C157 PA.docx - Running head CONSULTATIVE CHANGE RECOMMENDATIONS Consultative Change Recommendation C157 Megan Mirra Western Governors University 1

C157 PA.docx - Running head CONSULTATIVE CHANGE...

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Running head: CONSULTATIVE CHANGE RECOMMENDATIONS 1 Consultative Change Recommendation C157 Megan Mirra Western Governors University
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CONSULTATIVE CHANGE RECOMMENDATIONS 2 The purpose of this paper is to recommend a change within an organization and devise a plan to carry out this change. Change is necessary in healthcare because the drive to improve quality care and safety for our patients relies on current data to ensure the needs of the population are adequately met. At Geisinger Wyoming Valley Hospital, in Wilkes-Barre Pennsylvania, there has been a consistent decline on patient satisfaction scores, known as HCAHPS. On the survey patients are asked, was the area around your room "Always" quiet at night. The purpose of this consultation is to assess the current nursing strategies, policies, and procedures currently used in order to keep noise on the units limited at night. The data collected was from a nurse leader interview, peer reviewed literature, and the organization website. The nurse leader interviewed was the Clinical Coordinator/Project Manager for the floor. The interview was conducted via Skype, which is a face-to-face telecommunication on the computer and through email for follow up questions. Based on our interview, the recommended interventions will require a new strategy to limit noise for resting patients in the hospital. This will be implemented by making changes to the nursing policies and procedures, current education related to keeping a quiet and restful environment, and additional tracking in the form of HCAHP surveys. In order to support these changes, a plan will include the current results of the HCAHPS and the need for a change to be implemented and interventions to provide a quiet and healing environment. The overall goal will be to increase the score of the specific “was the room always quiet at night” on the HCAHPS. Geisinger Wyoming Valley Medical Center (GWV) opened its doors in 1981 primarily serving the residents of northeastern Pennsylvania. There are over 3,500 healthcare professionals at this organization. The 291-bed facility is a level II trauma center and services in more than 50
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CONSULTATIVE CHANGE RECOMMENDATIONS 3 specialty and subspecialty areas (Geisinger, n.d). The exact number of patient encounters is unknown, but with 3,500 employees at a 291- bed facility, one could only imagine how many patient interactions there are on a daily basis. Their organizational structure is as follows: The President /Chief Executive Officer is at the top of the chain with the Executive Vice President/Chief Operating Officer not far below. Next, come the Chief Nursing Officer and the Chief Financial Officer. Under the Chief Nursing Officer are two Vice President Nursing Associates. Under the Vice President Nursing Associates are the Operations Managers (Geisinger, n.d). The GWV campus includes the Frank M. and Dorothea Henry Cancer Center, the Tambur Family Neonatal Intensive Care Unity, the Richard and Marion Pearsall Heart Hospital, and the Critical Care Building. The organization is dedicated to providing reliable care
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