Organizational Change Plan Essay

Falls are a common accept of morbidity and the leading cause of nonfatal injuries and trauma- related to infirmaryizations in the United States (Center for ailment Control and Prevention, 2012). Falls nooky occur in home and as swell up as in any health burster facility. In infirmarys, view as passs consistently make up the widest single category of account incidents, with most precipitations occurring as a result of medication related issues, toileting, and infirmary environment conditions. With menstruates accounting for the leading cause of injuries in hospital, it is absolute that environment safety and kick the bucket cake is addressed in facilities. This lurch pattern bequeath include the need for slaying of a wasteweir chance estimation and fall precautions, hindrances to change, factors influencing change and the band for change as well as resources available to support change. These changes result be implementing with the help of using, Kurt Lewins Change Plan Theory.Need for the Proposed ChangeA fall is defined as an event which there is a descending(prenominal) displacement of a affected roles body from a standing, sitting, or lying position that whitethorn result in injury (St slams infirmary, 2012). St. prickings infirmary in Albany, New York, is superstar of the major acute care hospitals committed to promotion of affected role safety. lancinating care hospitals show that fall rates range from 1.3 to 8.9 falls/1,000 patient days and that higher rates occur in units that focus on eldercare, surgical, neurology and rehabilitation ( interior(a) Quality Measures Clearinghouse, 2013). Due to the high human body of patient falls and increased hazard factors in the hospital it is imperative to have fall assessments and fall legal profession standardized throughout the hospital. Patients will be provided an optimal safe environment during care ground on the Environment Safety and Fall Prevention Policy and Procedure . Fall ginmill strategies are to be executed per standard of care and individualized based on patient assessment within the patient plan of care. authorized patients are considered to be at a greater risk for falls.Factors much(prenominal) as patients who are 85 years old or older, osteoporosis, anticoagulants treatment, expel dis companionships and patients post-operative. Every patient who is admitted into the hospital is placed on universal fall precautions and nurses will further assess patients based on the Hendrich II judging Tool and Get-Up-and-Go Assessment. Patients are also reassessed every fracture, with change in condition, after a transfer, and after a fall. The Hendrich II Fall take a chance example is used to assess a hospitalized patients risk of falling. Designed to be administered quickly, it focuses on eight independent risk factors confusion, disorientation, and impulsivity, diagnostic depression, altered elimination, dizziness or vertigo, male sex, admin istration of antiepileptic (or changes in dosage or cessation), administration of benzodiazepines, and poor performance in ascension from a seated position in the Get-Up-and-Go Assessment (Hendrich, MSN, RN, FAAN, 2007). on with universal fall precautions, Hendrich assessment and Get-Up-and-Go Assessment, staff members should be observe their environment on an ongoing basis for situations that may lead to a fall, such as tubing and equipment posing as a stumble hazard. Staff members must be proactive with assisting patients with unsteady gait, need for helpful devise and patients with weakness to match safety. Once a patient is scored a fall risk, the nurse will initiates a fall prevention programme and activate fall risk in patients plan of care.A yellow arm band is placed on the patient, particular skid resistant slipper socks are provider to the patient and fall precaution sign is placed outside patients door and over the turn in to ensure all staff members are apprise d of fall risk. Providing education on preventing falls to both family and patient, placing patients closer to the nurses station, providing bed alarms, sitters and hourly rounding are other measures to avoid falls. Patients who score quin or greater are considered to be risk for falls and fall interventions will be initiated. Another safety measure important to prevention of falls is to include fall risks in all shift to shift reports.Barriers to ChangeSt. bills hospital is an large organization specializing in Cardiac,Hepatobiliary, Bariatric, Gastrointestinal and Orthopedic Surgeries. Being such a diverse large organization inconsistency throughout the hospital shows to be the major barrier to change. Other barriers are lack of employee involvement, lack of financial resources and poor communication. To scourge such barriers, an awareness of the need for an effectiveness of fall risk assessment and fall prevention program is essential. Employees, patients, and family members need to be aware of fall risks, fall precautions and the fall prevention program.Factors Influencing ChangeIncreasing patient mirth and at the same time preventing and reducing the amount of falls on a daily basis is the key factor. Patient satisfaction is ultimately the driving force behind the changes in the hospital. If patients are not satisfied with care, they will go to some other provider and thus the hospital will lose money. In arrangement for St. Peters Hospital to remain ranked in the top 10 hospitals, they must ensure all patients are pleased and safe with their care. One way to make certain that the hospital patient safety