Clinical Practice

1. Complete the following activities to ensure successful translation:
❑Secure a project leader:
❑Identify change champions: Peace, Clinical Staff’s.
❑Consider whether translation activities require different or additional members: Site Leader.
❑Schedule time to complete milestones: May 4th to August 30th.
❑Identify critical milestones and related tasks: Analyze data, continue to collect, and purify additional materials.

❑Identify observable pre or post measures: Daily Census versus Number of staffs.
2. Identify barriers to the success of the change, and then identify strengths that can be leveraged to overcome barriers.
Barriers Resources or Strengths Plan to Overcome Barriers by Leveraging Strengths as Appropriate
The complexity and magnitude of the change with respect to fall prevention. Staff involvement and good leadership will be key to realizing the overall objective of fall prevention. Involve the staff at every step of change implementation to reduce the complexity of each component of change.

Focus on good leadership by ensuring that each stakeholder or organization’s staff members have the right understanding of every step of change implementation.
Instability of the current leadership within the nursing home care facility Manipulation and correct time for implementing the change. Staff and current leaders within the facility will be manipulated and made to understand the need for the change. This will be carried out at the right time.
Availability of competing demands within the nursing home facility. E.g., the need to expand capacity Negotiation and correct timing for implanting the change. Negotiations with the current leadership team within the nursing home facility will be carried out to create a shared understanding of the need for the change amid other organizational priorities.
Resistance from one or more groups or stakeholders is key to the implementation of change within the nursing home facility. Good leadership, communication, and negotiation Good leadership skills such as communication and transparency will be applied to reduce resistance to change.
Scarcity of resources in the nursing home facility. Communication, good leadership, and negotiation. Through communication, the need for change will be communicated. Good leadership will also be implemented along with negotiations to establish where scarce resources are needed the most to achieve the goal of fall prevention.
3. Consider whether or how this change will affect the following:
❑ Electronic health record❑ Workflow❑√ Policies and/or procedures

Existing policies and procedures will be greatly influenced by the proposed change. Mainly, this will include the general approach to clinical practices and procedures within the nursing home facility.
4. Confirm support and/or availability of funds to cover expenses.
(Check all that apply)
❑√Personnel costs
❑√Supplies/equipment
❑√Technology
❑√Photocopying ❑√ Education or further training
❑√ Content or external experts
❑√ Dissemination costs (conference costs, travel)
❑ Other:

5. Identify critical milestones and related tasks:
Change Identification Planning Communication Execution

Tasks Review of organizational objectives to establish the need for change. Creating a new direction for the organization. Develop of communication strategy based on the identified changes Launching change
Review of current clinical processes and procedures. Setting priorities for the organization with respect to the identified change gaps and needs. Communicating the need and the reasons for change Monitoring the change
Review of current organizational and clinical workflows. Developing steps on how to achieve the identified change Identifying key stakeholders and audience to aid development of communication strategy Seeking feedback from change stakeholders
Developing a plan on how employees will support the transition process Determining the correct medium to be used for change Evaluating the implemented changed
Conducting impact assessment Determination of possible resistance from change stakeholders
Identification of necessary support or training

Directions for Use of the Action Planning Tool
Purpose of form
This form is used to guide you as you create an action plan.
Activities to ensure successful translation
These are all activities that must be completed as you plan the change. Consider pre-and post- observable measures that can be used to determine whether the change was successful. In addition, identifying critical milestones allows the team to see whether they are on track to accomplish the goals.
Identify strengths/resources and barriers to the success of the change
This analysis allows teams to identify barriers to implementation and potentially mitigate them using inherent strengths and resources. You may find specific challenges that will likely impact the ability to deliver on the action plan. Though these obstacles can get in the way, knowing about them upfront is helpful so that you can engage support and create a plan to address them.
Consider whether or how the change will impact workflows and processes
Be mindful of the impact of the change downstream. For example, will changes need to be made to the electronic medical record to accommodate the change, or will this change impact the workflow of any other staff who have not been considered?
Confirm support and/or availability of funds to cover expenses
Use this as a guide to prompt thoughtfulness about financial obligations that may be a part of the rollout.
Identify critical milestones and related tasks
Consider all the categories of work (milestones) necessary to implement this change. What tasks must be accomplished first for each milestone in order to move forward? When must they be completed to stay on track? For example, if a milestone is to implement a protocol, list all tasks to accomplish it.