• D 158 Task 1 E-Portfolio

Student name

Western Governors University

Leavitt School of Health

Prof. name

Submission date

Leadership and Management E-Portfolio

Leadership is the capacity to coordinate and motivate people to work together to achieve a certain goal. On the other hand, management involves coordinated and administrative activities aimed at the accomplishment of objective aims (Gordana & Ili̇c, 2020). The assessment involves working on a Healthcare Improvement Project (HIP), an intervention focused on decreasing patient falls, through identifying the means of commencing the project and involving the stakeholders, planning, performing the action, and reflecting. All these stages call for documentation of such things as activity schedules, templates, force field analysis, action plans, feedback from peers, and video reflections.

Phase 1

In the first phase, we concentrated on launching our health improvement project with the specification of the topic and the announcement of interested stakeholders. With these negotiations, there occurred coherent aspirations from discussions and negotiations (Gordana & Ili̇c, 2020). The priority of this foundational phase was to meet all the parties, and we had to make sure that all of them wanted and needed what we decided to create for them.

CPE Schedule Table with Tasks and Timeline

Phase 1 Activity	Estimated Time to Complete	Estimated Date of Completion
1.a. CPE Schedule Table with Tasks and Timeline	2 hours	09/30/2024
1. b. Complete “Force Field Analysis Template”	3 hours	10/01/2024
1. c. Three Screenshots for Phase 1 GoReact Video Reflection	1.5 hours	10/02/2024
1.d. Peer Responses for GoReact Reflection	1.5 hours	10/02/2024
1.e. Written Summary of Phase 1 Video Reflection	1 hour	10/03/2024

D158 Force Field Analysis

FORCE FIELD ANALYSIS
Three Driving Forces	Three Restraining Forces
1. Strong leadership support for patient safety initiatives	1. Resistance to change from frontline staff
2. Availability of resources and budget for improvement	2. Limited staff training on fall prevention protocols
3. Access to patient data and analytics to track outcomes	3. High patient-to-nurse ratio, leading to time constraints

Phase 1 Go React video reflection

The aim of this paper is to describe and critique the first stage of the healthcare improvement project at Global Care Wellness Center. Takes a systematic stock of the measures taken to find ways to reduce the risk of falling in patients (Heng et al., 2020). You are so well-versed in the points you wanted to make about your project and similar things that you wanted to address with your peers.

I said you need to do it in a plan, my HIP improvement project. I Begin with a Short Justification for a Clear CPE Schedule of Tasks and Timeline (Heng et al., 2020). It directs individuals as they consider their obligations and predicts the course of the project. For CPE, I explained that each task has a different meaning because the schedule serves as a reference for your expectations and a tracking device in case your plans differ.

This is something I tried to fill out. I think it helped me understand what factors may be driving our project in the future (Schween et al., 2020). I think there are factors such as over-leadership backing and tools to consider. On the other hand, I know there could be things that might hinder staff from embracing the change, and I offered training to staff on how to prevent falls. I learned about the difficulty of introducing change in healthcare. I realized the importance of taking all of these factors into consideration when implementing change in the healthcare settings.

I think the reflections and learning opportunities shared through the GoReact video reflection during phase 1 added additional energy to the project and reminded me of the need to plan and involve people (Schween et al., 2020). I want to take the ideas and strategies from the reflections above and apply them in determining our healthcare improvement plan.

Summary Of Your Phase 1 Video Reflection

The first video reflection focused on the features needed to consider when planning the Healthcare Improvement Project (HIP) to decrease patient falls at the Global Care Wellness Center (Sara et al., 2024). In this segment, we discussed our original approach, discussed our thoughts and ideas, and received feedback from the other students.

When coming up with the objectives, I stressed the importance of having a CPE plan that incorporates the activities and the schedules. The schedule should function as a scratch plan so that everyone on the team knows what to expect from them regarding the undertaking and to avoid misinterpretation (Sara et al. 2024). I emphasize each of the tasks because each task is crucial to the continuity of the strategies being implemented.

Another tool used for reflection was the force field analysis template. I realized that there were three forces that could positively drive the project: support from leaders, resources, and data about patient outcomes. Staff resistance to change, inadequate training regarding the use of protocols regarding fall prevention, and patient-nurse ratio (Flaig et al., 2020). Understanding these forces has helped me determine the course of action to respond to possible risks.

