Why do you think many healthcare practitioners are often unwilling to change practice patterns, based on research findings? Some practitioners criticize evidence-based practice as “cookbook care.” Considering these perceptions, how would you utilize your education and experiences in planning the implementation of a major change?

GC HLT540
week 1 dq 1 & dq 2 latest 2016 august
dq 1
Why do you think many healthcare
practitioners are often unwilling to change practice patterns, based on
research findings? Some practitioners criticize evidence-based practice as
“cookbook care.” Considering these perceptions, how would you utilize
your education and experiences in planning the implementation of a major
change?
dq 2
Consider the question: “Why do
physicians and nurses kill more people than airline pilots?” Apply your
critical thinking skills to this argument and critique the statement. First, do
you think it’s true? If it is, what do you think about their rationale? How
would you address it if the question were posed to you in a forum?

GC HLT540
week 2 dq 1 & dq 2 latest 2016 august
dq 1

What
kinds of extraneous variables (not cited in the studies) do you think could
have affected the relationships between the independent variables and the
dependent variables in both the Messina et al. and Coyne et al. studies?
dq 2
How
effectively do you think the Coyne et al. study and the Messina et al. study
both used their review of literature to help the reader understand why the
research question was asked? How could they have done it more effectively?

GC HLT540
week 3 dq 1 & dq 2 latest 2016 august
dq
1
Given that there is a
documented advantage to the use of an experimental and control group design,
discuss why other designs are frequently used, and the situations that may
prompt the use of one.
dq 2
Discuss your
understanding of the concept of internal validity in a research study, and the
impacts of several errors or biases that can reduce the study’s validity.

GC HLT540
week 4 dq 1 & dq 2 latest 2016 august
dq 1
Why do you think so
many people have problems with using, interpreting, or applying statistics in
making business decisions?
dq 2
As you have learned
to evaluate different research studies, what elements seem the most important
to you for evaluation of the research’s quality? Why?

GC HLT540
week 5 dq 1 & dq 2 latest 2016 august
dq 1
Discuss the concept
of the normal distribution, why it is important, and what you think it means.
dq 2
When students talk
about “grading on the curve,” how does that apply to the normal
distribution?

GC HLT540
week 6 dq 1 & dq 2 latest 2016 august
dq 1
Discuss the differences between the
concepts of correlation and causality, and why it is critically important to
make sure that the differences are understood?
dq 2
What are the indicators for using a
t-test? Create a research scenario in which it would be correct to use a
t-test, including the research question, sample size, and dependent and
independent variables.
GC HLT540
week 7 dq 1 & dq 2 latest 2016 august
dq 1
What are the
indicators for using an ANOVA? Create a research scenario in which it would be
correct to use an ANOVA, including the research question, sample size, and
dependent and independent variables.
dq 2
What are the
indicators for using a regression analysis? Create a research scenario in which
it would be correct to use a regression analysis, including the research
question, sample size, and dependent and independent variables?

GC HLT540
week 8 dq 1 & dq 2 latest 2016 august
dq 1
Re-visit the roadmap
that you began at the start of your program of study. Complete information
regarding this course. In the discussion, reflect on how this course meets your
career goals. What have you gleaned from the course that will help you in your
career path? Respond to at least two other classmates.
dq 2
Discuss your thoughts
about the ethics of using informed consent vs. blinding the subjects to the
expected outcomes of the intervention. Should they be told? How much should
they be told? How would the placebo effect be impacted if subjects are told
which intervention is being applied to them?

GC HLT540
week 2 Evidence-Based Research Interview Assignment latest 2016 august
Details:

Identify, analyze, and discuss the components that
comprise a valid evidence-based research study.
Based on the information compiled above, interview a
health care leader about his/her experiences related to using evidence-based
research to drive changes in practices in his/her facility.
Write a report (1,000-1,250 words) of your findings.
Include the following in your report:
1) The changes that the health care leader has been involved
in implementing.
2) How strong did the leader feel the research on the
topic was? Why?
3) Have they ever rejected research findings? Why or why
not?
4) Include any concerns they have had or resistance they
have experienced when implementing changes based on research.
5) Analyze your findings as they apply to the components
of evidence-based research.
Prepare this assignment according to the APA guidelines
found in the APA Style Guide, located in the Student Success Center. An
abstract is not required.
This assignment uses a grading rubric. Instructors will
be using the rubric to grade the assignment; therefore, students should review
the rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.

