project plan evaluation rubric element fully add H e a l t h M e d i c a l

Change Project Plan

Instructions and Rubric

The purpose of this assignment is to apply nursing leadership and management concepts learned over the course of the semester to bring about change.  The change can be actual, potential, or hypothetical.  It must be addressed within the context of a health care setting and relate management concepts.  The change should be written as though it will be implemented sometime within the next year – not a description of a change that has already been implemented. 

Ideas for this include but are not limited to the following:  

Developing staff training or educational programs

Introducing a change on a unit such as one to be in compliance with The Joint Commission

Developing and implementing new procedures/policies

Developing a specific protocol

Developing of a parish nurse program

Developing of a community health fair

Implementing a new piece of equipment

Implementing a best practice or quality improvement plan

Creating a new leadership structure

Improving recruitment or retention

Dealing with conflict

The setting may be real or fictitious, but you should determine the location, size, setting, leadership models, etc.  Anticipated length of paper is more than 8 pages (not including cover page or references section).  Your paper must contain a minimum of 5 scholarly (peer reviewed) journal articles cited in the paper to support your chosen change and included in the reference list (this is in addition to any textbook citations/references).

Guidelines for Project Plan

PART 1

Introduction.  Introduce the change. Outlines the problem or concern that is the impetus for change.  What is it?  Why is it needed?    What are the key highlights of the change? What theoretical model will be used to implement the change? Be sure to cite the model.  What are the expected outcomes of this change? 

Justification for change.  How will the change impact the employee workforce? What is the anticipated impact on workload?  What is the economic impact of the proposed change? Is this change related to regulatory requirements? Explain any factors Related to Social Justice. Is this change related to quality and/or safety indicators?  What best practice evidence supports the change? Think of these as the bottom line selling points for the change. 

Description of the health care setting.  Identity the context in which the change will occur.  It can be any health care setting, such as a clinic, community agency, long term care facility, hospital, etc.  Your proposed change can pertain to the system or a unit within the system, a group of workers within the system, a shift within the system, etc.  Try to describe in as much detail as you can, factors which are pertinent to your proposed change, such as number of employees impacted, size and location of the unit, mission/philosophy of the organization, organizational structure, health care delivery system used, demographics of the geographical area, etc.

Description of those impacted by change (stakeholders).  Who will be directly impacted by the change? How will they be impacted?  Will there be others that are indirectly impacted?  Who and how?    Will this change impact customers?  Explain. Will there be community stakeholders? Are there any legal/ethical implications?

PART 2

Communication: What is the current communication structure within the area of the proposed change, both formal and informal?  How are leadership decisions made (e.g. who makes the decisions, what is the organizational structure)?  Describe-how will the change be communicated?  What specific leadership support is necessary to accomplish this change? 

Managing your resources. How will you prepare yourself for leading this change (consider your current work load and how you will manage the increase responsibilities of a change agent)?  What concerns might you have about putting your change plan into action?  How confident are you in the success of this change? What budgetary, space, or human resources are needed for change implementation? How can this change be sustained over time?

Change Process.  Apply a change theory (such as one from your Marquis & Huston text, or the PDSA or Roger’s Stages of Innovation from the Planned Change and Quality Control online modules) to the change.  Discuss the process as it relates specifically to your own proposed change, including specific strategies used to implement and bring about the desired change. Describe the proposed change timeline.  Describe how baccalaureate prepared nurses can lead this change through integration of evidence, clinical reasoning, and consideration of interprofessional perspectives How can baccalaureate prepared nurses exemplify personal and professional accountability and model nursing values and standards?

Impact assessment. How will you know that the project is doing what it is designed to do? Describe how you will determine whether the proposed change will enhance or improve health outcomes? How will you be able to measure these outcomes? How can the impact on population health be determined?

Conclusion.  Summarize the expected results of the implemented change.  What is the final impact to the health care setting? Summary of how the project promotes, maintains, sustains, or regains the health of individuals, and/or, families, and/or society (stakeholders)

Project Plan Evaluation Rubric

Element

Fully Add-ressed

Partially Add-ressed

Insuff or Not Add-ressed

Pts. Possi-ble

Pts. earned

Introduction (1 pt. each)

Introduce the proposed change

Impetus for change

Change theory you will use-be sure to include citation

Expected outcomes

Justification for Change-selling points

What is the impact on employee workforce/workload? 1 pt.

What is the economic Impact of this change? (PO 5) 1 pt.

