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Aim: This assessment provides the student the opportunity to apply and evaluate leadership styles in a scenario involving a change process.
Scenario
A recent state-wide quality improvement project has shown that an electronic medical record system improves com-munication between health care providers and many aspects the individual patient’s care. In order to share this knowledge, the state organisation has shared the results on a quality improvement website.
The Local Health District that you work for has recently had some critical incidents where communication has been cited as a root cause. These critical incidents occur in the context of a general increase of minor communication incidents over the last three years.
The Local Health district’s executive team including the senior Nurse Leaders have reviewed the information on the state’s quality improvement website.
The Nurse Leader of the two hundred bed hospital you work in calls the Nurse Unit Managers for a meeting and advises of the general trending increase in communication errors. The Nurse Leader advises that the computer hardware and systems will be available for installation in two months and that there is an expectation that all wards will have adopted the electronic medical record system within six months.
Discuss how an effective Nurse Unit Manager would lead this change to address this important patient safety issue. The essay will need to:
– Discuss reasons, using support from the literature, to adopt the fully electronic medication system * Correction* this should read electronic medical record system
– Use Lewin’s model to outline a plan of change that includes milestones and timeframes
– Choose and apply a leadership style to the plan of change
.– Critically evaluate the choice and compare with at least one other leadership style
– Describe two aspects of potential resistance and discuss how the resistance might be addressed.
Below from the PCAL’s webinar guide on how to do the essay. APA 7 style refencing please!
Aim: This assessment provides the student the opportunity to apply and evaluate leadership styles in a scenario
involving a change process.
Scenario
A recent state-wide quality improvement project has shown that an electronic medical record system improves communication between health care providers and many aspects the individual patient’s care. In order to share this knowledge, the state organisation has shared the results on a quality improvement website.
The Local Health District that you work for has recently had some critical incidents where communication has been
cited as a root cause. These critical incidents occur in the context of a general increase of minor communication
incidents over the last three years.
The Local Health district’s executive team including the senior Nurse Leaders have reviewed the information on the
state’s quality improvement website.
The Nurse Leader of the two hundred bed hospital you work in calls the Nurse Unit Managers for a meeting and
advises of the general trending increase in communication errors. The Nurse Leader advises that the computer
hardware and systems will be available for installation in two months and that there is an expectation that all wards
will have adopted the electronic medical record system within six months.
Discuss how an effective Nurse Unit Manager would lead this change to address this important patient safety issue.
The essay will need to:
– Discuss reasons, using support from the literature, to adopt the fully electronic medication system
Some drivers of change in health care
Obvious benefits of a new technology or knowledge
A shared vision to provide high quality care to patients
Excellent communication
Embracing resistance
Work cultures that normalise change and encourage participants to be actively involved
providing the necessary support for people to enact change
– Use Lewin’s model to outline a plan of change that includes milestones and timeframes
Change Theories
Lewin (1951)
Force-Field Model
Kotter’s (2007) well-known eight steps for organizational transformation:
https://www.mindtools.com/pages/article/newPPM_56.htm
– Choose and apply a leadership style to the plan of change.
– Critically evaluate the choice and compare with at least one other leadership style
– Describe two aspects of potential resistance and discuss how the resistance might be addressed.
Barriers and resistance
A perceived threat
A lack of understanding regarding the nature of/ need for the change
Fear- self-confidence and self-esteem
A disagreement about the potential benefits
Resistance
Overt or covert resistance
Lack of support or resources for the change
Read about the Challenge of change in
Wilcox, J (2018) The Challenge of Change in Zerwekh, J., Nursing Today : Transition and Trends. 9 ed. St. Louis, MO : Elsevier
Note: cannot link to a section in a chapter in this eBook – there is a link to the chapter and you need to scroll to section 'The challenge of change' and then read on till the end of the chapter ( a few pages) .
Read about the benefits of change in pages 195-208 from chapter 13 in
Cantwell S (2017) Understanding the Benefits of Change- Chapter 13 in Dahlkemper, T. Nursing Leadership, Management, and Professional Practice for the LPN/LVN, 6e.6th ed. 2017. Web. Pages 195-208
Read about complexity and non- linear change on pages 37-45 and about leading change on pages 48-49 in the following
Complexity, change and non-linear change
Marshall, E,S. and Broome, M.E, (2017) chapter 2 Understanding contexts for Transformational Leadership: Complexity, Change and Strategic Planning in Transformational Leadership in Nursing- chapter 2 37-45- Marshal E. S, New York Springer Publishing Company. second edition
Read this article about a change project
Thorpe, R (2015) Planning a change project in mental health nursing. Nursing Standard Vol 30(1) P. 38-45
There is an additional slide featuring change agents traits from the Marshall, E. S., & Marion, E. B. (2017). Transformational Leadership in Nursing reading.
CRITERIA
Introduction
The Introduction includes an expertly constructed thesis, and provides an exceptional, clear, comprehensive and concise overview of all major concepts and issues to be addressed in the body of the work.
Discuss reasons, using support from the literature, to adopt the fully electronic medical record system
Outstanding concise discussion of reasons to adopt the fully electronic medical record system.
Outstanding support from the literature provided.
Use Lewin’s model to outline a plan of change that includes milestones and time frames
Excellent plan of change outlined that includes milestones and time frames
Application and critical evaluation of the leadership style in the context of the plan of change.
Comparison with another leadership style
Outstanding application and evaluation of a leadership style in the context of the plan of change.
Expert comparison with at least one other leadership style.
Describe two aspects of potential resistance and discuss how the resistance might be addressed.
Exceptional, description and discussion of aspects of potential resistance and outstanding discussion of how resistance might be addressed
Conclusion
Outstanding, clear, concise, conclusion, which includes original pertinent insights; draws upon all significant points raised in the essay and draws these together in an expert manner.
There has been considerable increase in the implementation of electronic medical health records in hospitals around the globe. They hold a great potential by improvisation of patient safety and care quality being provided by the medical professionals. As specified by a report on Data Standards for Patient safety by the Institute of Medicine, the basic components of the electronic medical health record systems include, but are not limited to: longitudinal collection and management of health information electronically; making immediate access to these electronic records possible for the authorized users at both individual as well as population levels; improvisation of care quality by providing decision support and knowledge provision; and, providing appropriate support for efficient delivery of health care (Institute of Medicine (US) Committee on Data Standards for Patient Safety, 2003; Kukafka et al., 2007; Simon et al., 2005).
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