As part of my assessment, I also mentioned how feedback from peers created my perception of the project. Challenging me to think about the situation in a different manner and thus think of a different way to deal with some of the challenges faced. In my phase 1 video reflection, I realized the need to consider strategic planning, engaging the stakeholders, and how I can constantly assess myself (Flaig et al., 2020). As we move to other phases of development, I am ready to use the insights from the above models to positively impact the implementation of the healthcare improvement initiative as a way of creating a safer environment for our patients.

Kindly attach the related screenshots.

Phase 2

For phase 2, a comprehensive project plan including the timeliness and budget for the implementation of the health improvement project was established. The tool used in developing training aids for the fall prevention program also highlighted the need to educate the staff. This phase was very significant as it made all the preparations towards the proper implementation of the resources as required (Montero-Odasso et al., 2021).

A CPE Schedule Table with Tasks and Timeline

CPE Schedule Table (Phase 2)	CPE Schedule Table (Phase 2)	CPE Schedule Table (Phase 2)
2.a. CPE Schedule Table with Tasks and Timeline	2 hours	10/04/2024
2. b. Complete “Action Plan Template”	3 hours	10/05/2024
2. c. Update Gantt Chart with Integrated Action Items	4 hours	10/06/2024
2.d. Three Screenshots for Phase 2 GoReact Video Reflection	1.5 hours	10/07/2024
2.e. Peer Responses for Phase 2 GoReact Reflection	1.5 hours	10/07/2024
2. f. Written Summary of Phase 2 Video Reflection	1 hour	10/08/2024

Action Plan Template

Action Item Owner’s Role or Title	Five Specific High-Level Action Items by Project Planning Phase	Phase When Action Item Will be Completed	Anticipated End Date
Project Manager	1. Initiate a project kickoff meeting to align stakeholders on goals and objectives.	Initiation	October 7, 2024, Your Gantt chart has this end date as 7/4/24. Which is it? The end dates of this task on your Gantt and Action Plan need to be the same! Also, your subtask dates need to be between your action items’ start date and end date!
Quality Improvement Specialist	2. Develop and finalize the comprehensive Action Plan Template addressing all project needs.	Planning	October 14, 2024, Your Gantt chart has the planning phase action item as “Complete the ProForma budget” beginning 7/4/24 and ending 7/10/24 – which is it? Also, your subtask dates need to be between your action item’s start and end dates!
Data Analyst	3. Gather and analyze baseline data on patient falls to inform action items and interventions.	Planning: This should be the implementation phase.	October 21, 2024Needs to match the task and the end date of your Gantt chart’s implementation action item!
Training Coordinator	4. Design and implement a staff training program on fall prevention strategies.	ImplementationThis should be the Control phase of Implementation.	November 15, 2024, needs to match the task and the end date of your Gantt chart’s implementation control action item!
Project Evaluator	5. Develop and conduct a post-implementation evaluation to assess project impact.	Evaluation/Closure	January 15, 2025Needs to match the task and the end date of your Gantt chart’s implementation action item!

An Updated Gantt Chart Completed with Integrated Action Items

You’ll need to remove the bar graph occurring in April in your Planning phase!

Phase 2 GoReact video reflection

Within my phase 2 GoReact reflection video on this project, I analyzed the achievements made in moving forward and the understanding gained in this phase. The initial and conceptual phases were encompassed, where we decided on the topic of our health improvement project and began the stakeholder management process (Montero-Odasso et al., 2021). I talked about the need for consensus and how this was critical since all the stakeholders needed to be on the same page when it came to goals to be accomplished.

In the different aspects of my reflections, one of the important issues, which should be further discussed, is the issue of a needs assessment. This involved data collection to determine the current state and consider changes that could be made. I decided to focus on the teamwork of my peers and me, which contributed in the form of interviews and questionnaires. This strategy benefited the analysis in two ways, which included (Bong & Park, 2020). Provide a richer perspective on the problems under discussion. Make the team members feel like the work being done is their own.

I stressed the creation of a pro forma budget, which was significant for our financial project in terms of planning. I shared with them ideas about where we could have had difficulties in defining costs and what would be more necessary to remain flexible when it comes to working with the budget. This activity aimed to show that cost and goal considerations cannot always be in harmony with each other (Bong & Park, 2020). My video reflection took the learning points arising from phase 2 of the work, as personified by the collaboration involved in the project. The significance of extensive planning and consideration of the stakeholders in any proposed health improvement venture.

