In Week 2, your formative evaluation plan reveals a few staff did not implement the evidence-based intervention as intended. What is your next step?
The formative evaluation plan revealed that a few staff did not implement the interventions. As a project lead, it is essential to investigate the varying reasons related to the staff not able to implement the interventions. The first step is to identify the next scheduled work of the staff and perform a one-to-one discussion on the revelation of the evaluation plan. Provide additional support and resources for staff that are unable to perform interventions due to lack of time or unclear on the required steps.
· In your simulated Case Study, some staff state, “I am too busy” or “I do not see a need for change since the ‘way we have always done it’ works fine.” How will you address this?
There will always be a resistance to change and it is essential to provide information on the reasons and benefits of changing current processes. For the staff that were too busy, the DNP student or the nursing champions can assist in filling out the 4AT forms per patient daily or report the intervention to the next shift. For the staff the are resistant to change, it is important to emphasized that the facility has a growing concern for increased physical restraint usage, thus promoting the creation of an initiative to help decrease restraint use. It is also important to detect patients that are at risk or positive for delirium so that we can provide early interventions that can prevent worse outcomes, thus leading to more work for the staff.
· You identify that stakeholders were not included in the project planning meetings and are resisting change. How will you work with these stakeholders to turn their resistance into support?
The DNP student had identified that some stakeholders are resistant to change. Additional resources and support are necessary to start the process of changing the resistant behaviors of some stakeholders. It is essential to include stakeholders in every step of the implementation process to increase involvement, rapport, and lower resistance to change. In addition, it is essential to follow-up on the stakeholders that are resistant to change and provide additional information on the importance of the project and how it will impact staff and patient care.
· Thinking about a live implementation, are there additional resources that may be necessary for a successful implementation? If so, what are those resources?
Additional resources are required to have a successful implementation. The project implementation will require a weekly meeting room, laminated cards for nursing staff, printers and office supplies, and gift cards for staff involvement. In addition, a budget for provision of snacks during meetings and educational sessions is another resource during the planning to implementation transition.