Assignment: Change Implementation and Management Plan

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.

To Prepare:

Review the Resources and identify one change that you believe is called for in your organization/workplace.
- This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

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:

An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
Assignment: Change Implementation and Management Plan
A description of the change being proposed
Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
Details about the type and scope of the proposed change
Identification of the stakeholders impacted by the change
Identification of a change management team (by title/role)
A plan for communicating the change you propose
A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

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

Executive Summary of the Healthcare Issue

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:

oUncivil behaviors

oJob dissatisfaction and nurse turnover

oPatient dissatisfaction

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.

Simulation-Based TeamSTEPPS Training and Impact

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

Type and Scope of the Change

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).

Change Management Team
As outlined previously, the management of PPH-associated complications is a shared effort requiring the L&D team to team-up and maintain open communication channel. Thus, the implementation of the simulated-based TeamSTEPPS training will involve nursing staff, obstetricians/gynecologists, certified nurse midwives, and anesthesia providers in the L&D unit. Others include a nurse educator to provide training, Information & Technology staff to provide, support in the integration of the training information into the simulator, the hospital’s CEO, chief obstetrician, and the chief nurse to offer leadership support the evaluation of the project.
Communication Plan

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

Risk Mitigation Plans

oThere is no anticipated risks associated with the implementation of the in-situ simulation-based training

oExpected barriers

oBurnout of obstetricians and/or midwives

oHeavy workload

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

References

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