Identify barriers and facilitators in the change setting.

Shift hand off report (hand off report)/ Bed side reports
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Capstone Paper.


Please follow this instruction:
I am writing about improved hand off report/ shift hand off. (Is the same) bed side report.

In your clinical experience, identify a need for change in the system. It could be an improved hand off report, different workflow, computer technology applications, orientation etc.
1. Obtain the organizations overall organizational chart as well as that of the Nursing Department.
2. Obtain the Vision/Mission/Philosophy of both the institution as a whole and the nursing department/unit if available.
3. Secure the RN performance appraisal form (usually on live or from Human Resources.

Research the literature for at least six (6) relevant articles regarding how your need for change has been addressed in other settings.

Devise a 6-10 question questionnaire regarding institutional processes to utilize when benchmarking other organizations.

Use least four (4) other similar organizations to benchmark; utilize your questionnaire. Call the Education Department for assistance in contacting the appropriate individual within your designated organizations

Work on the Capstone project and assess organizational and leadership dynamics observed in your clinical practice

With this in mind, identify what change theory and change agent would be most effective to implement the Capstone project.

Utilize appropriate APA format in writing the paper. At least 6-7 references.

less than 15% other people work Unoriginal materials. because I have to use it to pass through Turnitin
. i have to achieve a turnitin assessment of 15%.

1. Identify the need(s) for change
2. State the intended change in one sentence.
3. Describe the system where the change is to occur (utilize relevant organizational dynamics).
a. Include Vision/Mission/Philosophy of the facility and the unit if available: relate if these are accurate portrayals of the facility/unit.
b. Assess overall organization of the facility as a whole and the nursing department
c. Discuss how the physical location of the nursing department may indicate its influence/power within the institution
d. Assess climate and culture of the institution as a whole and the unit in particular
e. Assess how the RN appraisal tool reflects organizational and unit
1. Research the literature (minimum of 6 resources) to see how the need/issue has been met elsewhere.
2. Develop a 6-10 question tool to assess how other institutions/units managed the problem.
3. Utilize the tool in benchmarking at a minimum of three sites to evaluate how other

1. Discuss change theory that would be most appropriate for your change.
2. Identify barriers and facilitators in the change setting.
3. Identify what your role would be in implementing the proposal as a change agent.
4. 4. Discuss the impact of this change on direct care and indirect care; include costs related to implementing this change

Leadership/Management Theory Application
1. Identify leadership/management approaches used on your unit; include both your clinical mentor and the charge nurse on the unit.
2. Correlate these management approaches with anticipated outcomes.

Please follow this instruction:
I am writing about improved hand off report/ shift hand off. (Is the same)

The unit is 4 east and it is a Telemetry medical Surgery unit.
The name of the hospital is White plain Hospital. (
White Plains Hospital Mission Statement (
White Plains Hospital is a voluntary, not-for-profit health care organization with the primary mission of offering high quality, acute health care and preventive medical care to all people who live in, work in, or visit Westchester County and its surrounding areas. This care and service will be delivered in a caring and compassionate manner, focusing on meeting the needs of the community.

White Plains Hospital’s services extend beyond inpatient and outpatient care to include assessing and improving the health care status of the local community, the professional community and the business sector. The Hospital will strive to enhance its capabilities and to deliver health care services, within the scope of its resources, in a cost-effective manner.
White Plains Hospital believes success is assured by the dedication of the people who make up the supporting constituencies: employees, physicians, licensed health care professionals, volunteers, individual supporters, businesses and civic organizations.
All care and services will be provided without regard to race, color, creed, national origin, age, sexual orientation or ability to pay.

Community Service Plan
White Plains Hospital is deeply committed to improving the health and well being of the community. To find out more about the free and low-cost programs and services we provide for the community, please see our most recent Community Service Plan. This report describes many of White Plains Hospital’s community service initiatives during 2011-2012, and how the hospital provides services to address the health needs of area residents.

Quality Measures
At White Plains Hospital, everyone focuses on quality as the first priority. Doctors, nurses and clinical staff routinely measure and report our performance against national standards for healthcare quality. We are committed to providing you and your family with current and accurate information in an easily understandable format. The charts in this section will help you see how we are doing.

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