Section V: Chart or Graph (Optional)Attach a chart or graph for any activity having more than two measurement periods that shows the relationship between the timing of the intervention (cause) and the result of the remeasurements (effect).
Section V: Chart or Graph (Optional)Attach a chart or graph for any activity having more than two measurement periods that shows the relationship between the timing of the intervention (cause) and the result of the remeasurements (effect).
Section V: Chart or Graph (Optional)Attach a chart or graph for any activity having more than two measurement periods that shows the relationship between the timing of the intervention (cause) and the result of the remeasurements (effect). Present one graph for each measure unless the measures are closely correlated such as average speed of answer and call abandonment rate. Control charts are not required but are helpful in demonstrating the stability of the measure over time or after the implementation.
Advanced Nursing Practice Field Experience
Change Investigation Proposal Form
Provide a brief description of the change you will investigate and your plans for the investigation.
1. Brief description of the change you will be investigating:
Safe staffing in the Constant Care Unit (CCU) team integration/cohesiveness and staff retention are the subjects I will be investigating. In the current setting CCU is separated from the Medical Surgical floor and this seems to cause a rift between the two units working together consistently and cohesively. Some of this is from past behaviors of seasoned staff and some may be attributed to the separation of the two units. It is believed that bringing the two units together will increase the cohesiveness of staff which will in turn will increase the safety factor of staffing and lead to staff retention.
2. Proposed process for conducting the investigation:
Talking with management house supervisors and staff members both seasoned and new to gain an insight on what they have observed. Also to ask for their solutions to this problem. The information will then be gathered and reviewed as to the validity of said proposals as well as comments garnered.
The proposal above is approved by:
Change Leader Signature Print Name Title/Organization
E-mail Address Contact Telephone Number Date
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