of the patient (Sullivan, 2017). By utilizing this strategy, the organizational weakness mentioned above will directly be addressed and give all persons involved a vested interest in the process, in turn making them less resistant to the proposed change. As they will see the value and need for the change. System or Change Theory The change theory that will be best utilized in improving patient centeredness is Lewin’s Change Theory. This theory was developed by the father of psychology, Kurt Lewin (Sullivan, 2017). He developed three stages to this theory: unfreezing, change, and refreezing (Sullivan, 2017). In which the learner will recognize the need for change by re-examination of current practices and identifying short coming with current practice, which is the unfreezing stage. In this unfreezing stage patients/ families along with data obtained from the system will be utilized to show how ineffective the current practice is. Nurses, pharmacist and physicians will have hard data and patient testimony to help direct the narrative toward change. Change comes after recognizing current practices needs to change. The team will then will look for new ways to improve collaboration with patients/family regarding pain
Organizational Leadership 8 management and start moving toward change. Acknowledging how staff will benefit from the change will lead to a more successful and lasting change. Lastly, the refreeze stage. Changes are implemented and taking shape. Staff has begun collaboration with patients and families in the management of pain and things are stable. Staff are not reverting to old ways and are confident in the new process. Lewin’s theory makes the most sense to use in a change such as this because it utilizes a team effort to identify, create and implement the new process. Financial Implications As with any implementation, an organization must consider financial implications to determine if the project is cost-effective or not. From a financial standpoint the financial gains outweigh any financial costs in this project. Financial implications are minimal. Salaries of the multidisciplinary team would have to be paid. Time spent on a new project would take each team member away from their normal responsibilities which could create additional costs. Additionally, training and education costs cannot be ignored. All of these costs would be minimal, however, the proposed strategy of managing pain in partnership with patient and family will lead to financial gains for the organization, increased patients’ satisfaction, enhanced patient centered care, and improve patient outcomes. Studies have proven that patients’ who actively participate in their care, better manage complex chronic conditions, seek appropriate assistance, reduce anxiety, manage stress, and have shorter hospital stays than those who do not (cite).
Organizational Leadership 9 Methods The method that will be used to evaluate the effectiveness of the change will be discharge satisfaction surveys. Comparison of scores both pre and post implementation will be available to measure and compare. Patients and family opinions are asked in the discharge survey regarding pain management, communication and involvement in management of pain. The discharge
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- Fall '17
- Multidisciplinary Team