Change Theories and Leadership Strategies
“The Plan-Do-Study-Act (PDSA) cycle is a commonly used improvement process in health care settings” (Coury, J. et al. 2017). This is the format that I will be using for organizing and implementing the changes proposed since it follows a systematic four-step process that is easy to understand. The first step of this process is the P phase which stands for “plan.” During this phase, the aim or goal of the proposed changes is carefully thought out and analyzed. All stakeholders are identified, and plans are made to manage the changes.
Once the plans are in place, the next phase of the process commences. During the D or “do” phase of the PDSA cycle, all the plans implemented in phase one are put into action. The project managers must carefully manage this phase and consider all stakeholder concerns. Poor leadership during implementation can result in quick failure of the change process. To streamline the process further and reduce confusion, items such as flowsheets can be printed and handed out to all active parties involved in the changes. Patient surveys could be an additional tool to collect data at this phase.
Next comes the S or “study” phase. As the name implies, this phase is used to study the data collected to make tangible observations regarding the effectiveness of the changes implemented. For instance, in the case of our ED, it would be important to see if patient wait times were reduced and if patient satisfaction scores trended up. Equally important would be our turnover numbers and employee feedback. It is critical to measure the success of the change as it relates to time, energy, finances, and other resources used to implement it. Also significant to note during this phase are any unintended side effects that could have happened.
NURS FPX 4010 Assessment 3 Interdisciplinary Plan Proposal NR
The final step of the PDSA cycle is the “act” phase. During this phase, “the plan will be reevaluated based upon patient safety results and general morale and opinion of the team” (Coury, J. et al., 2017). Assuming the results are positive, the plan can then be used again in the future to create similar outcomes in different situations. In my opinion, the best leadership strategy to carry out this cycle would be transformational leadership. Transformational leadership is applied to nursing through four components which are “idealized influence; inspirational motivation; intellectual stimulation; and individual consideration” (Collins, E. et al. 2020). The ability to encourage personal leadership and accountability using this strategy lends itself well to creating an atmosphere of collaboration amongst various team members.
Team Collaboration Strategy
The roles of each stakeholder during this process is as follows: