1. Jahmela Pech
California State University, Dominguez Hills
School of Nursing
MSN 560
Nurse Administrator I
Cheryl Ann Keel, RN, BSN, MSN
March 30, 2013

2. 
 Implementation of daily family-centered
interdisciplinary rounds (FCIR) in a 116-bed general
pediatrics unit.
 Daily “walking rounds” will be conducted at bedside
by attending physicians, medical residents, staff
nurses, and nurse case managers
 Medical and nursing staff are to discuss daily plan of
care with parent(s) and will be considered as part of
the health care team when making decisions
Organizational Change Plan

3. 
 Chief Medical Officer (CMO)
 Nursing Director, General Pediatrics
 Medical Director
 Medical Chief Residents
 Clinical Educator
 Nurse Director, Case Managers
 Staff registered nurses
Project Team Members

4. 
 Project team members seek real-time knowledge on
operational performance
 Determine which process will complement already
existing workflow
 In order to implement a practice change; an
organizations need to assess client’s clinical needs
and staff’s willingness to adopt new approaches
Systematic Assessment
Lehman, Simpson, Knight, Flynn, 2012

5. 
Operational Change Model
Gather
Information
Get Feedback
Build
Consensus
Action Plan
Monitor
Performance
H&HN, 2012

6. 
 Time constraints
 Change in day-to-day workflow
 Nursing and medical staff’s resistance to change
 Adaptability to new process
Growing Pains

7. 
Top Down
 Goals identified early in
the process
 Inflexibility
 Processes imposed by
management
 Lack of employee input
Bottom Up
 Flexibility
 Teamwork
 Lack of long-term
vision
 Employees feel valued
Strategic Approaches

8. "It is not the strongest of the species that survives, nor the most intelligent, but the
one most responsive to change." - Charles Darwin

9. Lehman, W., Simpson, D., Knight, D., & Flynn, P. (2011). Integration of treatment innovation
planning and implementation: Strategic process models and organizational
challenges. Psychology Of Addictive Behaviors, 25(2), 252-261. doi:http://0-
dx.doi.org.torofind.csudh.edu/10.1037/a0022682
Leibler, J. G., & McConnell, C. R. (2012). Management Principles for health professionals (7th Ed.).
Sudbury, MA: Jones & Bartlett Learning.
Operational Assessment in Strategic Planning. (2012). H&HN: Hospitals & Health
Networks, 86(11), 39-41.
References