engagement, honesty, clear vision, good and clear communication, commitment, strong leadership, and a well-executed plan. Kotter’s 8-step change model identifies each of these characteristics” (Weber, 2012). This model can be used for organizational and individual purpose. Model to Guide Implementation I will use the key stakeholders to address each step of the Kotter’s model. This model will help with enhancing the old routine of shift report without patients, to a new routine of bedside report including patient. Kotter’s Model Step 1 First we have to “ develop a sense of urgency for the need of change” (MindTools, n.d.). Encourage the nursing staff to come out of their comfort zone by addressing the problem which is low patient satisfaction due to not involving patient in their shift report. The unit leadership will pinpoint the importance of bedside shift report. They will address the issue by highlighting sentinel events such as patient falls, medication errors which leads to low patient satisfaction. The nurses and nursing assistant will be given journal articles on the significance of bedside shift report, and thereby promoting a safe environment to the patient. Kotter’s Model Step 2
TRANSLATIONAL RESEARCH FOR PRACTICE & POPULATIONS 9 By forming a coalition guide, convince the staff that change is necessary (Mind Tools, n.d). The unit leadership will recruit a champion, which is the charge nurse from the nursing unit to lead the proposed change practice. And the charge nurse will assist and guide other nursing team in the unit on how to do bedside shift report. Kotter’s Model Step 3 A clear vision can aid everybody to comprehend why you're asking them to accomplish something (Mind Tools, n.d.). The champion in each unit will create a vision to improve nurse communications and patient satisfaction by engaging patients and families in the shift report thereby enhancing patient safety and quality of life. Kotter’s Model Step 4 Communicate the vision frequently and powerfully in day-to-day to make decisions and solve problems (Mind Tools, n.d.). The unit leadership will convey the change of practice through different channels, for example, unit staff meetings, huddles, displays, brochures’, education sessions, in-service and practice guidelines. The members from unit leadership will instruct the classes to ensure that every nurse heard the actual information and saw the leadership dedication to the change practice. This class will include video demonstration, case study scenario, and question and answer sessions. Kotter’s Model Step 5 Removing the obstacles can enable the people you have to execute your vision, and it can help you to move forward (Mind Tools, n.d.). The nurses will be encouraged to take responsibility for the change of practice by participating and demonstrate bedside shift report.
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- Spring '16
- Nursing, bedside shift report, Practice & Population