Organizational Systems & Quality Leadership Task 2 Healthcare organizations are required by their accrediting agencies to demonstrate methods of investigating sentinel events. Root cause analysis (RCA) is a systematic approach to investigating sentinel events used by institutions accredited by the Joint Commission. Once this process helps to identify the causes of the event and a plan to correct the causes, the failure mode and effects analysis (FMEA) is used to identify and decrease the ways the plan could fail. The task analyses these processes and the professional nurse’s role as a leader in the promotion of quality care. A. Root Cause Analysis…
There are various evidence-based practice (EBP) models that are most commonly used in the field of nursing. These EBP models include Funk’s Model of Research Dissemination, Stetler’s Model of Research Utilization and Evidence-Based Practice, DiCenso et al. Model, The Iowa Model, Rosswurm and Larrabee Model, The ARCC Model, and Kitson’s Framework. The similarity across the Stetler’s, DiCenso et al., Iowa, and Rosswurm and Larrabee Model is that the basic steps or phases involved in the model is same. For instance: the first step in these models involves the identification of the problem in a clinical practice; next step is to conduct literature search, gather evidences from research, and compare it to current practice; then the decision is made…
Advanced Change Theory As we gain a better understanding of how to make adaptive change, Robert E. Quinn, Gretchen M. Spreitzer, and Matthew V. Brown derive a set of principles that comprise what we call Advance Change Theory (ACT). With these principles you will see that it deals with practitioners and other leaders. They called ACT advance because this change strategy is less observable and more complex than the traditional change strategies of rational persuasion, coercion, or participation. ACT was not very observable due to it being used less frequently than other strategies.…
Unit 4 Discussion 2 Evidence Based Practice The trend towards evidence based practice (EBP) has increased with the implementation of the chronic disease management performed by nurses. Laughlin and Beisel (2010) reported the results of a pilot study regarding the evolution of the nurse role in a primary care setting as a member of the treatment team for chronic illness. Laughlin and Beisel (2010) focused attention on the skill sets nurses provided in care of chronic conditions emphasizing that nurses are uniquely qualified to assess the needs of patients with chronic illness and to formulate a plan for and coordination of care (p. 414). Barriers to EBP were acceptance of nurses in the role as members of the care team and lack of education…
Introduction: A conceptual model is a representation of concepts which are used to help people know, understand or simulate a subject represents. Moreover, a model is used to create the various hypothesis which can be used to test in the laboratory study or which can be utilized for explaining in a case study. The goal of this assignment is to explore three models of evidence-based practice (EBP) that may interest the authors and give an explanation. Although several models are used in research, this paper will only highlight three specific models and provide a summary, strengths, weaknesses and a model that will be utilized by in a particular practice.…
It is common practice when an expert knowledge of one specific field in a science improves best practices in the field of another system. For instance, an Evidence-Based Practice (EBP) is a scientific method of medical researches. This a method to utilize clinical research findings to improve medical decision making and lowers risk. From another side, there is a system of the Best-Evidence Rule In the field of criminal justice.…
After reading the article about evidence-based practice, I learned that EBP is not only incorporated within crime, but it is also affective in areas such as education, medicine, child welfare, and mental health. The purpose of evidence-based practice is to have "interventions" that are practiced upon scientists, proven to be safe and effective within these certain fields. Risk and need assessments are the more accurate tool in determining and offenders sentence and or responses to the sentence. Risk and need assessments are measured by how the offender will react due towards the sentence, and what programs will be most beneficial for the offender. One EBP program being used in the state of California, would be the program ACT, which stands…
The nurse and other care providers play a key role in the prevention of hospital acquired infection (HAI). Urinary tract infection (UTI) accounts is the commonest accounting for 35% of all infections with 80% of them being associated to indwelling urinary catheter (Schneider, M. A. 2012). In this document, the author discusses the process of implementation evidence based change aimed at reducing the incidence of catheter associated urinary tract infection (CAUTI). Evidence based practice is a problem- solving approach that incorporate best practice arrived at from reliable studies and patient care outcome best available practice and the consideration of patient choice and values, to attain the highest level of quality of care and client needs…
1. Establishing sense of urgency. According to Kotter the first step in any change effort is to establish a sense of urgency for change. Most business managers are busy as such to attain the attention and commitment of the managers the change leader has to convince them of the significance of change (Kotter & Cohen, 2002). He believed that with urgency low it would be difficult to put together a group capable of guiding the effort.…
Introduction Leading change management requires establishing a theoretical foundation that supports change initiatives. This document will research the theoretical elements of change and change management models. Addressed will be the following: factors that contributed to the organic evolution of change, methodologies used in formulating strategic development approaches, commensurate leadership and management skills used to sustain growth during change management and data retrieval and analysis. As businesses continue to change and evolve the need for flexibility within organizational operations becomes more important. Businesses that survive and prosper are agile and adaptive to change.…
Lewin’s Theory of Change It is critical to provide an in-depth analysis of the change theory in which the below phases well be based upon. Lewin’s theory of change is one of the earliest models organisational change, devising change as an alteration to the factors that maintain a system’s behaviour (Cumming & Worley, 2014). Lewin’s model of change is a three step framework known as Unfreeze- Change-…
The topic that I selected is increasing the evidence based practice use. Evidence based practice (EBP) is one of the popular topics in nursing today. It is defined as a “problem-solving approach to clinical decision making within a healthcare organization that integrates the best available scientific evidence with the best available experiential evidence” (Hain & Kear, 2015, p. 2). Applying evidence based practice into our daily nursing practice can improve the quality of care of the patients.…
Ten years ago I was part of a research group that analyzed urinary schistosomiasis and the implications for control among primary school children and rural farmers in Obollo-Eke, Enugu State, Nigeria. At the time, I was a medical laboratory science internist with the University of Nigeria Teaching Hospital. This experience was my first encounter with the world of research and evidence-based process. I was intrigued considering that it was uncharted territory and was ecstatic when I learned that I had become a published author in 2012 because of my contributions to the project. This pleasant feeling was ignited once more when I began taking this research class, and as a result, my knowledge of evidence-based research has improved tremendously.…
Fullan (2011) provided a framework for effective change leadership consisting of six key insights. The first two elements provide the foundation of the change framework. First, effective change leaders must understand that practice drives theory. Those committed to change leadership use value over practice over theory in that they use practice as an opportunity to learn (Fullan, 2011). According to Fullan (2011), change leaders “never go from theory to practice or research evidence to application (p. xii).…
It is important that the message be sent loud and clear to all employees within the organization that the change must be attacked with an extreme sense of urgency. It is also important for the top level of the organization to have a realistic plan in implementing change. Many times top level management overestimates how many big changes they can force early on. They also underestimate how hard it is to drive people out of their comfort zones (Kotter, 1996). In order to achieve this management must create a powerful…