The change theory introduced previously was Lewin’s three-stage change model, “unfreeze, change and refreeze.” As part of the plan, the healthcare team, which includes nurses, doctors, physical/occupational therapists, and pharmacists, will be orientated by using this change theory along with the PDSA cycle.
Firstly, management at the rehab center will take leadership by learning about the theories they plan to introduce to the healthcare team. Taking the initiative in learning and understanding these theories will allow for any concerns the team has and provide explanations or examples needed. As Burnes (2020) notes, the study’s outcomes mentioned in his article demonstrate that having a positive leadership style and involving employees in change is a positive step in the organization’s transition process.
Additionally, setting up an orientation to enroll the unit’s team will allow them to comprehend why change is important and how to adapt to it. They will recognize that change, such as better collaboration, is needed to decrease fall risks in their unit. The interdisciplinary team should be optimistic about change and be willing to adapt to it to help foster the team’s ability to implement the plan.
Fostering communication and coordination among healthcare personnel will demonstrate partnership. Collaboration is the essential approach required to ensure effective implementation of changes, including high-quality patient care.
During orientation, the “Plan Do Study Act” theory will also be introduced, which the interdisciplinary team can continue to use during ongoing fall risk assessments. As previously stated, the multidisciplinary team will meet weekly to discuss the current status and planned outcomes of fall risk patients. The collaboration studies discussed by Schott et al. (2020) will be implemented in this planning proposal. For example, each team member will play their designated role; however, they will transfer knowledge and share expertise to achieve a collaborative patient goal.
Each staff member will consider not only their responsibilities, as stated below, but other staff members’ duties in order to communicate and report to each other.
Physician: On admission, the physician will conduct a thorough fall risk assessment, including fall history, mobility, surgeries, mental status, and current medications. Use fall risk assessment tools, and discuss care plans and interventions with the nurse and physical therapist. Discuss fall risk medications with the pharmacist.
Nurse: Alongside the physician, the nurse will document each patient assessment done by the medical doctor. Familiarize patient with the environment, re-enforce education of fall risks and medication. Ensure all lights, bed alarms, railings, and call bells work correctly, and anti-slid socks are properly worn. Nurses will work as a team and be aware of all patients, not just their assigned patients.
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