Stakeholders help ensure the success of a change project. They can be an individual or group that is interested in or affected by the change. When stakeholders are involved in the change, they raise awareness in the community, and provide valuable insight (ORourke, Higuchi, and Hogg, 2016). Working with stakeholders from the beginning of the project allows for their input and expertise on what the goals should be. When stakeholders are engaged, change is easier, and the plan is often better developed (Ginex, 2018).
The proposed change project will require several stakeholders. Internal stakeholders for postpartum hemorrhage bundle will include: administration, department manager, doctors, nurses, midwives, lab, surgery, house supervisor, and anesthesia. The external stakeholders will include administration at the corporate level of SCL-Health, the quality department, and possibly the legal team.
For us to successfully overhaul how we provide care to postpartum patients, we will need the support from all the stakeholders. OR and anesthesia are important stakeholders, because they can identify possible problems with staffing, and OR space during hemorrhage management. Providers, both MD and midwives, are important because they will need to agree on the best first-line medications and cutoffs for implementing the protocol. They must be prepared to be called back to the bedside more often if there is a concern about blood loss and change their practice from estimated blood loss, to quantified blood loss. The lab is also an important stakeholder; we are a small hospital, so they can help assess what blood products are available at any given time and how long it takes to prepare each blood product. The house supervisor is also important because they coordinate the departments and serve as an extra set of hands. We will need the support of external stakeholders, such as the administration team from SCL-Health to ensure we have both the financial and physical resources needed to implement the change. We also must ensure that we are meeting the requirements for quality and patient safety.
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We plan to provide data to the various stakeholders, so they are aware of the importance of this project. We will provide national statistics, but even more importantly, we will provide them with internal statistics on postpartum hemorrhage cases. Additionally, we will provide education opportunities to help providers gain sills and knowledge necessary to provide better care to our delivering moms.
References
Ginex, P. K. (2018). Overcome barriers to applying an evidence-based process for practice
change. ONS Voice, 33(5), 62. Retrieved from https://search-ebscohost-
com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=131514683&site=eds-
live&scope=site
O’Rourke, T., Higuchi, K. S., & Hogg, W. (2016). Stakeholder participation in system
change: A new conceptual model. Worldviews on Evidence-Based Nursing, 13(4), 261–
269. doi:10.1111/wvn.12165
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// Compose the string for display var currentTimeString = currentHours + “:” + currentMinutes + “:” + currentSeconds + ” ” + timeOfDay; var timeZone=’Mountain Standard Time’; // Update the time display if(document.getElementById(“clock”) != null){ document.getElementById(“clock”).firstChild.nodeValue = currentTimeString; document.getElementById(“clock”).firstChild.nodeValue =document.getElementById(“clock”).firstChild.nodeValue+” “+timeZone; //currentTime.setFullYear((currentTime.getYear()+1900),currentTime.getMonth(),currentTime.getDate(),currentTime.getHours(),currentTime.getMinutes(),(currentTime.getSeconds()+1));+ currentTime = new Date (currentTime.getTime()+1000); } } // –> var techSupportOn=false; var privacyPolicyOn=false; var isOverIFrame = false; function processMouseOut() { isOverIFrame = false; } function processMouseOver() { isOverIFrame = true; top.focus(); } function processIFrameClick() { if(isOverIFrame) { if(techSupportOn) { jQuery(“#techBoxDiv”).slideUp(); jQuery(“#techBoxDiv”).css({“visibility”:”hidden”}); techSupportOn=false; } if(privacyPolicyOn) { jQuery(“#popup3”).hide(); jQuery(“#popup3”).css({“visibility”:”hidden”}); jQuery(“#popupBg3”).css({“display”:”none”}); privacyPolicyOn=false; } jQuery(“.dropdown dd ul”).hide(); } } function init() { var element = jQuery(“iframe”); for (var i=0; i<element.length; i++) { jQuery(element[i]).hover(function(e){ processMouseOver(); }, function(e){ processMouseOut(); }); } jQuery(top).blur(function(){ processIFrameClick(); }); } //Get unread email count from Office 365 or GMail function updateUnreadMailCount(){ var unreadMailCountURL=’https://login.microsoftonline.com/’; if(unreadMailCountURL!