Benefits Of An Initial Cost Benefit Analysis

Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses (Jooste, 2013). The nurse manager has to explain to the management of the benefits of change in providing adequate staffing all the time. Adequate staffing helps staff retention. Staff retention saves a lot of money in terms of orienting new people to the unit. Safe staffing always helps in the reduction of falls, infection rates, pressure ulcers, decrease hospital stays and death. Flexible and creative scheduling is essential for retaining staff and promoting a positive work climate (Grohar-Murray & Langan, 2011). Adequate staffing with good staffing ratio will help nurses to concentrate on their patient care which may help in a reduction in medical errors and lawsuits to the hospital.

The health care institution has been considering a wide array of solutions to improving the quality of patient care within the facility, and it is now believed that a suitable course of action is represented by the improvement of the nurse reporting at the bed of the patient, at the change of the shifts. This strategy is beginning to draw more attention within the medical community, but it has yet to be fully adopted by the health care institutions.

First of all, gather all the information, such as facility policies and procedures. Research should be evidence-based. Why is it being implemented? How will we be affected? Perhaps other hospital's data could help in presenting the new procedure and how they implemented

This plan will take 10 weeks to accomplish. Week 1, flyers will be made and distributed, so that all staff is aware of the changes being implemented and can plan to make this change. It will also give staff an opportunity to voice any concerns related to the changes and fill out the initial survey which is in Appendix B. This week will also be used to gather any resource materials needed to help with implementation of skills. Week 2 will be used for coordinating instruction and teaching with unit managers. Weeks 3 & 4 will be used to review the process of shift change report and how communication occurs between nurses, from nurse to patient and from nurse to physician. Staff interdisciplinary interactions will also be reviewed to find weaknesses in communication and teamwork. Week 5 will be used to review incident reports, to determine the gaps and what the staff needs to know to make incident reporting more effective and efficient. Week 6 will be used to arrange teaching times. This week will also be used to find teaching facilitators to teach the rest of the

Implementing a change project is a challenging step of the Capstone Change Project. This paper focuses on steps that must be taken to implement a change, strategies to ensure the success, involved stakeholders and their roles, educational requirements, safety issues, ethical considerations, and external or internal regulations’ effects on the process. It also include the change theory, nursing theory, and evidence based practice influences on the implementation process.

Communication in shift change plays a major role in the nursing practice and role. Appropriate and effective communication is a tool assisting nurses in providing safe, thorough and quality cares about their patients and ensuring there is continued service delivery. Realizing the critical role of their patients and patients’ families in promoting patient safety, nurses need to engage their patients and family members in the whole communication process of exchanging information and planning the care. Nurses need to give their patients chances to participate in the discussion their health conditions, upcoming procedures, medical information, or treatment options. Bedside reporting give nurses opportunities to visualize the physical and psychological needs of their patients. Change of shift reporting is also a situation where the nurses exchange their clinical knowledge, and patients’ condition changes and allow their patients to express their understandings, concerns, and questions. This paper seeks to analyze bedside report and explain its relevance to the nursing practice.

Mandated nurse staffing plan would require appropriate staffing levels given the unit, acuity of patients as well as the level of experience of the registered nurse. This would result in both patient and nurse safety, with overall satisfaction in delivery of care. The staff committees will implement policies, evaluate and correct errors. In addition, Staff planner (the secretary) will report daily for each unit and for public the licensed number of registered nursing staff for each shift. (“Sec.1899C.(2)Secretarial responsibilities pg6/11). This reduces overworked nurses. Thereby increasing accountability for institutions to plan within house, diminishing negligence and increasing safety of patient and nurse.

All staff involved in catheter insertion and care must be educated on proper care. Nurses must be educated on the importance of decreasing catheter use and their right to question Foley catheter insertion and maintenance. Choosing a “champion” among staff, or a certain peer to help influence behavior will also help overcome resistance to change among nurses who are unwilling to change for the sake of convenience or habit. Creating a peer-to-peer educational plan is also shown to encourage and empower nurses to decrease catheter use (Meddings et al., 2014). Finally, behavior must be analyzed to see if new protocols and policies are being followed. If they are not, a discussion should occur to see if any new resistors to change have been

In order to successfully implement this change at Pelham Medical Center, several key professions needed be involved. The staff nurses need to actively participate in bedside shift report.

Majority of the cost would be on educating the staff through a meeting and written documents. The entire healthcare team and the staff of the unit will be affected by this change. The physicians and nurses will be affected the most because they are the ones doing the morning rounds on the patients, but the house keepers and patient care assistants will also be affected because they to will need to plan a time to go into the rooms when it is least disruptive for the patient.

The solutions to these problems are often expected from outside the medical field, but the quality and efficiency of the medical act can also be improved from the internal environment. In such a setting then, the current project proposes the improvement of bedside reporting by nurses at the change of shifts.

Two types of data were collected through surveys, both before and after implementation of the combined approach (Sand-Jecklin and Sherman,2014). The first data was on nurses’ point of view with regards reporting process, and the second on patients view regrading nursing care. The baseline survey included 233 patients and 148 nurses, while the survey three months into the implementation period included 157 patients and 98 nurses. The final survey, 13 months into the impanation, was completed by 154 patients and 54 nurses. The patient survey also included responses from patient families. These were 70, 72, and 53 responses for baseline survey, three-month postimplementation surveys, and 13-month postimplementation surveys.

Preparing our nurses to assist in changing our healthcare system is a crucial step to provide more efficient, affordable and accessible care to all patients. Nursing is one of the fastest growing careers in the healthcare field, by utilizing the opportunities to improve education, undertaking leadership positions, and providing patient centered healthcare the undertaking of changing the healthcare system will be a positive change. Redefining the role and responsibilities of the nurse towards primary patient care in this remodeling process is crucial in implementing an effective and efficient health care system.

While focusing on several key areas that are critical to the success in transforming to the new healthcare policy, the importance is in ensuring the efficiency in managing care for the patients. With these changes, the nurse must be prepared to shape and lead the emerging

The nursing staff will have the most important role in this process change. The nurses are the ones who see the patients first. The nurses will need to be onboard and understand that this process change will help us give our patients the knowledge they need as well as increasing their satisfaction. Each nurse will be responsible for maintaining the educational materials while making sure the information is accessible to our patients. An important part of this process change is to make sure the staff is onboard and the patients are receiving the information. The nurses will be able to influence and hold each other accountable for this process change. The nursing staff has the best interest of the patients and want to provide the best care they can. The nurses have the power to either bring this project along or they can hinder this