I included a file of the topic.
Share an outline of Section I – III (Introduction, Justification, & Pre-Implementation Plan) of your Change Proposal with your peers. You will collaborate with a small group of your classmates to share ideas and offer feedback and suggestions to one another in an informal setting. This collaboration within your group will assist you in further developing your Change Proposal to be submitted for feedback from your instructor next week.
For your classmates’ review, briefly describe your problem statement and outline your argument to justify the need for change. In developing your arguments for justification of need, be sure to include at least 3 peer reviewed nursing sources to back up your argument.
Respond and give suggestions and feedback to each of your group members regarding their Justification of Need section for the Change Proposal. Provide a peer critique for each of your group members’ proposals. Then, identify other ideas or concepts that they may want to include in order to develop a robust Change Proposal.
In the pre-implementation plan section, cover the following sections:
Identify a specific change theory that will assist you with planning stages of your change proposal
Identify activities needed prior to implementing your change, making theory-to-practice connections with each key element and impact of change to the element
Discuss a plan for activities needed to leverage this element to promote change and identify the stakeholders that may be involved in these activities. The activities you propose must cover multiple aspects of health practice surrounding the problem, including but not limited to:
Patient and Nurse Safety
Information Management Systems
Health Literacy
Administrative Policies
Ethical Considerations (i.e.; equity of access and treatment, etc.)
This is an example of what is expected:
In my world, one of the areas that is an issue is central-line associated bloodstream infections.
Issue: Central Line Blood Stream Infection (CLABSI) above the baseline and need is to reduce these infections.
Justification:
-Nearly 30,100 cases of CLABSI per year (Centers for Disease Control and Prevention, 2020)
-$3,700 to $39,000 per case (Marschall, Mermel, Fakih, Hadaway, Kallen, O’Grady, Pettis, et al., 2014)
-Standardized Infection Ratio of CLABSI in the facility well above the national standard
-Evidence shows that instituting specific interventions such as reducing central lines, stewardship of culturing, appropriate line maintenance and general infection prevention techniques can help reduce the risk of CLABSI (Marschall, et al. 2014)
-Reviewing the line necessity daily and removing when no longer needed
-A focus on maintenance bundles and blood culture collection kits could help reduce the incidence of CLABSI
Pre-Implementation:
Stakeholders:
-Infection Prevention
-Nursing Administration
-Unit Managers
-Quality and Risk
-Clinical Informatics
-IV Team
-Medical Staff
-Surgery Team
-Material Management
-Data Analytics
-Education
-Staff Nurses
Plan for Activities:
Patient and Nurse Safety:
-Audit tools for central line bundle compliance created
-Review Blood Culture Policy
-Creation of Blood Culture Collection Kit
-Create Educational Content for leads
Information Management Systems:
-Central Line Report for Managers to know who has central lines each day for necessity review
-Online Modules for education to staff about CLABSI
Health Literacy
-Patient specific geared education about CLABSI and central line care
Administrative Policy
-Central Line Care and Maintenance Policy gap analysis
Ethical Considerations
-Ensure compliance with reporting CLABSIs
-No IRB required as this is a quality improvement project and not a research project
References:
Centers for Disease Control and Prevention (2020). Bloodstream infection event (central line-associated bloodstream infection and non-central line associated bloodstream infection). Retrieved from: https://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf
Marschall, J., Mermel, L., Fakih, M., Hadaway, L., Kellen, A. O’Grady, N., Pettis, A. et al. (2014). Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update. Retrieved from: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/CB398EB001FEADE0D9B4FF1A096ECA52/S0899823X00193870a.pdf/strategies_to_prevent_central_lineassociated_bloodstream_infections_in_acute_care_hospitals_2014_update.pdf