Thursday, April 4, 2019

Leadership and Change in Nursing

leadership and Change in NursingLeadership and ChangeKym BellI open chosen to manipulation island of Jersey College in Trenton, newly Jersey for my leadership change project. Jersey College is an educational c be for program that provides the combination of Licensed Practical nurse ( practical nurse) Bachelor of Science in Nursing (BSN) and bridge programs for Registered Nurses (RN). The college is located in an urban setting with the student body predominantly from lower income families. The college provides, education for adults through an open curriculum that accommo realises diverse lifestyles (Jersey College, 2014). The work prides itself on being the conduit to provide diverse opportunities for Certified Nursing Assistants (CNA), LPNs, RNs. The program provides the prospect for LPNs and RNs to acquire a BSN. Jersey College was founded in 2003 and was origin everyy called The concentrate on for ally Health Nursing Education. In 2004, the LPN program was approved by the New Jersey carte of Nursing. Since opening in 2004, the school has grown to incorporate two New Jersey campuses and two Florida campuses. The school is affiliated with many institutions who provide a configuration of other educational opportunities for students (Jersey College, 2014, p. 1).In the past hardly a(prenominal) years, there has been a decrease in the avai science science lability of nurse faculties and training sites for nursing students. This has increased the urgency for nursing instructors to look at alternative clinical sites. A variety of clinical sites be ask to provide students diverse learning and training opportunities. These practice opportunities are needed to prepare students to become free lance professional heath care workers. One solution to this problem is to establish a realistic skills research lab software system program. The stake take overers for this project leave be the college, instructors, students, parents, and the future commun ities that these students exit be working in.Organizational social organization there is an organizational structure that depicts the framework for running Jersey College (Appendix A). There is a board of directors that hold the governing power. The Chief Executive Officer (CEO) is included in this group. The compute and financial management of the college is overseen by the CEO. The board hires the death chair of the college. Presently the chairwoman of Jersey College is Steven Litvak. He responsible for organizing, constructing, executing, and assessing the financial aspect of the college. The president is responsible for maintaining and establishing the mission, purpose, and policies of the college. The nursing education department is led by the Dean of Students. The education department is set forth into the Practical Nursing Program and the Professional Nursing Program. The two combined programs defecate a budget for educational needs. If a large purchase needs to be appr oved the department must break a written request to the Dean of Nursing. The request is then submitted to the president who then submits the request to the shape up of Directors. The school is accredited by the Council on Occupational Education (COE), New Jersey Higher (NJ) Education, and the New Jersey State Board of Nursing (Jersey College, 2014).The department of Health and Human serve (HHS) has punted grants that give sponsor a wide variety of research grants to improve the quality, invulnerablety, effectiveness, and efficiency of health care in the use of technology. My plan is to apply for a grant called Faculty maturement Integrated technology into nursing education and practice (ITNEP).The US Department of Health and Human Services (HHS) (2014) offers a grant that provides support to nursing collaboratives for faculty development in the use of information and other technologies in order to complicate the capacity of collegiate schools of nursing to educate students f or 21st century health care practice. Nursing collaboratives pass on use health care information systems to enhance nursing education and practice, optimize long-suffering safety, and snub improvements in health care quality (HHS, 2014, para. 1).Assessment of ReadinessJersey College has a very refined simulation lab that has very poor ventilation and very few nursing supplies. There are currently two students in my group that entertain latex allergies and cannot physically work in the skills lab without having allergic reactions. The students often complain that, even though there are many mannequins, there are no simulators that attach to the mannequins. Many of the other machines and supplies are in disrepair. The mannequins teaching capabilities are outdated. Many of them have missing limbs or do not have anatomically correct parts. For example, one of the mannequins tracheostomy hole is drilled incorrectly so that the student can only put in the tracheostomy tube upside dow n. The students do not liveliness that they are truly getting characterization to best practice in the present skills lab. The cost of replacing the lab has been discussed at many meetings and the model of implementing a realistic lab has been in committee for the past year. The committee has researched many options and has come up with pros and