Week 9: Financial and Resource Management
“Successful practice change efforts require both strong senior leadership and collective and distributed leadership throughout the practice. Leaders should recruit individuals to serve as evidence champions from all parts of the practice—including physicians and other clinicians, practice managers, and front and back office staff. Practices want champions who are not just focused on implementing a particular piece of evidence, but who share a vision and provide ongoing support for evidence-based practice.”
—Agency for Healthcare Research and Quality (2018, p. 2)
Change cannot occur with simply a good plan. Change can only occur with human support and resources to facilitate the change. As a nursing leader, your efforts to implement and sustain change are vulnerable to the champions around your efforts.
This week, you will explore the role of the change champion. You will analyze the benefits and necessities of identifying and cultivating these leaders, as well as explore who these individuals might be in implementing your practice problem change.
Reference: Agency of Healthcare Research and Quality. (2018). Using champions and opinion leaders to support learning, evidence-based practice, and quality improvement. https://www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/using-champions.pdf
Learning Objectives
Students will:
- Contrast change champions and opinion leaders
- Analyze human resources needed to support practice changes
- Assess practice change progress and outcomes
Learning Resources
Required Readings (click to expand/reduce)
Hickey, J. V., & Giardino, E. R. (Eds.). (2021). Evaluation of quality in health care for DNPs (3rd ed.). Springer Publishing.
- Chapter 6, “Evaluation of Organizations and Systems” (pp. 147–166)
Practicum Resources (click to expand/reduce)
Optional Resources (click to expand/reduce)
Benson, L. A. (Ed.). (2021). The DNP professional: Translating value from classroom to practice. Slack Incorporated.
Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.
Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing Company.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2021). Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company.
Discussion: Change Champions
Change does not occur in a vacuum. Change must be made through leaders who initiate, support, and lead the change. Think of your identified or potential practice problem. Who are the leaders tasked with implementing this change? You should be a part of this list of leaders, but who else is championing the change? Who else is supporting the change and leading the way?
Change can be hard, but change is also inevitable. Thus, change champions understand the purpose and necessity of change and offer this insight and support to the organization. How might your leadership skills and strategies produce more change champions?
Photo Credit: AYAimages / Adobe Stock
For this Discussion, you will contrast change champions and opinion leaders. You will consider the necessity of change for your practice problem, and explore the human impact and resources needed to support your proposed practice change.
To Prepare
- Review the Learning Resources addressing change champions and opinion leaders.
- Reflect on the human resources that may be necessary to support your proposed practice change.
- Consider the impact of leadership styles in making this change.
DISCUSSION QUESTIONS (one Page)
By Day 3 of Week 9
- Post a description of the differences between change champions and opinion leaders.
- Be specific and provide examples.
- Then, describe the human resources that may be necessary to support your proposed practice changes and explain why.
Rubric Detail
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Name: NURS_8502_Week9_Discussion_Rubric
| Excellent Point range: 90–100 | Good Point range: 80–89 | Fair Point range: 70–79 | Poor Point range: 0–69 | |||
| Main Posting: Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. | 40 (40%) – 44 (44%) Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current credible sources. | 35 (35%) – 39 (39%) Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three credible references. | 31 (31%) – 34 (34%) Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Cited with fewer than two credible references. | 0 (0%) – 30 (30%) Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible references. | ||
| Main Posting: Writing | 6 (6%) – 6 (6%) Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. | 5 (5%) – 5 (5%) Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style. | 4 (4%) – 4 (4%) Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors. | 0 (0%) – 3 (3%) Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. | ||
| Main Posting: Timely and full participation | 9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation. Posts main Discussion by due date. | 8 (8%) – 8 (8%) Meets requirements for full participation. Posts main Discussion by due date. | 7 (7%) – 7 (7%) Posts main Discussion by due date. | 0 (0%) – 6 (6%) Does not meet requirements for full participation. Does not post main Discussion by due date. | ||
| First Response: Post to colleague’s main post that is reflective and justified with credible sources. | 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. | 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting. | 7 (7%) – 7 (7%) Response is on topic and may have some depth. | 0 (0%) – 6 (6%) Response may not be on topic and lacks depth. | ||
| First Response: Writing | 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. | 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English. | 4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. | 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited. | ||
| First Response: Timely and full participation | 5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date. | 4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date. | 3 (3%) – 3 (3%) Posts by due date. | 0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date. | ||
| Second Response: Post to colleague’s main post that is reflective and justified with credible sources. | 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. | 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting. | 7 (7%) – 7 (7%) Response is on topic and may have some depth. | 0 (0%) – 6 (6%) Response may not be on topic and lacks depth. | ||
| Second Response: Writing | 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. | 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English. | 4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. | 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited. | ||
| Second Response: Timely and full participation | 5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date. | 4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date. | 3 (3%) – 3 (3%) Posts by due date. | 0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date. | ||
| Total Points: 100 | ||||||
Name: NURS_8502_Week9_Discussion_Rubric
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