Day: February 25, 2020

Respond

 Proposing a business plan is important in nursing as this is being utilize to request for a new equipment, a design to a new service that will help in promoting care and quality service. A detailed plan includes structure, process, and outcome measures that will help in designing a framework to analyze department operations, evaluation programs, and also to determine achievement of departmental goals (Johnson & Smith, (2018). The project proposal for the business plan is all about promoting the use of ED interventions specifically for older patients that will reduce the occurrence of falls. Baptist hospital usually has older patients that younger ones as Florida is known to be the place for older people wherein they love the warm weather and the low cost of living. This project fits perfectly with the institutions mission as the mission points out the importance of improving the health and well-being of individuals, and most of all to promote the sanctity and preservation of life and to maintain the high standards of the institution. The vision of the institution also emphasizes to offer a broad range of clinical services that are evidence-based and compassionately provided to ensure patient safety. With this, introducing a project about ED interventions focuses on patients safety while utilizing innovations. Baptist hospital always focuses on the strategic plan of implementing the latest technology to provide high-quality and compassionate care. The project focuses on older patients since most of the patients in ED are actually older and given that the leading cause of injury-related hospitalizations for seniors are caused by falls (Isaranuwatchai, Perdrizet, Markle-Reid, & Hoch, 2017). Falls currently occurs in ED because of low prevention interventions. With the proper introduction and utilization of this ED preventions, a lot of cases of falls can be prevented. Rogers diffusion of innovation refers to the process as people adopts to the new changes, ideas, and products being introduced. Initiating a new process in a department may become difficult as not all might be open to the new idea. But with correct introduction of the innovation especially in ED wherein we are currently experiencing patient falls among older patients, will be a good opportunity to promote the use of ED interventions. I will focus on giving a brief discussion about the use of ED interventions pointing out the benefits it can bring to the department and most especially on how it will enhance patient experience. To do this, I will apply the five stages of adoption process. First thing that needs to be done is to individually expose the stakeholders to innovation but lacks complete information and let them be curious. Second is getting them to become interested with the new idea wherein they will seek more information. Third is to let them visualize the use of the new intervention to their anticipated future situation. Fourth is to let them use the ED intervention. And lastly, to let them fully use the ED intervention so as to continue to promote patient safety and providing quality care. 

Respond 

The medical center where I work  is a large teaching institution in New York City is made up of 7 hospitals. They believe in educating the next generation of health care professionals, developing groundbreaking research, advancing innovative, patient-centered clinical care and serving the needs of our local, national and global community. The vision of the institution  is to be the #1 academic health system in the nation in high-quality patient centered care, education and research. The culture is based on respect, teamwork, innovation, empathy, excellence and responsibility. 

     The mission and vision is reflected in the organizational culture and leadership through their behaviors. How  leadership chooses to do their job everyday demonstrates the core values of the organization. My personal philosophy of nursing is based on respect. Patient care suffers when nurses are not respected (Stievano, Bellass, Rocco, Olsen, Sabatino, & Johnson, 2018). It is crucial that nurses operate in a moral work environment that involves respect to improve patient outcomes (Stievano, et al., 2018). The hospitals Credo is based on respect. This is how my project aligns with the core values of the institution. 

One theoretical approach to understanding how change may be achieved is Rogers diffusion model. He argues that certain characteristics of the innovation itself may facilitate its adoption. Factors influencing acceptance include promotion by influential role models, the degree of complexity of the change, compatibility with existing values and needs, and the ability to test and modify the new procedure before adopting it (Mohammadi, Poursaberi, & Salahshoor, 2018).

Current research suggests that the most effective communication strategy is face-to-face exchange  (Mohammadi, Poursaberi, & Salahshoor, 2018). It provides an opportunity to tailor information to recipients and allows the advocate of the change to explore and, if necessary, modify the reasons why a shift in clinical behaviour should occur. Interpersonal communication is usually more effective when there is a high degree of professional resemblance between the individual attempting to introduce the innovation and the recipient  (Mohammadi, Poursaberi, & Salahshoor, 2018). 

Luckily, I think it will be relatively easy to implement changes related to a healthy work environment. I believe the majority of people want to work in an environment that is positive, supportive and frowns on bullying and incivility. Through communication as well as role modeling proper behaviors, Rogerss diffusion of innovation framework will assist in the transformation.