What steps might be utilized to move a practice issue from development and design through implementation to the realization of positive outcomes?

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Preparing for Change

What steps might be utilized to move a practice issue from development and design through implementation to the realization of positive outcomes? How does theory provide a framework? What barriers might you encounter?

To prepare:

Review the theories and frameworks (i.e.,      change, organizational, behavioral) presented in Chapter 3 of the course      text, Translation of Evidence into Nursing and Health Care      Practice, and conduct additional research of your own. What insights do      these theories provide regarding how to take your practice issue from      development and design through implementation to the realization of      positive outcomes?
Think about your practicum setting and evaluate      the readiness for change in this environment. Identify barriers and      facilitators for change.
Consider strategies to address the barriers and      assess why they might be effective based on theory.

By tomorrow Wednesday 10/17/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references (see attached files) from the list of REQUIRED READINGS below. Include the headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Assess the readiness for change in your hospital environment. Discuss those factors: (a) barriers and (b) facilitators that need to be considered (see attached chapter 15 in the file area)

2) Identify a theory or framework that will guide your change efforts. (see attached chapter 3 in the file area)

3) Discuss strategies to address barriers and provide one or more insights regarding why you think they might be effective based on theory.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

Review      Chapter 3, “Change Theory and Models: Framework for Translation” (see attached file)
Chapter      14, “Creating a Culture That Promotes Translation”
Chapter      15, “Best Practices in Translation: Challenges and Barriers in      Translation” (see attached file)

Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519. (see attached file)

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802. (see attached file)

Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541. (see attached file)

PIICOT Question
In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months

How do you envision nursing in your practice setting? What is your vision for nursing?

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Question: How do you envision nursing in your practice setting? What is your vision for nursing? How will you lead others to adapt your vision? as technology is the major part of nursing practice now.
Purpose
The purpose of this assignment is to: a) identify and articulate key concepts of your leadership vision , b) provide empirical evidence to support your position , and c) communicate ideas in a clear, succinct and scholarly manner
Requirements
1. Introduction to your leadership vision.
2. Articulate key concepts of your vision.
3.

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Question: How do you envision nursing in your practice setting? What is your vision for nursing? How will you lead others to adapt your vision? as technology is the major part of nursing practice now.
Purpose
The purpose of this assignment is to: a) identify and articulate key concepts of your leadership vision , b) provide empirical evidence to support your position , and c) communicate ideas in a clear, succinct and scholarly manner
Requirements
1. Introduction to your leadership vision.
2. Articulate key concepts of your vision.
3. Provide a critique of a minimum of three sources of empirical evidence which support your vision. The sources must be no older tan 5years old.
4. Provide specific examples of the impact and/or importance of your vision on nursing.
5. Concluding statements should summarize content
5. APA format (6th edition) is required in this assignment including a title page and reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See APA manual for details. Use the suggested format to organize your assignment:
a. Include introduction (do not label as a heading in APA format)
b. Key concepts of vision
c. Critique of evidence
d. Importance to nursing
e. Summary

Attachments:

Identify and describe the leadership theory you would like to follow in your new job

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This assignment is , it is important that you use APA format to complete this assignment and a reference list must be created for each section all in APA format. The similarity scores cannot be more than 15{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119} for each of this section and all bullets points must be clearly address detail, using proper grammar and avoid spelling errors all in APA format.
SECTION A
This section should contain a minimum of 400 words document all in APA format plus a reference list , and the similarity scores cannot be more than 15{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}. You must address all the bullets points listed in this section clearly.
You just got a new job in a leadership role in a nursing department.
•Identify and describe the leadership theory you would like to follow in your new job.
•Provide 3 specific examples of behaviors you can do to support the leadership theory that you would like to follow.
•Based on the leadership theory you selected:
?Identify 3 leadership skills that you wish to develop during this class that will help you in your new position.
?Explain how you anticipate developing those skills.
Part 2
This section should contain a minimum of 400 words document all in APA format plus a reference list , and the similarity scores cannot be more than 15{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}. You must address all the bullets points listed in this section clearly.
In your new job as a leader in a nursing department, you want to prepare yourself for any situation that may occur. You take time to review your relevant experiences and some of the laws that will affect your actions.
Staffing levels vary from work environment to work environment and depend on the type of nursing, from intensive care to long-term care.
Describe a situation when you were short-staffed.
How did you handle the situation?
What was the outcome?
Some states mandate staffing levels; others do not.
What type of legislation exists in your state regarding nurse-to-patient staffing ratios?
How does the…

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Planned Change in a Department or Unit

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Application: Planned Change in a Department or Unit
Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.
For this Assignment, you propose a change at the nursing department or unit level and develop a plan for guiding the change effort.
To prepare:
Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.
Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.
Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected
Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.
To complete:
Write a 3- to 5-page paper that addresses the following:
Identify a problem, inefficiency, or issue within a specific department/unit.
Describe a specific, realistic change that could be made to address the issue.
Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional…

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