The theory applied to the Fall Reduction Pilot was John Kotter’s Change Management Theory. The book The New Leadership Challenge Creating the Future of Nursing, describes Kotter’s Eight Step Plan for Integrating Change as: 1) Identify a need and communicate the necessity for implementing a change. 2) Gather the stakeholders and create power in numbers to lead the change. 3) Develop a vision and strategies to enforce change to lead the initiative. 4) Communicate the new vision for the change to everyone in the organization. 5) Encourage risk taking and creative troubleshooting to move the change along. 6) Move the change and offer incentives for success. 7) Evaluate the implications of the change as it takes hold and offer suggestions …show more content…
The patient’s physiological needs (water, warmth, rest) are being addressed with purposeful rounding and use of answering the call light with the spectra link phone. The patient’s safety needs (security and safety) are being addressed with all three suggested changes with the primary focus of fall reduction. The patient feels a sense of belonging, by developing a sense of trust, with the hospital staff knowing the staff will be rounding frequently. The staff members will meet esteem needs and feel a sense of accomplishment knowing they provided the best care possible and contributed to a decrease in the number of …show more content…
One of the obstacles encountered, upon initiating the change, was the staff felt like purposeful rounding to be more of a burden and more time consuming. The HUC group felt they should not be included in the process because they do not provide direct patient care. To stress the importance of their role the core team explained they were the informal leaders, who helped drive the project. After the first week of implementation, staff saw the benefit of doing purposeful rounding and how it reduced the number of times a patient used their call light. The staff saw the benefit up keeping the whiteboards up to date as a communication tool. When assisting their peers, all they had to do was look at the board to determine if the patient was a fall risk and whether or not they could be left