NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?

Grand Canyon University NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization? assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?                       

Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization? depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?                       

The introduction for the Grand Canyon University NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization? is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?                       

After the introduction, move into the main part of the NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?                       

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?                       

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization? Included After Question

How have you seen or experienced organizational change within an organization? Did it go well or not? Was there any correlation in how the organizations used stakeholders or change models?

A Sample Answer For the Assignment: NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?

Title: NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?

Re: Topic 3 DQ 1

At the level of charge nurse, organizational change is often experienced as a bystander. The change is apparent; however, the stakeholders and model are a mystery. Being bought by a large organization and going from a nonprofit to a for-profit acute care hospital was a rough transition. From the viewpoint of the nursing staff, most of the change was not favorable. There was the loss of ancillary staff, changes to inferior supplies, gaps in leadership, and highly drawn-out contract negations resulting in significant delays in step and other raises. If you asked the nursing staff know how the change went, they would probably say, “not good, but we made it through.” If you asked the major stakeholders who influenced the change plan, their answer would be different because it was a success. Five years later and it is business as usual with talks of a new hospital on the horizon.
All the hospitals in the area are now for-profit facilities. This is a trend in the United States, hospitals are consolidating at an accelerating rate, and healthcare costs continue to rise (Findlay, 2018). From 2013 to 2017, nearly 1 in 5 hospitals were acquired or merged with another hospital (Findlay, 2018). In most cases, mergers are necessary for the survival of the hospital. To keep up with advancing technology, modern data management, and top clinical talent, merging with large corporations is the only option (Findlay, 2018).

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Nevertheless, at what cost to the communities these hospitals serve. You would think community services would suffer; however, a recent study showed only slightly higher spending in charity care for nonprofit facilities and showed higher charity care spending in for-profit hospitals with 300 beds or more (Garber, 2020). The same study showed that the most significant deviation in charity care spending was from state to state and had little bearing on whether the facilities were nonprofit or for-profit (Garber, 2020). Major organizational change is complex, and some areas of nursing suffer; however, the more significant picture points to the necessity to survive.

Findlay, S. (2018, July 19). Can a Community Hospital Stick to its Mission When it Goes For-Profit? Retrieved from npr.org: http://npr.org/sections/health-shots/2018/canacommunityhospitalsticktoitsmissionwhenitgoesforprofit

Garber, J. (2020, October 1). Nonprofit and for-profit hospitals provide similar levels of charity care, study finds. Retrieved from Lown Institute: https://lowninstitute.org/nonprofitandforprofithospitalsprovidesimilarlevelsofcharitycare,studyfinds

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A Sample Answer 2 For the Assignment: NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?

Title: NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?

This is insightful, Marion; organizational change can sometimes become sudden due to the lack of involvement of some professionals in the change process. In most cases, charge nurses are left out in the decision-making processes, a scenario that makes it so hard for them to realize that the change process has been initiated (Nielsen et al., 2020). The change from profit to a non-profit organization can prove to be a challenge for most healthcare workers due to the changes in the roles for nurses that ought to be implemented. Given the increase in demand for effective healthcare care services, the change processes are always dynamic; this is a trend in the United States, hospitals are consolidating at an accelerating rate, and healthcare costs continue to rise (DeNisco et al., 2016). Sometimes, when organizational changes are implemented, nurses, particularly charge nurses, experience challenges in the process of transition. Therefore, there is the need to involve nurses in the decision-making processes geared towards implementing changes in the healthcare systems.

References

Nielsen, P., Albertsen, K., & Meng, A. (2020, September). Impacts of organizational change on senior employees. In The Nordic Working Life Conference, Aalborg. https://vbn.aau.dk/en/publications/organisatoriske-forandringers-betydning-for-seniorer

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for

          the profession (3rd ed.). Jones & Bartlett Learning.

A Sample Answer 3 For the Assignment: NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?

Title: NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?

At my previous job, the hospital policy on bloodwork/labs became a topic of interest for change. Between the lab directors and the medical directors, they decided to implement a trial that included changing how the patient labels were printed for the bloodwork. Originally, the labels included the patient’s name, date of birth, medical record number (MRN), the physician’s name in which the patient was admitted under, and the date that the patient was admitted. The proposed new labels would include the same information, but would also include the color of the tube that the bloodwork was to go in, as well as a barcode.

