The purpose of this discussion is for the DNP student to demonstrate an understanding of how stakeholders influence practice change. You will continually gain experience considering the organization, community, and national stakeholders and how they influence sustained practice change.
1. Identify and examine organization and/or community stakeholders you anticipate will be a part of the interprofessional team when implementing your future practice change project.
2. Analyze the barriers you might experience with these stakeholders with the proposed practice change.
Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:
Â· Link (webpage): DNP Discussion Guidelines (Links to an external site.)
This discussion enables the student to meet the following course outcomes:
1. Appraise the role of the DNP-prepared nurse in leading collaborative teams across the diverse healthcare systems. (POs 1, 2, 4, 7, 8, 9)
5. Evaluate the structure and function of the interprofessional team and stakeholders in the translation of evidence. (POs 4, 6, 8, 9)
PLEASE CRITIQUE THE DISCUSSION BELOW
Â· Appraise the role of the DNP-prepared nurse in leading collaborative teams across the diverse healthcare systems. (POs 1, 2, 4, 7, 8, 9)
This are our legal and ethical principles as health care professionals and especially as DNP prepared professionals. DNP prepared nurses are also advocates for practice change by implementing EBP research for best patient outcomes. As discussed in our week 1 post, AONE describes the 3 specific skills documented under advocacy:
Â· for the nurse executive to model and demonstrate that patient centered care is the core of leadership and organizationâ€™s work;
Â· ensure that the staff nursesâ€™ and a clinical perspective is included in organizational decision making; and
Â· ensure that staff nurses are empowered and actively involved in decision making that affect their scope of practice (AONE, 2010).
Improving the alcohol / addiction process with a revised order set that delineate overall standardized care that also allows for individualization to be patient specific. Creating an order set ensures that the frontline staff have something to adhere to, measuring outcomes of the detox patients and the quality measures that go along with their stay as far as length of stay, complications, and the recidivism rate will give measurable outcomes that will allow HCOâ€™s to continue to meet and create a target goal to beat to improve the lives and outcomes of this patient population.
Identify and examine organization and/or community stakeholders you anticipate will be a part of the inter-professional team when implementing your future practice change project.
Â· Stakeholders in the translation of evidence. (POs 4, 6, 8, 9)
Stakeholders in this translation of evidence should have a multidisciplinary approach, including the medical staff. Approaching the national practice problem of alcohol addiction includes streamlining the order sets, scheduling medications for the patients with parameters as it utilizes the Royal College of Physician recommendations and the â€œclinical burden that alcohol misuse places on hospitals, it is essential that they develop an effective alcohol strategy.â€ (Taylor, 2006, p.30)
(Kouimtsidis, et al 2013) speaks directly to the fact that alcohol detox is not a problem specific to any area but is noted to be a specific challenge for the National Health System (NHS) which references to â€œbest valueâ€ services as caring for these patients who often go without routine medical care are very costly to all hospital systems as a whole.
Analyze the barriers you might experience with these stakeholders with the proposed practice changes:
Multidisciplinary teams are effective when the team can mutually agree upon policy and order set decisions. In addition all members of the multidisciplinary team must fully contribute to the proposed practice changes. Cost effectiveness must also be a consideration when implementing change.
American Organization of Nurse Executives (February, 2010). AONE nurse executive competencies. Retrieved from www.aone.org.
Kouimtsidis, C. (2013). Community alcohol detoxification: the challenge of changing service provision. Journal of Substance Use, 18 (2), 166-169. https://doi.org/10.3109/14659891.2011.627410
Taylor, B. (2006). Implementation and clinical audit of alcohol detoxification guidelines. British Journal of Nursing, 15(1), 30-37.