PLANNED CHANGE IN A NURSING DEPARTMENT OR UNIT

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Application: Planned Change in a Department or Unit
Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.
For this Assignment, you propose a change at the nursing department or unit level and develop a plan for guiding the change effort.
To prepare:
Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.
Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.
Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected
Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.
To complete:
Write a 3- to 5-page paper that addresses the following:
Identify a problem, inefficiency, or issue within a specific department/unit.
Describe a specific, realistic change that could be made to address the issue.
Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional…
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Sasha Gurrola  
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Re:Topic 4 DQ 2 The protection of human subject is the utmost necessity in research and must take precedence over all other contributing factors.  Children are a vulnerable group and legally, anyone under the age of 18 years must have guardian consent to take part in any research.  Furthermore, the IRB “must consider potential benefits, risks, and discomforts of the research of children- to assess justification and inclusion,” (HHS.gov, 2016).  Every circumstantial situation must be evaluated including: participant beneficence, potential risks, disease status and society as a whole (HHS.gov, 2016). Guidelines set forward for minor individuals involved in a protocol must be determined by the IRB from 4 potential categories: (HHS.gov, 2016). -Research not involving greater than minimal risk to the children. -Research involving greater than minimal risk but presenting the prospect of direct benefit to the individual child subjects involved in the research. Research involving greater than minimal risk and no prospect of direct benefit to the individual child subjects involved in the research, but likely to yield generalizable knowledge about the subject’s disorder or condition. Research that the IRB believes does not meet the conditions of 45 CFR 46.404, 46.405, or 46.406,(listed above) but finds that the research presents a reasonable opportunity to further the understanding, prevention, or alleviation of a serious problem affecting the health or welfare of children. In summary, while the parent or guardian obtains the consent of the child it is important to involve the child (depending on age and mental-status) in decision-making and obtain assent before moving forward.   Original Question: Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale  
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