Review the following nursing scenario from the Agency for Healthcare Research and Quality. A 60-year-old female is admitted to the ward with a 2-day history of severe left lower abdominal pain and leukocytosis. Her white count is 13,000, and she has WBCs in her urinalysis. Two hours after admission, she begins to experience an acute exacerbation of her abdominal pain and is believed to have a diverticular perforation and acute abdomen. At this point, her physician decides to send her to the OR. The unit clerk is aware of the plan, but the patient’s nurse is not. The patient is transported to the OR. Moments later, the OR calls to report that the patient has no permits signed, nor have any other pre-op protocols been completed. Create a plan using Lewin’s change model, documenting strategies needed to support Followership and Empowerment. Note. Points are awarded based on the quality of the content submitted and the degree to which assignment expectations are met. Content 7 points possible Points possible Points earned Plan describes 3 changes required for improvement of situation 1 Provides rationale for each change for why these changes are necessary 1.5 Uses Lewin’s change model to explain the process of preparing the organization for the changes 1.5 Describes 2 courses of action used to develop momentum for changes 1.5 Explains how organization will reinforce changes 1.5 Format 2 point possible Points possible Points earned Follows rules of grammar, usage, and punctuation 2 Has a structure that is clear, logical, and easy to follow Total 9
