Wgu Nursing Analysis Paper
Running Head: ANALYSIS OF CIRCUMSTANCES IN A PATIENT DEATH
Analysis of Circumstances in a Patient Death
(my name)
Western Governors University
1
ANALYSIS OF CIRCUMSTANCES IN A PATIENT DEATH
2
Analysis of Circumstances in a Patient Death
Healthcare offers a myriad of opportunities. There are many opportunities in which healthcare professionals are able to help patients, and there are many opportunities for failure with patients. When an unexpected outcome occurs, it is prudent to explore the occurrence and the path which resulted in this outcome. This paper describes the use of Root Cause Analysis
(RCA) in a scenario involving a patient death, and then utilizes Change Theory and Failure
Mode and Effects Analysis (FMEA) to demonstrate effective …show more content…
Improvement Plan
Change is difficult for most people. Often more time is expended in resisting change than it would take to actually make the change. Change Theory, developed by psychologist Kurt
Lewin, acknowledges the difficulty in making change. Lewin theorized that there are three distinct stages in organizational change: unfreezing, changing, and the freezing (Williams, 2014).
Lewin believed that in order to successfully implement a change in an organizational system, the people in the organization must go through all three of these stages. To “unfreeze” a behavior, the behavior must be first identified. In the given scenario for this paper, one of the behaviors that should be changed is the lack of regard for the Conscious Sedation policy. In order to
“unfreeze” this behavior, staff must first accept that this is a behavior that has been used and understand the need for a change in that behavior. It would be beneficial to discuss with staff their reasons for disregard of the policy. Once the staff accepts the fact that a change needs to be made, the next stage of “change” may be embarked. In the “change” stage staff would identify the desired behavior and implement it. In this scenario, staff would acknowledge that
Analysis of Circumstances in a Patient Death
(my name)
Western Governors University
1
ANALYSIS OF CIRCUMSTANCES IN A PATIENT DEATH
2
Analysis of Circumstances in a Patient Death
Healthcare offers a myriad of opportunities. There are many opportunities in which healthcare professionals are able to help patients, and there are many opportunities for failure with patients. When an unexpected outcome occurs, it is prudent to explore the occurrence and the path which resulted in this outcome. This paper describes the use of Root Cause Analysis
(RCA) in a scenario involving a patient death, and then utilizes Change Theory and Failure
Mode and Effects Analysis (FMEA) to demonstrate effective …show more content…
Improvement Plan
Change is difficult for most people. Often more time is expended in resisting change than it would take to actually make the change. Change Theory, developed by psychologist Kurt
Lewin, acknowledges the difficulty in making change. Lewin theorized that there are three distinct stages in organizational change: unfreezing, changing, and the freezing (Williams, 2014).
Lewin believed that in order to successfully implement a change in an organizational system, the people in the organization must go through all three of these stages. To “unfreeze” a behavior, the behavior must be first identified. In the given scenario for this paper, one of the behaviors that should be changed is the lack of regard for the Conscious Sedation policy. In order to
“unfreeze” this behavior, staff must first accept that this is a behavior that has been used and understand the need for a change in that behavior. It would be beneficial to discuss with staff their reasons for disregard of the policy. Once the staff accepts the fact that a change needs to be made, the next stage of “change” may be embarked. In the “change” stage staff would identify the desired behavior and implement it. In this scenario, staff would acknowledge that