WK3/kmc 

To be a change agent means to transform the environment that needs to be worked upon. “Being a change agent is a major function for nurses. Nurses are on the floor seeing the effects medicine and the health care system is having on the patient” (Keyes, 2017). I personally have yet to act as a change agent, but I have witnessed it in my own facility. Just recently we switched how we handle wound care. The hospital went years without a hospital-acquired wound, and sadly they had 14. Due to the reoccurring issues, a team of nurses, physicians, CNAs, CNO, etc. all gather together to come up with a plan and implement it. Included in this plan was: a turn schedule, inquiring more/better air mattresses, and wound care education for everyone. With the new plan in place, the wounds have decreased and the existing wounds have healed better as well.

In just the last month, our charting system has been updated. Our old system had many complaints, issues, too many steps and overall just wasn’t the best. The new charting is more efficient for the medical staff in that it takes less amount of time to chart. Also, steps and certain things like IVs, wounds don’t have to be re-charted unless there was a change. In addition, with the old charting, the same questions and answers would have to be re-charted when the ER admitted a patient. With the new charting in place, admissions to the floor take half the time than before. Nurses were definitely on the list when implementing this change. It took some years to come up with a plan and put it into place, but it happened and it works. We use the system probably more than anyone else and voiced our concerns for a change. Nurses “play a critical role in shaping the health care system of the future” (Keyes, 2017) someday I too hope to become a change agent.

 

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wk3 discussion/Pf

part 1

 

What does it mean to be a change agent?

A change agent is a person who implements or promotes the changes in a group or an organization.in business it is usually someone who supports the new ways of doing things within an organization.

Give two examples of when you were a change agent or witnessed another nurse as a change agent

Leaders as change agent:

A leader can act as a change agent by supervising his subordinates (nurses) and by reviewing and regarding their progress, he can suggest the other ways of doing the thing and this way he can promote it in a better way and can increase the leading skills of nurses that can help the organization to transform and work more effectively.

HR manager as a change agent:

In order to bring change or to transform, a change agent should have a vast treasure of broad knowledge and the update regarding the new technology. And being the manager of HR, you can predict the potential difficulties in system or staff (nurses) and can bring a change accordingly by guiding them and increasing their potential by giving them a proper guidance in the eras where they are lacking their leadership skills.

What happened and how did the change occur?

The change usually occurs when there is some lacking either in the system or in the staff that is managing the system. Nurse leaders can bring a change by analyzing the current potential and the lacking points. It can also be done by encouraging the nurses to decide the best option to get the better outcome. Change can only occur if you share the knowledge effectively that will eventually help in enhancing their skills and will also bring a change in their attitude and behavior with other nurses. The major effective pillar in bringing the change was the cooperation with other nurse that gives rise to the remarkable leadership skills.

part 2

 Have you worked to change anything on your unit? Have you seen other nurses change patient care or other functions in your organization? Please describe how the change was accomplished. 

          

 

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wk3

Discussion Question 

Effective leadership can help nurse leaders to bring about a desirable change within the system. Using the university material or the  Internet, gain adequate insight into change theories and change management, and answer the following questions:

• What does it mean to be a change agent? Give two examples of when you were a change agent or witnessed another nurse as a change agent
• What happened and how did the change occur? 

 

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1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this

.a-Will you have to leave earlier to be in class on time?

 b-Will you meet different people on your way to class?

c-See different sights?

d-Would you change your route to class on the day of the final exam? 

e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death

 a-How did you react to the change?

 b-Would you have reacted differently if you had had more information?

c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome. 

 

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Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.2. What similarities and differences can you identify among the above interactions? 3. Explain the concept of congruence between verbal and nonverbal communication.4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective? 5. How have you seen ISBAR used during your clinical experiences? 6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports. 7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond? 8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.10. Discuss the differences between direct delegation and indirect delegation.  1. You have to observe delegation procedures in your assigned unit:A-What considerations does the RN take into account when delegating patient care? 2-You have to look at the unit census and prioritize the patient care:A- Give the rationale foryour choices.3.Answer the following questions during your clinical experiences:a. What specific tasks did your patients require that you might have been able to delegate?b. How effective was your nurse/preceptor in delegating tasks to others? c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately? 

 

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