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What strategies can be leveraged to incorporate change in nursing after a study using evidence-based practice?

School of Nursing Embracing Change Discussion
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School of Nursing Embracing Change Discussion

School of Nursing Embracing Change Discussion

Question Description
Step 1 Reflect on the issue of change.

Reflect on your proposed research question or problem of interest. Consider what changes might be needed following your study, and what strategies you could use to incorporate the changes.

Look to literature to find information about your proposed research question or problem of interest. Find and post a nursing journal article that you feel would be useful in identifying current research findings about change that might be needed following your proposed study.

Step 2 Post a response to the discussion board responding to the following questions:

What strategies can be leveraged to incorporate change in nursing after a study using evidence-based practice? Give some examples that illustrate how the strategies might be used.
What are some changes that might be needed in your practice and your colleagues’ practices following your proposed study?
What rationale would you provide as a basis for your proposed changes?
What communication techniques will you use to incorporate the proposed changes?
How will you promote staff buy-in?
Step 3 Read and respond to two other students’ posts by Friday 11:59pm MT.

Read other students’ posts and respond to at least two of them. Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.

Cite any sources in APA format.

Discussion 1

Change in an organization can be incredibly disruptive if there is no clear strategy to guide the transformational initiative. The most effective strategy in managing change focus on human behavior elements (Campbell & Douglas,2017). This is because employees in organizations are the ones most affected by the change. In the proposed evidence-based practice, refining the cultural values strategy will be used to drive the change. Change in the organization will be enhanced by establishing a culture of continuous improvement. The initiative seeks to ensure that healthcare professionals contact follow-ups after the patients are released from the hospital. The organizational culture will be promoted through training and technical support to healthcare practitioners.

Anticipated Changes

In the clinical setting, the healthcare providers have not been conducting follow-ups on patients after there have been released from the hospital. Therefore, a culture of conducting medical follow up two to three times will be initiated in the clinical setting. This will help to monitor medication adherence, hence improving healthcare delivery. Conducting medical follow up on patients after they are released from the hospital will help to reduce the instances of hospital readmission.

Communication Techniques

Effective communication is essential in the successful implementation of any organizational change. It helps to ensure there are no miscommunications and conflicts. The Top-bottom communication approach will be used to promote the change in the organization (Sarkies, Bowles, Skinner, Haas, Lane & Haines,2017). The top management will be educated on the proposed change since they play a crucial role in supporting the change initiative. Besides, the employees will be expected to send and receive feedback on issues that they encounter during the implementation of the change.

Moreover, the feedback will be provided timely and consistently when the need arises. The success of the initiative depends on staff buying in. This will be achieved through involving them in decision making process and endorsing them as champions of the change initiative (GOODIE & HUNTER, 2018). This will allow them to own the change and make it part of their routine process.

School of Nursing Embracing Change Discussion

School of Nursing Embracing Change Discussion

Discussion 2

Implementing change within a facility, whether large or small in size, can prove to be a daunting task. Identifying the need and urgency for change is of the utmost importance. Evidence-based practice, can assist greatly in facilitating the change that is needed (“Week 11 Lesson,” 2020, p. 4). Proper use of evidence-based practice begins with literature review. For example, the research problem I am considering seeks to determine the effect that music therapy has on behaviors and anxiety in patients diagnosed with dementia and/or Alzheimer’s Disease. In researching this particular question, I found a journal article published by Frontiers in Neuroscience back in 2019 titled: “Music Intervention Approaches for Alzheimer’s Disease: A Review of the Literature.” This particular article has drawn conclusions from many studies performed on this topic and can serve as an aide in determining the best ways to approach the change needed in my facility for these patients.

Evidence-based practice is paramount in identifying needed changes. Change first needs to begin with staff. Engaging the staff can be difficult at times, but assertive communication is the key to success. Being assertive, rather than aggressive, increases the chances of the staff being engaged and should allow them to express their feelings and suggestions toward the proposed changes (“Week 11 Lesson,” 2020, p. 14). Once you have received appropriate feedback from the staff, it is important to begin considering ways in which to involve them. For example, empathy is an effective way to approach staff when discussing changes that need to be made within the facility (“Week 11 Lesson,” 2020, p. 5). Empathy places you in the “shoes” of your staff members, giving them the reassurance that their concerns are validated and the understanding that any changes being made encompass teamwork.

Regarding my research problem, there are several changes that could be made within my facility. There are currently two units that are dedicated to residents with Alzheimer’s Disease and dementia. There are activity programs in place that engage the residents in games, crafts, exercise, etc. But after reading through literature that pertains to this study, I have concluded that individual music therapy sessions have been found to be most beneficial to this population. In doing this research, I have found additional benefits to residents with this disease aside from decreasing anxiety and behaviors. Studies have shown that individual music therapy improves autobiographical memory and promotes autonomy as well. We can possibly incorporate individual MP3 players pre-loaded with the resident’s preferred music. They can either listen through a headset, or if they reside in a private room, a docking station that houses the MP3 player so their music can be playing for a good portion of the day. It would be beneficial to discuss with the recreation department, ways that we can incorporate this program into the daily lives of these residents to promote their overall well-being and quality of life.

Reference:

Leggieri, M., Thaut, M., Fornazzari, L., Schweizer, T., Barfett, J., Munoz, D., & Fischer, C. (2019). Music intervention approaches for Alzheimer’s Disease: A review of the literature. Frontiers in Neuroscience. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC64240…

Week 11 lesson: Implementing change. (2020). Denver College of Nursing. https://media.pearsoncmg.com/pls/us/edaff/13234655…

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.