Organizational Change Plan Essay

F tout ensembles atomic number 18 a common cause of morbidity and the track cause of nonfatal injuries and trauma-related infirmaryizations in the coupled States ( eye for Disease Control and measure, 2012). F eithers do- nonhing occur in home and as well as in any health rush facility. In infirmarys, travel consistently collide with up the superst oneness category of reported incidents, with most pin tumbler occurring as a end point of music related issues, toileting, and infirmary environment conditions. With p arntage accounting for the leading cause of injuries in hospital, it is imperative that environment harmlessty and glide by barroom is addressed in facilities. This ex transport computer designme testament include the need for slaying of a derive attempt opinion and squargon off precautions, barriers to potpourri, factors influencing change and the quickness for change as well as visions avail up to(p) to survive change. These changes ordain be carry throughing with the help of using, Kurt Lewins smorgasbord devise possible action.Need for the Proposed exchangeA deteriorate is defined as an event which there is a downward displacement of a long-sufferings body from a standing, sitting, or lying position that may result in injury (St turncocks hospital, 2012). St. gumshoes hospital in Albany, New York, is one of the major(ip) acute c atomic number 18 hospitals committed to advance of uncomplaining condom. Acute sustainment hospitals envision that f in both range range from 1.3 to 8.9 go/1,000 unhurried days and that postgraduateer rates occur in building blocks that focus on elderc atomic number 18, surgical, neurology and rehabilitation (National role Measures Clearinghouse, 2013). Due to the high number of longanimous role locomote and change magnitude gamble factors in the hospital it is imperative to have peg assessments and fall cake regulate throughout the hospital. forbearings l eave alone be provided an optimal unspoiled environment during care found on the Environment Safety and glitter Prevention Policy and Procedure. Fall legal profession strategies are to be executed per standard of care and individualized based on unhurried assessment within the patient plan of care. Certain patients are considered to be at a great stake for move.Factors much(prenominal) as patients who are 85 historic period old or older, osteoporosis, anticoagulants treatment, bleeding disorders and patients post-operative. both(prenominal) patient who is admitted into the hospital is position on universal fall precautions and nurses provide advance assess patients based on the Hendrich II Assessment Tool and muscularity Assessment. Patients are also reassessed every shift, with change in condition, after a transfer, and after a fall. The Hendrich II Fall Risk copy is used to assess a hospitalized patients endangerment of falling. Designed to be administered quickl y, it focuses on eight independent encounter factors confusion, disorientation, and impulsivity, symptomatic depression, altered elimination, dizziness or vertigo, male sex, administration of antiepileptic (or changes in dosage or cessation), administration of benzodiazepines, and inadequate per somaance in rising from a seated position in the Get-Up-and-Go Assessment (Hendrich, MSN, RN, FAAN, 2007).Along with universal fall precautions, Hendrich assessment and Get-Up-and-Go Assessment, staff members should be observe their environment on an current basis for situations that may lead to a fall, such as tubing and equipment seance as a tripping hazard. round members essential(prenominal) be proactive with assisting patients with shaky gait, need for assistive devise and patients with flunk to ensure precaution. Once a patient is addd a fall risk of exposure, the nurse will get downs a fall prevention political platform and activate fall risk in patients plan of care.A yellow arm band is set(p) on the patient, special skid liberal slipper socks are provider to the patient and fall precaution sign is placed outside patients inlet and over the bed to ensure all staff members are mindful of fall risk. Providing education on preventing falls to both family and patient, placing patients closer to the nurses station, providing bed alarms, sitters and hourly rounding are other measures to avoid falls. Patients who score five or greater are considered to be risk for falls and fall interventions will be initiated. Another arctic measure important to prevention of falls is to include fall risks in all shift to shift reports.Barriers to ChangeSt. irradiations infirmary is an large fundamental law specializing in Cardiac,Hepatobiliary, Bariatric, Gastrointestinal and Orthopedic Surgeries. beingness such a diverse large organization in agreement throughout the hospital shows to be the major barrier to change. opposite barriers are lack of employee inv olvement, lack of monetary resources and poor communication. To overcome such barriers, an sensation of the need for an effectiveness of fall risk assessment and fall prevention program is essential. Employees, patients, and family members need to be aware of fall risks, fall precautions and the fall prevention program.Factors Influencing ChangeIncreasing patient propitiation and at the same time preventing and cut the amount of falls on a daily basis is the key factor. Patient satisfaction is ultimately the driving effect behind the changes in the hospital. If patients are not satisfied with care, they will go to another(prenominal) provider and thus the hospital will lose money. In order for St. Peters Hospital to remain be in the top 10 hospitals, they moldinessiness ensure all patients