increases is by implementing changes throughout the hospital to standardized the fall risk assessments and fall prevention program.In order to be in(predicate) with this change, regulatory changes will be necessary to be made in accordance with fall prevention. St. Peters Hospital is committed to patients safety and ensures all patients are provid ed with an optimal safe environment during care. Training is compulsory for all employees to guarantee contour and full understand of the fall prevention program. Evaluation of the program is another regulatory change that is necessary for the success of the program. Monitoring on a regular basis is required to determine effectiveness of program and decision do if changes should be made or modified.Factors Influencing homework for ChangeWhen organizational readiness for change is high, organizational members are more likely to initiate change, handle greater effort, exhibit greater persistence, and display more cooperative behavior (Weiner, 2009). Readiness requires both the capability to make change as well as the motivation to make the change. Readiness is contingent on some(prenominal) different factors throughout the hospital. Several factors for implementing the fallsrisk assessment and fall prevention program is the high rate of falls throughout the hospital. Readiness is also determined by the financial stand point of the hospital. The hospital must be willing and able to devote extra funds to pay for increased amount of employee training and education.Theoretical Change Model Kurt Lewins Change TheoryUtilizing Kurt Lewins Change Theory can assist St. Peters Hospital to make the change, minimize folie and assure that the change is adopted permanently. Lewins three step exemplar of change are as follows Unfreezing, Changing and Refreezing. Unfreezing is the readiness for change. During this bod St. Peters Hospital will prepare the hospital staff for the instruction execution of the falls risk assessment and falls prevention program. In order to prepare the hospital staff of the need for change, they must first provide information and research regarding the program and the benefits. Once unfreezing is complete, St. Peters Hospital would transition into the second phase known as, Change. Change is the actual implementation of the proposed chan ge.In order to implement these changes, training will be provided and required for all employees to guarantee compliance and full understand of the fall prevention program. Evaluation and monitoring of the program will also be conducted during this phase to ensure compliance as well as understanding. Actually making the falls risk assessment and falls prevention program a permanent entity to the nursing assessment is the final stage of refreezing. During this stage, St. Peters Hospital will continue to offer education and support throughout the hospital to standardized the fall risk assessment and falls program.Recourses procurable for ChangeIt would be virtually nearly impossible to implement an successful change without having the necessary resources. In order to implement such a plan as the fall risk and fall prevention program, St. Peters Hospital must have a team of amend employees throughout the many disciplines and be able to train the remainder of the hospital with the new proposed changes. Education would be in the form of class dwell demonstrations, on the unit in-services in addition to hospital based website education. monetary resource is another major resource that is required for the change plan. Without theproper means, the hospital is not able to pay the employees and implementation would not be in effect.ConclusionPatient education needs to be incorporated into the entry process and continue throughout the hospitalization stay. Education provides the patient with the friendship of the importance of safety and what part he or she contributes in their care as well as risk factor identified. Fall prevention programs are designed to determine fall risk and prevention strategies period collaborating with the patients health care. Informing both the patient and the family will bring an understanding and mindfulness to fall prevention.Falls are annihilative to both the patient and the hospital considering a single fall may result in a downwa rd spiral of reduced mobility with a loss of function and further risk of falls. Along with proper education, fall risk assessments are vital to the fall prevention process. These fall risk assessment are implemented hospital wide and are conducted every shift, change in status, during transfers to different units and at discharge (St. Peters Hospital, 2012). Compliance and consistency reduces falls and the overall cost of falls throughout the hospital improving the care.ReferencesCenter for Disease Control and Prevention. (2012). Falls Among elderly Adults An Overview. Retrieved from August 23, 2014, from http//www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html Currie, D.N. Sc, M.S.N., R.N., Leanne. (n.d. ). Fall and Prevention. Retrieved August 23, 2014, from http//ncbi.nlm.gov Hendrich, MSN, RN, FAAN, Ann. (2007, November). How to Try This Predicting Falls. AJN, 107(11), 50 National Quality Measures Clearinghouse. (2013). Retrieved August 23, 2014, from http//www.qualit ymeasures.ahrq.gov/content.aspx?id=36944 Environmental Safety and Fall Prevention. (2012). Retrieved August 23, 2014, from http//www.sphcs.org/environmentalsafetyandfallprevention.org Weiner, B. J. (2009, October). A Theory of Organizational Readiness for Change . Implementation Science, 4(67)