NR 451 Week 6 Discussion Implementing Change Despite Resistance
Chamberlain University NR 451 Week 6 Discussion Implementing Change Despite Resistance– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 451 Week 6 Discussion Implementing Change Despite Resistance assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 451 Week 6 Discussion Implementing Change Despite Resistance
Whether one passes or fails an academic assignment such as the Chamberlain University NR 451 Week 6 Discussion Implementing Change Despite Resistance depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 451 Week 6 Discussion Implementing Change Despite Resistance
The introduction for the Chamberlain University NR 451 Week 6 Discussion Implementing Change Despite Resistance is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NR 451 Week 6 Discussion Implementing Change Despite Resistance
After the introduction, move into the main part of the NR 451 Week 6 Discussion Implementing Change Despite Resistance assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 451 Week 6 Discussion Implementing Change Despite Resistance
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 451 Week 6 Discussion Implementing Change Despite Resistance
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 451 Week 6 Discussion Implementing Change Despite Resistance
Change in any setting is difficult, we go through changes every day, new laws, new way of doing things, new technology and so forth. Some embrace change as inevitable and others just refuse to change. My mother is an avid reader and has literally hundreds of books, trust me I know I have moved her twice in the past 10 years and know all the books she has. I bought my mother a nook several years ago and taught her how to use it. Instead of embracing this new-found way of reading thousands of books that are stored in one place, she chose to hide the nook and claim it was lost. Recently she started having trouble with her eye site and could not read regular print books so I searched her apartment and found the nook, I charged it and set the font to large type and re-oriented her to its use. Again, she stashed it away saying it would not charge. Now I know that was not true, she just will not change to use of new technology, she will not learn to use a computer or tablet, she has no interest in doing that. Change scares her and that is the bottom line. As nurses, we are a lot like my mother, afraid of change, and this fear holds us back in our practice and in safe quality care and positive outcomes for our patients.
There are several major barriers to the advancement of EBP which would bring about change in nursing. These include:
- Lack of knowledge and skill
- Low comfort level with search techniques
- Perceived lack of time-REAL LACK OF TIME
- Challenges with critically appraising research
- Lack of organizational/administrative support
- Educational programs that continue to teach research the “traditional way” with focus on producing instead of using evidence
- Negative attitudes-skeptics and fear
I had one negative encounter with implementation of change early after I earned my masters’ degree. My barrier with leadership and their lack of knowledge and insecurity with staff effecting change. I was basically told after my presentation of my idea for change that I was hired as a staff nurse and nothing more. Their insecurity with staff effecting change that could improve patient outcomes along with their lack of knowledge in nursing research became the barriers to positive patient outcomes. In the past year, the culture at that facility has changed and nursing research that includes the staff has been implemented.
Tell the class about the barriers you may encounter in your practice if you were to attempt to implement a change? It could be from staff or leadership or both.
Feeg, D. V., Suny Downstate Medical Center Department of Nursing , Nursing Research and Evidence-Based Practice
Conference, May 26, 2010; Strategies for Overcoming Barriers in Implementing Evidence-Based Practice; retrieved from
http://www.downstate.edu/icl/Feeg-Downstate2010Presentation-BarrierstoEBP.pdf
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NR 451 Week 7: Healthcare Policy: What You Need to Know About the Affordable Care Act Assignment
NR 451 Week 6 Discussion Implementing Change Despite Resistance Sample Response 1
This a great post. Thank you for sharing your experience with change. Fear is a huge problem with change, but like you said change is inevitable. I think all nurses are nervous about any changes that come up with new technology or new electronic solutions, because we did not go to school of computers but most of our jobs are computer based. This causes fear and resistance, and until the training is completed on the new technology or computer program you will have resistance.
