Agency for Healthcare Research and Quality Assessment Paper

Agency for Healthcare Research and Quality Assessment Paper

The two major speed bumps in the implementation of the practice change have been scheduling and willingness to participate. The first details scheduling and it has proven difficult to implement an outside change inside of an organization when most people think it is only a doctoral project in order to gain my diploma, so nothing really beneficial will come out of it.

The second details willingness to participate as many nurses are at their capacity for patients to be seen during the day, are stressing out over the price of gas, and seem unwilling to add any work they are unfamiliar with to their plate. Agency for Healthcare Research  There have also been some notable resistance in the willingness of residents families from allowing their family members to participate in any study. Rather than answer abruptly and hastily (which would probably make the situation worse), I instead look at counter-arguments to their responses.


First, I know this is a doctoral project required for me to receive my degree but it is not just a project. We have pinpointed a communication and practice gap that was specifically the reason why a patient suffered. I laid out the project goals, processes, tools, and education needed in order to ensure this does not happen again. Nurses (at least the ones that I have dealt with) are very territorial over their patients and become upset in some manner if their patients were to become hurt.

Preventing that from happening again in conjunction with education, training, and communication improvement is the best way to ensure that unintended harm does not occur to their patients (Tyler et al., 2014). Versus being authoritative, I instead took a more open leadership style by speaking on issues that currently infest the organization and how this practice change could rectify it for the better. Also, more fluid communication means less work on the back end because when it is done right the first time, there is no need to go back and do it again.

The same overall concepts that were used to overcome the mockery of the practice change as a school project were also used to help family members in understanding what could improve if this change went live. Communication is applicable not only for the nurses but for nurse-to-patients as well. Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality (Agency for Healthcare Research and Quality, 2022). So I discuss current event issues with the system, how communication and education can assist in rectifying them, and how implementing such a change would be better for their bed-bound relative.

I gave no false hope nor made any promises, I simply stated these are current issues and this is how I plan to fix them in this organization. Healthcare Research Addressing the issues could benefit patients’ quality of life and deliver improved healthcare as a by-product (even though that is the primary intent of the practice change).

Supporting Implementation

It was more of a collaborative effort between my preceptor and me when it came time to support the implementation through the obstacles. I am a new face in the establishment and people are not used to me (outsider), however, my preceptor has been with the organization for a long time. This stemmed from what people call a ‘shared vision, which is an idea for change should fit into an established direction regarding where the practice is headed.


This collaborative vision between the team and I allowed divergent perspectives to be aired and addressed in order to reach a consensus (Gesme & Wiseman, 2010). Basically, many patients and patient families trust their nurse and may not trust an outsider so it is good to have people they are used to on my side. For the question in this weeks discussion, teamwork is what assisted me through these obstacles for the practice change.


Agency for Healthcare Research and Quality. (2022). Guide to patient and family engagement in hospital

quality and safety. U.S. Department of Health & Human Services.

Gesme, D., & Wiseman, M. (2010). How to Implement Change in Practice. Journal of Oncology Practice, 6(5), 257–259.

Agency for Healthcare Research and Quality Assessment Paper

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