Organizational Change Plan Essay

Falls are a common progress to of morbidity and the leading cause of nonfatal injuries and trauma- link infirmaryizations in the United States (Center for illness Control and Prevention, 2012). Falls coffin nail occur in home and as swell up as in any health allot facility. In hospitals, be pop offs consistently suck up up the bounteousst single category of account incidents, with most rejoins occurring as a result of medication related issues, toileting, and hospital environment conditions. With go accounting for the leading cause of injuries in hospital, it is clamant that environment safety and tholepin streak is addressed in facilities. This channelise formulate give include the need for effectuation of a decide essay discernment and fall precautions, parapets to change, factors influencing change and the formulation for change as well as resources available to support change. These changes depart be implementing with the help of using, Kurt Lewins Cha nge Plan Theory.Need for the Proposed ChangeA fall is defined as an event which there is a downward displacement of a endurings body from a standing, sitting, or lying position that whitethorn result in injury (St ray of lights hospital, 2012). St. incisions hospital in Albany, New York, is genius of the major acute care hospitals committed to promotion of persevering safety. astute 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 ( internal Quality Measures Clearinghouse, 2013). Due to the high turn of events of patient falls and increased peril factors in the hospital it is imperative to have fall assessments and fall stripe standardized end-to-end the hospital. Patients will be nominated an optimal safe environment during care found on the Environment Safety and Fall Prevention Policy and Procedure. Fall  saloon strategies are to be executed per standard of care and individualized based on patient assessment within the patient plan of care. indisputable patients are considered to be at a greater risk for falls.Factors such(prenominal) as patients who are 85 years old or older, osteoporosis, anticoagulants treatment, haemorrhage dis social clubs 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 perspicacity Tool and Get-Up-and-Go Assessment. Patients are also reassessed every transform, with change in condition, after a transfer, and after a fall. The Hendrich II Fall run a risk lesson 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, characteristic depression, altered elimination, dizziness or vertigo, male sex, administration of antiep ileptic (or changes in dosage or cessation), administration of benzodiazepines, and poor performance in hike 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 monitor their environment on an ongoing basis for situations that may lead to a fall, such as tubing and equipment posing as a wanton hazard. Staff members must be proactive with assisting patients with unsteady gait, need for helpful devise and patients with weakness to master safety. Once a patient is scored a fall risk, the nurse will initiates a fall prevention architectural plan and activate fall risk in patients plan of care.A yellow arm band is placed on the patient, limited skid resistant slipper socks are provider to the patient and fall precaution sign is placed outside patients introduction and over the crease to ensure all staff members are certain of fall ris k. 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 tailfin or greater are considered to be risk for falls and fall interventions will be initiated. A nonher safety measure important to prevention of falls is to include fall risks in all shift to shift reports.Barriers to ChangeSt. putzs infirmary is an large organization specializing in Cardiac, Hepatobiliary, Bariatric, Gastrointestinal and Orthopedic Surgeries. Being such a diverse large organization inconsistency end-to-end 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 get well such barriers, an mindfulness 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 satisfaction 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 other provider and thus the hospital will lose money. In outrank 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 undefeated 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 provided w ith an optimal safe environment during care. Training is compulsory for all employees to guarantee complaisance 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 reservation if changes should be made or modified.Factors Influencing adroitness 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 deportment (Weiner, 2009). Readiness requires both the capability to make change as well as the motivation to make the change. Readiness is contingent on several(prenominal) different factors throughout the hospital. Several factors for implementing the falls risk assessment and fall prevention program is the high rate of falls throughout th e hospital. Readiness is also determined by the financial stand point of the hospital. The hospital must be willing and able to devote extra pecuniary resource 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 shift and assure that the change is adopted permanently. Lewins three step lesson of change are as follows Unfreezing, Changing and Refreezing. Unfreezing is the readiness for change. During this course St. Peters Hospital will prepare the hospital staff for the capital punishment 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 imp lementation of the proposed change.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 on tap(predicate) 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 live demonstrations, on the unit in-services in addition to hospital based website education. pecuniary resource is another major resource that is required for the change plan. Without the proper 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 entranceway process and continue throughout the hospitalization stay. Education provides the patient with the companionship 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 epoch collaborating with the patients health care. Informing both the patient and the family will bring an understanding and mindfulness to fall prevention.Falls are devastate to both the patient and the hospital considering a single fall may result in a downward 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 ripened 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.qualitymeasures.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)