GC HLT540
week 3 Assessing a Research Study
Assignment latest 2016 august
Details:

1) Choose a research
study article of interest to you.
2) Refer to the study
you choose and complete “Assessing a Research Study.”
3) Identify an
article that directly references your chosen study and compare it to your
findings. Does this article refute or confirm the study’s findings?
4) Write a paper
(750-1,000 words) that analyzes and summarizes your findings.
5) Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
6) This assignment
uses a grading rubric. Instructors will be using the rubric to grade the
assignment; therefore, students should review the rubric prior to beginning the
assignment to become familiar with the assignment criteria and expectations for
successful completion of the assignment.
Assessing a Research Study
Review the study components in the
left-side column of the form below. Refer to the study you chose, and complete
the data in the right-side column with the key components in that study.

Research Question:

How did the research question emerge
from the review of literature in the article?

Independent Variables
Type:

Dependent Variables
Type:

Identify and Define the Study Design
Elements:
1. Quantitative vs. Qualitative:
2. Sample Size
3. Method of sample selection:
Explanation.
4. Identify and define the
experimental and control groups?
5. Reliable and valid data
instruments? Explain.

Describe analysis.
What statistics were used?

Did the researchers’ conclusions make
sense, did they answer the research question, and did they appear to flow
from the review of the literature?
Did they explore control of
extraneous variables?

GC HLT540
week 3 Coyne and Messina Articles, Part 1 Analysis Assignment latest 2016
august
Details:

1) In a paper
(1,000-1,250 words), compare and contrast the major elements of the reports by
Coyne et al. and Messina et al., listed in the Module 2 Readings.
2) Complete the
“Coyne and Messina Articles Analysis.” Study the information in the
right-side column related to the Coyne, et al. study, which identifies the
required elements as found in the reading. Complete the information for the
Messina et al. article by identifying the required elements from the article.
3) Prepare this
assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
4) This assignment
uses a grading rubric. Instructors will be using the rubric to grade the
assignment; therefore, students should review the rubric prior to beginning the
assignment to become familiar with the assignment criteria and expectations for
successful completion of the assignment.

Coyne and Messina
Articles Analysis
As an example
guideline, review the study components in the left-side column of the table
below. Read the study by Messina et al., and build the data in the right-side
column with the key components in that study.

Research Question:

Coyne:Do
size and ownership type make a difference in the efficiency and cost results
of hospitals in Washington state? (Highlight p.164, second column, starting
15 lines from bottom to seven lines from bottom.)
Messina:

How did the research question emerge
from the review of literature in the article?

Coyne:Built
on an earlier study by Coyne on performance differences between
multi-facility systems and independent hospitals using two cost measures.
Cited studies that used a range of variables to measure differences in
hospital performance, and noted that prior findings have been inconclusive in
regard to hospital size, although economies of scale were found.
Messina:

Independent Variables
Type:

Coyne:Hospital
size and hospital ownership structure.
Categorical
Messina:

Dependent Variables
Type:

Coyne:Efficiency
measures – continuous variables.
Cost measures – continuous variables.
Messina:

Design Elements
1. Quantitative vs. Qualitative
2. Sample Size
3. Method of sample selection
4. Experimental vs. control group?
5. Reliable and valid data
instruments?

Coyne:
Quantitative
96
Picked all hospitals in state, except
investor owned hospitals.
No
Used data that are commonly used to
measure hospital efficiency and performance with high degrees of accuracy
(reliable), and data that are historically used and make sense to other
hospital users (valid).
Messina:

Describe analysis.
What statistics were used?

Coyne:Two-way
Analysis of Variance (ANOVA)
Messina:

Did the researchers’ conclusions make
sense, did they answer the research question, and did they appear to flow
from the review of the literature?
Did they explore control of
extraneous variables?

Coyne:They
concluded that size and ownership type make a difference in reported levels
of efficiency. Not for profits seem to achieve higher performance levels, and
medium and large not for profits operate more efficiently than industry
average. The same results were found for cost levels, in that size and
ownership type do make a difference, with medium sized hospitals reporting
lower costs than large or small hospitals.
Yes, when they called for national
studies that controlled for case mix, scope of services, and payer mix, all
of which could have affected the results in this study in an unmeasured way.
Messina:

GC HLT540
week 4 Coyne and Messina Articles, Part 2 Statistical Assessment Assignment
latest 2016 august

Details:

1) Write a paper of
1,000-1,250 words regarding the statistical significance of outcomes as
presented in Messina’s, et al. article “The Relationship between Patient
Satisfaction and Inpatient Admissions Across Teaching and Nonteaching
Hospitals.”
2) Assess the
appropriateness of the statistics used by referring to the chart presented in
the Module 4 lecture and the resource “Statistical Assessment.”
3) Discuss the value
of statistical significance vs. pragmatic usefulness.
4) Prepare this
assignment according to the APA guidelines found in the APA Style Guide located
in the Student Success Center. An abstract is not required.
5) This assignment
uses a grading rubric. Instructors will be using the rubric to grade the
assignment; therefore, students should review the rubric prior to beginning the
assignment to become familiar with the assignment criteria and expectations for
successful completion of the assignment.

