Change Management Theory and Practice

Change Proposal

It should be noted that the peer review process is quite a complex procedure; therefore, the entire project should be rechecked before it is submitted to the stakeholders. However, the elements of the proposal that require a detailed feedback are the methods and procedures, the potential limitations, and significance of the study (Hays & Oermann, 2015). Despite the fact that the researcher is rather confident in the content of each of these parts, it is essential to comprehend whether they have an adequate specification and no crucial information is missing.

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The design of the change project should be reviewed to ensure that the instrumentation, data collection and analysis methods have been explicated properly. At the current stage of the project development, these elements have been thoroughly considered. However, it is possible to refine them to ensure that this part of the research is not underdeveloped or carries excessive information (Hays & Oermann, 2015). Therefore, this section of the project will benefit greatly from the expert feedback prior to submitting the research for peer review.

Apart from that, it is necessary to receive feedback regarding the limitations (and delimitations as well) of the project. It is possible that the investigator has missed some important aspects of the research that should be included in this section (Parahoo, 2014). Despite the fact that the potential weaknesses of the study have been analyzed and considered, it is crucial to obtain a critical assessment from the side of other specialists who can either agree or disagree with the limitations identified by the investigator (Parahoo, 2014). The feedback will help to reinforce the entire project and evaluate whether its scope has been thoroughly developed.

Peer Review

The main purpose of expert assessment is to provide an objective critical evaluation of the reported data. Peer evaluation allows determining the reliability of the received data and defining whether the chosen methodology for the collection and analysis of information (or for testing hypotheses) is appropriate and rational. Moreover, peer review enables specifying whether the conclusions drawn are logical (Grove, Gray, & Burns, 2014). If the expert group has any concerns or doubts regarding any element of the project, the researcher will have a chance either to dispel the uncertainty or to refine his or her study to make it more reliable.

The peer-review process influences the daily aspects of nursing practice to a significant degree. Importantly, it encourages the highest standards so that healthcare specialists can provide the best of care that relies on the approved principles of the evidence-based medicine. In addition, this process ensures that the boundaries of duty have been specified and considered thoroughly (DiMeo & Ballard, 2013). Furthermore, peer review helps to promote integrity and security in the nursing care.

Peer assessment ensures that the nursing services have been studied and justified adequately. It helps to transform patient care through fact-finding. In addition, peer review implies that an occurrence in the nursing practice has been assessed through collegial problem solving. It makes the process of evaluation highly reliable and credible. These factors allow equipping the personnel with valuable feedback, which they will need to utilize to make their work safer (Grove et al., 2014). Evidence-based medicine implies that specialists should use the practices that have been verified and approved. After a new method has received a positive peer assessment, the organization can start implementing changes to ensure that the workforce exhibits greater productivity.


The stakeholders who should attend the presentation are members of the board, the representatives of the nursing personnel, and hospital administration. In regard to the change project, the importance of their attendance lies in the need for making them interested in the initiative so that they do not resist change. In addition, the board should be invited to ensure their support and engagement (Armstrong Persily, 2013). Nurses should take part in the presentation so that their concerns and crucial questions are addressed prior to the project implementation. Furthermore, the hospital administration should attend the meeting so that they are aware of the changes needed and can assist in planning the essential measures.

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A roadmap presentation will be utilized to introduce the project. It will be helpful in covering all the significant milestones such as the current hospital practice regarding senior patient falls, the proposed initiative, and the ways to implement the intervention. Importantly, the roadmap will assist in arranging the data and information smartly so that each of the groups can observe the information that has been designated for them (Hayes, 2014). Furthermore, such form of delivering the messages will help in sustaining the attention of the audience while stressing the most important elements of the project.

The key points to be included in the proposal are related to the most important milestones of the project. In particular, the significance of the initiative should be covered to explain why it should be implemented (Hayes, 2014). In addition, the current state of affairs should be stressed together with the existing care practices. Moreover, the intervention should also be included to explicate the way the desired result (decreased patient falls) will be achieved and what the benefits of introducing this particular measure are.


Effective presentations have several important characteristics that are connected to the way the researcher presents the information and the central messages. In particular, successful presentations are neither long nor short in duration (Evergreen, 2016). It is crucial to tell the audience only the key points that will immediately attract their attention and encourage them to listen to the presenter further. It is essential to avoid revealing excessive information because it can result in the loss of concentration (Evergreen, 2016). Moreover, effective presentations leave enough room for discussion so that the stakeholders can express their opinions and ask questions that evolve in the course of the debate.

When presenting to the audience, it is crucial to utilize professional language and terminology without complicating the speech unnecessarily. Since the stakeholder groups possess varied academic and training levels, it is essential to ensure that all the individuals will comprehend the important messages. Apart from that, it is crucial to be mindful of the data and financial details. Although these elements should be covered to show the potential of the initiative in decreasing patient falls and expenditures associated with them, the main emphasis should be made on the core of the intervention rather than on the numerical data (Yoder-Wise, 2014). Moreover, it is critical to finalize the presentation correctly. It is important to refer to the original problem and stress the way the attendants will contribute to resolving it (Yoder-Wise, 2014). When each stakeholder group has been covered, it is necessary to reveal the big picture and reiterate how the change project will positively affect the entire institution, other healthcare organizations, and society in general if it is realized successfully.


Armstrong Persily, C. (2013). Team leadership and partnering in nursing and health care. New York, NY: Springer.

DiMeo Grant, P., & Ballard, D. (2013). Fast facts about nursing and the law: Law for nurses in a nutshell. New York, NY: Springer.

Evergreen, S. D. H. (2016). Effective data visualization: The right chart for the right data. Thousand Oaks, CA: SAGE.

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Grove, S. K., Gray, J. R., & Burns, N. (2014). Understanding nursing research: Building an evidence-based practice (6th ed.). New York, NY: Elsevier.

Hayes, J. (2014). The theory and practice of change management (4th ed.). New York, NY: Palgrave Macmillan.

Hays, J. C., &, Oermann, M. H. (2015). Writing for publication in nursing (3rd ed.). New York, NY: Springer.

Parahoo, K. (2014). Nursing research: Principles, process and issues (3rd ed.). New York, NY: Palgrave Macmillan.

Yoder-Wise, P. S. (2014). Leading and managing in nursing (6th ed.). New York, NY: Elsevier.

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