Get Buy-In to Make a Change in Practice
To make a change in practice, nurses must get buy-in from other stakeholders. By presenting a compelling argument with information each audience will care about, you are more likely to get people to listen. This assignment is designed to get you thinking about how what you present can and should vary depending on who you’re talking to.
Think about the following stakeholder groups:
o Organization administrators, e.g., CEO, CNO, supervisors
o Peer professionals, e.g., other nurses and interdisciplinary team members
o Patients and families
If you wanted to implement your suggested change in practice, how would you convince these groups of people?
o What data would you present? Why?
o What information from the literature would each of these groups find important or interesting? Why?
o How would you convey your plans to evaluate your proposed intervention and validate or dismiss its effectiveness to influence practice?
o How much improvement would you suggest the organization see before the suggested intervention would be worth the expense of doing something differently?
Provide APA-formatted in-text citations and references for all sources cited.
My problem which the buy in is based on-
Among adults in the acute care setting, will standardizing bedside shift handoff increase patient and nurse satisfaction compared to shift reporting at the nursing station?
Population (P): Adults in the acute care setting
Intervention (I): Standardized bedside shift handoff
Comparison (C): Shift reporting at the nursing station
Outcome (O): Increase inpatient and nurse satisfaction
Stakeholders
Nurses: Improving continuity of patient care involves communication between nurses through hand over reports. The reports are usually given during shift change and they can take place at the nurses ‘station or the patient bedside. Being the primary caregivers, nurses will be involved in the research through the implementation of the two strategies to determine which best increases their satisfaction. According to Sand‐Jecklin and Sherman (2014), bedside shift change helps to boost nursing teamwork and accountability. It also improves the effectiveness of communication and provides nurses with an opportunity to reduce errors. The nursing team will also be involved in the evaluation of the program by participating in internal surveys as part of the evaluation strategy.
Patients: The American Nurses Association (ANA) estimates that over 80% of serious medical errors involve miscommunication during handoff reports (Dorvil, 2018). The involvement of patients in the reports can help avoid errors such as the identification of the wrong patient and giving false information. Consequently, featuring patients in the shift change report improves satisfaction and it keeps the patient at the center of control. The patients will be involved in the evaluation of the program through a survey done during discharge.
Administration: The role of the administration in healthcare facilities is to oversee the activities of its employees and ensure all efforts are driven towards patient-centered care. The administrators will be involved in the approval of the research and communication to the hospital departments regarding the new change practice. Improvement in nurses and patient satisfaction means an improvement in the hospital HICAAPS scores. Improved scores will benefit the organization through increased reimbursements, thus the administration will be interested in the research.
