Use a bulleted format to describe each individual team member's involvement, significant contributions, and dedication to the activity. Which leadership style was used by the leaders? For followers, what actions were used to complement the leader's actions? For below assignment:

" Monika: Topic: Team Rounding

• Two to three sentence summary of issues related to the proposed change from your team's case study because each team has a different case study.

The neuro/stroke unit has experienced a significant increase in patient falls over the past two months, which is not in alignment with national benchmarks for nurse-sensitive indicators. The team believes that implementing hourly or more frequent rounding could help reduce the fall rate.

The neuro/stroke unit is addressing a significant concern of increased patient falls by proposing and piloting hourly rounding as evidenced based intervention . The initiatives include actively involving staff, closely monitoring outcomes, and continuously evaluating to enhance patient safety and decrease fall rates.

Cristi: One (1) goal/outcome (must be measurable) related to adopting the proposed change.

One goal would be to achieve a 20% reduction in the fall rate among patients in the neuro/stroke unit within six months of implementing hourly rounding.

• Benefits of adopting the change.
  • Improvement of patient safety/reduction of falls
  • Enhanced patient satisfaction through increased attention and regular check-ins- Patients may feel more secure and cared for with frequent check-ins.
  • Reduction of call-light needs
  • Regular health monitoring- helpful for patients that are unable to communicate or confused
  • Early detection in patient toileting needs
  • Improvement of time management of nurse
  • Better Staff Efficiency- Proactive rounding can prevent falls, reducing the time and resources needed for post-fall interventions.

• Potential perceived barriers to the change.
  • Nurse frequent presence may irritate/agitate the patient
  • Nurse may have trouble with time management due to acuity of patient
  • Staff potential resistant to change
  • Increased Workload-Staff may perceive hourly rounding as an additional burden.

Anna: Plan for facilitating staff to embrace the change or get on-board with making the change (Remember: your team is not creating any policies or tools) within < $5000 budget.

• For introducing the plan, it would be brought up in the monthly unit meeting the month prior before it is implemented on the unit
• Have two weeks that have training hours for both day and night shift to get education needs met regarding hourly rounding
• Have patient feedback forms provided in order to see the effects on patients from their point of view
• Have nurse feedback on the new practice and see how it affects their workflow
• Have unit nurse educators and selected staff be auditors for the unit to assess for compliance with the new implementations.

Robert: Required resources involved in engaging staff to make the change (e.g., staff, equipment, supplies).

• Refresher courses with staffing for purposeful hourly rounding
• Additional training for all RNs
• Education materials, paper, pens
• Access to computers for online education
• Reminders/ Posters in patient rooms and on unit to remind nurses of hourly rounding initiative
• Staff to audit the consistency of hourly rounding
• Potential use of simulation rooms for practicing the skill of hourly rounding
• Timeline to facilitate adopting change (e.g., your team's strategies, roll out, evaluation). Include mileposts at various points along the timeline (up to six months).
• Month 1: Planning and Preparation ( Wks 1-4)
  • Present the plan during the monthly unit meeting, outlining goals, and expected outcomes of implementing hourly rounding.
  • Develop educational materials and resources for training sessions focused on hourly rounding.
  • Conduct training sessions for both day and night shifts covering the principles of hourly rounding, proper techniques, and expected outcomes.
• Month 2: Initial Implementation (Wks 1-4)
  • Launch pilot implementation of hourly rounding on the unit
  • Distribute patient feedback forms to gather initial perceptions and experiences related to new rounding practices.
  • Initiate collection of nurse feedback to assess initial impressions and challenges for improving workflow with hourly rounding.
• Month 3: Complete Implementation (Wks 1-4)
  • With minor adjustments made to initial pilot implementation, create more streamlined systems that follow the needs of the patients and the nurse workflow
  • Continue with patient feedback forms and nurse feedback forms.
• Month 4-6: Evaluation and Sustainable Change
  • Analyze patient outcomes, compliance, and data relating to falls
  • Final nurse team feedback on practice changes made and on hourly rounding
  • Continue to remind staff on importance of hourly rounding"