n this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession.
The nursing experts have firmly accepted the nursing process as a scientific means for giving high-quality nursing care. According to nursing actions standards in Canada and United States, conducting professional nursing cares needs applying the nursing process. Therefore, they highly recommend nurses to participate in activities that boost their level of knowledge towards the nursing process. However, the nurses usually fail to perform the nursing process systematically. Sometimes, nurses replace regular caring performance with the nursing process. The essential factors that affect the nursing process are the number of patients, having adequate knowledge of the nursing process, and the number of nurses. Inadequate knowledge among the nurses plays a huge role in the insufficient enforcement of the nursing process. For instance, the nurses partially apply the nursing process depending on the number of patients. They will apply the nursing process when they provide services to few patients compared to additional patients. The main challenge that nurses encounter in conducting the nursing process is the determination of nursing diagnosis. Many nurses theoretically have much knowledge concerning the nursing process, while they cannot practically perform them. The criticism of the nursing process was due to a lack of knowledge about the nursing process. As a result, the nurses need to know more about the nursing process to help them solve the problems that they undergo.
The nursing change theory that can diagnose the problem is the nursing process as the change process. According to Sullivan (2012), the experts can relate the change process to the nursing process based on the four steps. The first step is the assessment. It encourages the experts to identify the problem. The nurses need to assemble and analyze the data. They identify the problem that affects the person during the proposed change. Once they have recognized the problem, the change agent assembles internal and external data required (providing questionnaires to the patients). A sober analysis of data backs up the quest for change. The change agent highlights checks on the resistance view the solutions and begins nurturing the consensus concerning the change. There is also a need for the agent to determine the political change on who will benefit from the change, obtaining the resources, and having credibility. The second step is planning. All the staff will participate in this process since they are the ones that this change affects. Relationship among the staff is essential in the system and the modification of structures, practices, and rules. This modification affects workforce requirements that recruit new individuals with different skills, attitudes, knowledge, and motivations. However, there are three tactics that the experts can use to unfreeze staff. The first tactic is sharing information. It helps the staff comprehend the justifications for the proposed change. The second tactic is disconfirming currently held beliefs. It justifies that the new aim of the target system is insufficient, inefficient, or incorrect; hence, there is a need for modification. The third tactic is issuing psychological safety. It reduces the risks by managing sufficient security for the staff. It is essential since it provides security and makes members feel free for the modification. The next stage is implementation. The experts put the plans into action. The agent change employs a friendly environment and methods to continue persuading members to adapt to the change. The agents apply strategies to alter the group dynamics to urge members to act towards the group decision. Evaluation is the last stage. The experts monitor the indicators to detect if they have met the goals.