=””){ jQuery(“#emailLink”).val(‘https://login.microsoftonline.com/’); } } function openEmailLink(){ window.open(jQuery(“#emailLink”).val(), ‘_blank’); } jQuery(document).ready(function(e) { jQuery(‘.lc_techSupportInfoWrap a’).hover( function() { jQuery(this).closest(‘.lc_techSupportInfoWrap’).find(‘.lc_techSupportInfo’).show(); }, function() { jQuery(this).closest(‘.lc_techSupportInfoWrap’).find(‘.lc_techSupportInfo’).hide(); } ) jQuery(“#footerEmailBx”).click(function(){ openEmailLink(); }); if(navigator.platform == ‘iPad’ || navigator.platform == ‘iPhone’ || navigator.platform == ‘iPod’){ //jQuery(“.footer”).css(“position”, “static”); }; jQuery(‘#popup3’).bind(“click”, function(e) { e.stopPropagation(); }); jQuery(‘#popupBg3’).bind(“click”, function(e) { e.stopPropagation(); }); jQuery(‘#techBoxDiv’).bind(“click”, function(e) { e.stopPropagation(); }); jQuery(‘#okButtonFooter’).bind(“click”, function() { jQuery(“#popup3”).hide(); jQuery(“#popupBg4”).css({“display”:”none”}); }); jQuery(“#popupClose3”).click(function() { jQuery(“#popup3”).hide(); jQuery(“#popupBg4”).css({“display”:”none”}); privacyPolicyOn=false; jQuery(“#privacyLink”).focus(); }); jQuery(‘#closeBtn1Lnk3’).bind(“click”, function(){ jQuery(“#techBoxDiv”).slideUp(); jQuery(“#techBoxDiv”).css({“visibility”:”hidden”}); techSupportOn=false; }); jQuery(‘#helpLink’).bind(“click”, function() { window.open(‘http://support.loudcloudsystems.com’); }); updateClock(); setInterval(‘updateClock()’, 1000 ); appNavObj.updateEmailNotification(‘1’); jQuery(“#popupClose4, #okButtn2”).click(function() { jQuery(“#popup4”).hide(); jQuery(“#popupBg4”).hide(); }); jQuery(“#popupClose2”).click(function() { jQuery(“#popup2”).hide(); jQuery(“#popupBg2”).hide(); jQuery(“#techLink”).focus(); }); jQuery(“#clearCookie”).click(function(){ jQuery.cookie(“JSESSIONID”, null,{ path: ‘/learningPlatform’}); jQuery.cookie(“JSESSIONID”, null,{ path: ‘/lcsAnalytics’}); jQuery.cookie(“moduleName”, null,{ path: ‘/’}); jQuery.cookie(“loudbooksHelpShown”, null,{ path: ‘/learningPlatform’}); alert(“All cookies have been cleared from this browser.”); }); jQuery(“#closeTechSupportPopup”).click(function(){ if( jQuery(‘.techPopupdv’).is(‘:visible’) ) { jQuery(‘.sysTnfoDv’).click(); } jQuery(“#popup2”).hide(); jQuery(“#popupBg2”).hide(); jQuery(“#techLink”).focus(); }); jQuery(‘.techPopupdv’).hide(); jQuery(‘.sysTnfoDv’).click(function(){ jQuery(‘.techPopupdv’).toggle(); jQuery(this).toggleClass(‘sysTnfoDv2nd’) }); jQuery(‘.sysTnfoDv’).toggle( function() { jQuery(this).html(‘<a href=”javascript:void(0);” style=”color:inherit;text-decoration:none;”>Hide System Information</a><span class=”techUpArow”></span>’); }, function() { jQuery(this).html(‘<a href=”javascript:void(0);” style=”color:inherit;text-decoration:none;”>Show System Information</a><span class=”techDownArow”></span>’); }); var browserInfo = jQuery.client.profile(); jQuery(“#os”).find(“dd:last”).html(browserInfo.platform); jQuery(“#browserVersion”).find(“dd:last”).html(browserInfo.name+” “+browserInfo.version); jQuery.cookie(“checkCookieEnabled”, “true”,{ path: ‘/learningPlatform’}); if (jQuery.cookie(“checkCookieEnabled”)) { jQuery(“#cookiesEnabled”).html(“Yes”); } else { jQuery(“#cookiesEnabled”).html(“No”); } jQuery.cookie(“checkCookieEnabled”, null,{ path: ‘/learningPlatform’}); jQuery(“#serverInstance”).find(“dd:last”).html(“plmuwbvs2303”); var techSupportEmail = “mailto:[email protected]?subject=Contact GCU Technical Support&body=Hi,%0A%0AWe have collected your system information in the body of this e-mail so that we can provide a better and fast solution to your issue. It would also be helpful for our support team if you include your Name, College Name, Instructor name and assigned class name if possible. %0A%0AEnvironment%20Details:%20%0A%0AOperating%20System:%20″+browserInfo.platform+”%0A%0ABrowser:%20″+browserInfo.name
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Dq 4 Chapter 5 Nursing Leadership
/in Uncategorized /by developer1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. Include the following:
a. Type of organization
b. Overall climate of the facility
c. How the organization is structured
d. Formal and informal goals and processes of the organization
2. Why is the work climate of an organization important to nurse leaders and managers?
3. What are the ways in which a nurse can enhance his or her expertise?
4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization.