Sample Answer 2 for NR 451 Week 6 Discussion Implementing Change Despite Resistance
Nursing is one of the most versatile occupations within the health care workforce.1 In the 150 years since Florence Nightingale developed and promoted the concept of an educated workforce of caregivers for the sick, modern nursing has reinvented itself a number of times as health care has advanced and changed (Lynaugh, 2008). As a result of the nursing profession’s versatility and adaptive capacity, new career pathways for nurses have evolved, attracting a larger and more broadly talented applicant pool and leading to expanded scopes of practice and responsibilities for nurses. Nurses have been an enabling force for change in health care along many dimensions (Aiken et al., 2009). Among the many innovations that a versatile, adaptive, and well-educated nursing profession have helped make possible are:
- the evolution of the high-technology hospital;
- the possibility for physicians to combine office and hospital practice;
- lengths of hospital stay that are among the shortest in the world;
- reductions in the work hours of resident physicians to improve patient safety;
- expansion of national primary care capacity;
- improved access to care for the poor and for rural residents;
- respite and palliative care, including hospice;
care coordination for chronically ill and elderly people; and
greater access to specialty care and focused consultation (e.g., incontinence consultation, home parenteral nutrition services, and sleep apnea evaluations) that complement the care of physicians and other providers.
With every passing decade, nursing has become an increasingly integral part of health care services, so that a future without large numbers of nurses is impossible to envision.
Wanda J.
Reference
Aiken, L. H., R. B. Cheung, and D. M. Olds. 2009. Education policy initiatives to address the nurse shortage in the United States. Health Affairs 28(4):w646-w656. [PMC free article] [PubMed]
Lynaugh, J. E. 2008. Kate Hurd-Mead lecture. Nursing the great society: The impact of the Nurse Training Act of 1964. Nursing History Review 16:13-28. [PubMed]
Sample Answer 3 for NR 451 Week 6 Discussion Implementing Change Despite Resistance
As BSN nurses, we strive to translate the evidence based knowledge we acquire into practice, but we may encounter challenges. Winkler (2015) states in her article that: “Changes are one of the most typical phenomena experienced by contemporary organizations and are an inherent element of their functioning. The change introduction process is complex and it is often accompanied by a phenomenon of resistance to change on the part of the employees in an organization, which is considered as the main cause of failure in the change implementation process”. It would seem logical that if we can improve a nursing process or improve patient outcome and satisfaction, nurse would be open to changes but the fact is that the opposite is true. We become comfortable with what we have always done and assume that change will make our job harder when in fact the opposite is true. Many improvements in the healthcare industry are due to changes made over the years. Our lesson teaches us that if the stakeholders are involved in the planning stages of the project from the beginning they are able to understand “the need for change as well as a sense of ownership” (CCN, 2017).
The emergency room department is a busy and hectic place many times, and making changes can be sometimes difficult. Everyone is so busy and they believe they do not have time to learn a new procedure and this would just add to the workload. The author of the article Conditions for Implementing Organizational Changes, states that “in order to overcome their aversion to change, employee activity must consist of three following factors: access to information, impact on decision-making and interaction”. Many of my coworkers agree that one of the problems we face in the ED is repeat visits and high 30-day readmission rate. I believe that if the nurses are presented with a problem and are given the opportunity to be involved in the solution finding and decision making, the implementation of the change would be accepted easier. Sometimes when an implemented change does not produce the expected positive outcome, we have to continue to make improvements and continue to change. The best thing about change is that it is constant.
One of the American Association of Critical-Care Nurses Standards is “Effective Decision-making:Nurses are seen as valued and committed partners in making policy, directing and evaluating clinical care, and leading organizational operations” (ANA, 2015, p.40). Nurses play an important role in the advancement and translating of evidence into better processes and policies thus improving patient outcomes.
Agatha
References
American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: Author.
Chamberlain College of Nursing. (2017). NR-451. Week 6 Lesson: Strategies for Effective Change [Online lesson]. Downers Grove, IL: DeVry Education Group. Retrieved from https://chamberlain.instructure.com/courses/9011/pages/week-6-lesson?module_item_id=1014248
Renata, W. (2015). CONDITIONS FOR IMPLEMENTING ORGANIZATIONAL CHANGES. Acta Logistica, Vol 2, Iss 4, Pp 21-24 (2015), (4), 21.
