Change Implementation and Management Plan – NURS 6501: Interprofessional Organizational and Systems Leadership – Walden University

•  
• Executive Summary of the Healthcare Issue

oEffective communication and collaboration are necessary for functioning of interprofessional clinical teams

oCommunication flaws and a lack of teamwork skills increase the odds of medical errors.

oIn our L&D unit, interprofessional miscommunication and strained teamwork are associated with:

oUncivil behaviors

oJob dissatisfaction and nurse turnover

oPatient dissatisfaction

oDecreased quality of maternal care

Effective communication and collaboration among interprofessional teams are fundamental to the delivery of safe, quality patient care (Yu et al., 2020). Numerous medical flaws are allied to a lack of teamwork skills and communication failures within clinical teams (Yang et al., 2017). In our hospital, cases of interprofessional miscommunication and strained teamwork have contributed to incidences of uncivil behaviors among members of the L&D interprofessional team, which, in turn, led to job dissatisfaction, reduced patient satisfaction with care provided by obstetricians, midwives, and nurses, and ultimately, decreased quality of maternal care.

• Simulation-Based TeamSTEPPS Training and Impact

oThe proposed change:

oTeam Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training

o

oEnhances teamwork skills and communication in interdisciplinary teams with the aim goal of optimizing patient outcomes

o

oFacilitates team building and synergistic behaviors

o

oAllows  the L&D team to exercise active listening, compassion and honesty, and effective conflict resolution

The proposed change to strengthen teamwork and improve interprofessional communication, and subsequently address incivility in our L&D interdisciplinary team is the implementation of simulation-based Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training. TeamSTEPPS is a systematic methodology and set of instruments formulated by the Agency for Healthcare Research and Quality (AHRQ) and the Department of Defense (DoD) designed to enhance teamwork skills and communication among medical professionals with the principal goal of optimizing patient outcomes (AHRQ, n.d.). TeamSTEPPS facilitates team building and synergistic behaviors grounded on clearly defined purpose, active listening, demonstration of compassion and honesty, flexibility, and dedication to conflict resolution, all of which are necessary for fostering inter-professional collaboration and mutual respect

•  
•  
• Type and Scope of the Change

oStakeholders: Obstetricians, midwives, physicians, and aestheticians involved in maternal care.

o

oTraining modality: In-situ simulation Assignment: Change Implementation and Management Plan

o

oSimulated activities: Group-based management of postpartum hemorrhage

o

oTarget TeamSTEPPS skills: Mutual support, situation monitoring, leadership, and communication

The training program will involve obstetricians, midwives, physicians, and aestheticians involved in maternal care, including vaginal and cesarean delivery, as well as in the management of postpartum hemorrhage (PPH). The above stakeholders will actively participate in simulated activities, mainly focusing group-based management of PPH, which will allow them to replicate clinical care in a safe setting while learning the TeamSTEPPS principles, namely: mutual support, situation monitoring, leadership, and communication (Buljac-Samardzic et al., 2020).

•  
• Change Management Team
• As outlined previously, the management of PPH-associated complications is a shared effort requiring the L&D team to team-up and maintain open communication channel. Thus, the implementation of the simulated-based TeamSTEPPS training will involve nursing staff, obstetricians/gynecologists, certified nurse midwives, and anesthesia providers in the L&D unit.  Others include a nurse educator to provide training, Information & Technology staff to provide, support in the integration of the training information into the simulator, the hospital’s CEO, chief obstetrician, and the chief nurse to offer leadership support the evaluation of the project.
•  
• Communication Plan

Project manager, the nurse leader, and the nurse manager will play a critical role throughout the intervention implementation process. Therefore, they will be involved in communicating all asp