Implementing Change assignment
Implementing Change Assignment
Order Instructions:
Step 5: Implementing Change
It is important that the writer bear in mind that this EBP is to help the patient with type 2 diabetes and not educate the healthcare professionals. So when completing this paper, he must take that into consideration. the writer must also be very detailed when responding to all the questions below. The writer must also note that this paper is a continuation of 113908 and 114068. The writer must reference back to those paper to be able to understand how to respond to this order here. I will also upload the main paper here so that the writer will again see what we are working on as of this time bearing in mind that all this is in preparation of the second section of this paper which will be completed some weeks to come.
During this week’s paper you will focus on implementing the change.
Building on work done in the clinical practicum setting this week, and looking toward work with the EBP, address these questions:
1. What internal and external governing entities (individuals, groups) must approve the change prior to implementation?
2. Is an IRB required? Why or why not?
3. Approximately how long will it take to gain approval to implement your plan?
4. What aspects of your plan might be of concern to governing bodies? Why?
SAMPLE ANSWER
Governing entities
Different governing entities work in partnership with co-regulators in inspecting, investigating, and taking enforcement action where necessary. These entities are responsible for regulating various aspects within the healthcare sector. Some have specific legislative powers that puts in them in a position to respond to patient or service user complaints or incidents (Carlson et al., 2015). Before my project of educating nurses on delivery of quality care to diabetic patients is implemented, some governing entities, both external and internal, should approve it.
External Governing Entities
- General Medical Council
This organization plays a crucial role of ensuring clinical settings maintain professional standards. According to Wood et al, it serves to improve the care of patients, use an inspection framework in standardizing independent healthcare services, and reduce healthcare associated infection risk to patients (Wood et al., 2013).
- Care Quality Commission (CQC)
This is an independent body that regulates the quality as well as safety of care delivery. It uses information from a wide range of sources to analyze the outcomes of people who have received medical attention. Since my project will be on improve the outcomes of diabetic patients, approval from this commission will be quite significant.
- Professional Bodies such as Nursing Association and Diabetic Association.
These organizations ensure that there is proper maintenance of standards by health and social care professionals. They accomplish similar duties for various professions across the country. Their main functions include; setting and maintaining standards for education, training, and conduct (Harvey Wallace et al., 2014). This is a very powerful body which should approve my project before it progresses.
Internal Entities
They include;
- Top Level Management in the hospital such as the Chief Medical Officer (CMO)
- Chief Hospital Nutritionist
- Chief Nursing Officer
These are very important officials in any hospital. Changes that my affect the nature of activities conducted in the hospital should be approved by these individuals. For instance, the CMO is quite important because my project will need some funding which requires his/her approval, the nutritionist will also be at the center of my project since he/she will go through the proposed interventions and ensure that they are in line with the needs of diabetic patients. Since this project will heavily entail execution of the proposed changes by the nurses, the Chief Nursing Officer should also approve the project and ensure that it does not infringe the welfare of the nurses.
Is an IRB Required?
Yes. My project will need an IRB to ensure that the safety and well-being of the patients is maintained, ensure that my project contains only ethical and scientifically effective research prior to implementation, and lastly to solve concerns from the general public regarding the responsible conduct of the project.
Approximately how long will it take to gain approval for implementation of the plan?
The approximated approval time for this project is about one month. This will be suitable because new nurses will be joining the hospital for practice and I would like them to be leading ambassadors of this change.
Aspects that may be of concern to the governing entities
One of the major concerns that may arise is employee resistance. Usually employees tend to oppose change citing reasons that the change may affect their familiarity by changing their expectations and roles in the hospital (Hon, Bloom & Crant, 2014). The governing entities would therefore question what plan I have in place in case such an instance arises.
The other concern will be on finance. The governing entities would like to know my budget and ensure that the allocation will not disrupt major activities of the institution.
Project Planning. They will also like to know how the project is going to be executed. For instance, the project will involve education of some nurses. The entities would not like this training to be conducted at times when some of this nurses should be attending to patients.
References
Carlson, V., Chilton, M. J., Corso, L. C., & Beitsch, L. M. (2015). Defining the Functions of Public Health Governance. American journal of public health, 105(S2), S159-S166.
Harvey Wallace, D., Tilson, H., Carlson, M. V. P., & Valasek, M. T. (2014). Instrumental roles of governance in accreditation: responsibilities of public health governing entities. Journal of public health management and practice: JPHMP, 20(1), 61.
Hon, A. H., Bloom, M., & Crant, J. M. (2014). Overcoming resistance to change and enhancing creative performance. Journal of Management, 40(3), 919-941.
Wood, D., Wood, A., Fleming, D., Macrobin, D., Thomson, D. A. S., Hargrave, M., … & Apjohn, S. D. C. (2013). General Medical Council.
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