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Strategic Planning Tool

Strategic Planning Tool

Instructions: Revisit your strategic plan under development in Discussion 1.2.   Use this tool to document your updated strategic plan to guide the planned change capstone process.   Be sure to cite and reference your sources according to APA format, using the last page for your reference list.

Name: _______________________________________________________________

 

Statement of Need or Statement of Problem to Be Addressed

 

 A 15% increase in medication discrepancies over the past six months at our facility has highlighted an urgent need to address prescription drug monitoring and control. This trend is concerning and a critical patient safety and operational concern, primarily due to the structural weaknesses present in the health system, which compromise the quality of care as well as patient outcomes. Healthcare professionals have a prevalence of potentially problematic substance use of as much as 10 percent – because of this, an endemic risk environment can be created where medication is likely to be mismanaged: Strategic Planning Tool.

This problem is apparent in several ways: insufficient prescription drug monitoring, low staff knowledge of prescription drug dependency, and weak enforcement policy. This is not just an issue with individual deviant behavior; there are structures and systems in place within organizations that encourage prescription drug abuse problems. Factors that enhance substance use tendencies within a health care facility include the presence of high stress levels, easy access to drugs, and lack of control. Such systemic weaknesses pose a threat to the safety of not only the patients but also put a significant economic burden in terms of expenses, probability of getting involved in litigation cases, organizational efficacy, efficiency, and productivity.

 
 

Background of the Problem

(minimum of three scholarly sources current within the last five years)

 

 The problem of prescription drug abuse in healthcare settings is very complex, and the analysis of this problem should be carried out with the help of the multiple perspectives approach. Bernstein et al. (2020) note that, as with resolving other complex issues within an organization, it is especially essential to have a good appreciation of the context and involve all the stakeholders. Their research indicates that good intervention approaches should target several interfaces in people and companies.

 

Hodkinson et al. (2020) present direct empirical evidence that links the lack of monitoring regarding cases of prescription practice with the rise of drug abuse. Their systematic review suggests that preventable adverse events related to medications are determined and affected by the lack of strategy for monitoring such events, thereby indicating that abuse risk should be controlled by good monitoring systems.

 

Jalali et al. (2020) provide a contemporary analysis based on compelling social-ecological theory that provides clear insight into the multifaceted emerging problem. From their study, they show that this is not just a behavioral problem that surrounds prescription drugs but a complicated problem that involves psychological, organizational, and societal aspects. Key contributing elements include:

·       High-stress healthcare work environments

·       Emotional exhaustion among healthcare professionals

·       Poor awareness about the risks of dependency

·       Inadequate enforcement of drug management policies

·       Poor educational interventions

·       Systemic access to controlled substances

 

Such an extensive background underlines the need to undertake a strategically holistic approach to prescription drug abuse, focusing on prevention and education through systematic intervention.

 

Desired Outcome of the Capstone Project Related Activities to Facilitate the Stated Outcome Timeline for Implementation of Stated Activities Evaluation Plan
Reduce medication discrepancies by 15% within eight weeks through enhanced medication monitoring and staff education. 1. Conduct baseline assessment of current medication discrepancy rates Week 1: Baseline data collection and stakeholder meetings –        Monthly comparison of medication discrepancy rates against baseline data
2. Develop a standardized medication monitoring protocol Week 2: Protocol development –        Weekly documentation audit results
3. Create and implement a staff education program on proper medication documentation and monitoring Week 3-4: Staff training sessions –        Staff completion rates of new protocol training
4. Weekly documentation audits and feedback sessions Week 5-7: Ongoing monitoring and feedback –        Staff knowledge assessment scores (pre- and post-training)
5. Final assessment and data collection Week 8: Evaluation and recommendations –        Final comparison report showing percentage change in discrepancy rates

References

Bernstein, S. L., Weiss, J., & Curry, L. (2020). Visualizing implementation: Contextual and organizational support mapping of stakeholders (COSMOS). Implementation Science Communications, 1(1). NCBI. https://doi.org/10.1186/s43058-020-00030-8

Hodkinson, A., Tyler, N., Ashcroft, D. M., Keers, R. N., Khan, K., Phipps, D., Abuzour, A., Bower, P., Avery, A., Campbell, S., & Panagioti, M. (2020). Preventable medication harm across health care settings: A systematic review and meta-analysis. BMC Medicine, 18(1), 313. https://doi.org/10.1186/s12916-020-01774-9

Jalali, M. S., Botticelli, M., Hwang, R. C., Koh, H. K., & McHugh, R. K. (2020). The opioid crisis: A contextual, social-ecological framework. Health Research Policy and Systems, 18(1). https://doi.org/10.1186/s12961-020-00596-8

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Question

Getting Started

During the NUR-495 course, you will actively engage in strategically planning for and managing a planned change project within the scope of your current professional role.  For this field-based project, you will identify a specific problem or need to serve as the foundation for a faculty-guided capstone experience.  Project-related experiences are integrated throughout the course, and will involve application of strategic planning and project management processes.

