Planned Change Process for the DNP Project

Order Description

1. Vision and Mission
What is the vision statement for your DNP scholarly project? A vision statement is the projects optimal goal and reason for occurring.
What is the mission statement of your DNP scholarly project? A mission statement is a statement of how the vision will be realized.

2. Congruence between your Projects Vision and Mission Statements and those of the Organization
You identified the vision and mission of the institution that is serving as the site of your DNP scholarly project in week 2. Is there congruence between the vision and mission statements that you have written for your project and the vision and mission statements of the institution?

3. Objectives
What are the short-term and long-term objectives for your DNP scholarly project? If you are not familiar with writing objectives, consider that these are short-term and long-term goals but each objective needs to be specific, it needs to be measureable, it needs to be achievable, it needs to be relevant, and you should include a time-frame. This is referred to as the SMART method of writing an objective. As an example:
At the completion of this 8 week practice change project (timeframe), there will be a 10% reduction in the incidence of hospital acquired pressure ulcers (specific, realistic, and achievable) as evidence by documentation of skin assessment (measurable).

4. Risks and Unintended Consequences
What are the potential risks or unintended consequences related to your DNP scholarly project?

5. Change Model
What change model will you use to guide the planned change process? Consider whether this is an individual change or an organizational change and select the model accordingly. The following content maybe helpful when selecting a change model for your project:
Planned Change Models
Lewin\’s Theory of Change (1951) provides a starting point for implementing nursing theory and research into clinical practice. In this course, you have identified a specific nursing theory that you believe would provide a scientific underpinning (theoretical foundation) for your eventual DNP project. Now, reflect on the process of change. There are many planned change models available for you to consider for your eventual DNP project.
According to Lewin (1951), there must first occur an unfreezing of the old pattern of doing things. Unfreezing is then replaced with the moving phase of change and followed by refreezing as people adjust to the new ways of doing things.
Rogers expanded on Lewins work and proposed the diffusion of innovation model in 1995. This model has five stages in the diffusion process: knowledge, persuasion, decision, implementation, confirmation. In the diffusion of innovation model, there are five adopter categories for any population or social system. These include the innovators, early adopters, early majority, late majority, and laggards.
Kotter developed the 8-step process for leading change model in his 1995 book Leading Change. The eight steps for leading organizational change include: establish a sense of urgency, form a powerful guiding coalition, create a vision, communicate a vision, empower others to act on the vision, plan for and create short-term wins, consolidate improvements and produce still more change, and institutionalize new approaches. Kotter emphasizes that for change to be successful, there needs to be buy-in from 75% of a companys management, so the first stepcreating a sense of urgencyis critical to the success of the change project.
Evidence-based Practice Models for Guiding Change
Schaffer, Sandau, and Diedrick (2012) highlight relevant EBP models for guiding change including the ACE star model of knowledge transformation (Stevens 2004, Kring 2008), the advancing research and clinical practice through close collaboration (ARCC) (Ciliska et al., 2011), Iowa model (Titler et al., 2001), the Johns Hopkins nursing evidence-based practice model (JHNEBP) (Newhouse et al., 2007), the promoting action on research implementation in health services framework (PARIHS) (Rycroft-Malone 2004), and the Stetler (Stetler 2001, Ciliska et al. 2011) model.
Schaffer, M.A., Sandau, K.E. & Diedrick, L. (2012). Evidence-based practice models for organizational change: Overview and practical applications. Journal of Advanced Nursing, 69(5), 11971209. doi: 10.1111/j.1365-2648.2012.06122.x
Quality Improvement Models
Donabedian Structure, Process, Outcomes Model (1966). This widely recognized conceptual model provides a framework for examining health services and evaluating quality of care. According to the model, information about quality of care can be drawn from three categories: structure, process, and outcomes.
Plan-Do-Study-Act Cycle (PDSA) The PDSA cycle is a systematic process for testing a change.
P, Plan: Plan a change or test of how something works.
D, Do: Carry out the plan or test.
S, Study: Observing and learning from the consequences, look at the results. What did you find out?
A, Act: Decide what actions should be taken to improve.

6. Schedule
What is your schedule for the steps of the planned change process? There are many ways to present the schedule. You can use the table in the Word document APA Template for the Project Proposal in DocSharing. You can use Excel or Visio. You can also search for other web options to develop a Gantt chart such as https://www.smartsheet.com/blog/gantt-chart-excel#.VEB2Dhbzb9k.

Dont forget to include course requirements such as project proposal (week 6 of NR702), IRB proposal (week 2 of NR705), final paper (week 6 of NR709), and final presentation (week 7 of NR709).

7. Resources
What resources, including human resources and support, financial support, data resources, and materials, will you need for your DNP scholarly project?

8. Budget
What is your budget for your DNP scholarly project, including expenses and revenue (if applicable)? Your budget must be balanced so you need to identify revenue to offset all expenses. Nothing is free so even if dietary provides free coffee, it comes from the dietary budget so the actual cost of the coffee needs to be on the expense side and the dietary cost center must be included on the revenue side.

Put your answers below and copy and paste this portion into the collaborative thread for week 5.

PICOT:

1. Vision and Mission

2. Congruence between your Projects Vision and Mission Statements and those of the Organization

3. Objectives

4. Risks and Unintended Consequences

5. Change Model

6. Schedule

7. Resources

8. Budget
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