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Appendix_C_Stakeholder_Analysis11_BK_.docx

Stakeholder Analysis

Identify the key stakeholders:

☒ Manager or direct supervisor

☐ Finance department

☐ Vendors

☐ Patients and/or families; patient and family advisory committee

☐ Professional organizations

☐ Committees

☒ Organizational leaders

☒ Interdisciplinary colleagues (e.g., physicians, nutritionists, respiratory therapists, or OT/PT)

☒ Administrators

☐ Other units or departments

☐ Others: ________________

Stakeholder analysis matrix: (Adapted from http://www.tools4dev.org/)

Stakeholder Name and Title:

Role: (select all that apply)

Responsibility, Approval, Consult, Inform

Impact Level: How much does the project impact them? (minor, moderate, significant)

Influence Level: How much influence do they have over the project?  

(minor, moderate, significant)

What matters most to the stakeholder?

How could the stakeholder contribute to the project?

How could the stakeholder impede the project?

Strategy(s) for engaging the stakeholder:

CEO

Approval, Inform

Significant

Significant

Strategic alignment with organizational goals and financial implications.

Provide approval and support for resources.

Lack of approval or support could delay project implementation.

Present detailed project plan and benefits, regular high-level updates. Comment by Brenda Kulhanek: Just my thoughts and experience here, but C Suite leaders typically want summary information, but this CEO may be more detailed?

Managing Director

Approval, Inform

Significant

Significant

Overall project success and alignment with organizational objectives.

Provide strategic direction and support.

Lack of strategic alignment and direction could hinder project progress.

Ensure alignment with organizational goals, offer regular progress reports.

Nursing Staff

Inform

Significant

Moderate

Practicality and clarity of education content

Implementation of new knowledge and practices.

Resistance to change or inability to learn new information.

Comprehensive education programs, continuous support, and feedback mechanisms. Comment by Brenda Kulhanek: Consider change management strategies

Nurse Manager

Responsibility, Approval

Significant

Significant

Ensuring staff competency and patient safety

Provide support for training sessions and ensure staff participation.

Lack of engagement or support could hinder staff participation.

Regular meetings to update on project progress and address any concerns.

Johns Hopkins Evidence-Based Practice Model for Nursing and Healthcare Professionals

Stakeholder Analysis and Communication Tool

Appendix C

© 2022 The Johns Hopkins Hospital/Johns Hopkins University School of Nursing Page | 2

Communication Planning

Refer to this section to guide your communications to stakeholders throughout and after completing the EBP project.

What is the purpose of the dissemination of the EBP project findings? (check all that apply)

☒Raise awareness  

☒Promote action  

☒Change policy 

☒ Change practice 

☒ Engage stakeholders 

☒ Inform stakeholders 

☐ Other:________________ 

What are the 3 most important messages? 

· Proper interpretation of blood drug levels improves patient safety and treatment efficacy.

· Education on contraindications and compliance ensures better patient outcomes. Comment by Brenda Kulhanek: Outcomes can bring to mind patient data, how about improved quality of patient care?

· Determining an effective treatment approach leads to better care. Comment by Brenda Kulhanek: I like this, is this also an individualized patient approach?

 

 

Align key message(s) and methods with the audience:

Audience 

Key Messages 

Method 

Timing 

Interdisciplinary stakeholders

Staff education based on empirical evidence leads to improved patient outcomes. Comment by Brenda Kulhanek: This again is skating on the edge of collecting patient data- what about focusing on the purpose of the project to continually reinforce the changes?

 Meetings, Emails

 After project’s implementation

Organizational leadership

 Investment in staff education is crucial for patient safety.

 Reports, Presentations

Quarterly 

Frontline nurses

 Participation in learning sessions is essential for better patient care.

 learning sessions, emails

 Weekly

Departmental leadership

 Support for staff education ensures an increase in staff knowledge.

 Reports, Meetings

 Monthly

 

 

 

 

Directions for Use of the Stakeholder Analysis and Communication Tool

See Chapter 11, Lessons from Practice, for examples of completed tools.

Purpose:

The EBP team uses this form to identify key stakeholders. Key stakeholders are persons, groups, or departments that have an interest in, concern about, or stake in your project. This may include approval, subject matter expertise, or resources. Communicate with stakeholders early in the process and keep them updated on progress to ensure their buy-in for implementation.

Because stakeholders may change at different steps of the process, we recommend that you review this form as you proceed from step to step in your action plan.

The communication planning section is useful to promote communication throughout the EBP project process. Ideally, complete the communication section toward the end of the EBP project when the team has identified organization-specific recommendations.

Identify the key stakeholders (broad categories):

Consider the various areas, departments, groups, or organizations that may be impacted by or have influence over the proposed practice change.

Stakeholder analysis matrix:

Using the prompts from above, identify the five to seven stakeholders who can most affect (or who will be most affected by) the results and who can influence the success of the translation work. Consider which of the four roles each stakeholder may play in your action planning and translation work. The possible roles are:

· Responsibility – Completes identified tasks. Recommending authority

· Approval – Signs off on recommendations. May veto

· Consult – Provides input (e.g., subject matter experts). No decision-making authority

· Inform – Notified of progress and changes. No input on decisions

Remember that one stakeholder may fill different roles, depending on the action. Completion of the Stakeholder Analysis Tool will help clarify roles and responsibilities. The descriptions of responsibilities for each role provided on the form will be helpful in this process.

EBP teams should consider the amount of impact the project may have on the stakeholder and the amount of influence the stakeholder can have on the project’s success. Identifying the ways the stakeholder can both contribute to and impede the project’s success as well as how best to engage the stakeholder allows teams to develop plans to optimize the best outcomes.

Align key message(s) and methods with the audience:

Audience: Think about the project recommendations. Identify the end users—who is your audience?  Revisit the Stakeholder Analysis Tool above to confirm stakeholders and the key messages they need to receive. What do you want the target audience(s) to hear, know, and understand?   

Key Messages: Messages should be clear, succinct, personalized to the audience, benefit-focused, actionable, and repeated 3-6 different

times and ways.

Method: Communication can occur on many levels using varying strategies.  

· Internal dissemination methods can include newsletters, internal websites, private social media groups, journal clubs, grand rounds, staff meetings, tool kits, podcasts, and lunch-and-learns. 

· External dissemination can be in the form of conference posters and podium presentations, peer-reviewed articles, opinion pieces, letters to the editor, book chapters, interviews, or social media (blogs, Twitter, YouTube). 

Timing: When will your message have the most impact? Consider the audience and time communication when the content may be most relevant to them and their priorities. Also, keep in mind events such as holidays and the academic calendar which can distract audiences’ attention.