NRS 441V DevelopinganImplementationPlan

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Developing an Implementation Plan

Tamara Achufusi

Grand Canyon university

Profession Capstone Project


Deb Thorson

August 28, 2016

Developing an Implementation Plan


The purpose of this implementation plan is to uncover the issues faced in today’s healthcare institution I will attempt to provide a solution to reduce falls in our hospitals. This will be implemented and hopefully improve hospitals visits and cut costs. One of the current hot topics in the healthcare facilities is the hourly rounding of the nurses and the staffs to prevent falls. The major issue for most healthcare institution is preventing falls in the hospital post the treatment or operation. This implementation plan is an attempt to take care of this issue and bring a solution to it.


Healthcare facilities are the life-saving departments that treat people using a combination of medical practices and technologies. People trusts the healthcare facilities with their lives and believe they are there for a better health. However, due to mismanagement it has becomes evident patients can come into harm’s way when in hospital. A healthcare Institution has to be sure that they are equipped with proper staffs and experts, twenty-four-seven. This includes the hourly rounding by the staffs like nurses and doctors. The management needs to ensure that the hourly rounding for all patients are properly done. Any lack of management and staffs can lead to serious life problems and even death of a patient, if one goes unattended.


For the implementation of the plan, it is necessary to have the permission in order to incorporate the plan with the daily living of work. I intend to present my project to my manager who will present it to the hospital board review, because if accepted this project will be implemented to the entire hospital not just my ward. My colleagues will also take part in the approval of this section; this is because they will take part in the implementation and running of the project.


Patients are often admitted into hospitals for verity of medical problems. While the patients occupy the beds in the hospitals, it is the responsibility of the nurses to take care of them and their requirements. This needs staffs to be available all twenty-four hours in order to attend the patients. However, due to the shortage of the staffs and mismanagement, It has been noted that there is an increase of falls occurring within patients rooms.

Rationale For Proposed solution:

Hourly Rounding is one of the best solutions that can reduce this issue to the minimal. The implementation plan proposes increase in the number of staffs, which will help in carrying out hourly rounding in the wards. This shall help in taking better and much efficient care of the patients as well as the staffs and members of the healthcare. Hourly rounding helps in monitoring all the patients at a regular interval and checks if they require anything or need any kind of assistance. This will not only reduce the efforts of the staffs but also help them work at proper hours without wasting extra hours; plus the patients demand are fulfilled.


In order to convince management, I will need to present the idea of the proposed solution and the points will be high-lighted, Pro and cons will be discussed as well as recent statistical data will be looked at. These data will support the evidence that hourly rounding will reduce falls in our hospitals and elderly facilities. Management will need to be convinced that it is going to be a win-win situation for them with nothing to lose.


Before the implementation of the plan, or even formation of any implementation plan, it is very vital to review the necessary literatures such as the previously implemented and regulated policies, regulations as well the instructions in order to prepare an efficient and effective implementation plan. Ford (2010) states hourly rounding is a proactive nursing intervention designed to anticipate and address the needs of hospitalized patients. Studies indicate when there is hourly rounding; it promotes quality and safe care for patients. Hourly or Purposeful rounding turns up as the most eminent issue and looks forward to better management and reduced hospital falls Purposeful Rounding seeks to improve the patient experience through the use of a structured hourly rounding routine. Rounding every hour helps nurses identify those patients who are at risk of fall due to sundown syndrome


For an implementation plan to be effective, it is important that it is efficiently incorporated and implemented with the original plans & policies. For this project to be successful the implementation logistics will have to go thru six phases. The first phase is presenting the project to the Institution Review Board; this will be done through my manager. The second stage will look at the research, statistic data, and development hourly rounding. DiGioia (2011) states third phase concentrates on research and analysis of project viability. The fourth phase is refers to the education phase. This phase focuses on educating the staff for better outcome. The fifth phase will concentrate on implementation of this project. While the final phase will looks at the analysis and the project development. The implementation logistics is a framework that monitors the changes proposed and implementation. Each point are properly checked and monitored whether the changes are made according to the plan or not.

Integration of changes:

The changes being proposed are not independent and are to be integrated with the previously functioning plans and policies. These changes are only to be implemented when it is seemed necessary and not otherwise.

Responsible department:

The department that shall be taking care of the implementation and incorporation of these plan are all the management heads of the healthcare facility. They shall be monitoring that the new plan has been properly implemented and that how effective it’s been.


Along with increase in the staffs, there is also the need for improvement and increase in the technology currently used by the healthcare facility. Improvement and up-gradation of the technology ensures that the treatments of the patients are done efficiently and more conveniently. Along with the increase in staff, there is need to increase the technology as well because there can be a shortage of such technologies and such situations can arise, where the staffs for operations and other functions are available but the system and technology required is unavailable.


In the implementation plan, it has to be also incorporated the required finances for funding the project and changes. Funding is going to be required for various purposes such as:

i)Increase in the number of staffs.

ii)Training of the staffs.

iii)Up-gradation of the technologies.

iv)Increase in the technologies, etc.


After the implementation plan has been incorporated, it is necessary to assess the changes and monitor its effects. This assessment will help in the evaluating and implementing plan and also making required changes, when necessary.


The data collected from the assessment of the healthcare and the implementation plan is to be analyzed and checked to ensure its effectiveness and see if the plan succeeded in its objectives and make any changes or include new terms/policies/regulations, if required. For this, all the reports and data collected are to be carefully checked and compared with the previously functioning plans to notice any positive or negative changes and to ensure that the positive changes are further improved and the negative changes are well taken care of. The negative changes are the signs of even the slight discomfort experienced by any parties related to the healthcare.


DiGioia III, A. M., Jaramaz, B., & Colgan, B. D. (2011). Computer Assisted Orthopaedic Surgery: Image Guided and Robotic Assistive Technologies.Clinical orthopaedics and related research, 354, 8-16.

Matthew D. Mitchell, Julia G. Lavenberg, Dr. Rebecca Trotta, Et Al (2014). Hourly Rounding to Improve Nursing Responsiveness: A Systematic Review. Retrieved from:

Stanford Health Care (2016). Purposeful Rounding. Retrieved from:

H. Timothy (2015). About Hourly Rounding as an Effective Patient Safety Strategy. Retrieved from:

Ford, Beverly M. “Hourly rounding: a strategy to improve patient satisfaction scores.” MedSurg Nursing May-June 2010: 188+. Academic OneFile.

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