Capstone Project Change Proposal Plan 2025

Topic 9 DQ 2 Lack of incentives to implement evidence based practice is another factor that would cause low motivation among the nurses to implement and realize the desired changes. “While system transformation may bring uncertainty, it will undoubtedly also provide opportunities for leadership, greater engagement and the potential for improved patient, provider and system outcomes” (Wheatley et al., 2017). In this case, I would encourage multidisciplinary collaboration among the medical professionals in the healthcare institution to reduce work load and also to facilitate knowledge transfer. Nursing workloads are high enough and to add another task to complete is not always possible to complete during work hours. Nurses are tired and ready to go home at the end of their shifts and completing assessments or education after a shift would not promote optimal retention of materials. Incentives should be given to come in on time off to complete tasks needed. The second barrier that could undermine attainment of the anticipated change in the healthcare organization is inappropriate institutional culture, which does not support the practice. Inappropriate institutional culture includes failure to demand the best practice from the nurses, failure to provide necessary resources and failure to provide professional and educational advancement opportunities for nurses so that that they can enhance their skills on evidence based practice. To solve this barrier, involving the organization’s management as a key stakeholder during implementation of evidence based practice is of critical importance. In addition, involving trained mentors who are familiar with the institutional culture would help in bringing the desired change to facilitate uptake of evidence based practice. This change proposal relies heavily on leadership and management. Both have the potential to positively impact the organizational culture to support the change. In the implementation process of my evidence based practice, the potential barriers that would hinder it from achieving the desired outcomes are lack of motivation among the nursing staff and institutional barriers. Lack of motivation among the nursing and other medical professionals is one of the major barriers. Some of the factors that could contribute to low motivation include lack of adequate nursing staff, thereby increasing the workload for the existing care teams (Pierson & Schuelke, 2009). Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers. Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.

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WEEK 4 SOAP NOTE 2025

Subjective, objective, assessment, and plan (SOAP) notes; physical examsS; history taking; head, eyes, ears, nose, and throat (HEENT); respiratory; and cardiovascular systems. This weeks content should be on a disease of the Cardiovascular system. (Congestive Heart Failure) +++PLEASE USE THE TEMPLATE PROVIDED IN THE ATTACHMENT. THE SOAP NOTE HAS TO BE DONE ON CONGESTIVE HEART FAILURE TEMPLATE IS ATTACHED TO THIS POST. PLEASE USE REFERENCES NO OLDER THEN 5 YEARS OLD IN APA STYLE.

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