Statistical Assessment
Use the chart in the Module 4
lecture to complete the table below to assess the appropriateness of the
statistics used, and determine the statistical significance of outcomes in
Messina’s, et al., article “The Relationship Between Patient Satisfaction and
Inpatient Admissions Across Teaching and Nonteaching Hospitals†. Refer
specifically to the discussion on pages 189-90 of the article.
Messina, D., Scotti, D., Ganey, R.,
Zipp, G., & Mathis, L. (2009). The Relationship Between Patient
Satisfaction and Inpatient Admissions Across Teaching and Nonteaching
Hospitals. Journal of Healthcare Management, 54(3), 177-89,
discussion 189-90. Retrieved from.gcu.edu:2048/login?url=http://proquest.umi.com.library.gcu.edu:2048/pqdweb?did=1752526601&sid=1&Fmt=4&clientId=48377&RQT=309&VName=PQD”>http://library.gcu.edu:2048/login?url=http://proquest.umi.com.library.gcu.edu:2048/pqdweb?did=1752526601&sid=1&Fmt=4&clientId=48377&RQT=309&VName=PQD

Statistic

Data
type

Sample
Size

Research
Question

Statistical Significance:
There were three errors in Table 4
on page 185. In your identification of significant findings, can/did you find
them?

The chart from the Module 4
Readings:

Statistic

Data
Type

Sample
Size

Research
Question

Mean
and Standard Deviation

Interval
or ratio

>2

What
does the data set look like?

Frequency
Distribution

Nominal-Ratio

>2

What
does the data set look like?

Chi-Square

Nominal-Ordinal

>4

Is
the variance of one variable equal to or different from another variable

Correlation
Coefficient

Interval-Ratio

>4

What
is the relationship between two variables?

t-Test

Interval-Ratio

30

Is
there a significant difference between 2 or more groups?

Regression
Analysis

Interval-Ratio

>30

How
much of the change in the dependent variable is predicted by the independent
variable or variables?

Refer to the Module 4 Readings for
explanation of the chart.

GC HLT540
week 5 Broyles Textbook Practice Exercise Assignment latest 2016 august
Details:

Complete “Practice Exercise
11” (page 157) and “Practice Exercise 11” (page 180) in the
textbook. For the data set listed, use Excel to extract the mean and standard
deviation for the sample of lengths of stay for cardiac patients. Use the
following Excel steps:
1) Enter the data set into Excel.
2) Click on the Data tab at the top.
3) Highlight your data set with your
mouse.
4) Click on the Data Analysis tab at
the top right.
5) Click on Descriptive Statistics in
the analysis tool list.
6) Find the mean and standard deviation
of the data sets.
7) Send the results to instructor via
e-mail, along with your analysis of the description of the data set.

APA format is not required, but solid
academic writing is expected.

This assignment uses a grading rubric.
Instructors will be using the rubric to grade the assignment; therefore,
students should review the rubric prior to beginning the assignment to become
familiar with the assignment criteria and expectations for successful
completion of the assignment.

GC HLT540
week 5 Coyne and Messina Articles, Part 3 Spearman Coefficient Review
Assignment latest 2016 august
Details:

1) Write a paper (750-1,000 words)
regarding the use of the Spearman rank correlation coefficient by Messina, et
al. in “The Relationship between Patient Satisfaction and Inpatient
Admissions Across Teaching and Nonteaching Hospitals,” listed in the
module readings.
2) Comment on what variables were used;
whether it answered the research question; and whether the Spearman rank
correlation coefficient is appropriately used, given the requirements of the
Spearman rank correlation coefficient.
3) Prepare this assignment according to
the APA guidelines found in the APA Style Guide, located in the Student Success
Center. An abstract is not required.
4) This assignment uses a grading
rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.

