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3000 word written word change proposal in a report format. The change proposal should identify a problem/challenge in practice that could be addressed and developed to enhance the service user experience with specific reference to change management leadership and quality improvement models. My chosen challenge/ problem: Monitoring mental health patients’ respiration rate while checking their early warning signs on the ward (temperature, pulse, oxygen saturation and blood pressure) is often ignored/missed out by staff on the wards. Write a report on how to improve the quality of physical health monitoring by improving the way patients’ respiration rate is monitored. Please use the plan, do, study, act (PDSA) tool. Examine the key principles of quality improvement within health and social care with particular reference to the impact of these principles on interprofessional team working and the use of resources  Critically discuss leadership and approaches to change in health and social care practice and the potential impact on the service user experience and interprofessional teams  Formulate and communicate a proposal for an evidence-based practice change, with reference to leadership, change management and quality improvement methodology The report should meet the learning outcomes below: Knowledge and understanding:  Understand the key principles of quality improvement within health and social care, including the role of patients /service users/carers and families at the centre of health care delivery  Understand the potential of quality improvement processes to transform interprofessional and collaborative practice  Be aware of service improvement methodology including the tools and techniques that can be used to implement this  Demonstrate leadership in health and social care practice and the impact on service user experience and teamwork  Recognise models of change management  Identify ethical decision-making frameworks that guide ethical reasoning within health Intellectual skills:  Analyze a given situation using quality improvement methodology  Formulate a proposal for an evidence-based practice change, with reference to leadership, change management and quality improvement methodology  Critical awareness of team dynamics in effective interprofessional communication in the context of change and emerging services Practical skills:  Identify and choose effective communication tools and communication technologies, to facilitate discussions and interactions that enhance team function  Communicate quality improvement proposals effectively, verbally and in writing  Write a report to a given specification Transferable skills:  Respect the unique cultures, values, roles/responsibilities and expertise of other health and care professions  Continue to develop a critical understanding of the importance of effective interprofessional collaboration to quality improvement and change Communicate consistently the importance