Change Implementation and Management Plan1Change I.docx

Change Implementation and Management Plan
1
Baptist Health South Florida was named one of the 2019
Fortune 100 best companies to work for (Baptist Health South
Florida, 2019).
In the workplace assessment survey Baptist Health obtained a
score of 85 (Clark, 2015). While the score is high, indicating it
is a moderately healthy work environment, there were some
elements that the organization scored low (Clark, 2015). There
is poor level of employee satisfaction, engagement, and morale.
This presentation aims to summarize and address the
organization’s poor employee satisfaction and engagement;
propose a strategy to lead organizational change, discuss the
details of the plan, name its stakeholders and change agents,
This presentation also aims to discuss how to communicate the
proposed plan, and finally discuss the risk mitigation plans.
Change in an organization may be difficult to implement but if
well planned, it could help improve and resolve issues in the
organization.
2

Summary of the Issue in the Organization
EMPLOYEE
ENGAGEMENT
According to Gallup’s State of the Global Workplace report,
only 15% of employees worldwide are engaged in their jobs
(Mishra, Boynton, & Mishra, 2014). More Gallup research
shows that employee disengagement costs the United States
upwards of $550 billion a year in lost productivity. Baptist
Health scored 85 in the workplace assessment inventory (Mishra
et al., 2014). The organization scored low in employee
engagement and satisfaction.
Several environmental factors lead to increased patient visits in
the hospital which they could not accommodate in terms of
space and human resources. The stress because of the increased
demands of work decreased employee engagement and
satisfaction scores.
3
Proposed Change
Employee engagement is the leading indicator of success for
any organization. This is why organizations that listen and
respond to the needs of employees deliver better results (Cullen
& Adams, 2012).
To improve Baptist Health’s employee engagement, a monthly
team building activity is proposed. These social events will help

people bond with others on the team who they don’t interact
with on a daily basis and builds a better sense of community
within the organization.
4
Impact of Change in the Organization
This Photo by Unknown Author is licensed under CC BY-SA-
NC
Increased productivity
Employee satisfaction
Employee engagement
Customer satisfaction
Team building activities lead to increased productivity,
employee satisfaction, employee engagement, and customer
satisfaction.
5
Type and Scope of the Proposed Change
This Photo by Unknown Author is licensed under CC BY-NC
To implement this change, the leaders will identify what type of
team building activities that interests the team. Team building
activities are social activities that could boost the morale and
productivity of a group. It could be as simple as a pizza party,

yoga class, pot luck activity, or a karaoke activity. This will
involve the whole organization which could initially be done
per department. Participants will include nurses, technicians,
unit clerks, leaders, and even physicians. A date will be selected
to accommodate majority of the team.
6
Stakeholders
Employees
Nurse Leaders
Patients
Benefitting from the monthly team building activity are the
employees, nurse leaders, and patients. Employees and leaders
increase rapport and patients consequently benefit resulting to
increased satisfaction.
7
Change Management Team
The team heading this change will be the director and senior
leaders of each department. Leaders must show their
commitment to improving engagement in order for
improvements to take hold. No one will believe engagement is a
priority unless the leadership team takes engagement very
seriously and displays that level of engagement by modeling the
way.
8
Communicating the Proposed Change

Dissemination of proposed change can be done through shift
huddles, staff meetings and group presentations (Gleeson,
2017).
9
Risk Mitigation Plan
Plan for indoor activities.
Plan for outdoor activities during the summer.
Involve security officers for safety.
Give simple incentives to participants.
In any project, there are risks involved. In a team building
project, possible risk involves staff members not participating,
environmental factors like rain or accidents. To address these
issues, the project leaders could
Plan for activities that could be done indoors to ensure safety
from the sun or rain.
Plan for outdoor activities during the summer.
Involve security to ensure safety of the participants.
Encourage participaton of the team by giving simple incentives
to those that participate.
10
Conclusion
Change is difficult
Leaders must use effective implementation strategies to engage
clinicians.
Team building activity could help increase employee
engagement and satisfaction.