cons of switching to a virtual lab. With the assistance of community and government funding options, the future of a virtual skills lab appears to be on the horizon.According to the Joint Commission (2014), one of the major causes of a discoverer event in the United States is the lack of dialogue. This means miscommunication is usually demonstrated in the form of improper patient, wrong site, and wrong procedure. A sentinel event is a recurring medical disoblige within a facility that causes patient harm. The Joint Commission has earnd that many of these errors can be avoided by taking a time out. The time out procedure requires a consensus of all healthcare individuals that are involved with the patient. Everyone must stop what they are doing to verify that they have the correct patient the correct site being assessed and the correct paperwork/lab results must be verified. Nursing students need to recognize how important it is to verbally and nonverbally communicate with each other to avoid potential medical mistakes. The use of a virtual nursing skills lab can mimic medical situations in a safe and consistent environment. This type of laboratory go out provide multiple opportunities for students to interact and communicate with a variety of cyber patients. Nursing students can utilize a virtual environment to learn clinical skills and to practice communication techniques. These skills pass on be useful when students are interacting with patients, families and other healthcare team members.Currently, the students do not have ample opportunities to access a computer during their class time. Many of the stud ents, over ninety percent, have computers of their own. The nursing program is not currently set up to allow access to class information or other learning materials online. The Dean of Nursing is a very forward thinking person and has petitioned the president to acquire a working virtual laboratory. The Dean and instructors would like to update the schools equipment and carry through the facilities modern and proficiently savvy. The new program go out keep current students up to date and a new virtual laboratory would be a great way to entice new students into the program. abridgment of DataThere are many different types of leadership theories, I chose to use Lippetts possible action of change. This type of theory decrees that a leader is needed to promote the need for change. Lippitt, Watson, Westley (1958) utilized the basics of Lewins Theory of Change which included the concept of freeze, unfreezing and refreezing. Lippitt expanded on Lewins theory by adding 4 more steps.Li ppitt et al. (1958) discovered that preventing a favorable balance offorces is a continuous job for the change component and client system, beginningwith the initial decision to undertake a change project or helping relationshipand continuing until the project has been completed (p. 73).Lippitts Theory of change has seven phases.Phase 1 Recognize there is a problemThe problem is that the current hands-on skills laboratory is out of date and in need of a massive facelift. The cost of this renovation would be staggering to the institution.Phase 2 Assess the motivation and capacity for changeThe students, as well as faculty, have voiced their opinions that any a new skills hands on laboratory or virtual laboratory needs to be added to enhance the teaching/learning capability of the school.Phase 3 Assess the resources and motivation of the changeThere is a grant and government funding for the school to re ship the current lab with a virtual one. Many of the faculty have gone back to school and have been exposed to new technological advances. Virtual software can provide nursing students with a multitude of learning opportunities that cannot always be accessed in the real world. The faculty is eager to learn how to work within an online environment. They have stated that they are willing to be instructed in how to run this type of lab. Upper management is willing to put in the time and energy that is necessary to make this change.Phase 4-Design the progressive stages of changeThe stages that will take place will beHave a interpretive program, from the selected virtual laboratory software company to come and call to those staff members that have volunteered to be Super Users.Implement a training sessions for Super Users. These are fellow traveller colleagues that that are given(p) extensive training to assist others in transitioning to a new product or service.Meet with the nurse managers to provide training using the new laboratory software.Answer all quest ions and concerns that whitethorn affect each individual instructors educational needs for each specific laboratory classroom.Provide training sessions for educators to provide each instructor guidelines for the new software.Go make up with the virtual laboratory software with students.Phase 5 Ensure the role and responsibility of the change agent is clearly dumbClearly identify as many of the problems as possible to fix prior to going live with the program.Ensure that everyone that works with this change will have skillful backup and support.Confirm that there will be a representative from the company to answer any and all questions.Phase 6 Maintain the change through communication, feedback, and group coordinationThere will be