 Summary Of Your Phase 2 Video Reflection

In the second phase, I evaluated our health improvement project after the initiation and planning phases of the project. One understood feature that made the collaboration successful was the consensus that was developed among the stakeholders in the process. With the help of these stakeholders, we established communication as early as the conceptualization phase they have a clear understanding with regard to the goals and objectives of the project. It also required the formulation of another needs assessment, which proved effective in injecting the necessary information towards the current status of the practices done within the health sector.

During the needs assessment, we interviewed and administered surveys, which enabled a collaborative effort of multiple stakeholders (Schmidt et al., 2020). This helped not only to broaden our knowledge about the matters in question but also encouraged the team members’ ownership. The information I derived from this process proved to be useful in the definition of the goals and activities of our project.

The second important factor of this phase was to prepare a pro forma budget. Cost estimation proved to be problematic at some point, but planning and allocating resources could only be done through it. They could easily land into trouble due to unseen circumstances that may occur while implementing the project, hence the need to be flexible while making a budget (Flaig et al., 2020).

In my video reflection, I also covered peer feedback that highlighted the need for the organization’s stakeholders to communicate appropriately. I learnt a lot from them as they provided diverse information that I perceived as helpful in improving the effectiveness of our project (BANDURA, 2023). From this phase, I learnt that there is a need to work in collaboration as well as how to be flexible and how to plan the health improvement initiative well.

Conclusion

  In summary, the HCV (HCV) assessed how the Health Care Improvement Project (HCP), which focused on decreasing patient falls, needed to have structured planning, meaningful involvement from all stakeholders, and ongoing reflection to increase the likelihood of achieving its goals. Executive leaders gained a greater understanding of the key driving and restraining forces during the first phase of the project, increasing awareness of the HCP and engaging multiple stakeholders. The second phase concentrated on staff training and the resource implications related to project planning.

The peer group evaluations provided an opportunity for staff members to work together to apply their ideas using video reflections to further develop their strategic self-analysis, which ultimately created a degree of preparedness for changes during the implementation of this project. This project increased the understanding of the need for adequate planning and timely responses to challenges encountered in order to improve the safety of the health care environment and the outcomes of patients in the Global Care Wellness Centre.

References

Bandura, A. (2023). Cultivate self‐efficacy for personal and organizational effectiveness. Principles of Organizational Behavior, 6(8), 113–135. https://doi.org/10.1002/9781394320769.ch6

Bong, J., & Park, M. S. (2020). Assessment & Evaluation in Higher Education, 45(8), 1155–1168. https://doi.org/10.1080/02602938.2020.1727413

Gordana, D., & Ili̇cB. (2020). Journal of Ekonomi, 2(1), 8–14. https://dergipark.org.tr/en/pub/ekonomi/issue/52536/699509

Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A.-M., & Morris, M. E. (2020). Hospital falls prevention with patient education: A scoping review. BMC Geriatrics, 20(1), 1–12. https://doi.org/10.1186/s12877-020-01515-w

Montero-Odasso, M. M., Kamkar, N., Pieruccini-Faria, F., Osman, A., Sarquis-Adamson, Y., Close, J., Hogan, D. B., Hunter, S. W., Kenny, R. A., Lipsitz, L. A., Lord, S. R., Madden, K. M., Petrovic, M., Ryg, J., Speechley, M., Sultana, M., Tan, M. P., van der Velde, N., Verghese, J., & Masud, T. (2021). JAMA Network Open, 4(12), e2138911–e2138911. https://doi.org/10.1001/jamanetworkopen.2021.38911

Sara, Cadel, L., Everall, A. C., Bronskill, S. E., Wodchis, W. P., Kednapa Thavorn, & Kuluski, K. (2024). Identifying and prioritizing recommendations to optimize transitions across the care journey for hip fractures: Results from a mixed-methods concept mapping study. PLoS ONE, 19(8), e0307769–e0307769. https://doi.org/10.1371/journal.pone.0307769

Schween, R., McDougle, S. D., Hegele, M., & Taylor, J. A. (2020). Journal of Neurophysiology, 123(4), 1552–1565. https://doi.org/10.1152/jn.00427.2019