4050 A3 I am creating a transcript presentation

4050 A3 Activity

Managing Change

Introduction

Care coordination occurs in a rapidly-evolving health care system. Today’s resources and policies may not be available or applicable tomorrow. Patient goals today will change and evolve over time. Because nurses work in a changing environment, they must be familiar with change management and strategies for dealing effectively with change. As a care coordinator, you will need to understand how to manage change.

Change management is ubiquitous and involves ensuring that change is sustainable and implemented smoothly. It is important to understand the broad impact on the organization and stakeholders. The change process is complex, and each change initiative you manage or encounter will have its own unique set of objectives and activities, all of which must be coordinated. The nurse engaging in care coordination can better manage care if they understand the change process. There are many models and tools that help address change. Three common change models are the change curve model, Lewin’s Change Management Model, and Beckhard and Harris’s Change Model. The change curve model is easily adapted to the health care environment and describes change elements that are commonly seen and represents the stages of personal transition involved in organizational change. It addresses how people commonly react to change, and it helps the care coordinator navigate change and support those involved in the change process.

The change curve model has four distinct stages and is often linked to Kubler-Ross. As a nurse, you may be aware of Kubler-Ross’s work with the four stages of grief. The first stage of the change curve model is the state of the status quo with the reaction to change of shock and denial. The nurse can help others in this stage by educating them about the new process and giving people time to adjust. The second stage is disruption with the reaction of anger and fear as people may fear the impact and resist or protest the changes. In this stage, some will fear the negative consequences of change while others will fear a threat to their position. This is known as the “danger zone” where chaos may occur if not managed well. The nurse must plan and anticipate the concerns that people may have and listen to them, especially if they become emotional. The third stage is the state of exploration with the reaction of acceptance as people stop focusing on what they have lost and start to let go and accept change. In this state, people begin sorting through the change, identify positives and negatives, and learn how to adapt. The nurse must provide sufficient training and allow plenty of time for people to adapt. Finally, the fourth state is rebuilding with the reaction of commitment to the new change and new state of the status quo. In this final phase, people build new processes as they embrace change and start to flourish within the new normal. In this phase, the nurse should recognize the efforts of those involved in the change process.

Question 1 of 10

In what stage of the change curve model do people make sense of the new process and identify what that means to them?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

Question 2 of 10

In what stage of the change curve model might people talk negatively about the new process?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

Question 3 of 10

In what stage of the change curve model do people require information about the process?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

Question 4 of 10

In what stage of the change curve model do people create new policies related to the change?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

Question 5 of 10

In what stage of the change curve model would nurses anticipate people becoming emotional?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

Question 6 of 10

In what stage of the change curve model would nurses ideally implement online training sessions?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

Question 7 of 10

In what stage of the change curve model might nurses recognize the efforts of the team?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

Question 8 of 10

In what stage of the change curve model might nurses continue to use the old processes?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

Question 9 of 10

What is the most critical stage of the change management process?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

Question 10 of 10

What stage of the change curve model is marked by anxiety?

a. Stage 1.

b. Stage 2.

c. Stage 3.

d. Stage 4.

4050 A3 instructions

Develop a 20-minute presentation for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 4-5 pages in length.

Introduction

This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues.

Preparation

You are encouraged to complete the Managing Change activity [docx]. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Scenario

Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center.

To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care coordination process.

You may also wish to:

· Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.

· Allow plenty of time to rehearse your presentation.

Instructions

Complete the following:

Develop a presentation for nursing colleagues highlighting the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script. The script will used for me to create a video so please write in presentation form

Presentation Format and Length

Create a detailed narrative script for your presentation, approximately 4–5 pages in length. Include a reference list at the end of the script.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your video. Include your source citations on a references page appended to your narrative script. Explore the resources about effective presentations as you prepare your assessment.

Grading Requirements

The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

· Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.

· Provide, for example, drug-specific educational interventions, cultural competence strategies.

· Include evidence that you have to support your selected strategies.

· Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.

· Explain the rationale for coordinated care plans based on ethical decision making.

· Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making.

· Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.

· What are the logical implications and consequences of relevant policy provisions?

· What evidence do you have to support your conclusions?

· Raise awareness of the nurse's vital role in the coordination and continuum of care in a video-recorded presentation.

· Fine tune the presentation to your audience.

· Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care.

· Adhere to presentation best practices.

Additional Requirements

The script should include a reference page

Context

Nurses have a powerful role in the coordination and continuum of care. All nurses must be cognizant of the care coordination process and how safety, ethics, policy, physiological, and cultural needs affect care and patient outcomes. As a nurse, care coordination is something that should always be considered. Nurses must be aware of factors that impact care coordination and of a continuum of care that utilizes community resources effectively and is part of an ethical framework that represents the professionalism of nurses. Understanding policy elements helps nurses coordinate care effectively.

Course Competencies

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 2: Collaborate with patients and family to achieve desired outcomes.

· Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.

· Competency 3: Create a satisfying patient experience.

· Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.

· Competency 4: Defend decisions based on the code of ethics for nursing.

· Explain the rationale for coordinated care plans based on ethical decision making.

· Competency 5: Explain how health care policies affect patient-centered care.

· Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.

· Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.

· Raise awareness of the nurse's vital role in the coordination and continuum of care in a video-recorded presentation.