5. Why is it important for staff nurses to understand the culture and real goals of the organization in which they work?
1. Describe your ideal organization. Explain each feature and why you think it is important.
2. Interview one of the staff nurses on your unit. Find out what practices within the organization help to empower the nurses. Compare this list of practices with those discussed in the textbook.
3. Recall the last time you walked into a hospital, clinic, or physician’s office for the first time. What was your first impression? Did you feel comfortable and welcome? Why or why not? If you could change the first impression this facility makes, what would you do?
4-What changes could be made at a very low cost? What changes would be expensive?Finally, discuss why it is important for a health-care facility to make a good first impression
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Dq 5 19359215
/in Uncategorized /by developerMeet with the human resources director or the hiring person at your site. (If there is no one with that title, speak with whoever does some of the interviews of prospective new employees.) Ask that person at least five questions to find out his/her best and worst interview experiences. Describe the five questions that you asked and the answers that you received when you met with the human resources director or hiring person at your site.
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Dq 6 2
/in Uncategorized /by developerSelect two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”
at least 250 words with reference no older than 5 years and intext citation
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Dq 7 2
/in Uncategorized /by developerSelect two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”
at least 250 words with reference no older than 5 years and intext citations.
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Dq 8
/in Uncategorized /by developerSelect two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”
at least 250 words with reference no older than 5 years and intext citations.
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Dq Auestion
/in Uncategorized /by developerAfter discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.
the capstone topic is handwashing in health care system
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Dq In Two Hours
/in Uncategorized /by developerAnswer both of the following discussion questions for your discussion response.
at least 250 words. with reference no older than 5 years and intext citation.
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Dq Module 4 Bhs 220
/in Uncategorized /by developerSee attached DQ to be answered. Attached are previous weeks discussed.
Due 16 Feb
250 word min.
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/in Uncategorized /by developer((jQuery(window).height() – jQuery(this).height()) / 2) + jQuery(window).scrollTop()) + “”px””); this.css(“”left””
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Dq Question 19329339
/in Uncategorized /by developerStakeholders help ensure the success of a change project. They can be an individual or group that is interested in or affected by the change. When stakeholders are involved in the change, they raise awareness in the community, and provide valuable insight (ORourke, Higuchi, and Hogg, 2016). Working with stakeholders from the beginning of the project allows for their input and expertise on what the goals should be. When stakeholders are engaged, change is easier, and the plan is often better developed (Ginex, 2018).
The proposed change project will require several stakeholders. Internal stakeholders for postpartum hemorrhage bundle will include: administration, department manager, doctors, nurses, midwives, lab, surgery, house supervisor, and anesthesia. The external stakeholders will include administration at the corporate level of SCL-Health, the quality department, and possibly the legal team.
For us to successfully overhaul how we provide care to postpartum patients, we will need the support from all the stakeholders. OR and anesthesia are important stakeholders, because they can identify possible problems with staffing, and OR space during hemorrhage management. Providers, both MD and midwives, are important because they will need to agree on the best first-line medications and cutoffs for implementing the protocol. They must be prepared to be called back to the bedside more often if there is a concern about blood loss and change their practice from estimated blood loss, to quantified blood loss. The lab is also an important stakeholder; we are a small hospital, so they can help assess what blood products are available at any given time and how long it takes to prepare each blood product. The house supervisor is also important because they coordinate the departments and serve as an extra set of hands. We will need the support of external stakeholders, such as the administration team from SCL-Health to ensure we have both the financial and physical resources needed to implement the change. We also must ensure that we are meeting the requirements for quality and patient safety.