Leaders should show commitment to improving employee
engagement.
Implementing change is difficult; consequently, nursing leaders
must use effective implementation strategies to engage
clinicians and promote adoption of change activities to improve
patient outcomes. Team building activities may increase
employee engagement and satisfaction. To implement it
effectively, leaders should show commitment to improving
employee engagement.
11
References
Baptist Health South Florida. (2019). Baptist Health South
Florida named one of the 2019 Fortune 100 best companies to
work for. Retrieved from https://newsroom.baptisthealth.net/
pressrelease/baptist-health-south-florida-named-one-of-
the-2019-fortune-100-best-companies- to-work-for-by-great-
place-to-work-and-fortune/
Clark, C. M. (2015). Conversations to inspire and promote a
more civil workplace. American Nurse Today, 10(11), 18-23.
Retrieved from https://www.americannursetoday.com/wp-
content/uploads/2015/11/ant11-CE-Civility-1023.pdf
Clark, C. M. (2019). Combining cognitive rehearsal, simulation,
and evidence-based scripting to address incivility. Nurse
Educator, 44(2), 64-68. doi: 10.1097/NNE.0000000000000563
Cullen, L., & Adams, S. L. (2012). Planning for implementation
of evidence-based practice. Journal Of Nursing
Administration, 42(4), 222-230.
doi:10.1097/NNA.0b013e31824ccd0a
Gleeson, B. (2017). Five powerful steps to improve employee
engagement. Retrieved from

https://www.forbes.com/sites/brentaleeson/2017/10/15/5-
powerful- steps-to-improve- employee-
engagement/#5b8cfa23341d
Mishra, K., Boynton, L., & Mishra, A. (2014). Driving
employee engagement: The expanded role of internal
communications. International Journal of Business
Communication, 5(2), 183-202.
doi: 10.1177/2329488414525399
12
`
EpidermiologyThe WHO regions of South-East Asia and Africa
accounted for nearly 70% of overall global TB. Africa has the
highest prevalence of TB. In the United States, three cases out
of 100,000 populations were recorded in 2015 (CDC).
Risk Factors
· Young Children
· Immuno-deficient individuals (HIV patients)
· People living below poverty level
· Under-nutrition
· People working or living in facilities that have patients with
Tuberculosis
Tuberculosis

Tuberculosis (TB) is the leading cause of death from a single
infectious disease agent and the leading cause of death among
persons living with human immunodeficiency virus (HIV)
infection.
Common Cause
It is caused by a bacteria called Mycobacteriumtuberculosis. It’s
spread from person to person by microscopic droplets that are
released into the air.
Diagnostic
There different tests used to identify the presence of M.
tuberculosis, some of which include:
· AFB (Acid-Fast Bacilli) microscopy
· Mycobacterial culture
· Drug susceptibility testing
· Radiography Procedures
· Additional Diagnostic Procedure (tuberculin skin testing)
NursingManagement
· To prevent morbidity and death by curing TB while preventing
the emergence of drug resistance
· Interrupting mode of transmission by rendering patients
noninfectious to others.
· Prevent relapse of the disease
Clinical Manifestations
· Chronic cough often with hemoptysis
· Unresolved Pneumonia
· Weight Loss
· Fatigue
· Loss of Appetite

· Fever
· Night Sweats
Health Promotion
· Create awareness amongst homeless people
· Healthcare workers should wear protective gears when dealing
with infected person
· Proper tuberculosis screening for people migrating from the
endemic area
HealthEducation
· Patient should get the facts on tuberculosis disease (be
informed!)
· Protect your family and friends from contracting it (get tested)
· Make sure to control tuberculosis if you have it (medication
compliance)
Cl Manifestations
Source: American Lung Association.
https://www.lung.org/lung-health-and-diseases/lung-disease-
lookup/tuberculosis/tuberculosis-symptoms.html.
Centers for Disease Control and Prevention. Global
Epidemiology of Tuberculosis and Progress Toward Achieving
Global Targets. (2017).
https://www.cdc.gov/mmwr/volumes/68/wr/mm6811a3.htm#F2_
up
Medication Teaching Plan Assignment GuidelinesPurpose

The purpose of this assignment is for the student to
synthesize pharmacological knowledge (i.e., core drug
knowledge, core patient variables, and nursing
implications) of pharmacotherapeutic agents into a useful
teaching and learning tool for nurses and patients.
Course Outcomes This assignment enables the student to meet
the following course outcomes.
· CO1 Apply the concepts of pharmacotherapeutics,
pharmacokinetics, pharmacodynamics, and pharmacogenomics
to the use of specific medication classifications in specific
health conditions and in consideration of medication
side/adverse effects, nursing implications, and medication
teaching. (POs 1, 2, and 3)
· CO2 Apply principles of health promotion, as well as illness
and injury prevention, to promote safety and effectiveness of
commonly used pharmacologic therapy across the lifespan,
taking into consideration sociocultural, genetic/genomic,
developmental, and gender implications. (POs 3 and 8)
· CO3 Utilize the nursing process in understanding the effects
of drug therapy on health outcomes across the lifespan within
the framework of a diverse population of individuals, families,
and communities. (PO 4)
Due Date
Refer to Course Calendar for details. The Late Assignment
Policy applies to this assignment.
Total Points Possible
100 PointsRequirements
1. Choose a pharmacological agent that has been on the market
less than 5 years.
2. Research the literature and obtain two to three resources for
current, evidence-based information related to the
pharmacological agent. You must submit your resources with
the assignment. Identify the following key/relevant drug
information that will be used to develop a medication teaching
brochure:
· Drug Class

