Discussion: Culture of change movement

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Discussion: Culture of change movement

Discussion: Culture of change movement

The healthcare organization at which the change is proposed is a nursing home taking care of the elderly

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The culture of the Nursing home is driven by the need to deliver quality nursing care to patients

The culture of change movement is aimed at transitioning the nursing home from an institution to homes for residents aimed at improving quality of care and overall quality of life for residents.

The organization is ready for change, has all infrastructure and needed resources needed to implement change, whereas staff are also supportive of change process.

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The healthcare organization at which the change is proposed is a nursing home taking care of the elderly

The culture of the Nursing home is driven by the need to deliver quality nursing care to patients

The culture of change movement is aimed at transitioning the nursing home from an institution to homes for residents aimed at improving quality of care and overall quality of life for residents (Ellis,2019) .

The organization is ready for change, has all infrastructure and needed resources needed to implement change, whereas staff are also supportive of change process.

Current Problem & Opportunity for Change

Nursing home operates in a restrictive setting, where standardized approach to care is applied

Opportunity for change is application of personalized care to meet individual needs of patients.

Circumstances surrounding need for change: Only standardized approach to care is implemented, thus individual needs of patients are not being met

Scope of the Issue: Health providers and elderly patients are affected

Risks associated with Change: Possibility of resistance by stakeholders, limitation of resources needed in implementation and change in scope

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Problem: Nursing home operates in a restrictive setting, where standardized approach to care is applied

Opportunity for change is application of personalized care to meet individual needs of patients.

Circumstances surrounding need for change: Only standardized approach to care is implemented, thus individual needs of patients are not being met

Scope of the Issue: Health providers and elderly patients are affected

Risks associated with Change: Possibility of resistance by stakeholders, limitation of resources needed in implementation and change in scope (Mackey & Bassendowski, 2017).

Evidence Based Idea

Evidence based for changed that has been proposed is providing patient-centered care for elderly patients at the nursing home

EBP approach to patient centered care has been extensively researched

Patient-centered care is based on value based care to address specific needs of patients

Alignment of patient-centered care and value based care is needed to improve overall wellbeing of patients

Patient centered care to be aligned to patient outcomes, perspectives and experiences to adequately address patient needs.

Plan for knowledge transfer of the change

Proposed change is implementation of patient centered care and value based care to patients

Plan for knowledge transfer entails seminar training for all medical professionals at the nursing home.

Knowledge creation entails continuous transfer, combination and conversion of different content about patient centered and value based care. The new approach is implemented as policies at the nursing home.

Dissemination process entails teaching personnel at the nursing home about change. Methods include memo, newsletter, workshops and conferences.

Organizational adoption and implementation: Entails implementation of developed policies to achieve changeover

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Proposed change is implementation of patient centered care and value based care to patients

Plan for knowledge transfer entails seminar training for all medical professionals at the nursing home(Friesen-Storms et al., 2015).

Knowledge creation entails continuous transfer, combination and conversion of different content about patient centered and value based care. The new approach is implemented as policies at the nursing home.

Dissemination process entails teaching personnel at the nursing home about change. Methods include memo, newsletter, workshops and conferences.

Organizational adoption and implementation: Entails implementation of developed policies to achieve changeoverDiscussion: Culture of change movement

Description of Measurable Outcomes

With the implementation of patient centered care and value based care, the

following measurable outcomes are anticipated to be achieved:

Residents access to quality care: Residents overall improvement in health is evaluated to determine effectiveness of implemented approach.

Homelike atmosphere: Practices and structures are designed to be less like an institution and more homelike .

Relationship between patients and professionals: Close relationships maintained between health professionals at nursing home and patients.

Staff empowerment and collaboration.

Staff are more empowered to undertake roles and there is more collaborative decision making to deliver enhanced care that is patient-centered

Overall Quality Improvement in Processes: Continuous quality improvement initiatives implemented through culture change and ongoing process to achieve better care (Friesen-Storms et al., 2015).

With the implementation of patient centered care and value based care, the

following measurable outcomes are anticipated to be achieved:

Residents access to quality care: Residents overall improvement in health is evaluated to determine effectiveness of implemented approach.

Homelike atmosphere: Practices and structures are designed to be less like an institution and more homelike .

Relationship between patients and professionals: Close relationships maintained between health professionals at nursing home and patients.

Staff empowerment and collaboration:

Staff are more empowered to undertake roles and there is more collaborative decision making to deliver enhanced care that is patient-centered

Overall Quality Improvement in Processes: Continuous quality improvement initiatives implemented through culture change and ongoing process to achieve better care.

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Lessons Learned

Critical appraisal of peer reviewed articles

Critical appraisal fundamental in assessing usefulness and validity of research findings

Critical appraisal evaluates appropriateness of study design for research question and key methodological features of design

Appraisal determines suitability of statistical methods used and interpretation, potential conflict of interest relevance of research to practice.

Lessons from completing literature evaluation table

Interpretation of research findings

Synthesis of sources and application to practice

Analysis of conceptual framework

Evaluation of research variables

Examination of data analysis methods used

Appraisal of research findings relevant to practice (Melnyk & Fineout-Overholt, 2018).

Lessons Learned

Lessons from completing the levels of evidence table

How to assess studies based on methodological quality of design

How to assess studies based on evidence

Assessing studies based on applicability ti patient care

Assessing strength of provided recommendations in studies

Lessons from completing the outcomes synthesis table

I learned how to organize research studies

How to integrate different resources together

How to synthesize research on a given topic

References

Ellis, P. (2019). Evidence-based practice in nursing. Learning Matters.

Friesen-Storms, J. H., Bours, G. J., van der Weijden, T., & Beurskens, A. J.

(2015). Shared decision making in chronic care in the context of evidence

based practice in nursing. International journal of nursing studies, 52(1), 393-

402.

Mackey, A., & Bassendowski, S. (2017). The history of evidence-based practice

in nursing education and practice. Journal of Professional Nursing, 33(1), 51-55.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing &

healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Discussion: Culture of change movement

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