Develop a 4–6-page proposal for executive leadership that addresses changes you would like to see within your organization that would advance the field of nursing.    

Nursing is in the midst of many changes. In this assessment you will consider how you can be a driving force to bring about needed change within the field of nursing.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Explain strategies for effective interprofessional teamwork and collaboration in health care delivery.       
  • Analyze barriers and resistance to change, and describe strategies to overcome these barriers and resistance to change from an organization, patients, or colleagues.
  • Identify other health care professionals to enlist as members of an interprofessional team to drive change in an organization.
• Competency 2: Analyze the implications of working with interprofessional teams in multifaceted health care settings.       
  • Analyze how a problem impacts an organization, patients, or the nursing profession. 
• Competency 3: Develop evidence-based nursing interventions to address specific problems and enable systemic change.       
  • Describe evidence-based solutions to a problem and develop a plan to implement these solutions. 
• Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.       
  • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Use correct APA format.

Preparation

To prepare for this assessment, you will need to think about changes you feel are needed to address a problem either within nursing as a professional field or within the organization where you work. Narrow down your options by considering which change would best be undertaken by an interprofessional team. Some examples for you to consider might include:

• The use of mobile and portable technology to support patients.
• Using evidence-based practice (EBP) to improve patient care.
• Increasing patient safety and quality of care.
• The use of medical technology such as genes and stem cells, or robots in the OR.
• Addressing the nursing shortage now and into the future.
• Improving the work environment (providing calm, supportive spaces for nurses; improved dialog between health care professionals).
• Better safety for nurses at work (violence, spreading diseases, physical injury).
• Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

• Developing a mobility program for an inpatient unit.
• Implementing “smart” technology to assist in patient monitoring.
• Creating a mentoring program to attract and retain nurses.
• Implementing protocols for infection control and/or treatment of an epidemic.
• Developing a plan to eliminate physical violence and verbal abuse in the workplace.
• Other.

Once you have selected an issue to address, look for scholarly and professional articles that focus on the problem, the needed change, and how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your organization that would advance the field of nursing. You have decided to develop a proposal and submit it to executive leadership. Format this assessment as a professional proposal. You may want to look at how proposals are drafted within your organization and follow that format. You will still need a references page; follow APA guidelines for in-text citations and references.

Address the following in your proposal:

• Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
• Describe possible evidence-based interventions for the problem.
• Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
• Describe strategies to overcome barriers and resistance to change.
• Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
• Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not including title page and references page. Support your statements and intervention plan with references to and citations for at least four scholarly or professional resources.

Additional Requirements

• Include a title page and references page.
• Reference at least four current scholarly or professional resources.
• Use APA format for citations and references.
• Use Times New Roman font, 12 point.
• Double space.

QUESTION

Why is understanding the health care system at the local level   important to consider when planning an EBP implementation? Conduct   research and solicit anecdotal evidence from your course mentor that   you will take into consideration for your own change project

ANSWER

When making an evidence-based practice change, it is important to consider what is offered locally before implementing changes. Understanding your resources and what is available within the local community will allow the researcher to know where the change needs to be made and in what way a change could make things better. Knowing your community and what its needs are, should be the first step to making a change. While some communities may want to focus on diabetes because that has the highest prevalence in their area, others may want to focus on heart disease. What area of change would make the most impact and what services are already being offered within the community (Ockene et al., 2019)? These are important questions to ask prior to planning an EBP implementation.

After talking with my mentor, she brought up a few good points regarding my research on lead education. She mentioned that timing was important and that now is the time for promoting lead education and prevention within our county. She had mentioned many stakeholders are recognizing the importance focusing on lead right now and that there is a big push within our local community to begin with lead awareness. She also said there are many community leaders who are looking at lead and willing to fund projects involving this topic (V. Mouser, personal communication, August 20, 2019).

Reference:

Ockene, J., Edgerton, E., Teutsch, S., Marion, L., Miller, T., Genevro, J.,…Briss, P. (2019, April). Integrating           evidence-based clinical and community strategies to improve health. American Journal of Preventive           Medicine. Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Name/integrating-          evidence-based-clinical-and-community-strategies-to-improve-health#copyright-and-source-          information

CAN YOU CONTRIBUTE TO THIS ANSWER

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
2. Create a problem statement.
3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief

The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Evidence-based practice is essential to providing safe, quality care to a diverse population in the acute care setting as well as in the community. Understanding the health care system at the local level is essential to consider when planning the implementation of evidence-based practice (EBP) because it helps those implementing changes understand and execute the move in an area of greatest need. Franklin and Hopson (2007) write that implementing evidence-based practice change in the community setting is challenging. Interventions that work in research or acute care setting are often very challenging to implement locally in the community setting due to the struggle with “building partnerships between clinical practitioners and researchers” (Franklin & Hopson, 2007, p. 379). Maintaining the effectiveness and reliability of interventions once moved to the community setting is difficult thus careful attention to the specific needs of the local community health care system is imperative (Franklin & Hopson, 2007).

Information from my course mentor that I will consider for my project is to ensure that I am following the hospital’s shared governance model to allow other nurses on the unit to have a voice in the project change (T. Brock, personal communication, August 20, 2019). The hospital where I am implementing my project change is a Magnet culture and uses a shared governance model when considering implementation of evidence-based practice change. My practice change does not only affect me, so it is imperative to share accountability and partnership with my unit manager, peers, and unit-based council members when implementing a project change on the unit for effective outcomes (T. Brock, personal communication, August 20, 2019).

Reference

Franklin, C., & Hopson, L. M. (2007). Facilitating the use of evidence-based practice in 

community organizations. Journal of Social Work Education, (3), 377-404. Retrieved 

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