Is the change R/T professional regulations? explain (PO 5) 1 pt.

Explain factors related to social justice (PO 5) 1 pt.

Is this change related to Quality/Safety? explain (PO 2) 1 pt.

Best practice evidence to support the change (need citations) 5 pts.

Description of Setting (2 pts. each)

Describe setting where change will take place

Describe factors (details) pertinent to change-see instructions

Description of Those Impacted by Change (stakeholders) 2 pts. each

Identify those directly impacted by change & how so

Identify those indirectly impacted by change & how so

Will there be any community stakeholders? explain

Are there any legal/ethical implications? explain

Communication Strategies (PO 4 & 6) 2 pts. each

What is the communication structure like (both formal & Informal)?

How are decisions made (e.g. who makes the decisions & what is the organizational structure)?

How will the change be communicated? 

What specific leadership support is necessary to accomplish this change? 

Managing Resources (1 pt. each)

Description of how you will prepare yourself for leading this change

What concerns do you have for putting your change into action?

How confident are you in the success of this change? explain

What budgetary, space, or human resources needed for change implementation?

How can this change be sustained over time?

Proposed Change Process

Apply the change theory and implementation of the change to your proposed change including the stages of change (6 pts.)

Describe the proposed change timeline (1 pt.)

Describe how baccalaureate prepared nurses can lead this change through integration of evidence, clinical reasoning, and consideration of interprofessional perspectives (PO 3) (1.5 pts)

How can baccalaureate prepared nurses exemplify personal and professional accountability and model nursing values and standards? (PO 8) (1.5 pts.)

Impact Assessment (2 points each)

How will you determine if the change is doing what it was designed to do?

How you will determine whether the proposed change will enhance or improve health outcomes and how could you measure the outcomes SLO 6)

How can the impact on the health of the population of your setting be determined? (PO 7)

Conclusion

Summary of planning process and expected results (1 pt)

Summary of impact on the health care setting (1.5 pts)

Summary of how the project promotes, maintains, sustains, or regains the health of individuals, and/or families, and/or society (stakeholders) (PO 1 & 10) (1.5 pts)

Format

Formal paper in APA format (Title page, headers, headings, in-text referencing, reference list, page numbering all according to 6th ed. APA.)

Free of spelling, typographical, and grammatical errors

References

Minimum of 5 scholarly (peer reviewed) journal articles cited in the paper to support your chosen change and included in the reference list (this is in addition to any textbook citations/references)

I have an idea what the topic should be: ”Pain management improvements in post-anesthesia care units.”

My objective is to work around the topic mentioned above and integrate evidence based research to support the proposed project. Take a look at the following rough draft of my introduction. I also attached one of the article I would like you to read after going through rubrics.

One of the greatest fears patients experience going to surgery is fear of pain. Anesthesia provides freedom from pain while major procedures are being performed. However, once the surgery is completed, patients are often expected to deal with tissue trauma with occasional analgesics doses. Currently, there is Ineffective pain management at Shadow Hospital, resulting in numerous undesirable outcomes such as limited mobility, infection, prolonged pain, depression, cardiopulmonary complications, increased length of stay, insomnia, fatigue, and an overall decrease in quality of life. To combat these issues, necessary interventions need to be taken when caring for PACU patients. The required change is following the American Society of PeriAnesthesia Nurses(ASPAN) Pain and Comfort Guideline. The ASPAN Pain and Comfort Guideline provides direction for adequate pain relief and highlights pain assessment, pain medications, and expected outcomes( Nevius & D’Arcy, 2008). The guideline also has a holistic focus, advocating medications for pain relief and complementary methods such as heat, cold, repositioning, and relaxation. The planned change will be implemented in the recovery room or PACU with a goal and expected outcome of improved mobility, shortened stay at the hospital, improved pain management, and an overall increase in quality of life(Mogan, 2018).

Justification for change.

The change will not impact the employee workforce.

The ASPAN Pain and Comfort Clinical Guideline was created because of the urgent need for a standardized, evidence-based approach to managing patients’ pain and comfort in all perianesthesia settings. Although it is hard to place a dollar value on effective pain control, other benefits of pain management such as cost savings have become evident in terms of shorter intensive care unit (ICU) stays, decreased risk of postoperative infections, and perhaps even improved survival and decreased recurrence rates for some cancers (Gray, Smith, Zasimovich, & Tighe, 2017). These outcomes offer cost savings and an improved patient experience through better perioperative pain control.