· Mechanism of Action
· Drug Administration and Dosage
· Drug/food Interactions
· Lab effects/Interference
3. Design a brochure to be used as a patient teaching tool
containing the identified relevant/key
information outlined above and the following important
information:
· Nursing Management
· Patient Education Considerations
· Patient Assessment
· Potential Side Effects/Adverse Effects/Toxicities
· Special considerations
Preparing the Assignment
1. After selecting your pharmacotherapeutic agent, use the
Chamberlain online library or other database to research the
key/relevant drug information.
2. Create your teaching brochure using MS Word or
PowerPoint. Microsoft Word has built-in and online templates
for brochures. You may choose one of these for your format.
The brochure should be printed on one page, two-sided.
3. Include appropriate images, graphics, bulleted items, and
subtitles in your brochure. Choose images that illustrate your
points and do not serve as mere decorations.
4. Use no higher than seventh-grade reading level, except for
required medical terminology. Microsoft Word will calculate a
Flesch Kincaid Grade Level for you. Go to Review > Spelling
and Grammar. When the check is complete, Word will give you
the statistics. You may need to save your file with a new name
and temporarily delete required medical terms and then run the
Flesch Kincaid statistics again to get to the seventh-grade
reading level.
5. Complete a separate document that contains the following
information:
· Your name, date and class
· A short paragraph describing the intended audience and use

for your teaching brochure. For example, is this for teaching a
pediatric patient who is newly diagnosed with asthma about the
new drug? Is it designed to teach an older adult about a new
cholesterol drug?
· A reference page in APA format
The brochure is not a paper that follows APA format
so please use your creativity when developing the
brochure. Consider your audience when choosing
font, style and graphics.
6. Submit the brochure and the one-page document to the
assignment by the due date. Directions and
Assignment Criteria
Category
Points
%
Description
Brochure: Key/Relevant Drug Information
30
30%
Brochure contains following key/relevant drug information
· Drug Class
· Drug Interactions
· Lab effects/interference
· Special Considerations
Brochure: Patient Education Considerations
35

35%
Brochure contains the following patient education information
Brochure: Visual Effects/Creativity
10
10%
Brochure meets all of the following
· Developed per the required standard
· Appropriate for the intended audience
· Flesch Kincaid reading level is not higher than seventh grade
· Graphics do not distract from the purpose of the brochure
· Visually appealing
One Page Paper
15
15%
One page paper is clearly written and contains the following
information:
· Name
· Date
· Class
for the teaching brochure.
· A reference page
APA format
5
5%

Reference page is present and follows APA format. At least two
sources are used and submitted with work
Writing Mechanics
5
5%
Writing follows rules of grammar, spelling, word usage,
punctuation, and other aspects of formal written work as found
in the 6th edition of the APA manual
Total
100
100%
Grading Rubric
Category
Brochure: Key/Relevant Drug Information
30 Points
25 Points
20 Points
15 points
0 Points
Presentation of information on brochure is accurate and
includes all of the following elements:
· Drug Class

Presentation of informationon brochure is accurate and includes
six(6) of the following elements:
· Drug Class
Presentation of information on brochureis accurate andincludes
five (5) of the following elements:
· Drug Class
four (4) of the following elements:
· Drug Class
Presentation of informationon brochure includes less than four
(4) of the following elements:
· Drug Class

Brochure: Patient Education Considerations
35 points
25 Points
15 Points
10 Points
0 Points
all of the following elements:
four(4) of the following elements:
three (3) of the following elements:
two (2) of the following elements:

Presentation of informationon brochure includes less than two
·
Brochure: Visual Effects/Creativity
10 Points
8 Points
6 Points
4 Points
0 Points
Presentation of informationon brochureincludes all of the
following elements:
Presentation of informationon brochure includes four (4) of the
following elements:
Presentation of informationon brochure includes three (3) of the
following elements:

