MSN6021 – Biopsychosocial Concepts
for Advanced Nursing Practice I
Change Strategy and Implementation
One area in health care that it is necessary to consider is
the environment in which nurses work. It is important that this environment
evolves and changes so that all patients are adequately supported. For this
assignment, you will develop a change strategy to improve the health care
environment. These changes can be rooted in a desire to improve clinical
outcomes and data related to assessment accuracy, drug administration, or
disease recovery rates. A key skill for master's-level nurses is to be able to
evaluate clinical data and create a change plan to help drive improvements in
the data to reach set goals.
Consider a current environment. This could be your current
care setting, the care settings presented in the Vila Health scenarios Using
Evidence to Drive Improvement or Concept Maps as Diagnostic Tools, or a care
setting in which you are interested in working. For the setting that you choose
you will need to have a data set that depicts sub-optimal outcomes related to a
clinical issue. This data could be from existing sources in the course (Vila
Health: Using Evidence to Drive Improvement), a relevant data set that already
exists (a data set from the case study you used as a basis for your Unit 3
Concept Map assignment, or from your current place of practice), or an
appropriate data set that you have created yourself. (Note: if you choose to
create your own data set, check with your instructor first for approval and
After you have selected an appropriate data set, use your
understanding of the data to create at least one realistic goal (though you may
create more) that will be driven by a change strategy appropriate for the
environment and goal.
Potential topics for this assignment could be:
Consider ways to help minimize the rate of secondary
infections related to the condition, disease, or disorder that you focused on
for your Unit 3 Concept Map assignment. As a starting point you could ask
yourself, "What could be changed to facilitate safety and minimize risks
Consider how to help a patient experiencing traumatic stress
or anxiety over hospitalization. As a starting point you could ask yourself,
"How could the care environment be changed to enhance coping?"
Once you determine the change you would like to make,
consider the following:
What data will you use to justify the change?
How can the team achieve this change with a reasonable cost?
What are the effects on the workplace?
What other implementation considerations do you need to
consider to ensure that the change strategy is successful?
How does your change strategy address all aspects of the
Quadruple Aim, especially the well-being of health care professionals?
Once the change strategy is implemented, how would you
evaluate the efficiency and effectiveness of the care system if the desired
outcomes are met?
Your assignment submission should include a data table that
illustrates the current and desired states of the clinical issue you are attempting
to improve through your application of change strategies. Additionally, you
will need to explain the rationale for your decisions around your chosen change
strategies, as well as how the change strategies will be successfully
implemented. The bullet points below correspond to the grading criteria in the
scoring guide. Be sure that your change strategy addresses all of them. You may
also want to read the Change Strategy and Implementation scoring guide and
Guiding Questions: Change Strategy and Implementation to better understand how
each grading criterion will be assessed.
Develop a data table that accurately reflects the current
and desired states of one or more clinical outcomes.
Propose change strategies that will help to achieve the
desired state of one or more clinical outcomes.
Justify the specific change strategies used to achieve
Explain how change strategies will lead to quality
improvement with regard to safety and equitable care.
Explain how change strategies will utilize interprofessional
considerations to ensure successful implementation.
Communicate the change plan in a way that makes the data and
rationale easily understood and compelling.
Integrate relevant sources to support assertions, correctly
formatting citations and references using current APA style.
Length of submission: 3–5 double-spaced, typed pages, not
including the title and reference pages. Your plan should be succinct yet
Number of references: Cite a minimum of 3–5 sources of
scholarly or professional evidence that supports your goal setting, proposed
change strategies, quality improvement, and interprofessional considerations.
Resources should be no more than five years old.
APA formatting: Use the APA Paper Template linked in the
Resources. An APA Template Tutorial is also provided to help you in writing and
formatting your analysis. No abstract is required.
Change Strategy and Implementation Scoring Guide.
APA Style Paper Tutorial [DOCX].
Vila Health: Concept Maps as Diagnostic Tools | Transcript.
Vila Health: Using Evidence to Drive Improvement |
Guiding Questions: Change Strategy and Implementation [DOC].
APA Style Paper Template [DOCX].