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For this Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.
Please make sure to identify your measurable desired outcome and support with quality or regulatory standards such as Joint Commission or CMS to demonstrate the support to implement changes in
practice. (Use Google & add these to the references included)
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 page paper (page count does not include title and reference page) that addresses the following:
Identify a problem, inefficiency, or issue within a specific department/unit: Medication Errors & Disruptions
30 bed medical surgical unit at Singing River Hospital (Singing River Health System)
Name of Unit: 1 East
Describe a specific, realistic change that could be made to address the issue.
Related to disruptions
Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
See SRHS.pdf for Mission, Vision, and Values
Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.
Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.
Patient Care Manager (unit manager)
Patient Care Coordinator (assistant manager)
Charge Nurse: Me
4-5 staff nurses per shift
2-3 PCAs (nurse techs)
Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.’
QUALITY OF WORK SUBMITTED: The extent to which work meets the assigned criteria and work reflects graduate level critical and analytic thinking
All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the Assignment topics
QUALITY OF WORK SUBMITTED: Purpose of the paper is clear
A clear and comprehensive purpose statement is provided which delineates all required criteria.
ASSIMILATION AND SYNTHESIS OF IDEAS: The extent to which the work reflects the student’s ability to understand and interpret the Assignment’s key concepts
Demonstrates the ability to critically appraise and intellectually explore key concepts.
ASSIMILATION AND SYNTHESIS OF IDEAS: Apply and integrate material in course resources (i.e., video, required readings, and textbook) and credible outside resources
Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3–4 course resources to support point of view.
ASSIMILATION AND SYNTHESIS OF IDEAS: Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e., video, required readings, and textbook) by
comparing different points of view and highlighting similarities, differences, and connections.
Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.
WRITTEN EXPRESSION AND FORMATTING: Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences
are clearly structured and carefully focused—neither long and rambling nor short and lacking substance.
Paragraphs and sentences follow writing standards.
WRITTEN EXPRESSION AND FORMATTING: English writing standards: Correct grammar, mechanics, and proper punctuation
Uses correct grammar, spelling, and punctuation with no errors.
WRITTEN EXPRESSION AND FORMATTING: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations,
and reference list
Uses correct APA format with no errors.
Example: (Marquis & Huston, 2015, p. 163)
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Week 4 Assignment 2 Template provides an example of those
required elements.
Course References
Batras, D., Duff, C., & Smith, B. J. (2014). Organizational change theory: implications for health
promotion practice. Health Promotion International, Retrieved from MEDLINE with Full Text,
Laureate Education (Producer). (2012g). Organizational dynamics: Planned change and project
planning. Baltimore, MD: Author.
McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P., Brown, C., Baumgart, A., & Nystrom, M. (n.d).
Organizational Coherence in Health Care Organizations: Conceptual Guidance to Facilitate
Quality Improvement and Organizational Change. Quality Management In Health Care, 22(2), 86-99.
Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management
(Harrow, London, England: 1994), 20(1), 32-37.
Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing
Administration, 43(2), 69–72.
Outside References
Hayes, C., Jackson, D., Davidson, P., & Power, T. (n.d). Medication errors in hospitals: a literature
review of disruptions to nursing practice during medication administration. Journal Of Clinical
Nursing, 24(21-22), 3063-3076.
Hester, M. (2010). Best practices in patient safety: minimizing disruptions during medication
administration. Texas Board Of Nursing Bulletin, 41(1), 5-6.
Potter, P., Wolf, L., Boxerman, S., Grayson, D., Sledge, J., Dunagan, C., & Evanoff, B. (n.d).
Understanding the cognitive work of nursing in the acute care environment. Journal Of Nursing
Administration, 35(7-8), 327-335.
How to cite yourself:
Dycus (2016). Week 2: The Infrastructure of an Organization: A Systems Theory View Discussion Post.
Unpublished Manuscript. BYU University.

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