Presentation of informationon brochure includes two (2) of the
following elements:
Presentation of information on brochureincludes less than
two(2) of the following elements:
One page paper
15 Points
12 Points
9 Points
6 Points
0 Points
Presentation of information in the paperis clearly written
andincludes all of the following elements:
· Name
· Date
· Class
· A reference page
Presentation of informationin the paper is clearly written and

includes four (4) of the following elements:
· Name
· Date
· Class
· A reference page
Presentation of informationin the paper is clearly written and
includes three (3) of the following elements:
· Name
· Date
· Class
· A reference page
Presentation of informationin the paper is clearly written
andincludes two (2) of the following elements:
· Name
· Date
· Class
· A reference page
Presentation of informationin the paperincludes less than two
· Name
· Date
· Class
· A reference page
APA Format
5 Points
4 Points

0 Point
APA guidelines, as per the 6th edition of the manual, are
demonstrated for all the following:
· Reference page is present and follows APA format
· At least two sources are used and submitted with work
demonstrated for one (1) of the following:
demonstrated for none of the following:
Writing Mechanics
5 Points
4 Points
3 Points
1 Point
0 Point
0–2 errors or exceptions to the rules of grammar, spelling, word
usage, punctuation, and other aspects of formal written work as
found in the 6th edition of the APA manual

9 or greater errors or exceptions to the rules of grammar,
spelling, word usage, punctuation, and other aspects of formal
written work as found in the 6th edition of the APA manual
Total Points Possible = 100 points Student’s
Score ______/100 Points
Comments:
11/02/19
Nurses can provide a higher standard of compassionate patient
care only when the organization maintains a healthy work
environment which includes overall health of work

environment, better nurse staffing and retention, less moral
distress and lower rates of work place violence (AACN, 2018).
The purpose of this paper is to present an executive summary of
the current issues in the work place where I work, a proposed
change plan and its justification, type and scope of the change,
identification of the stakeholders, a change management team,
how to communicate the proposed change, and finally how to
overcome the risk associated with this change.
Summary of the current issue
Based on the Clark’s work place assessment, the organization
where I work received 54 points. It falls on an ‘unhealthy work
environment’ category. This organization is under the state
administration. The level of trust among and between the
leadership and other members of the work place are satisfactory
but the communication between the members of the team is
never transparent and it always create confusion among the
staff. Individual achievements are never appreciated and less
opportunity for the professional growth or advancing the career
in this organization. The work load is too high as the nurse to
patient ratio is very high and the safety of the nurse in the work
environment is very low as they have to work in a less protected
unit where extremely violent individuals are admitted for
psychiatric treatment. More over many nurses have to tolerate
bullying by senior coworkers.
Proposed Change
In order to have a change in the work place environment the
first step to take is to bring awareness of the issue to the
management, and the employees.
Formation of a small group of health workers who can volunteer
to meet the management and make them aware of the current
issues can be the initial step in the proposed plan

Encourage more staff to attend the continuing educational
programs.
Regular meeting at the unit level with all the health care
employees to address the issue should be included in the plan
Encourage nursing staff to bring out the issues what they face
in the clinical site instead of hiding them because of the fear of
loss of license or job.
Recruitment of a new management team who support the staff
who ever bring forward the issues of the unit and suggest
solutions and keeping adequate nurse patient ratio by retaining
the nurses.
Encourage unit level communication and trusting relationship
among the employees.
Initiate steps to address the uncivil workers in the unit level by
using challenging conversation with DESC model.
Justification of the proposed plan
According to Aronsson et al. (2015) depressive symptoms are
potential outcomes of poorly functioning work environment and
the research results concluded that employees both men and
women who report lack of decision latitude, job strain and
bullying will experience increasing depressive symptoms over
time.
As the poorly functioning work environment has a negative
impact on the employees physical and psychological health
causing an indirect impact on patient care, it is important to
make changes to an unhealthy work environment in any
healthcare setting.
Skilled communication, true collaboration, effective decision
making, appropriate staffing, meaningful recognition, and
authentic leadership are the six standers to maintain a healthy
work environment (Clark, 2015).
By recruiting managerial staff and nurses, the work load of the
staff will be balanced which will have a positive impact on the
quality patient care.

