Describe the process for gaining permission to plan and begin a trial.  Is there a specific group, committee, or nurse leader involved?

The head physician and nurse manager will write a joint letter addressed to the hospital's management. The letter will be seeking approval and permission to undertake the trial. It will outline the problem, causes, change need, impact, and proposed measures of intervention.

Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate.

The training plan will seek to explore the following;

1. The problem of increasing surgical infections cases 

2. The need to make changes 

3. Recommended or proposed measures of interventions or prevention strategies 

In essence, the process of training will be both practical and participatory.

Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline).

List the measurable outcomes based on the PICOT.  How will these be measured?

Reduce surgical infections cases by at least 50 percent 

Ensure prevention of surgical infections through enhanced capacity building of nurses and physicians 

We will measure these outcomes through clinical reports

What forms, if any, might be used for recording purposes during the pilot change process. Describe.

The use of Electronic Records Management (ERM) proof. This will provide an easier and faster approach to recording and managing all recorded information.

What resources are available to staff (include yourself) during the change pilot?

Flashcards 

Checklists 

Posters

Electronic Records Management

Will there be meetings of specific stakeholders throughout the trial?  If so, who and when will they meet?

The meeting will be held twice per month. The forum's primary purpose will be to assess the success of the change process that we have initiated on the surgical infection problem.

Star Point 5: (Evaluation)

How will you report the outcomes of the trial?

To report the outcome of the trial, we will use;

Histograms

Pie charts

Frequency tables

Line and bar graphs

What would be the next steps for the use of the change process information?

If the information in the change process indicates a reduction in the cases of surgical infections; then, the change process will be ready for implementation and vice versa.