Sample Answer 4 for NR 451 Week 6 Discussion Implementing Change Despite Resistance
I do agree that many nurses do resist changes. One change that was implemented on our unit was to incorporate our 4p rounding during bedside change of shift report. It was difficult to get the nurses buy-in and the process met great resistance by the majority. I think if nurses get the support needed and knew in detail the rationale for the changes that are being implemented then there would be very little resistance
Management and leaders should be more supportive of their staff with also building trust. This is very important to the needs of the staff in order create positivity. For example, staffing would be great for a couple of weeks, then back to square one (short staff), yet leadership expects 100% perfect rounding. I have experienced in the past where the staff was promised better nurse-patient ratio. They know that staff will view the change of including 4p rounds with change of shift bedside report more of a burden. Staffing issues sometimes cannot be controlled, because of staff calling in sick, staff leaving etc.. Our trend on 4p rounding and nurse-patient ratio have proven to have a positive when staffing is adequate. Monitoring call logs and staff assignments show that when nurse-patient is adequate, patients satisfaction increases.
I found the article, Hourly Rounding: Challenges with Implementation of an Evidence-Based Process interesting as it examines the problems with implementing hourly rounding on two hospital units and the results that are indicated. What drew my attention is the nurse’s attitude on the rounding process as it is described by the author, which found that nurses did not have a sense of ownership of the rounding process, so therefore they feel that this process is being inflicted upon them. If they knew the reasons for the 4p rounding process, they would see the benefits to both their patients and themselves. Yes, management should provide support and education regarding any process that is implemented, but nurses must be accountable for the kind of care they provide to their patients as well.
Reference:
Lippincott Williams & Wilkins.(2012). Lippincott Nursing Center. Hourly Rounding: Challenges with Implementation of an Evidence-Based Process, Retrieved from
NR 451 Week 7: Healthcare Policy: What You Need to Know About the Affordable Care Act Assignment
Hi Professor and Classmates,
The healthcare reform has benefited millions of people in the United States. The Affordable Care Act has allowed many people especially those of low -income to have access to affordable health insurance, as it regulates insurance company by setting rules that put a ban these company that denies coverage to those people with pre-existing medical conditions. Not only does it allow people from getting preventive care and immunization for children at no cost but small business owners can purchase health coverage for their employees and get a break on tax credit in doing so. Dependent teens and young adult up to 26 years of age are covered under their parent’s insurance. The government set rules and regulation that healthcare providers must follow which focuses on preventive care and improving health.
“By understanding how government works, how bills become laws, and how legislators make decisions, nurses can influence policy decisions through individual efforts such as electronic letter writing, social networking, participation in political campaigns, and selection of candidates who support policies conducive to improving the health and welfare of all citizens.” (McEwen, pg.184)
It is very important for nurses to be aware of changes in healthcare policy to have the knowledge basic, and insight on government rules and regulations that will help in making decisions and educating our patients, families and the community. Not only do changes in healthcare policy affect we way we deliver care, but it also directs the care we deliver. Nurses play a great role in being active in lobbying and do have a word in the development of some health care policies that are written by the government. We are in the forefront of this delivery system and do have a voice on issues that affect patient care this allows us to advocate on our patient’s behalf on certain practices that are recommended and regulated by the government.
In 2015, the healthcare cost in the U.S far exceed cost as compared to countries like Switzerland, Australia, and Canada, yet their life expectancy rate is lower. Data from the Organization for Economic Cooperation and Development (OECD) shows that there is a higher percentage of people who do not have healthcare insurance comparison to 12 other countries and ranks the highest when it comes to the number of death from preventive diseases and complications.
In my opinion, There is an uneven distribution of spending that causes health care to be so costly. Some providers, insurances companies, and the drug companies want to make great profit at the cost of the sick and helpless. The drug companies are one of the reasons the cost of healthcare is so high, they charge what they want for medication to make a huge profit, not to mention some providers, they create fraud to get more money from the insurances companies, and some insurance companies want to get as much from the public as they can. It is just a dog-eat-dog system.
References:
New York. (2014). Is the Affordable Care Act Working? Retrieved from https://www.nytimes.com/interactive/2014/10/27/us/is-the-affordable-care-act-working.html#/ (Links to an external site.)
McEwen. (2015). Community/Public Health Nursing: Promoting the Health of Populations (6thed.). St. Louis, Mo. Retrieved from https://online.vitalsource.com/#/books/9780323188197/cfi/8/4!/4/2/38/10@0:16.1 (Links to an external site.)
Los Angeles Times. (2017). The U.S spends more in Healthcare than any other country- But not with better Health Outcomes Retrieved from