SIM421 activity 1 Leadership: Developing Change Project Paper
SIM421 activity 1 Leadership: Developing Change Project Paper
SIM421 activity 1 Leadership: Developing Change Project Paper
Leadership: Developing Change Project
Nurses shortage in health facilities is a global challenge requiring a comprehensive change project. According to the US Bureau of Statistics 275, 000 additional nurses will be demanded between 2020 and 2030 (Haddad et al., 2023). The problem is multifaceted and affects the quality of healthcare, patient outcomes, and healthcare professionals’ morale. This paper will address a change project on the nurses’ shortage, identify the stakeholders and summarize the benefits and challenges associated with the stakeholders.
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Why Nurses’ Shortage is a Problem
Nurses are directly involved in patient care and play a critical role in healthcare as the largest part of the health profession. The shortage of nurses in a facility can result in overworking and burnout of the existing nurses as the few existing ones must work longer hours and cover more shifts. This can lead to exhaustion, decreased productivity, and reduced job satisfaction, leading to higher nurse turnover rates (Haddad et al., 2023). A shortage of nurses can also compromise the quality of healthcare given to the patients due to the likeliness of the patient to wait for long hours, receive less personalized care, and have a higher risk of medical errors.
Additionally, nurses’ shortages can affect patient outcomes. According to Haegdorens et al. (2019), patients in understaffed hospitals have a higher risk of complications, longer hospital stays, and increased mortality rates. Nurses are responsible for monitoring patients’ conditions, providing timely interventions, and ensuring proper medication administration, among other critical tasks; therefore, addressing the shortage of nurses in health facilities is a critical issue that requires a comprehensive change project.
Internal and External Stakeholders and Their Impact on Change Project
The change project addressing the shortage of nurses in health facilities involves various stakeholders who could impact its success. These stakeholders can be classified as internal and external stakeholders. Internal stakeholders are those who work within the organization, while external stakeholders are those who have a relationship with the organization but are not part of it. Nurses are the primary internal stakeholders in the change project, as the shortage of nurses directly impacts them. Their involvement in the project is essential as they can provide insights into their challenges and suggestions on how to address the shortage. Other internal stakeholders are unit managers, staffing coordinators and caregivers who are essential in the provision of patient care and are affected by the shortage of nurses.
The external stakeholders include; patients and their families, regulatory agencies and professional associations. Patients and their families are affected by the quality of care provided due to nurses shortage; therefore, are essential stakeholders in the change project. Additionally, regulatory agencies such as the Joint Commission or Centers for Medicare and Medicaid Services (CMS) set standards that healthcare facilities must meet and can impact the change project by enforcing regulations (Young & Smith, 2022). Furthermore, professional associations such as the American Nurses Association (ANA) represent nurses’ interests and can advocate for resources and policy changes to address the shortage of nurses.
The Importance of Stakeholders in Change Projects: Understanding Their Positive and Negative Impacts
Stakeholders play a vital role in the success of a change project, as their impact can be both positive and negative. In addressing the shortage of nurses in healthcare facilities, stakeholders such as nurses, patients and their families, regulatory agencies, and professional associations can have specific impacts. Nurses can provide valuable feedback and engagement in training programs, but resistance to change and fear of job loss may have negative impacts.
Patients and their families benefit from improved quality of care but may have negative experiences if the project’s strategies do not lead to meaningful change. Regulatory agencies can enforce regulations but may also impose fines and penalties. Professional associations can provide support, but competing priorities and disagreements on effective strategies may be negative impacts. Effective communication and stakeholder collaboration is crucial to mitigate negative impacts and ensure project success.
References
Haddad, L. M., Toney-Butler, T. J., & Annamaraju, P. (2023, February 13). Nursing shortage. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493175/
Haegdorens, F., Van Bogaert, P., De Meester, K., & Monsieurs, K. G. (2019). The impact of nurse staffing levels and nurse’s education on patient mortality in medical and surgical wards: An observational multicentre study. BMC Health Services Research, 19(1), 1–9. https://doi.org/10.1186/s12913-019-4688-7
Young, M., & Smith, M. A. (2022). Standards and evaluation of healthcare quality, safety, and person-centered care. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK576432/
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Activity 1
Developing a Change Project – Part I
Identify the change project topic and identify why it is a problem (provide details). Identify the stakeholders (both internal and external) and summarize the benefits of the change project as well as the benefits and challenges associated with internal and external stakeholders.
dditional Instructions:
1. All submissions should have a title page and reference page.
2. Utilize a minimum of two scholarly resources.
3. Adhere to grammar, spelling and punctuation criteria.
4. Adhere to APA compliance guidelines.
5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options
Choose One: Instructions:
Paper • 2 -page paper. Include title and
• 4 reference pages.
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| Organizational and Systems Leadership: Developing a Change Project- Part I | ||||
| Description: The baccalaureate graduate will participate in quality initiatives, recognizing that these are complex system issues, involving other members of the healthcare team. | ||||
| Course Competencies: 1) Apply the concepts of leadership and management to the role of the nurse leader. 4) Integrate effective communication with individuals and interdisciplinary team members. 7) Develop a change plan, including a proposed implementation strategy and measurement of outcomes. | ||||
| QSEN Competencies: 2) Teamwork and Collaboration 4) Quality Improvement | ||||
| BSN Essential II | ||||
| Component | Gold Mastery | Silver Proficient | Bronze Acceptable | Acceptable Mastery not Demonstrated |
| Identify the change project topic and identify why it is a problem (provide details) | Identifies the change project topic and identifies why it is a problem, providing details regarding the change project | Identifies the change project topic and identifies why is a problem and provides minimal details regarding the change project | Identifies the change project topic and identifies why is a problem and does not provide details | Does not address section |
| Identifies a minimum of three internal and three external stakeholders that could impact the change project | Identifies a minimum of three internal and three external stakeholders that could impact the change project | Identifies two internal and two external stakeholders that could impact the change project | Identifies one internal and one external stakeholders that could impact the change project | Does not address section |
| Discusses the importance of the stakeholders and what specific impacts they can have (both positive and negative) on the change project | Discusses the importance of the stakeholders and what specific impacts they can have (both positive and negative) on the change project | Discusses the importance of the stakeholders and what specific impacts they can have on the change project, either positive or negative but not both | Discusses the stakeholders and what impacts they can have on the change project | Does not address section |
| APA, Grammar, Spelling, and Punctuation | No errors in APA, Spelling, and Punctuation. | One to three errors in APA, Spelling, and Punctuation. | Four to six errors in APA, Spelling, and Punctuation. | Seven or more errors in APA, Spelling, and Punctuation. |
| References | Provides two or more references. | Provides two references. | Provides one references. | Provides no references. |