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Using Innovative Strategies to Correct Unit Problems Assignment

Using Innovative Strategies to Correct Unit Problems Assignment

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Thank you so much for the assignment, I appreciate it however I feel like some of the questions, your answers did not hit the nail on the head. Please incorporate these ideas into the answers to do the revision.

 

  1. What are your perceptions of the methods used by the unit manager and the CNS to resolve the unhealthy work environment on the unit?

For this question, please state whether the methods they used were good or not. Which I would say they did pretty well. Also, a summary of what they have done, which will include the fact that they first, Identify the problem, then gather information, develop a plan and evaluate the plans Using Innovative Strategies to Correct Unit Problems Assignment

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More ideas below and you can also add some of the things that they could have done

  1. **Identify the Problem**: The unit manager and the clinical nurse specialist (CNS) have already identified the problem – low scores on employee opinion surveys and the NDNQI survey, indicating low job satisfaction and poor communication and respect among employees.

 

  1. **Gather Information**: The next step is to gather more information about the problem. This could involve talking to the nursing staff, as the unit manager and CNS have planned. They could conduct informal interviews or focus groups to understand the staff’s perceptions and experiences. They could also review any available documentation or records that might shed light on the problem.

 

  1. **Analyze the Information**: Once they’ve gathered information, they should analyze it to identify patterns or common themes. For example, they might find that nurses feel overworked, that there’s a lack of clear communication from management, or that there’s a culture of disrespect among the staff. Using Innovative Strategies to Correct Unit Problems Assignment

 

  1. **Develop a Plan**: Based on their analysis, the unit manager and CNS should develop a plan to address the issues. This might involve implementing new policies or procedures, providing additional training, or making changes to the work environment.

 

  1. **Implement the Plan**: Once they’ve developed a plan, they should implement it. This might involve communicating the plan to the staff, providing necessary resources or support, and monitoring the implementation to ensure it’s going as planned.

 

  1. **Evaluate the Results**: After a certain period of time, they should evaluate the results of their plan. This could involve conducting another employee opinion survey or NDNQI survey to see if scores have improved. They should also seek feedback from the staff to see if they’ve noticed improvements.

 

Remember, it’s important to involve the nursing staff throughout this process. Their input and feedback will be crucial in identifying the problem, developing a plan, and evaluating the results. Using Innovative Strategies to Correct Unit Problems Assignment

  1. What are the factors that might affect the adoption or rejection of the innovation that was used to improve the work environment?

Please incorporate these ideas below to do the revision

Several factors can affect the adoption or rejection of an innovation used to improve the work environment:

 

  1. Perceived usefulness: If the innovation is perceived as beneficial and capable of improving job performance, it is more likely to be adopted.

 

  1. Ease of use: If the innovation is easy to understand and use, it is more likely to be adopted. Conversely, if it is complex and difficult to use, it may be rejected.

 

  1. Compatibility: If the innovation aligns with the existing values, experiences, and needs of the employees, it is more likely to be adopted.

 

  1. Trialability: If the innovation can be experimented with on a limited basis, it is more likely to be adopted. This allows potential adopters to learn about the innovation and reduce uncertainty about its benefits.

 

  1. Observability: If the results of the innovation are visible and easily understood, it is more likely to be adopted. Using Innovative Strategies to Correct Unit Problems Assignment

 

  1. Organizational support: If the organization provides support in terms of resources, training, and encouragement, the innovation is more likely to be adopted.

 

  1. Peer influence: If peers who have adopted the innovation share positive experiences, it can influence others to adopt it as well.

 

  1. Cost: If the innovation is cost-effective, it is more likely to be adopted. If it is expensive and the organization or employees cannot afford it, it may be rejected.

 

  1. Risk and Uncertainty: If the innovation is perceived as risky or if there is uncertainty about its benefits, it may be rejected.

 

  1. Change resistance: People are generally resistant to change. If the innovation requires significant changes in work routines or habits, it may be rejected.

 

Each of these factors can play a significant role in the adoption or rejection of an innovation in the work environment. Using Innovative Strategies to Correct Unit Problems Assignment

 

 

 

  1. How did the Innovation Team engage the staff in resolution of the poor unit morale?

I think this answer was okay but add little bit of how they implement the plan

 

  1. What might you do as an innovation leader to ensure that this change was sustained over time?

I love this answer also but please incorporate these ideas below as well.

 

Lead by Example**: As a leader, you should embody the change you want to see. This means demonstrating the behaviors and attitudes you want your team to adopt.

Monitor Progress and Give Feedback**: Regularly check in on how the change is being implemented and provide feedback. This can help identify any issues early on and make necessary adjustments. Using Innovative Strategies to Correct Unit Problems Assignment

Celebrate Successes**: Recognizing and celebrating successes, no matter how small, can boost morale and reinforce the change.

  1. Using content from chapter 4, think about the elements of motivation. Using your own professional practice, describe an example where you motivated either your peers, your subordinates, your administrators or patients to make a change in order to promote health outcomes.

