Clinical Change Implementation

Clinical Change Implementation

• Reflect on change projects in your setting and describe what elements in the process of the change were effective and what elements were not effective? Has the anticipated outcome been sustained over time? Give specific evidence related to how well the change has been sustained. What would you do differently in planning and implementing a similar project?
• Using the article by Sharma (2021), cited below, is it possible for research/project findings to have clinical significance even if they do not have statistical significance? Explain your answer.

Sharma H. (2021). Statistical significance or clinical significance? A researcher’s dilemma for appropriate interpretation of research results. Saudi Journal of Anaesthesia, 15(4), 431–434. https://doi.org/10.4103/sja.sja_158_21Links to an external site.

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Clinical Change Implementation

• Reflect on change projects in your setting and describe what elements in the process of the change were effective and what elements were not effective? Has the anticipated outcome been sustained over time? Give specific evidence related to how well the change has been sustained. What would you do differently in planning and implementing a similar project?
• Using the article by Sharma (2021), cited below, is it possible for research/project findings to have clinical significance even if they do not have statistical significance? Explain your answer.

Sharma H. (2021). Statistical significance or clinical significance? A researcher’s dilemma for appropriate interpretation of research results. Saudi Journal of Anaesthesia, 15(4), 431–434. https://doi.org/10.4103/sja.sja_158_21Links to an external site.

Clinical Change Implementation

Reflection on a Change Project

In my clinical setting, one significant change project involved the implementation of an electronic health record (EHR) system to improve patient documentation and interprofessional communication. Elements that proved effective included stakeholder engagement early in the planning phase, structured training sessions for staff, and a phased rollout that allowed gradual adaptation. Having clinical champions available to assist and motivate peers also contributed to smoother transitions.

However, some elements were not as effective. There was insufficient follow-up support after the initial training, which led to inconsistent documentation practices. Furthermore, the project’s timeline was overly ambitious, leaving little room for adjustments based on user feedback. Some staff felt overwhelmed and resistant to the change due to a lack of continuous support.

The anticipated outcome—improved documentation accuracy and efficiency—has been partially sustained. While documentation is more legible and accessible, the consistency and…