NUR 514 Implementing Change With an Inter-professional Approach

Sample Answer for NUR 514 Implementing Change With an Inter-professional Approach Included After Question

Objectives of the Presentation

vDescription of the background Situation

vIdentification of critical stakeholders (Internal and External)

vAppropriate Change Model

vOutlining Initiation of the Change

vImpact on Organization of Change is unsuccessful

vPotential Steps if the change is not Successful

Speaker Notes

Change is an inevitable part of effective organizational performance and better delivery of healthcare services. Planned change in nursing practice is essential for different reasons yet the implementation can pose significant challenges. Change management is concerned with handling the complexity of the process, evaluating, and executing operations, tactics and strategies that are effective and relevant to the change situation (Salmond & Echevarria, 2017). The purpose of this presentation is to offer a description of background situation, identifies key stakeholders, and an appropriate change model. The presentation also outlines how change will occur and its overall impact on organization, especially if unsuccessful and corrective steps to make it effective.

Nursing Leadership and Change

vLeaders Influence Change as change agents

vUse Interpersonal Skills in achieving highest potential

vWays to enable and involve staff

vTaking a proactive approach

vCapacity to adapt to New Ways of doing Things

Speaker Notes

Leaders have a critical role in influencing change by being change agents, and using interpersonal skill to help nursing staff attain their highest potential by involving them. Before embarking on change, nurse leaders should consider their strengths and weaknesses based on their leadership abilities. They should also identify an effective change model as a framework for implementing, managing and evaluating change (Lamb et al., 2018). Nurse leaders should take a proactive approach and create solutions that can lead to better outcomes. Effective leadership needs the will and capacity to adapt fast to all changes the include mentorship, increased education and training among other aspects.

NUR 514 Implementing Change With an Inter-professional Approach

Description:

As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent and spurring positive change on behalf of patients, colleagues, and the industry.

Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10-15-slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change. Create speaker notes of 100-250 words for each slide. Include an additional slide for the title and references. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the study materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and another at the end for References.

Include the following in your presentation:

1. Describe the background of the situation and the rationale for and goal(s) of the change. Consider the ethical, social, legal, economic, and political implications of practice change in your response.
2. Outline the advanced registered nurse’s role as change agent within the interprofessional and dynamic health care environment.
3. Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
4. Discuss an appropriate change theory or model that could be used to achieve results. Explain why the theory or model selected is best for the situation. Include the ethical, social, legal, economic, and political implications of applying the change management strategies to practice change in your response.
5. As an advanced registered nurse, outline how you would initiate the change.
6. Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.
7. Predict what additional factors will drive upcoming organizational change for the organization and outline the advanced registered nurse’s role as change agent.

NUR 514 Implementing Change With an Inter-professional Approach

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You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance. NUR 514 Implementing Change With an Inter-professional Approach

Description

Objectives:

Discuss the advanced registered nurse’s role as change agent within the interprofessional health care
Analyze factors driving organizational change within health care
Evaluate change theories and collaborative models for promoting

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapter 5 in Advanced Practice Nursing: Essential Knowledge for the Profession. Review Chapter 7.

Leadership in Nursing Practice: Changing the Landscape of Health Care

Description:

Read Chapter 1 in Leadership in Nursing Practice: Changing the Landscape of Health Care.

Loom

Description:

Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the software or usage, navigate to the Loom Help Center.

Implementing Change With an Interprofessional Approach Presentation Rubrics

10.0 %Change Initiative and Being a Change Advocate An outline of how change would be initiated is not included. An outline of how change would be initiated is incomplete or incorrect. An outline of how change would be initiated is included, but lacks supporting detail. An outline of how change would be initiated is completed and includes supporting detail. An outline of how change would be initiated is extremely thorough and includes substantial details.

5.0 %Driving Forces of EHRS A description of the driving forces that related to need for implementing EHRs is not included. A description of the driving forces that related to need for implementing EHRs is incomplete or incorrect. A description of the driving forces that related to need for implementing EHRs is included, but lacks supporting detail. A description of the driving forces that related to need for implementing EHRs is completed and includes supporting detail. A description of the driving forces that related to need for implementing EHRs is extremely thorough and includes substantial details.

5.0 %Key Interprofessional Stakeholders Identification of the key interprofessional stakeholders is not included. Identification of the key interprofessional stakeholders is incomplete or incorrect. Identification of the key interprofessional stakeholders is included, but lacks supporting detail. Identification of the key interprofessional stakeholders is completed and includes supporting detail. Identification of the key interprofessional stakeholders is extremely thorough and includes substantial details

5.0 %Impact of the Change on Current Workflows A description of how the change will affect current workflows is not included. A description of how the change will affect current workflows is incomplete or incorrect. A description of how the change will affect current workflows is included, but lacks supporting detail. A description of how the change will affect current workflows is completed and includes supporting detail. A description of how the change will affect current workflows is extremely thorough and includes substantial details.

5.0 %Required Resources for Implementation Identification of required resources for implementation is not included Identification of required resources for implementation is incomplete or incorrect. Identification of required resources for implementation is included, but lacks supporting detail. Identification of required resources for implementation is completed and includes supporting detail. Identification of required resources for implementation is extremely thorough and includes substantial details.

5.0 %Risks Within Implementation A description of potential risks within the implementation plan is not included. A description of potential risks within the implementation plan is incomplete or incorrect. A description of potential risks within the implementation plan is included but lacks supporting detail. A description of potential risks within the implementation plan is completed and includes supporting detail. A description of potential risks within the implementation plan is extremely thorough and includes substantial details.