Although the thought process was that the new labels would help the doctors, nurses and phlebotomists easily place the correct sample in the correct color tube top, the exact opposite occurred. The computer system became at fault as the barcodes were not matching all the patient information and tube top colors; labs and colors did not correlate with each other. For example, a CBC normally would be in a lavender tube top, yet the label would print mint green, which was meant for a BMP. This led to many errors after the blood was sent to the lab. Labs were not being run right away, including STAT labs, and some were even put in the wrong color tubes. Some lab results were not

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Change is always happening to health care with so many technological advancements and evidence-based practices being developed to better patient safety and care. There are different models organizations can utilize for change, one being the ADKAR Change Management Model (Giva Inc, 2021). The acronym is as follows:

A: Awareness- The first stage in this model is that the organization has an awareness that change needs to be made; change made in order to keep the organization moving forward in a positive direction. This awareness can be observed by those who work within the organization and also those who are consumers of the organization.

D: Desire- The second stage in this model is that there is a desire for the change the organization has been made aware of. This part of the model can be tricky because it takes all parts of the team to have the desire for the change. In health care, many of us have encountered changes that were not desired by those on the floor, however, administration put it into place. On the other side, there have been desires for change on the floor; however, the administration does not have the desire to initiate the change. When all parties don’t share the desire the change, implementation can be tricky.

K: Knowledge- The third stage is to make sure all parts of the organization are informed about the change and how it will be implemented. Everyone needs to be aware of what the change is, why the change is needed, how the change is going to work, and when the change will start. Here, everyone will know what part they will play in the change, what to expect, and how to assess the progress of the change.

A: Ability- The fourth stage is that the organization has the ability to initiate the change. This means that the organization has the funds, enough employees, and the resources for the change. Furthermore, the organization has to make sure everyone has the ability to act on these changes; keeping in mind scopes of practice, paygrades, level of experience, and skill levels.

R: Reinforcement- The fifth and last stage of this model is that those who are leaders in the change are assessing the progress of the change and how effective it is. If the change yields positive results, reinforcement to employees or participants needs to be made to maintain the positive results; this is typically done with some type of reward or incentive.

Change will have each stakeholder involved in the change play a different and specific role. For example, mandating all employees on the floor to wear masks involved administration to make sure the new mandate was ethical, affordable, and plausible. Leadership on the floors needed to ensure that were enough supplies and that employees were being compliant. The employees needed to be compliant and hold each other accountable.

References:

Giva Inc. (2021). The 3 best change management models in healthcare practices. Giva. Retrieved from https://www.givainc.com/blog/index.cfm/2021/5/10/the-3-most-effective-change-management-models-for-healthcare-practices 

A Sample Answer 4 For the Assignment: NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?

Title: NUR 514 Topic 3 DQ 1 How have you seen or experienced organizational change within an organization?

Your discussion about the John Hopkins University model for improvement as a framework for implementing change is vital for any complex change in healthcare. As you emphasized, the John Hopkins model has two phases that encourage clear goals, and strategic interventions. The PDSA (Plan, Do, Study, Act) cycle that you discussed is a useful tool to use throughout this model that provides a guide that nurse leaders can follow when implementing change.“Change is considered normative in a complex system, whereas it is something to be managed, controlled, and minimized in a linear system” which the nurse leader is responsible for assisting and encouraging among the staff at the organization (Weberg, 2022). 

Stakeholders, as you discussed, contribute at all points of the model and work together with the leadership to obtain the optimal goals. When stakeholders work together with the leadership, the stakeholders are able to share the active concerns of the day to day issues when implementing change, and the leadership can help support, educate, and guide the staff through the change. Using this model or other change models allows change to be streamlined. As always, effective communication is required to ensure that any projects or issues are addressed. Nurse leaders must be adaptable and be able to properly educate the stakeholders involved in the projects. Engagement and buy-in from the stakeholders throughout the levels of change are needed to ensure the completion, and efficacy of the change. Using the John Hopkins Model for Improvement as you discussed allows for this dynamic change in healthcare to be better managed, organized, and efficient to ensure better outcomes in the project as well as better patient outcomes that would last the test of time.

References

The Johns Hopkins University. (2023). Quality improvement. https://www.hopkinsmedicine.org/nursing/center-nursing-inquiry/nursing-inquiry/quality-improvement#:~:text=in%20healthcare%201.-,Models,%2C%20Lean%2C%20and%20Six%20Sigma

Weberg, D., & Mangold, K. (2022). Leadership in nursing practice: The intersection of innovation and teamwork in healthcare systems (4th ed.). Jones & Bartlett Learning.