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NUR-630 Topic 8 DQ 1

Sample Answer for NUR-630 Topic 8 DQ 1 Included After Question

Topic 8 DQ 1 What two elements do you believe play the most significant role in sustaining change and why? Support your answer with one or two references. Submitted on: Oct 19, 2023, 11:41 PM VIEW DQ RESPONSE BH Beth Hale Oct 25, 2023, 3:55 AM Unread Knowledge Check Identify one strategy that you feel is critical in sustaining change; provide rationale. 

A Sample Answer For the Assignment: NUR-630 Topic 8 DQ 1

Title: NUR-630 Topic 8 DQ 1

Nicole Blevins replied to Beth Hale Oct 25, 2023, 5:31 AM Unread Sustaining change is a critical step in any change initiative to ensure the new processes or procedures implemented are continued to be utilized even after the initiative ends. A way to sustain change is through the use of models that carefully plan the change and sustainability process. An example would be the SUSTAIN Model, which outlines the actions an organization should take in order to sustain changes made (Harrington et al., 2015).  The S stands for support from the top, explaining the importance of leadership involvement in change implementation and sustainability. The U stands for utilize change-sustaining approaches by implementing a sustainability step into the change model being used. The second S stands for shift paradigms when needed by planning for the future rather than how things are done currently. The T stands for talk and communicate, outlining the importance of transparency during change initiatives. The A stands for assimilate and integrate by using change agents to guide the implementation. The I stands for invest in planning in order to create sustainable changes. And finally, the N stands for negotiate results by assessing readiness for change within an organization (Harrington et al., 2015).    References: Harrington, H. J., Voehl, F., & Voehl, C. F. (2015). Model for Sustainable Change. PMI White Paper.  Thank you Beth for an informative course, it has been a pleasure! REPLY 


Kelli Tuttle replied toBeth Hale Oct 25, 2023, 7:15 PM Unread  Change is difficult for most people and organizations, but the one strategy that I have found to be the most critical to sustaining change is consistency.  Charge is difficult in the best situations but in the stressful environment of healthcare it can be even more difficult.  Leaders must develop a well thought out plan to include stakeholders in the change process.  Leaders must also communicate clearly and transparently about the change and the process for implementation.  But I believe the most vital part of this process is for the leader to remain consistent to sustain the change.  Without consistency often times things will go right back to the way they were.  This is especially true if you have not been consistent in previous change projects.    Trang, K., & Wick, E. C. (2021). Getting started and sustaining change. Seminars in Colon and Rectal Surgery, 32(3). https://doi-org.lopes.idm.oclc.org/10.1016/j.scrs.2021.100834 REPLY 


Michele Tufts replied toBeth Hale Oct 25, 2023, 10:48 PM Unread Hi Professor and classmates, Effective leadership at all levels is one of the most important strategies that would be critical in sustaining change in healthcare.   Effective leadership is important on all levels including the leadership at the organizational level, middle-level leadership and unit-level managers.  The leadership at the organizational level is important for support and engagement from the company executives.  This higher-level management initiates and maintains organizational engagement and prominence for the interventions.  The lack of support or insufficient involvement from high-level management can hinder the work required to sustain improvements in the workplace (Moon et al., 2022).     Middle-level leadership is recognized as a connection between leadership and the front-line managers in ensuring accountability and that change is happening.  Middle-level leadership is also responsible for the long-term sustainability of the change.  It is shown that having support from staff with seniority can legitimize the change, therefore making those changes more likely to continue.  In contrast, the disconnection between leadership and accountability between the involved units and departments resulted in a struggle to sustain improvement (Moon et al., 2022).   Unit managers were seen as key local change drivers and the ‘maintainer’ of the intervention.  The unit manager displays a  positive attitude and commitment.  This, in turn,  motivates front-line staff to enact change in daily functions.  It has been shown that staff turnover quickly decreases when the change activity shows sustained improvements  (Moon et al., 2022).  When leaders actively incorporate the intervention into practice, it is more successfully implemented into a routine (Moon et al., 2022).  There are many other strategies that are important when sustaining change.  It is important to seek which change process works best for your team and begin implementing this change into policy.    Reference   Moon, S. E. J., Hogdin, A., Elijiz, K. (2022).  Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.  BMJ Open Quality. 11, e002057.   doi: 10.1136/bmjoq-2022-002057 

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