30.0 %Presentation of Content The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear. The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information. The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other. The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources. The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

5.0 %Potential Barriers A description of potential barriers when implementing the change and handling resistance is not included. A description of potential barriers when implementing the change and handling resistance is incomplete or incorrect. A description of potential barriers when implementing the change and handling resistance is included, but lacks supporting detail. A description of potential barriers when implementing the change and handling resistance is completed and includes supporting detail. A description of potential barriers when implementing the change and handling resistance is extremely thorough and includes substantial details.

10.0 %Layout The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident. The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

10.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.) Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately. Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. Language is appropriate to the targeted audience for the most part. The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly. The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Slide errors are pervasive enough that they impede communication of meaning. Frequent and repetitive mechanical errors distract the reader. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Slides are largely free of mechanical errors, although a few may be present. Writer is clearly in control of standard, written, academic English.

5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

100 %Total Weightage

NUR 514 Implementing Change With an Inter-professional Approach Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

A Sample Answer For the Assignment: NUR 514 Implementing Change With an Inter-professional Approach

Title: NUR 514 Implementing Change With an Inter-professional Approach

DRIVING FORCES OF EHRS

In the current world, Electronic health records (EHRs) are the center for healthcare data collection, storage, and management in several hospitals around the world.
The driving forces for the development of EHRs are divided into two main categories: Compliance and User needs.
With compliance, the organization must observe all the legal and insurance requirements outlined for the development of HER (Krousel-Wood et al., 2017). Afterward, they can then consider the cost and practice need specifications to be able to adopt the best system.
The user needs, on the other hand, to emphasize making sure that the health care workers’ needs are considered when deciding on which EHR system to adopt.

Key Interprofessional Stakeholders

EHR Team Lead
Clinicians
EHR Implementation Manager
Office manager
Scheduler Lead
Billing team
Information Technology Lead
Board members
Marketing team

CHANGE INITIATIVE AND BEING A CHANGE ADVOCATE

Kotter’s change management principle can be used as a guide for initiating the change from paper to an electronic system. These principles entail three main steps (Noumair, 2016):
Step 1: Formulating a climate for change
Step 2: Engaging and enabling the organization
Step 3: Executing and maintaining the change

Step 1: Creating a climate for change

This is the first step of Kotter’s change management principle.
It is made up of three main steps: first, create a future state or vision, then identify the champion and lastly establish the project (Krousel-Wood et al., 2017).

CHANGE INITIATIVE AND BEING A CHANGE ADVOCATE

Step 2: Engaging and enabling the organization

All healthcare personnel who will be involved with the new system in their daily routine must be involved in the transformation process.
This step allows the change advocate to organize training of the staff and evaluate the usability of the new EHR system (Noumair, 2016).

Step 3: Implementing and sustaining the change

This is the most relevant step among the three, as it determines whether the implemented system will be applicable in the hospital setting.
In this step, the change advocate reviews the feedback and organizes for the system update.
The staff members are also rewarded.

IMPACT OF THE CHANGE ON CURRENT WORKFLOWS

The transformation from paper to EHR system will positively impact the existing healthcare facility workflow by increasing the work output and reducing time spent in the following areas (Krousel-Wood et al., 2017):

Booking patient appointments
Maintaining patient admission records
Conducting patient examination
Managing patient history records
Managing messages
Renewing and refilling patient medication
Clinicians consultations

Revised Workflow

Redesigning the workflow based on the newly implemented electronic healthcare records will impact the healthcare organizations in different ways such as (Barrett & Stephens, 2017):

Reducing healthcare wastages
Maximizing efficiency
Eliminating or reducing workflow chaos
Improving coordination of care
Enhancing the quality and safety of healthcare provided

Required Resources for Implementation

Hardware and software infrastructure
Equipment upgrade software and other Health IT software
Regional extension centers
Privacy or security training games
Certified Health IT Product List (CHPL)
Additional power and network infrastructure
Finance
Internal and external labor
Medical devices

Risks Within Implementation

Poor system design which does not align with the practice needs
Stakeholder hesitation as a result of inadequate education and training
Inappropriate launching of the new system that might prevent a smooth transition
Inappropriate investigation strategies which may delay ROI
Ineffectual privacy and security features

IMPACTS OF THE POOR PLANNING ON COST, QUALITY, AND SAFETY

Poor planning results in an unexpected financial burden.
It undermines the quality of healthcare provided.
It also compromises the safety of the patient hence putting their health at high risk (Kohli, & Tan, 2016).

Potential Barriers

Misalignment of cost and benefits
Healthcare personnel resistance to the new system
Breach of patient privacy
Standardization limits
Lawsuits and legal complications
Organizational constraints
Medical errors

Healthcare personnel resistance to EHR system can be avoided by (Krousel-Wood et al., 2017):

Properly communicating the benefits of HER
Proper training
Establishment of strong technical support

References

Noumair, D. A. (2016). Research in Organizational Change and Development. Emerald Group Publishing Limited.
Barrett, A. K., & Stephens, K. K. (January 01, 2017). Making Electronic Health Records (EHRs) Work: Informal Talk and Workarounds in Healthcare Organizations. Health Communication, 32, 8, 1004-1013.
Ben-Assuli, O. (January 01, 2015). Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health Policy, 119, 3, 287-297.
Kohli, R., & Tan, S. S.-L. (January 01, 2016). Electronic Health Records: How Can IS Researchers Contribute to Transforming Healthcare?. Mis Quarterly, 40, 3, 553-574.
Krousel-Wood, M., McCoy, A. B., Ahia, C., Holt, E. W., Trapani, D. N., Luo, Q., Price-Haywood, E. G., … Milani, R. V. (2017). Implementing electronic health records (EHRs): health care provider perceptions before and after transition from a local basic EHR to a commercial comprehensive EHR. (Journal of the American Medical Informatics Association.)