GC HLT540
week 6 Yeung Analysis Assignment latest 2016 august
Details:
1) Refer to “The Use of Electro-Acupuncture in
Conjunction with Exercise for the Treatment of Chronic Low-Back Pain” by
Yeung, Leung, and Chow.
2) Complete “Yeung Analysis Worksheet.”
3) Examine the question the researchers were trying to
answer and write an essay (500-750 words) that explains why you feel the t-test
was chosen. Choose one of the other tools studied so far in this course and
explain why it would not provide relevant findings.
4) Prepare this assignment according to the APA guidelines
found in the APA Style Guide, located in the Student Success Center. An
abstract is not required.
5) This assignment uses a grading rubric. Instructors will
be using the rubric to grade the assignment; therefore, students should review
the rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.

Yeung Analysis Worksheet
Yeung, C., Leung, M., & Chow, D. H. K. (2003). The Use
of Electro-Acupuncture in Conjunction with Exercise for the Treatment of
Chronic Low-Back Pain. Journal of Alternative and Complementary Medicine, 9(4),
479-490. Retrieved from
http://library.gcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=10555113&site=ehost-live&scope=site
What was the research question?
What were the independent variables?
What was the dependent variable?
What was the sample size and how was it chosen?
What was the experimental design and use of control group?
Were the instruments of measurement shown to be reliable and
valid?
What data types were included?
Describe the statistics used, what they were used for, and
the results.
What were the researchers’ conclusions? How did they answer
the research question(s)?
How was error controlled?
Did you see any concerns with the research study? If so,
what?

GC HLT540 week 6 Correlation between Two Variables
Assignment latest 2016 august

Details:

Use Excel to do a correlation between
the following variables:
1) X – 2,5,5,6,6,7,8,9
2) Y – 1,2,2,3,4,4,5,5
This assignment uses a grading rubric.
Instructors will be using the rubric to grade the assignment; therefore,
students should review the rubric prior to beginning the assignment to become
familiar with the assignment criteria and expectations for successful
completion of the assignment.

GC HLT540 week 6 T-Test for Two Samples Assignment
latest 2016 august

Details:

A drug company is measuring levels of
oxygenation in patients after receiving a test medication. As the researcher,
you are interested in whether Group I, which received the medication, has the
same oxygenation levels as Group II, which did not.
1) Group 1: 2,3,3,4,4,7,8,9
2) Group 2: 1,2,2,3,4,4,5,5,6,8
Use Excel to run a t-test for two
samples, assuming equal variances, with an alpha value of 0.05. Run the t-test
and note:
1) Are you doing a one-tailed test or a
two-tailed test (Excel will give you both)?
2) What is the probability that Group I
is different from Group 2, using the p value? Is it significant against the benchmark
of p http://library.gcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=20870724&site=ehost-live&scope=site

What was the research question?

What were the independent variables?
What was the dependent variable?

What was the sample size and how was it chosen?

What was the experimental design and use of
control group?

Were the instruments of measurement shown to be
reliable and valid?

What data types were included?

Describe the statistics used, what they were used
for, and the results.

What were the researchers’ conclusions? How did they answer the research
question(s)?

How was error controlled?

Did you see any concerns with the research
study? If so, what?

Ganz Analysis Worksheet

Using the worksheet below, complete an assessment of
the following article.

Ganz, F., Fink, N., Raanan, O., Asher, M., Bruttin, M., Nun, M., et
al. (2009). ICU nurses’ oral-care practices and the current best evidence. Journal of Nursing
Scholarship, 41(2), 132-138. Retrieved from.gcu.edu:2048/login?url=http://proquest.umi.com.library.gcu.edu:2048/pqdweb?did=1780947491&sid=1&Fmt=3&clientId=48377&RQT=309&VName=PQD”>http://library.gcu.edu:2048/login?url=http://proquest.umi.com.library.gcu.edu:2048/pqdweb?did=1780947491&sid=1&Fmt=3&clientId=48377&RQT=309&VName=PQD

What was the research question?

What were the independent variables?
What was the dependent variable?

What was the sample size and how was it chosen?

What was the experimental design and use of
control group?

Were the instruments of measurement shown to be
reliable and valid?

What data types were included?

Describe the statistics used, what they were used
for, and the results.

What were the researchers’ conclusions? How did they answer the research
question(s)?

How was error controlled?

Did you see any concerns with the research
study? If so, what?

