Capstone Change Project Outcomes My capstone project's topic is to implement preventative measures for CLABSI

Capstone Change Project Outcomes My capstone project's topic is to implement preventative measures for CLABSI. One of the negative health outcomes among hospitalized patients is hospital-acquired infections; CLABSI falls under this category. Which contributes to the increased duration of hospital stay, impaired well-being of the patients, and increased healthcare costs secondary to CLABSI. My change project's focus is to facilitate change and provide measures to help reduce CLABSI incidences by introducing and implementing the EBP to prevent CLABSI, including adopting the CLABSI bundle approach and facilitating educational and training sessions among healthcare workers. After working with my preceptor, a list of measurable outcomes for my capstone project interventions include:  

1. By the end of two months, all unit staff nurses will receive a refresher course on the preventative measures of CLABSI.

Continuous education among healthcare workers is one primary intervention this capstone project examines regarding its effectiveness in preventing CLABSI. Staff nurses should feel confident and competent in central line care skills, aware of all EBP for care, and motivated to prevent CLABSI on their unit. The opportunity will educate and improve the competency of nurses.

1. Educational material for the patients.

Patient education promotes patient-centered care and empowers patients to improve their health status. When patients are involved in their care, they are more likely to engage in interventions that may increase their chances for positive outcomes. Education will help patients understand the need, purpose, and care for the central line and preventative measures for CLABSI.

1. Daily chlorhexidine bathing

Daily chlorhexidine bathing has been associated with a reduction in CLABSI. With the collaboration of the unit supervisor, assignments will be made, keeping in mind that all patients with central lines receive daily chlorohexidine baths, and the supervisor will ensure the task is completed daily by patient care techs.

1. Implementing EBP CLABSI bundle approach for CLABSI prevention.

The project will help provide measures to prevent CLABSI by implementing the EBP CLABSI bundle approach for CLABSI prevention. This project aims to improve patient outcomes. The

1. Keeping track of the number of CLABSIs on the unit.

The number of CLABSIs will be monitored; surveillance and monitoring ensure adherence to new EBP, remove barriers and facilitate resources needed to implement the CLABSI bundle approach and other EBP introduced to prevent CLABSI. Strategic Plan Summary Implementing a new change to an organization, such as a protocol or procedure, can be difficult and may run into obstacles that obstruct the process. For example, the staff's failure to follow the new procedures can cause interference and become a barrier. My proposed nursing intervention is being implemented while keeping the organization, leadership, and staff's culture, needs, values, goals, beliefs, norms, and barriers as factors to keep in mind. Organizational culture is analyzed to identify potential obstacles preventing my interventions' implementation. Employee and management involvement while keeping their culture in mind is crucial to implementing my change project. I will consider the opportunities and the identified culture and ensure that the proposed intervention aligns with the culture and that solutions are created to address any challenges that may arise during the implementation process; this information will help develop an effective implementation plan. Challenges: Lack of resources, like educators, to offer training, time constraints, higher acuity patients with heavy workloads, short staffing, and Lack of training and knowledge for staff can be some of the challenges in implementing my change project. Strategic plan: Nurses should be well trained to help the capstone project to prevent CLABSI, a preventable bloodstream infection. The management should facilitate the need to implement change, introduce it as a new policy, follow and track compliance, assess, and work on removing barriers. Leadership must be committed to the proposed change and acknowledge that implementing EBP is a priority. change theories and/or nursing theories change, theories can become quite helpful. Although each change theory has unique strengths and weaknesses, the theories' shared characteristics can provide best practices for sustaining positive change (Barrow, 2022). However, change can be uncomfortable and difficult. Therefore, it is important to consider processes and people when implementing planned change. Exploring Existing theories and models can be used to navigate planned change (Adelman-Mullally et al., 2023). Kurt Lewin's Change Theory is a popular change theory in nursing. Lewin created the change model to demonstrate how people respond to changes. This process has three stages: unfreezing (the person has an existing state), moving or changing toward new ways of being, and refreezing into a new state (Current Nursing, 2020). Barriers and facilitators are referred to as driving and resisting forces in theory. Driving forces facilitate change by pushing people in the desired direction. The facilitating factors must overcome barriers and resistance for this theory to be successful (Barrow, 2022). Lippitt's theory developed into a seven-step theory that focuses on the change agent's role and responsibility rather than the change's evolution. The seven steps are as follows: diagnosing the problem, determining motivation and capacity for change, examining the change agent's resources and motivation, select progressive change objects. The role of the change agents should be carefully chosen and understood by all parties to ensure that expectations are clear, maintain the change; the final step is gradually ending the helping relationship (Marcr, 2023). According to Lippitt's theory, change should be implemented or spread to other departments; the more widespread imitation becomes, the more acceptable the behavior. Although Lippitt argues that these seven steps are not in sequence and can happen simultaneously or in any order, they can also be cyclic rather than linear, making this theory different from other models (Marcr, 2023). My preceptor and I both prefer Lippitt's seven-step theory because of the belief that the change must be implemented throughout the department simultaneously so that everyone accepts the behavior as normal.   References: Adelman-Mullally, T., Nielsen, S., & Chung, S. Y. (2023). Planned change in modern hierarchical organizations: A three-step model. Journal of Professional Nursing, 46, 1-6. https://doi.org/10.1016/j.profnurs.2023.02.002 Barrow, J. M. (2022, September 18). Change Management. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK459380/ Current Nursing. (2020). Change Theory - Kurt Lewin. https://www.currentnursing.com/nursing_theory/change_theory.html Marcr. (2023, February 25). 7 Stage Model of Change - Ronald Lippitt - Marcr. https://marcr.net/marcr-for-career-professionals/career-theory/career-theories-and-theorists/7-stage-model-of-change-ronald-lippitt/

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