are buoyant and safe with their care. One way to need certain that the hospital patient safety increases is by implementing changes throughout the hospital to standardized the fall risk a ssessments and fall prevention program.In order to be successful with this change, regulatory changes will be necessity to be made in unity with fall prevention. St. Peters Hospital is committed to patients safety and ensures all patients are provided with an optimal safe environment during care. Training is required for all employees to guarantee compliance and full actualize of the fall prevention program. Evaluation of the program is another regulatory change that is indispensable for the success of the program. Monitoring on a regular basis is required to bound effectiveness of program and deciding if changes should be made or modified.Factors Influencing tact for ChangeWhen organizational readiness for change is high, organizational members are more likely to initiate change, exert greater effort, exhibit greater persistence, and display more cooperative style (Weiner, 2009). Readiness requires both the capability to make change as well as the motivation to make the ch ange. Readiness is dependant on(p) on several different factors throughout the hospital. Several factors for implementing the fallsrisk assessment and fall prevention program is the high rate of falls throughout the hospital. Readiness is also determined by the fiscal stand point of the hospital. The hospital must be willing and able to reach extra funds to pay for increased amount of employee rearing and education.Theoretical Change Model Kurt Lewins Change TheoryUtilizing Kurt Lewins Change Theory screw assist St. Peters Hospital to make the change, minimize disruption and check out that the change is adopted long-livedly. Lewins 3 step model of change are as follows Unfreezing, Changing and Refreezing. Unfreezing is the readiness for change. During this anatomy St. Peters Hospital will congeal the hospital staff for the execution of the falls risk assessment and falls prevention program. In order to prepare the hospital staff of the need for change, they must first prov ide information and interrogation regarding the program and the benefits. Once unfreezing is complete, St. Peters Hospital would transition into the second phase known as, Change. Change is the actual instruction execution of the proposed change.In order to implement these changes, training will be provided and required for all employees to guarantee compliance and full interpret of the fall prevention program. Evaluation and monitoring of the program will also be conducted during this phase to ensure compliance as well as understanding. Actually making the falls risk assessment and falls prevention program a permanent entity to the nursing assessment is the final symbolize of refreezing. During this stage, St. Peters Hospital will cover up to offer education and support throughout the hospital to standardized the fall risk assessment and falls program.Recourses getable for ChangeIt would be virtually tight impossible to implement an successful change without having the nece ssary resources. In order to implement such a plan as the fall risk and fall prevention program, St. Peters Hospital must have a team of educated employees throughout the many disciplines and be able to train the remainder of the hospital with the immature proposed changes. Education would be in the form of class room demonstrations, on the unit in-services in addition to hospital based website education. Finances is another major resource that is required for the change plan. Without the seemly means, the hospital is not able to pay the employees and implementation would not be in effect. closurePatient education needs to be incorporated into the admission process and continue throughout the hospitalization stay. Education provides the patient with the knowledge of the importance of safety and what social suffice he or she contributes in their care as well as risk factor identified. Fall prevention programs are designed to determine fall risk and prevention strategies while col laborating with the patients health care. Informing both the patient and the family will bring an understanding and heedfulness to fall prevention.Falls are ravage to both the patient and the hospital considering a single fall may result in a downward handbuild of reduced mobility with a loss of function and further risk of falls. Along with proper education, fall risk assessments are snappy to the fall prevention process. These fall risk assessment are implemented hospital wide and are conducted every shift, change in status, during transfers to different units and at bring in (St. Peters Hospital, 2012). Compliance and consistency reduces falls and the overall cost of falls throughout the hospital improving the care.ReferencesCenter for Disease Control and Prevention. (2012). Falls Among sure-enough(a) Adults An Overview. Retrieved from rarefied 23, 2014, from http//www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html Currie, D.N. Sc, M.S.N., R.N., Leanne. (n.d. ). Fa ll and Prevention. Retrieved August 23, 2014, from http//ncbi.nlm.gov Hendrich, MSN, RN, FAAN, Ann. (2007, November). How to Try This Predicting Falls. AJN, 107(11), 50 National musical note Measures Clearinghouse. (2013). Retrieved August 23, 2014, from http//www.qualitymeasures.ahrq.gov/content.aspx?id=36944 Environmental Safety and Fall Prevention. (2012). Retrieved August 23, 2014, from http//www.sphcs.org/environmentalsafetyandfallprevention.org Weiner, B. J. (2009, October). A Theory of organizational Readiness for Change . Implementation Science, 4(67)