evaluation forms for managers and students to provide feedback. Users will be surveyed to evaluate any changes that may be needed to support their teaching/learning needs.The evaluation will be an ongoing process. As problems arise, there will be a repres entative available on site or by telephone to assist any users.Phase 7 Gradually clear up the change agentAt the initial phase of the project, there will be a representative on site to help anyone who is having trouble accessing or understanding how to navigate the new laboratory software. by and by the first six or eight weeks, the physical presence of the software company will no longer be on site but, there will always be twenty- quaternary instant telephone support(Lippitt, Watson, Westley, 1958).Plan for ChangeAfter careful research, by a chosen committee, a specific software program will be bought by the college. The college is currently looking into the software called The digital Clinical Experience made by Shadow Health. Farmer (2014) states that there are over four hundred colleges and universities that are currently using this type of software in their nursing programs. The article goes on to state that the Shadow Healths program is broken down into ten modules, each of which gibe with a body system students study in class (Farmer, 2014, para. 10). The acquisition committee has a chairwomen that will contact the software developer and set up a demonstration of the product. The committee members will have the opportunity to talk to one of the four hundred present user sites and observe the software in action. one time the decision has been made to purchase this program, the training will begin.Phase I will be the technical part of installing and updating any computer equipment that the school has.Phase II will be educating and training the instructors and Super Users.Phase III will be educating the students and remaining faculty.Phase IV backpack the program live and start assigning lessons within the software website.There will be result up meetings and suggestion boxes to evaluate the staff and students feedback in using this new system. The staff and students need to feel like their suggestions and feedback will make a difference in promot ing advanced learning. The amount of money it will take to update, install, and train faculty and students will be added into the cost of tuition. The research committee has evaluated the cost and have estimated that the increase in semester cost will be two-hundred and fifty dollars per student. There will be opportunities for students to invalidate this cost by applying for grants and/or financial aid.EvaluationAs with any change, it will take time and dedication for staff and students to get used to the new software and work within an online environment. There will be an initial survey for students and faculty prior to starting the online learning lab project. After the software has been up and running for six months, a follow up survey will be given to evaluate the students and staffs perception of the learning quality provided by the software.The students should be aware that there will always be technical support available to them and that instructors will be reasonable regar ding grades and assignment within this initial new setting. The students should be contacted, by the instructor, via email numerous clock throughout the semester and asked if they are experiencing any issues or concerns with the new software (ONeil, Fisher, Rietschel, 2014, p. 134). The continuous evaluation process will allow the college to work with the software developers to custom fit the needs of the college.ReferencesFarmer, R. (October, 2014) Virtual patient teaches nursing students lessons in real-life care. Nurse.com. Retrieved fromhttp//news.nurse.com/apps/pbcs.dll/article?AID=2014141009007.VFvjrvnF8mvAssets/ 092014_SpaceCoastBusinessMagazine_FlCTWWinners.pdfJersey College. (2014). About us Accreditation and licensing. Retrieved fromhttp//www.jerseycollege.edu/about/accreditation-licensing/Joint Commission. (2014) Sentinel event selective information root causes by event type 19952Q2014. Retrieved fromhttp//www.jointcommission.org/assets/1/18/General_Information_1995-2Q_ 2014.pdfLippitt, R., Watson, J. Westley, B. (1958). The dynamics of planned change. New York Harcourt Brace.ONeil, C., Fisher, C., Rietschel, M. (2014). Developing online learning environments in nursing education (3rd Ed.). New York Springer.Shadow Health. (2014). Health assessment software. Retrieved fromhttp//www.shadowhealth.com/health-assessment.htmlThe Center for confederate Health Nursing Education. (January, 2012). Faculty guidelines for practicum experiences.United States Department of Health and Human Resources (HHS). (2014). Faculty development Integrated technology into nursing education and practice (INTEP). Retrieved fromhttp//bhpr.hrsa.gov/nursing/grants/itnep.htmlAppendix AORGANIZATIONAL social structure OF JERSEY COLLEGEAdmission AdvisorsEducation CoordinatorFinancial Aid PlannerCareer Services AdvisorProgram AdministratorMedia Services and LibrarianNursing FacultyAdministrative AssistantProgram Administrator Registrar Nursing FacultyAcademic Affairs Coordinato rThe Center for Allied Health Nursing Education. (January, 2012, p. 14)

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