Step 1 Reflect on the issue of change.

Reflect on your proposed research question or problem of interest. Consider what changes might be needed following your study, and what strategies you could use to incorporate the changes.

Look to literature to find information about your proposed research question or problem of interest. Find and post a nursing journal article that you feel would be useful in identifying current research findings about change that might be needed following your proposed study. NUR 400 Denver School of Nursing Week 11 Embracing Change Discussion

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Step 2 Post a response to the discussion board responding to the following questions:

• What strategies can be leveraged to incorporate change in nursing after a study using evidence-based practice? Give some examples that illustrate how the strategies might be used.
• What are some changes that might be needed in your practice and your colleagues’ practices following your proposed study?
• What rationale would you provide as a basis for your proposed changes?
• What communication techniques will you use to incorporate the proposed changes?
• How will you promote staff buy-in?

Step 3 Read and respond to two other students’ posts by Friday 11:59pm MT.

Read other students’ posts and respond to at least two of them. Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions. NUR 400 Denver School of Nursing Week 11 Embracing Change Discussion

Cite any sources in APA format.

Discussion 1

Change in an organization can be incredibly disruptive if there is no clear strategy to guide the transformational initiative. The most effective strategy in managing change focus on human behavior elements (Campbell & Douglas,2017). This is because employees in organizations are the ones most affected by the change. In the proposed evidence-based practice, refining the cultural values strategy will be used to drive the change. Change in the organization will be enhanced by establishing a culture of continuous improvement. The initiative seeks to ensure that healthcare professionals contact follow-ups after the patients are released from the hospital. The organizational culture will be promoted through training and technical support to healthcare practitioners.

Anticipated Changes

In the clinical setting, the healthcare providers have not been conducting follow-ups on patients after there have been released from the hospital. Therefore, a culture of conducting medical follow up two to three times will be initiated in the clinical setting. This will help to monitor medication adherence, hence improving healthcare delivery. Conducting medical follow up on patients after they are released from the hospital will help to reduce the instances of hospital readmission.

Communication Techniques

Effective communication is essential in the successful implementation of any organizational change. It helps to ensure there are no miscommunications and conflicts. The Top-bottom communication approach will be used to promote the change in the organization (Sarkies, Bowles, Skinner, Haas, Lane & Haines,2017). The top management will be educated on the proposed change since they play a crucial role in supporting the change initiative. Besides, the employees will be expected to send and receive feedback on issues that they encounter during the implementation of the change.

Moreover, the feedback will be provided timely and consistently when the need arises. The success of the initiative depends on staff buying in. This will be achieved through involving them in decision making process and endorsing them as champions of the change initiative (GOODIE & HUNTER, 2018). This will allow them to own the change and make it part of their routine process.

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Discussion 2

Implementing change within a facility, whether large or small in size, can prove to be a daunting task. Identifying the need and urgency for change is of the utmost importance. Evidence-based practice, can assist greatly in facilitating the change that is needed (“Week 11 Lesson,” 2020, p. 4). Proper use of evidence-based practice begins with literature review. For example, the research problem I am considering seeks to determine the effect that music therapy has on behaviors and anxiety in patients diagnosed with dementia and/or Alzheimer’s Disease. In researching this particular question, I found a journal article published by Frontiers in Neuroscience back in 2019 titled: “Music Intervention Approaches for Alzheimer’s Disease: A Review of the Literature.” This particular article has drawn conclusions from many studies performed on this topic and can se rve as an aide in determining the best ways to approach the change needed in my facility for these patients. NUR 400 Denver School of Nursing Week 11 Embracing Change Discussion

Evidence-based practice is paramount in identifying needed changes. Change first needs to begin with staff. Engaging the staff can be difficult at times, but assertive communication is the key to success. Being assertive, rather than aggressive, increases the chances of the staff being engaged and should allow them to express their feelings and suggestions toward the proposed changes (“Week 11 Lesson,” 2020, p. 14). Once you have received appropriate feedback from the staff, it is important to begin considering ways in which to involve them. For example, empathy is an effective way to approach staff when discussing changes that need to be made within the facility (“Week 11 Lesson,” 2020, p. 5). Empathy places you in the “shoes” of your staff members, giving them the reassurance that their concerns are validated and the understanding that any changes being made encompass teamwork.

Regarding my research problem, there are several changes that could be made within my facility. There are currently two units that are dedicated to residents with Alzheimer’s Disease and dementia. There are activity programs in place that engage the residents in games, crafts, exercise, etc. But after reading through literature that pertains to this study, I have concluded that individual music therapy sessions have been found to be most beneficial to this population. In doing this research, I have found additional benefits to residents with this disease aside from decreasing anxiety and behaviors. Studies have shown that individual music therapy improves autobiographical memory and promotes autonomy as well. We can possibly incorporate individual MP3 players pre-loaded with the resident’s preferred music. They can either listen through a headset, or if they reside in a private room, a docking station that houses the MP3 player so their music can be playing for a good portion of the day. It would be beneficial to discuss with the recreation department, ways that we can incorporate this program into the daily lives of these residents to promote their overall well-being and quality of life.

Reference:

Leggieri, M., Thaut, M., Fornazzari, L., Schweizer, T., Barfett, J., Munoz, D., & Fischer, C. (2019). Music intervention approaches for Alzheimer’s Disease: A review of the literature. Frontiers in Neuroscience. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC64240…

Week 11 lesson: Implementing change. (2020). Denver College of Nursing. https://media.pearsoncmg.com/pls/us/edaff/13234655…. NUR 400 Denver School of Nursing Week 11 Embracing Change Discussion