Translating Evidence into Practice

Identify a gap in your current practice or work setting (Inpatient rehabilitation). Using the PDSA framework, describe how each part of the framework can result in an action plan for quality improvement. What change management and leadership strategies can be used to make improvements?

Answer

Translating Evidence into Practice

Within the domain of inpatient rehabilitation, a significant deficiency that exists is the irregularity in patient involvement during therapy sessions. This disparity can have a significant impact on the overall efficacy of rehabilitation programs and the outcomes for patients.

PDSA Framework

Plan

Commence the process towards improvement by establishing precise objectives for augmenting patient engagement. Engage in collaboration with the rehabilitation team to establish quantifiable goals, such as enhancing patient involvement in therapeutic exercises.

Do

Establish a pilot initiative where therapists utilize several methods to enhance patient involvement. This may entail integrating technology, gamification, or tailored therapy plans to determine which method produces the most favorable outcomes in terms of patient engagement.

Study

Collect and evaluate data on patient involvement during the pilot program. Assess the frequency of therapy session attendance, gather patient feedback, and evaluate the overall progress made. Analyze the obtained data to determine effective techniques and identify areas that need improvement.

Act

Scale up the implementation of the enhanced engagement tactics, incorporating them into conventional rehabilitation protocols. Consistently observe and evaluate results to guarantee ongoing enhancement in patient involvement.

Change Management and Leadership Strategies

To expedite these enhancements, Harrison et al. (2021) note that change management techniques should prioritize transparent communication, effective collaboration, and comprehensive training. Leaders ought to effectively convey the significance of heightened patient involvement, engage all relevant parties in decision-making processes, and allocate the required resources for successful execution.

Leadership strategies should prioritize leading by example, cultivating an environment that encourages ongoing enhancement, and acknowledging and celebrating achievements. In addition, continuous training and chances for professional development can guarantee that the rehabilitation team possesses the necessary abilities to properly implement and maintain the improvements (Buljac-Samardzic et al., 2020). Moreover, Rapin et al. (2023) assert that establishing regular feedback loops and maintaining open communication channels are essential for effectively addressing difficulties and making necessary modifications. To successfully bridge the identified gap and promote continual quality improvement in inpatient rehabilitation, it is crucial to employ a blend of effective change management and leadership tactics.

 

References

Buljac-Samardzic, M., Doekhie, K. D., & van Wijngaarden, J. D. H. (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade. Human Resources for Health, 18(2). https://doi.org/10.1186/s12960-019-0411-3

Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare. Journal of Healthcare Leadership, 13(13), 85–108. NCBI. https://doi.org/10.2147/JHL.S289176

Rapin, J., Gendron, S., Mabire, C., & Dubois, C.-A. (2023). Feedback on clinical team performance: how does it work, in what contexts, for whom, and for what changes? A critical realist qualitative multiple case study. BMC Health Services Research, 23(410). https://doi.org/10.1186/s12913-023-09402-x

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