I like the example you gave but this question, to my understanding, is asking to describe  a problem in past professional practice that necessitated a change in order to promote health outcomes and the role played to resolve or improve that issue. So based on your example,  I rather said that, the falls scores were high at night, and then mention  the interventions that were put in place to improve falls during the night shift

 

APA Format

Please make sure it is APA Format 7th edition

Use proper indentations for paragraphs

The seventh edition changes only level three, four, and five headings. All headings are now written in title case (important words capitalized) and boldface. Headings are distinguished only by the use of italics, indentation, and periods. Using Innovative Strategies to Correct Unit Problems Assignment

 

Case Study 3-2        3 points each question for a total of 15 points

 

Using Innovative Strategies to Correct Unit Problems

There seems to be a serious problem among the nursing staff on the acute care unit at West Memorial Hospital. The unit manager has just received the employee opinion survey results for the past year and is shocked to find that the questions related to “respect among employees” and “open communication among employees” were scored in the 45th percentile. The nursing satisfaction scores on the NDNQI survey are also extremely low in comparison to other nursing units at West Memorial Hospital and regional and national hospitals of the same size. The unit manager realizes that something needs to be done to improve the scores, but most importantly to improve the morale of the nursing staff and their satisfaction with the work environment. The unit manager shares the results with the clinical nurse specialist (CNS) and enlists his help in determining the root of the problem. The two decide to talk with some of the informal leaders among the nursing staff to ask their perceptions of why nurses would rate their satisfaction level and their respect and communication among their colleagues so low on the two surveys. Using Innovative Strategies to Correct Unit Problems Assignment

While talking with several other nurses, it becomes readily apparent that they are not willing to talk or share their feelings with the unit manager or the CNS, and in fact it seems as if some of the nurses are actually fearful of talking at all about the situation. One or two of the more courageous nurses who are interviewed share that they are fearful of reprisal from some of their colleagues. They share that several of the nursing colleagues on both the day and night shifts would refuse to talk with them or help them when they tried to approach them about improving communication among the nurses. The unit manager and the CNS are quite concerned about the situation but are uncertain how to approach correcting the problem.

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Not long after the survey results are available, there are two reportable patient falls. When the nurses who were involved in the care of the patients are interviewed, they indicate that in one case the nurse did not ask for assistance from any of the other nurses to get the patient out of bed for the first time because there had been recent occasions when some nurses were openly hostile when asked to assist in patient care. In the second patient fall, the nurse involved indicates that she had asked for assistance from her colleagues, but they had openly refused to help her. Therefore, she tried to ambulate the patient on her own and was unable to prevent the patient from falling. These two incidents confirm in the minds of the unit manager and the CNS that something needs to be done quickly to correct the attitudes and behaviors of the nursing staff on the unit. Patient safety was at risk, and nursing morale was at the lowest it had ever been. Using Innovative Strategies to Correct Unit Problems Assignment

Although the unit manager tries to discuss the situation in staff meetings and asks the staff to be more collegial with one another, it seems that this message falls on deaf ears. It is quite obvious that the nursing staff are unwilling or fearful to speak to anyone about the specifics of the situation. It is also obvious that there were informal leaders among the nursing staff who may have instigated the bullying behavior toward some of the less experienced and younger nurses. The unit manager invites a human resources representative, a counselor from the employee assistance program, the CNS, and a member of the Lean/Six Sigma team to a meeting to discuss the situation and to identify possible interventions to address the problem. The group decides to call themselves the “Innovation Team” and decides to use an innovative approach to solving the problem because the traditional method for a quick resolution had failed. After discussion among the Innovation Team, it is decided that a more detailed assessment needs to be done to determine the actual issues among the staff. Because talking with the nursing staff was not effective because of the fear factor, the employee assistance program counselor suggests having a series of education and discussion sessions regarding the importance of a healthy work environment, collegiality, and open communication among the nursing staff for their own well-being and for patient safety. She volunteers to develop a content outline that could be presented to the group at their next meeting. She also offers to have more time available for individual counseling should any of the nurses elect to participate. The CNS offers to do a literature search to find a survey or instrument that could measure nursing attitudes more specifically so that a definitive action might be taken. The Six Sigma representative reviews the problem using an A3 diagram to mind map all possible scenarios that could be causing the problem and also a fishbone diagram identifying the desired outcome and all of the potential barriers that are preventing the desired outcome in the current situation. The group realizes the severity of the problem and the potential for other patient issues; therefore, they place the actions in the high-priority category for implementation. Using Innovative Strategies to Correct Unit Problems Assignment

The CNS discovers several survey tools to measure collegiality, communication, trust, and respect among nurses and prepares a formal institutional review board (IRB) proposal to measure these attitudes and behaviors before and after the educational series. The series would be presented by the employee assistance program (EAP) counselor to raise the staff awareness and knowledge about the benefits of a healthy work environment and the risks of a negative, hostile, and uncooperative work environment to their own health and to the safety of their patients. It is decided that after a few of the educational sessions, the Six Sigma representative would engage the staff in conversations using the mind-mapping technique and fishbone diagrams to openly discuss some of the issues that the staff were obviously feeling. It is felt that this step cannot be taken until more trust is developed among the staff, which is expected after the educational series is presented.

