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4 pages/≈1100 words
4 Sources
Health, Medicine, Nursing
English (U.S.)
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Planned Change in a Department or Unit (Essay Sample)


Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.
Reflect on problems, inefficiencies, and critical issues within a specific nursing department, nursing unit, or area in your hospital organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.
Using one of the change models (Kurt Lewin's) begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.
Write a 3- to 5-page paper that addresses the following:
Identify a problem, inefficiency, or issue within a specific nursing department/ nursing unit.
Describe a specific, realistic change that could be made to address the issue.
Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.
Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.
Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.
Marquis, B. L., & Huston, C. J. (2012). Leadership roles and management functions in nursing: Theory and application (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18(3), 326–331. 
Retrieved from the Walden Library databases.
Schifalacqua, M., Costello, C., & Denman, W. (2009a). Roadmap for planned change, part 1: Change leadership and project management. Nurse Leader, 7(2), 26–29.
Retrieved from the Walden Library databases.

Planned change in a department or unit
Course title:
Planned change in a department or unit
Identified issue: poor adherence to hand hygiene protocol
The selected healthcare organization is Joseph Brant Hospital. At the moment, the problems, inefficiencies and critical issues in a nursing area in this healthcare organization is failure of nurses to maintain proper hand hygiene. Proper hand hygiene is a very significant action that nursing staff members can take in order to minimize the spread of hospital acquired infections. Hand hygiene is understood as performing hand washing, alcohol-based handrub, antiseptic handwash, as well as surgical hand hygiene/antisepsis (Barrett & Randle, 2009). Nursing staff members need to wash their hands using water and soap whenever their hands are visibly unclean, soiled or contaminated and utilize alcohol-based handrub whenever their hands are not visibly soiled in order to decrease bacterial counts.
Generally, adherence of nurses to the recommended procedures of hand hygiene is poor and unsatisfactory. On average, the rate of adherence is roughly 40 percent (Gould, 2011). The common reasons that contribute to poor adherence with hand hygiene among nurses include the following: inadequate time to wash hands or being very busy, agents used for washing hands cause dryness and irritation, and that paper towels and soap are lacking. Other reasons are overcrowding or understaffing, insufficient time, sinks for hand washing are inconveniently located, needs of patients taking priority, and low likelihood of acquiring infections from the patients (Barrett & Randle, 2009). In addition, disagreement with the recommendations, forgetfulness, and lack of knowledge of the protocols/guidelines are also factors that nurses have reported as contributing to poor adherence with hand hygiene. These various factors negatively impact the adherence of nurses with the recommended practices.
Change to address the issue
To address the issue, the proposed change is to promote hand washing and encouraging nursing staffs to perform hand hygiene consistently. As part of the change, three strategies would be utilized in promoting hand washing and effective infection control practices throughout the department. These are (i) education strategy – this will promote how to and why of washing hands correctly. Posters for promoting hand hygiene would be put in areas that are visible in order to remind the nurses to practice correct hand hygiene. Hospital infection control teams would be invited to teach the nurses about the significance of infection control and proper hand hygiene. Instructional hand washing videos can also be played on TVs in the department (Barrett & Randle, 2009). (ii) Interventi...
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