GC HLT540 week 7 Broyles Textbook Exercise 1
Assignment latest 2016 august

Details:
1) Use Excel to
complete “Exercise 1” on page 247 (Regression Analysis) in the
textbook.
2) Answer the questions
at the end of the exercise.
3) APA format is not
required, but solid academic writing is expected.
4) This assignment
uses a grading rubric. Instructors will be using the rubric to grade the
assignment; therefore, students should review the rubric prior to beginning the
assignment to become familiar with the assignment criteria and expectations for
successful completion of the assignment.

GC HLT540 week 8 Proposal Development Paper
Assignment latest 2016 august

Details:

Write a proposal paper (1,250-1,500
words) for a major change project that you would like to lead.
Identify a health care issue that
interests you and explain why.
Develop a rationale using
evidence-based research, including:
1) The background.
2) Statistical findings.
3) Probable stakeholders.
4) Logical conclusions.
Design an implementation plan for the
project, including:
1) A communications plan.
2) Creation of a design and
implementation team by roles.
List the strategies you would use to
lead the team to success and identify potential obstacles that may be faced,
along with plans to deal with them.
Prepare this assignment according to
the APA guidelines found in the APA Style Guide, located in the Student Success
Center. An abstract is not required.
This assignment uses a grading rubric.
Instructors will be using the rubric to grade the assignment; therefore,
students should review the rubric prior to beginning the assignment to become
familiar with the assignment criteria and expectations for successful
completion of the assignment.

GC HLT540 week 8 Stakeholder Scenario Assignment
latest 2016 august

Details:

1) Read and complete “Stakeholder
Scenario.”
2) Prepare this assignment according to
the APA guidelines found in the APA Style Guide, located in the Student Success
Center. An abstract is not required.
Stakeholder Scenario

Goal: To convince
a group of people to use a specific, new type of antibiotic for patients
pre-operatively in order to decrease surgical wound infections.

Scenario:You are
a healthcare administrator that is trying to introduce a change in practice to
a group of stakeholders. Your goal is to help them understand the rationale and
need for the change, and to get a sense of the areas of resistance to the
change. The change under discussion is to implement a new antibiotic to be
given one hour before surgery starts as a way of reducing post-op wound
infections. The Centers for Medicare and Medicaid Studies (CMS) have indicated
that timely pre-op application of specific antibiotics is becoming a
requirement and will be a publicly reported indicator on the CMS Web site for
your hospital. Thus, institution of this new procedure is something you really
need to pull off.

As the administrator in this scenario, you will hear the
initial responses of each of the stakeholders. You will then be presented with
several options for your response. Select the option you think is most
effective.

Review the stakeholders’ responses to the option you
selected. According to their own perspectives and prerogatives, the
stakeholders will respond in different ways to each choice. Your goal is to
achieve some level of buy-in to the change.

Issues:
·
The antibiotic is new and
people aren’t familiar with it.
·
Requires administration within one
hour of the actual surgery start time.
·
Requires administration by IV.
·
Adds a step to the busy pre-op
nurse’s work load.
·
Saves the hospital $28,000 per
year.
·
Research shows wound infections
down 47% with this new antibiotic if it is administered in a timely fashion.

Players:
·
Pharmacist: He’s learned about the new
antibiotic through his research studies, and is excited about using it.
·
Pre-op Nurse: She is worried about
having one more thing added to the pre-op activities list she must complete
before the patient goes to surgery, but she’s very interested in doing the
right thing for her patients.
·
Surgeon: He hates government mandates,
doesn’t like to be told what to do, generally has a pretty good track record
for his patients’ outcomes after surgery, but has no idea what his actual rates
of wound infection are.
·
Finance Analyst: It’s all about the
money. Don’t make it harder by concentrating on anything other than the
dollars.

Stakeholders’ Background
Thinking

Pharmacist: I
really like this idea, because this antibiotic is better and cheaper too. If we
can standardize to this antibiotic, I can save money by stocking only one
antibiotic for surgery. It will save my staff time in preparation also. This is
a great idea for me and my department.

Pre-op Nurse: I
am just worn out trying to keep up with all the changes they keep hitting us
with. It’s hard enough to do my job and remember to do things differently and
use different items. Why can’t they give me a break? Now I’ll have to start an
IV as well as give a drug, and they are already pressuring me to get the
patient ready for the OR faster. Sometimes I just want to go home!! But I got
into nursing to help people, and if this really makes a difference, I guess I
can suck it up.