After IRB approval of the proposal, the CNS posts flyers on the unit and announces in the staff meetings that a survey would be available for the staff related to developing a healthy work environment. He also announces that a series of educational classes would be presented by the EAP counselor on developing a healthy work environment, and that he hopes that as many staff as possible would participate by completing the survey and attending the classes.  Using Innovative Strategies to Correct Unit Problems Assignment It seems that the nursing staff feels safe in recording their perceptions of the communication, respect, and cooperation on the survey instruments when they were not at all expressive of their feelings in individual meetings or group settings. After the presurvey is completed, the CNS tabulates the results and shares the findings with the nursing staff in the staff meetings. It seems as if the staff are shocked at the level of discontent that is revealed in the survey results. Perhaps these findings motivate the staff to attend the educational sessions offered by the EAP counselor, which focus on crucial conversations, crucial confrontations, collaboration, respect in the workplace, and attributes of a healthy work environment. It is stated in the classes that every employee has a right to feel safe in the work environment; supported by their unit manager and colleagues; respected for their individuality, knowledge, and skills; and accepted as a valued team member. Each class also includes time for discussion; however, in the initial classes most of the participants are absolutely silent. As they receive more content, many of the staff begin to participate by sharing their personal feelings and hopes that a healthy work environment could be achieved. By the end of the educational sessions, it is apparent that the staff are engaged not only in the class content but also in a newly found commitment to improve the unit culture. Informal leaders with negative attitudes suddenly lose their power base and followers as many of the staff begin to demonstrate behaviors that they are more willing to place their affiliation with the group who wants to make a more positive work environment.

After the classes end, the EAP counselor keeps her promise and offers 1 hour of individual counseling to any employee who wishes to meet with her. Many of the staff accept that offer and meet with the counselor. The Six Sigma representative also meets with some of the more positive staff members, and they begin to identify specific causes of some of the issues and identify possible behavioral changes that could create positive changes. Using Innovative Strategies to Correct Unit Problems Assignment

Several months later the CNS readministers the postsurvey, and the findings reveal significant improvement in the staff’s perception of open communication, respect among coworkers, nurse satisfaction, and perceptions of cooperation in patient care. Needless to say, the Innovation Team is excited about the findings and develops a strategy for sharing these findings with the staff. Tables and graphs of the improvements are prepared, and the findings are shared in a special staff meeting on both day and night shifts. The EAP counselor is on hand to facilitate discussion among the staff, who also seem excited about the results. Many of the staff comment that the changes on the unit are palpable and that coming to work is a much more pleasant experience. It seems that the staff are engaged in resolving the issues and committed to making the work environment more pleasant.

The unit manager and the CNS are excited about the positive changes that they could see on the unit for themselves and that are reported to them by individual nurses who comment on how appreciative they are that steps were taken to change the work environment. The unit manager and the CNS decide to write an article about how their unit’s culture changed once the staff realized how the problem was affecting them personally as well as negatively affecting their patients. Increasing the staff’s awareness about the potential for a healthy work environment and the behaviors that would be required of them to create such an environment made a significant difference in their overall perceptions of the relationships with their colleagues. The Innovation Team also prepares an abstract for presentation at a national nursing conference on Innovations in Nursing Practice and is selected to share their process of problem identification, problem solutions, and measuring the outcomes of the innovative interventions. Using Innovative Strategies to Correct Unit Problems Assignment

 

You may type directly on this worksheet.

Questions

  1. What are your perceptions of the methods used by the unit manager and the CNS to resolve the unhealthy work environment on the unit?

 

  1. What are the factors that might affect the adoption or rejection of the innovation that was used to improve the work environment?

 

 

  1. How did the Innovation Team engage the staff in resolution of the poor unit morale?

 

  1. What might you do as an innovation leader to ensure that this change was sustained over time?

 

 

  1. Using content from chapter 4, think about the elements of motivation. Using your own professional practice, describe an example where you motivated either your peers, your subordinates, your administrators or patients to make a change in order to promote health outcomes. Using Innovative Strategies to Correct Unit Problems Assignment

 

 

Seventh Edition (2.27)

APA Headings
Level Format
1 Centered, Boldface, Title Case Heading

Text begins as a new paragraph.

2 Flush left, Boldface, Title Case Heading

     Text begins as a new paragraph.

3 Flush Left, Boldface Italic, Title Case Heading

Text begins as a new paragraph.

4          Indented, Boldface Title Case Heading Ending With a Period. Paragraph text continues on the same line and continues as a regular paragraph.
5         Indented, Boldface Italic, Title Case Heading Ending With a Period. Paragraph text continues on the same line and continues as a regular paragraph. Using Innovative Strategies to Correct Unit Problems Assignment

 

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