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Strategies to Sustain Changes and Improvement : (REFERENCES (Laur, C.,…
Strategies to Sustain Changes and Improvement :
Maintaining the new routine
Leader have to remain involve in keeping other staffs engaged
Leader continue give support to maintain the changes and improvements
Provide continued support
Provide reminders
Progress updates
Leader helps build commitment to achieve goals
Lend support for accountability systems that promote change
Promote public recognition for team's successful achievement
Encourage staffs expressed their ideas to improve sustainability
Improvement Huddles
Regular 10 to 15 minutes meeting among staffs involved
To point out problems arises
To review progress and report results
To maintain rhythm and momentum to sustain improvement
Should be done at least weekly
Easier for staffs to attend compared to long hour meetings
Improve Nurse Sensitive Metrics (NSM
)
Defining and regularly monitoring NSM
Enhanced a spotlight quality of care
Encourage a culture of continuous performance improvement
Enable the organization to determine the impact of the program
Focus on process issues
Assess how nurses' effort affect patient's outcome
Engaging new staff and management
Continuously need to remind and raise awareness to new coming staffs
Share team's successful achievements and future plans for encouragement
Give them time to understand the new environment and concept
Set up brief meeting to explain the team's prioritize
Mind set and Behaviors
Require a training curriculum for permanent changes of mind sets and behavior
To ensure all staffs understands the changes and initiatives that are being made
Can support needed mind set and behavior shifts
Not only for nurses who went through the programs, but also to new nursing hires and others staffs
Management Infrastructure
System to tract the progress of the changes
To inform all nurses and staffs about the progress
To identify either changes are being sustained or not
To spot problems as soon as they develop
REFERENCES
Laur, C., Bell, J., Valaitis, R., Ray, S., & Keller, H. (2018). The sustain and spread framework: Strategies for sustaining and spreading nutrition care improvements in acute care based on thematic analysis from the More-2-Eat study.
BMC Health Service Research, 18
(930), 1-11.
https://doi.org/10.1186/s12913-018-3748-8
Berlin, G., & Grote, K. (2013). Creating and sustaining change in nursing care delivery. Retrieved April 1, 2020 from
https://healthcare.mckinsey.com/sites/default/files/MCK_Hosp_Nursing.pdf
Silver, S. A., Mcquillan, R., Harel, Z., Weizman, A. V., Thomas, A., Nesrallah, G., … Chertow, G. M. (2016). How to sustain change and support continuous quality improvement.
Clinical Journal of American Society Nephrology, 11
(5), 916-924.
https://doi.org/10.2215/CJN.11501015
Minnier, T. E. (2014). How to build sustainability into the innovation process. Retrieved April 1, 2020 from
https://innovations.ahrq.gov/perspectives/how-build-sustainability-innovation-process
Mate, K. (2016). Tips for sustaining your hard-won improvements. Retrieved April 1, 2020 from
http://www.ihi.org/communities/blogs/_layouts/15/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=304
Etten, C. V. (2013). How to sustain healthcare quality improvement in 3 critical steps. Retrieved April 1, 2020 from
https://www.healthcatalyst.com/sustain-healthcare-quality-improvement