This will facilitate transparent communication at different
levels of the organization and make an easy implementation of
every plan of change.
Justification of the proposed plan
(Continued……)
Recruitment of new nurses in the organization will reduce staff
burn out and incivility.
The appropriate staffing at managerial levels and providing
sufficient resources for professional growth and development
are steps that can be taken to create stronger work team.
DESC model can be used to improve the communication and
team work skills which in turn improve the quality of patient
health care.
The DESC model has four elements to address the incivility. It
can be done by describing the situation, expressing concerns,
stating other alternative, and the consequences related to the
incident.
Type and scope of the proposed change
The proposed model for change implementation and
management plan in the organization level is Gifford Model
Based on relations, change and task there are three leadership
and management behaviors in this model
In the relations-oriented phase the focus is on the staff
communication and collaboration with inter-professionals
Change –oriented phase reinforce vision and goal of change,
advocate for change and additional resourcesinternally and
externally.
The task-oriented phase conduct regular leadership meeting,
monitor performance and outcomes, procure resources,
education and training and policies to reflect change.
This type of implementation model has a potential to develop
knowledge on change management among healthcare managers

(Eldh et.al 2016)
Stakeholders impacted by the change
The proposed change can bring a lot of improvements in the
personal and organizational level.
The different stakeholders benefitted from the change are nurses
in the clinical setting, clinicians, psychiatric technicians the
mangers, administrative staff, clerical staff, nurses in the staff
development units and above all the patients.
Change management team
The development of a change management team is vital in the
implementation process.
The involvement of nurse managers, clinicians, nurses on the
floor, nurse leaders, nurses in the staff development unit , the
administrative staff and the clerical staff should make the
change management team. Each person can provide suggestions
to make changes in the work environment in order to improve
the working conditions.
Communicating the plan
There are different methods to communicate the proposed plan
to the stakeholders.
The most convenient method of communication is sending e-
mails to the stakeholders of the change
Using bullet boards on each unit is another way of
communication about the plan of change.
Inservice-education regarding the issue and the plan of change
is an effective method of the implementation process.
Conducting face to face meeting is another method of

communication.
Power point presentations are effective way of making the
stakeholders understand the proposed plan and its scope
Risk mitigation plans
Based on the previous efforts made by professionals, it is
possible to face some risks related to the implementation
process such as failure to accept the proposed plan by the
organizational administration/ management, disagreement
between the stakeholders regarding the benefit of the proposed
plan, lack of enough support by the unit managers or the nurses,
lack of interest among the employees in participating and
implementing proposed plan.
A well planned proposal can avoid some of these risks. Bringing
awareness about the issue by sending E-mails or informing
through presentations, bullet boards before a face-to-face
meeting with the stakeholders can increase the knowledge
among the employees regarding the importance of bringing
change in the work place. Addressing the above mentioned risk
possibilities during the implementation process will make the
process a step ahead.
Conclusion
In conclusion, a justified plan of change for the current issues
in the organization has been explained. The stake holders
involved, the change management team, the communication
methods and the risk associated with the implementation
process and its mitigation technics has been detailed.
References
American association of critical-care nurses (2018). Healthy

work environment. Retrieved from
https://www.aacn.org/nursing-excellence/healthy-work-
environments?tab=Patient%20Care
Aronsson, G., Bendz, L. T., Grape, T., Hall, C., Hammarstrom,
A., Hogstedt, C.…. Theorell, T. (2015). A systematic review
including meta-analysis of work environment and depressive
symptoms. BMC Public health. Retrieved from
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12
889-015-1954-4
Clark, C. M (2015). Conversations to inspire and promote a
more civil workplace. American nurses today, 10(11), 18-23.
Retrieved from https://www.americannursetoday.com/wp-
content/uploads/2015/11/ant11-CE-Civility-1023.pdf
Eldh, A. C., Ehrenberg, A., Olsson, C. B., Palmcrantz, S.,
Tistad, M., Tomson, G., Wallin, L (2016). Developing
leadership in managers to facilitate the implementation of
national guideline recommendations: A process evaluation of
feasibility and usefulness. International journal of health policy
and management, 5(8), 477-486. Retrieved from
http://www.ijhpm.com/article_3183_5015382bcf9183a74ef7e79
b0a941f65.pdf

Change Implementation and Management Plan1Change I.docx

Recommended

Recommended

More Related Content

Similar to Change Implementation and Management Plan1Change I.docx

Similar to Change Implementation and Management Plan1Change I.docx (20)

More from keturahhazelhurst

More from keturahhazelhurst (20)

Recently uploaded

Recently uploaded (20)

Change Implementation and Management Plan1Change I.docx