important to include the ED educator and at the end of the second week I met with the ED educator alongside my manager to collaborate on the different aspects of this plan tocome up with the best approach. The third week I spent the first few days speaking with the nursing staff about the implementation plan. This provided me with feedback to takeinto consideration while still finalizing the structure of this implementation. At the end of the third week I spoke to a manager in the security department, which provided me with feedback and insight on their role in the reporting process. The fourth week I met with the ED educator again to discuss the specifics of what to include in the education portion that will be provided with this change. We decided what the best date would be to implement the change, and schedule the adequate amount of days prior to that to provide in-service education opportunities for staff. The last part of this week my days 5
Running Header: LEADERSHIPwere spent reviewing the details and being certain the necessary resources and staff announcements were prepared and organized for the proposed implementation day. I consider the emergency department manager and the ED director to be very important stakeholders with the implementation of a change that can impact their staff directly. Their support and guidance for a better reporting system would ultimately be useful to gain increased evidence to provide increased prevention measures in the future. This change can impact their staff in positive ways such as increased awareness and understanding, which can lead to an increase in compliance of reporting. This increased reporting is what management can utilize to assist in solutions in the future. An additional stakeholder I found important was the nursing educator of the department. This role would provide the needed assistance to best structure the education that would need to be provided to staff for this change to be successful once implemented. There is more chance of failure and noncompliance when staff does not have the proper knowledge of the change. In addition to management and educators, I would find it necessary to involve the nurses that act as charge nurses in the department. These are the lead nurses for each shift that can assist with this change andsupport the education aspect. They are often aware of the violent incidents as they happen and are able to support the nurses in the moment, or shortly after. It would be most affective to involve the nurse leaders that are on each shift as a back up support forthe implemented change because management and educators and not always around.During my multiple meetings and discussions with my ED manager I was able to brainstorm many ideas and receive her perspective. She was very receptive to hearing 6
Running Header: LEADERSHIPmy perspective as well, as someone that experiences the violence first hand and understands the challenges of getting each incident reported effectively. My manager
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