Physician: The
government makes me crazy! Those bureaucrats think they know how to practice
medicine better than I do. The last thing I need is some ivory tower academic
telling me what antibiotics to give! I’ve been doing this for 30 years, and I
know what works and what doesn’t. The stupid hospital better shut up and let me
do what I know is right and stop telling me how to be a doctor. My patients
like me and that is what counts. I’m sure voting Libertarian in the next
election!

Financial Analyst:
I have been tasked to save this hospital hundreds of thousands of dollars this
year, and this one change will save us a bundle. Why are they all arguing? This
change could save their jobs! Don’t they get that it’s all about the money? I
wish they’d just shut up and approve the change so we could go get lunch.

First Responses of Stakeholders
·
Pharmacist: “This is really important. All
the research on this new antibiotic shows that it makes a big difference in
reducing wound infections. We could get our rate from 13% presently down to 2%.
We need to do this.â€
·
Pre-op Nurse: “This is going to take
much more time. We’ve always been able to give our patients pill antibiotics,
and now you want me to have to start an IV and administer the drug that way? What
happens if I give it and the surgery is delayed? There is already so much I
have to do to get the patient to the OR.â€
·
Surgeon: “What a bunch of horse hockey! I’ve
been using the same antibiotic for 25 years and its fine. No need to make silly
changes just to keep the government happy. What do they know about medicine
anyway? All they want to do is make us follow some stupid ‘cookbook’ and it’s
ridiculous. They should just leave all that up to the doctor.â€
·
Finance Analyst: “It saves money. Just
do it.â€

Administrator’s
Response Options
Select one:
1)
“Well, we have to do this
because it’s a government requirement.â€
2)
“You all raise valid points of
concern. The evidence shows a significant benefit to our patient care.â€
3)
“What could be done in the
implementation that would relieve some of your worries?â€

Responses to Option 1
Pharmacist: “We
can make this switch as soon as you are ready.â€
Pre-Op Nurse:
“We’ll have to tell the patient to come in four hours before the surgery to do
this. What a pain.â€
Surgeon: “The
heck with this. You can’t make me do it.â€
Finance Analyst:
“It saves money. Just do it.â€

Responses to Option 2
Pharmacist:
“There is a real benefit. Surgical site infections drop like crazy. It’s the
right thing to do.â€
Pre-op Nurse: “I
want to do the right thing. If Pharmacy can get the drugs up to the unit in the
morning, maybe I can start the IVs faster.â€
Surgeon: “I’m all
about patient care, but why can’t I use what I’ve always used?â€
Financial Analyst:
“It saves money. Just do it.â€

Responses to Option 3
Pharmacist: “It
would help me to know how many drug doses to stock in the OR each morning so I
can make sure they have what they need on hand.â€
Pre-op Nurse:
“That would sure help me. We can begin by having the IVs pre-prepared so we
just have to put the needle in the patient.â€
Surgeon: “Can I
see the data about wound infections? How do I stack up against other surgeons?â€
Financial Analyst:
“Great, you all see it. It saves money. Let’s do it.â€

Assignment
As is usually the case, it is possible to achieve some
measures of acceptance of changes. The way you respond will affect your ability
to do this. However, in real life, it rarely happens this quickly.

When involved in
negotiations, key elements to remember include:
·
Pay close attention to the
reasons people give for their resistance. You will gain a better insight into
their thought processes and can tailor your responses to their perspectives.
·
You may have to ask questions
several times to dig into the real reasons why people may oppose something. The
opposition sometimes can be driven by fears and anxieties, but those are not
usually expressed initially. However, if you keep asking questions and
listening carefully, they will begin to emerge.
·
Once you have a sense of the
perspectives of the various stakeholders about the change, you can begin to
address them and use them to overcome any objections to the change.
·
Sometimes the best you can get
in the initial conversations is a willingness to move away from “I’m not gonna.â€
to “Let me see the data.†That’s a big step toward willingness.

Based on this initial
scenario, develop an implementation plan. It should include:
·
The administrator’s initial
statement of what is being implemented and why.
·
(Review the stakeholder’s
background thinking and first responses.) The administrator’s (your) response
option choice.
·
How to communicate with the
stakeholders (especially if they need further convincing).
·
What evaluation criteria are needed?
·
Time frames.
·
Other items you think would be
valuable to include.

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The post Why do you think many healthcare practitioners are often unwilling to change practice patterns, based on research findings? Some practitioners criticize evidence-based practice as “cookbook care.” Considering these perceptions, how would you utilize your education and experiences in planning the implementation of a major change? appeared first on Deliver My Assignment.