Change Plan

Evidence-based practices and concepts are useful in every nursing institution. Caregivers can use Rosswurm and Larrabee’s Model to implement new nursing changes. The first step is assessing the need for the targeted change. The second stage “is analyzing the nature of the existing problem and the targeted goal” (Upshaw-Owens & Bailey, 2012, p. 78). The third stage is identifying and synthesizing the best evidence. The next step is designing the proposed change. The fifth stage focuses on the implementation and evaluation processes. Medical professionals must also “integrate and maintain the change” (Upshaw-Owens & Bailey, 2012, p. 79).

Step 1: Assessing the Need for Change

It is agreeable that there is a connection between human infections and poor hygiene. The targeted PICOT question for Milestone 1 identified the best informational posters that can encourage nurses to embrace health practices. According to Upshaw-Owens and Bailey (2012), many caregivers and nurses do not wash their hands regularly. Nurses must identify new skills that can improve the health of their patients. Many nurses do not embrace the best practices whenever supporting the needs of their patients.

Step 2: Linking the Problem, Interventions, and Outcomes

Different strategies can play a unique role in dealing with this issue. Healthcare professionals can use “posters, educational videos, and sensitization programs to deal with this problem” (Randle, Firth, & Vaughan, 2012, p. 2589). The important approach is identifying the right individuals to support the change. Every nurse must also embrace the best medical practices. The strategy will encourage more individuals to wash their hands frequently.

Step 3: Synthesizing the Evidence

According to Randle et al. (2012), many Nurse Practitioners (NPs) do not comply with different hand washing practices. Such individuals do not encourage their patients to wash their hands. This malpractice explains why many health problems are common in every society. Many healthcare facilities “do not promote the best behaviors such as hand washing” (Ott & French, 2009, p. 703).

Hayes (2006) believes that every society has a role to educate its people. This approach will ensure both adults and children wash their hands recurrently. A study by Garus-Pakowska, Sobala, and Szatko (2013, p. 261) “observed that many patients failed to maintain the best hygiene”. This practice made it impossible for them to achieve their health goals. Nurses must read more articles to get the best medical results. Hand washing is a powerful practice that produces the best health outcomes (Beggs, Shepherd, & Kerr, 2008). Many societies have failed to educate their people about the dangers of poor personal hygiene.

Every society can use various tools to deal with this challenge. According to Beggs et al. (2008, p. 8), “appropriate informational posters and educational materials can encourage more citizens to wash their hands regularly”. It is necessary to use different strategies to achieve the best goals. Every stakeholder can support this change by embracing the best health practices (Ott & French, 2009). The practice will ensure every hospital achieves its objectives (Upshaw-Owens & Bailey, 2012).

Step 4: Designing the Best Practices for Change

A simple approach will be essential towards supporting this change. The first strategy is identifying the right individuals to support the proposed change. The manager must also sensitize their nurses about the change. The targeted “healthcare facility will empower its employees using posters, flyers, and stickers” (Hayes, 2006, p. 182). The institution will install more taps and provide antibacterial soaps to every caregiver. Every patient and nurse will be ready to support the targeted change.

Step 5: Implementing and Evaluating the Targeted Change

Rosswurm and Larrabee’s Model encourages every healthcare organization to implement new changes. The targeted institution must identify the best people to monitor the proposed change. According to Hayes (2006), every individual will be encouraged to give his or her feedback. More people will be encouraged to evaluate the effectiveness of the change. This strategy will ensure the institution realizes its objectives.

Step 6: Integrating and Maintaining the Change

The best approach towards “integrating and maintaining this change is by ensuring every nurse makes hand washing a daily routine” (Hayes, 2006, p. 185). The institution must be ready to transform its cultural practices (Garus-Pakowska et al., 2013). More educational programs


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