Daniel decides to prepare his presentation for the Unit Council in hopes of gaining support for his change process plan. His presentation will include the following:
An overview of the ACE Star Model (Stevens, 2013) as a method to incorporate a change process with supportive evidence. This lets the Unit Council know he is using an evidence-based process in his assessment and planning efforts.
An explanation of the problem identified, the scope of the problem, and an evidence summary will be detailed. He will include his PICOT question here.
The evidence summary will include:
potential interventions identified in a systematic review and other scholarly sources;
specific data from his unit and other units in the hospital;
information from professional practice guidelines and sources such as the CDC and Joint Commission; and,
the information from his conference call regarding the use of early warning systems.
Recommendations for change are described and based on the evidence summary.
The identification of the stakeholders, the practice area, team member roles and responsibilities, and the required resources needed are included.
The Action Plan including:
the activities of the team involved through the process,
ways to inform the staff of the plan,
inclusion of data worksheets, tip sheets, and protocols;
the coordination of ongoing weekly updates and education of staff, and
the timeline to be used.
For the evaluation process, Daniel plans to include: a strategy for evaluating the results, who is to be involved in this collaboration, and next steps before disseminating information about the findings. Comparative measurable data outcomes will be recorded over the 6 month period with the hope that the MEWS intervention and education sessions will result in a decrease in central line infections on the unit. Daniel plans to use a bar chart throughout the timeline to illustrate the results on a poster within the unit.
If results are positive in decreasing the unit HAI rates, the decision for key hospital leaders will be to consider using a permanent warning system throughout the facility and then allocating the resources needed to accomplish this.
Daniel and his Unit Manager meet to go through the presentation content. Daniel is planning to use a PowerPoint presentation at the Unit Council meeting and also provide handouts to include his timeline, data worksheets to be used in the process, and the references and permalink to the systematic review article from the hospital library. His Unit Manager reminds him there are a few nurses she identifies as informal leaders on the unit that might be somewhat resistant to this type of change. These nurses are experienced and outspoken and have influence with their peers. Daniel considers ways to address this issue in hopes of gaining informal leader support.