XC01

XC4001

Module 2, Part 2

Part 1 of Change Plan: Identify a Practice Problem

1. Describe the facility/context. What type of a facility is it (i.e., private or public; rural or urban)? What types of patients do they serve?

2. Based on your interview with the preceptor and nurses, what is working well at this facility? Describe at least 3 strengths.

3. Based on your interview with the preceptor and nurses, what are some issues at this facility? Describe at least 3 issues.

4. Of the issues you have described, choose one main issue that you would like to address through your change plan. Explain how the issue is related to quality and safety or population health.

5. Use the “5 WHYs” template below to analyze the issue.

a. What are the causes of the problem? What are the effects of the problem? What patient population does it affect and how?

5 WHYs TEMPLATE

DEFINE THE PROBLEM

Choose a practice problem related to quality and safety or population health in nursing practice

WHY IS THIS A PROBLEM?

PRIMARY CAUSE

Why?

1

It is happening because – provide a reason you believe the problem is occurring

Why?

2

It is happening because

Why?

3

It is happening because

Why?

4

It is happening because

Why?

ROOT CAUSE

NOTE: If the final "Why" has no controllable solution, return to the previous "Why."

5

It is happening because

POPULATION

What population does your stated problem affect (i.e. nurses, patients, or community)? How is this population affected?

Adapted from Smartlab Template