divided into several areas in order to meet the health needs of individuals and the population at large. Implementing Socialized Healthcare Comparison between the Socialized and Privatized Health Care System: There are a number of arguments that exist in order to resolve the issue between which health care system is better, either it’s the privatized healthcare or the socialized health system. Before we move on to how it is beneficial for everyone, even though it is perceived negatively by a large number of people and is one of their biggest fears, we need to discuss the different kinds of changes and the reason behind them. encourage changes in behaviour and ultimately implement guidance. Administer the AHRQ Patient Safety Culture Survey and/or the Team Assessment Questionnaire prior to conducting medical team training or implementing your TeamSTEPPS Intervention. An evidence-based review of programs that have empowered, involved or encouraged patient participation in hand hygiene promotion cannot be conducted by the traditional method focused on quantitative data, linear causality, and ‘scientific’ reliability(Nutbeam, D, 1999). Dealing with change in a professional organization can be one of the biggest challenges and opportunities in business. A committed nursing leadership and communication amongst team members are vital for the implementation of a change. Discussion 2.1 Leadership 2.1.1 Transformational Leadership The constant and continual changes in our healthcare system require a transformational leadership style to be employed by nurse managers. This is especially true in the world of health care and health IT (HIT) — two of the most change-oriented industries. Students can use our free essays as examples to write their own. Political Factors 2.3 Change and Change Management Introducing a change to the clinical environment can be challenging and in every change situation, an individual or group must be designated to be the change agent to make this change works (Gebrekidan, 2005). Hospitals and health systems that understand the importance of nursing leadership in implementing change will be better equipped to make an impact on patient safety and quality initiatives. strongly aware that the succesful implementation of change in the healthcare organization will only be made possible through empowering people, developing and increasing their motivation, satisfaction and knowledge in the nursing practice and working with as well as through them to Therefore, a good leader is necessary in displaying the positive attributes to influence the rest of the members in the group. The health belief model comprises of several key components such as perceived susceptibility, perceived severity, perceived benefits and perceived barriers. Also you should remember, that this work was alredy submitted once by a student who originally wrote it. Implementing Change Report Carrie Kawa 310/HRM July 9th 2012 Rana Lindstrom Implementing Change Report Kudlers fine foods are implementing a change in the organization. Changes in healthcare organisations are common, and their implementation is often complex and challenging. With the introduction of clinical governance many NHS Trusts are … Conclusion Implementing change can be an inevitable and challenging task. The paper "Implementing Change to achieve a Culture of Patient Safety in Healthcare" is an excellent example of a literature review on nursing. From introducing new technology to evidence based practises. The implementation of change often involves overseeing multiple competing priorities, as well as handling demands from external sources and employees who are resistant to the proposed changes and view them as a source of stress (Kerber and Buono 2005).Managing change is a challenge that most organisations experience. Lippitt’s change theory is based on bringing in an external change agent to put a plan in place to effect change. This change can be linked to one aspect of clinical governance, staff and staff management, as it was felt that this was an area that needed developing. … for students : all the ingredients of a good essay, Home » Health essays » Changes in healthcare. The transformational leadership style allows for the recognition of areas in which change is needed and guides change by inspiring followers and creating a sense of commitment (Mary Atkinson Smith, 2011). A committed nursing leadership and communication amongst team members are vital for the implementation of a change. I graduated with a BSc. By carefully planning strategies for implementing the changes, however, administrators can enlist the support of their nurses and even assign them roles in developing and evaluating the new plan. All hospital staff must engage in the implementation of change to produce better patient outcomes. For centuries there has been much debate about how best to implement affordable healthcare … Havent edit yet 2.4 Use of evidence to support change At present there are limited studies that have been published to assess the efficacy of patient empowerment to improve hand hygiene (Maryanne McGuckin, et.al, 2011). All of our essays are donated in exchange for a free plagiarism scan on one of our partner sites. 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