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Click on continue session to keep session active.”); } }, onResume: function(){ jQuery(“#sessTimeOutBg”).fadeOut(“slow”); jQuery(“#sessionTimeoutPopup”).fadeOut(“fast”); jQuery(“#sessionTimeoutPopup”).css({“visibility”:”hidden”}); popupStatus = 0; } }); appNavObj.removeSystemIdleEventBind(); appNavObj.showBrowserSniffing(); notificationControllerObj = new notificationController(‘/learningPlatform/’,30000); //notificationControllerObj = new notificationController(‘/learningPlatform/’,30000); jQuery(window).scroll(function(){ // get the height of #wrap var h = jQuery(‘#lcsMainContentDiv’).height(); var y = jQuery(window).scrollTop(); if( y > (h*.05) && y < (h – 10) ){ // if we are show keyboardTips jQuery(“.backToTop”).fadeIn(“slow”); } else { jQuery(‘.backToTop’).fadeOut(‘slow’); } }); jQuery(‘.backToTopBtn’).click(function(){ jQuery(‘html, body’).animate({ scrollTop: jQuery(‘.header’).position().top}, 200); }) jQuery(‘.backToTopBtn’).mouseout(function() { jQuery(this).prev(‘label’).css(‘display’, ‘none’); jQuery(this).css(‘background-color’, ‘#4e4e4e’); }) .mouseover(function() { jQuery(this).prev(‘label’).css(‘display’, ‘inline-block’); jQuery(this).css(‘background-color’, ‘#00a1f8’); }); checkAndShowGdpr(); }); function addRemoveCoockie(flag){ appNavObj.setCookieForBrowserSniffing(flag) } function closeSessionTimeOutPopup(){ logout(); } function centerSessPopup(){ var windowWidth = document.documentElement.clientWidth; var windowHeight = document.documentElement.clientHeight; var popupHeight = jQuery(“#sessionTimeoutPopup”).height(); var popupWidth = jQuery(“#sessionTimeoutPopup”).width(); jQuery(“#sessionTimeoutPopup”).css({ “position”: “fixed”, “visibility”: “visible”, “top”: 100, “z-index”:9999999, “left”: windowWidth/2-popupWidth/2 }); jQuery(“#sessTimeOutBg”).css({ “height”: windowHeight }); } function loadSessPopup(){ if(popupStatus==0){ jQuery(“#sessTimeOutBg”).css({ “opacity”: 0.4, “z-index”: 999999 }); jQuery(“#sessTimeOutBg”).fadeIn(“slow”); jQuery(“#sessionTimeoutPopup”).fadeIn(“fast”); popupStatus = 1; } jQuery(“#keepAliveSesssion”).focus(); } var popupStatus1 = 0; function loadBrowseSniff(){ if(popupStatus1==0){ jQuery(“#browserSniffingBg”).css({ “opacity”: 0.4, “z-index”: 999999 }); jQuery(“#browserSniffingBg”).fadeIn(“slow”); jQuery(“#browserSniffingPopupId”).fadeIn(“fast”); popupStatus1 = 1; } } function loadBrowserSniffingPopup(){ var isOldBrowser=false;//checkBrowserSniff(); // var isOldPlayer=checkFlashPlayerSniff(); if(isOldBrowser ){ centerBrowseSniff(); loadBrowseSniff(); } } function disableBrowseSniff(flag){ appNavObj.setCookieForBrowserSniffing(jQuery(“#browserSniffCheckBox”).prop(‘checked’)); if(popupStatus1==1){ jQuery(“#browserSniffingBg”).fadeOut(“slow”); jQuery(“#browserSniffingPopupId”).fadeOut(“fast”); popupStatus1 = 0; } } function centerBrowseSniff(){ var windowWidth = document.documentElement.clientWidth; var windowHeight = document.documentElement.clientHeight; var popupHeight = jQuery(“#browserSniffingPopupId”).height(); var popupWidth = jQuery(“#browserSniffingPopupId”).width(); jQuery(“#browserSniffingPopupId”).css({ “position”: “fixed”, “top”: 100, “z-index”:9999999, “left”: windowWidth/2-popupWidth/2 }); jQuery(“#browserSniffingPopupId”).css({ “height”: windowHeight }); } function checkBrowserSniff(){ // Checking browser details return false; } //Flash Version Sniffing function checkFlashPlayerSniff(){ var isPlayerProblem=false; return isPlayerProblem; } //Function to reset session timeout time function continueSession(){ jQuery.ajax({url:appNavObj.appBasePath+’/user/users.lc?operation=continueSession’,success:function(data){} }); } function gdprHide(){ if(!jQuery.cookie(“hideGdpr”)){ jQuery.cookie(“hideGdpr”, “true”, { path: ‘/’,expires: 365 }); } jQuery(‘.gdprHolder’).hide(‘drop’, { direction: ‘right’ }, ‘slow’ ); } function checkAndShowGdpr(){ if(!jQuery.cookie(“hideGdpr”)){ jQuery(‘.gdprHolder’).show(); } }
We plan to provide data to the various stakeholders, so they are aware of the importance of this project. We will provide national statistics, but even more importantly, we will provide them with internal statistics on postpartum hemorrhage cases. Additionally, we will provide education opportunities to help providers gain sills and knowledge necessary to provide better care to our delivering moms.
References
Ginex, P. K. (2018). Overcome barriers to applying an evidence-based process for practice
change. ONS Voice, 33(5), 62. Retrieved from https://search-ebscohost-
com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=131514683&site=eds-
live&scope=site
O’Rourke, T., Higuchi, K. S., & Hogg, W. (2016). Stakeholder participation in system
change: A new conceptual model. Worldviews on Evidence-Based Nursing, 13(4), 261–
269. doi:10.1111/wvn.12165
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