For the purpose of your coursework, application of the strategic planning and project management processes is broken down into six distinct phases in order to integrate the assessment components throughout the eight workshops.

In this discussion, you will share the initial strategic plan for your capstone project, and learn more about your role as the project manager.  You will apply concepts learned in NUR-415 and Discussion 1.2 through the identification of a specific problem statement or statement of need, along with the background to support the need for change which you are proposing.  You will revisit the work you initiated in Discussion 1.2 (58757) and identify a specific outcome for the capstone project as well as activities, a timeline, and a plan for evaluation.

Upon successful completion of the course material, you will be able to:

  • Construct a strategic plan to guide the capstone project.

Resources

Background Information

As discussed in Discussion 1.2, the planned change process is rather iterative in nature, with dynamics that are organic rather than static.  For this reason, we tend to think of a planned change project as a work in continual process.  With each workshop, you will polish and fine-tune aspects of your plan as part of the learning process.

Each facet of the planned change process will be unpacked, examined, and critically applied to your capstone project.  As you advance in the course, each workshop will bring an opportunity to carefully reflect upon and streamline your work.  When the capstone course ends, your final project documentation will accurately articulate the planned change process that you have created and managed.

Strategic Planning Tool

Strategic Planning Tool

Instructions

  1. Review the rubric to make sure you understand the criteria for earning your grade.
  2. In the textbook, Fundamentals of Project Management, review chapters 3,18, 28, & 30.
  3. Revisit your Strategic Plan assignment from the NUR-415 course or your new plan under development in Discussion 1.2 (58757).  Your project must be patient-focused and include a goal to improve patient outcomes.  Your assessment of the problem  and feasibility of a solution must include direct input from patients or recipients of care (survey results, comments, interviews, patient data, etc).  Review chapter 22 in the textbook, Leading and Managing in Nursing (Yoder-Wise, 2019) regarding patient-centered care.
  4. Download the Strategic Planning Tool Resource.docx file.  Review this document before completing your Strategic Planning Tool document.
  5. Download the Strategic Planning Tool.docx file.
  6. Complete your strategic plan according to the following instructions.
    1. Using the Strategic Planning Tool.docx, update/adapt your strategic plan from NUR-415, or your new plan under development in Discussion 1.2 that meets the criteria listed above, to reflect the following components in a succinct manner:
      1. Clearly defined need or problem statement to be addressed through the planned change process
      2. Background support to validate the need (minimum of three scholarly sources current within the last five years)
      3. Desired SMART patient care focused outcome for the planned change capstone project
      4. Specific activities/action plan (to correspond with the outcome) that will facilitate achieving the outcome, along with a time frame for implementation (project scope of eight weeks)
      5. Evaluation plan corresponding with the SMART, patient care focused outcome to define specifically how achievement of the outcome will be determined
  7. Navigate to the threaded discussion.
    1. Post your completed tool and share a succinct one paragraph summary of the impetus for your proposed project by the end of the fifth day of the workshop.  Be sure to await feedback from your instructor regarding your strategic planning tool; modify your strategic planning tool as recommended by your instructor before submitting your final draft to the 1.4 Assignment submission page.
    2. Read and respond to at least one of your classmates’ postings, as well as all follow-up instructor questions directed to you, by the end of the workshop.  You are expected to choose a classmate’s posting that has not received peer feedback.  If all classmates have received feedback, respond to a classmate of your choice.
    3. Your postings should be at least six sentences in length and be well developed by providing substantive feedback, specific suggestions, with evidence of critical thinking.
  8. When you have completed your assignment, save a copy for yourself and submit a copy to the 1.4 Assignment submission page by the end of the workshop.

Client’s Notes:

  • Project Topic: Reduction of prescription drug abuse