Each student will identify a nursing related practice issue related quality and safety on their unit that could benefit from change and develop an improvement plan utilizing change theory. The proposed change must impact quality and/or safety, or offer a means of providing care that is more cost effective with no negative impacts on quality or safety. Students will research and analyze the issue, develop an action plan, and identify an evaluation process. Critical thinking and synthesis of knowledge must be evident in the paper. The paper will be written in APA format following the 6th The paper should reflect the following: 1. Identify a practice that would benefit from change. Identification of an issue in which change would lead to a positive impact on safety and quality, and be financially beneficial. Includes forces driving the change. 2. Identify key change agents. All parties impacted by practice are identified. Change agents are identified, and their role outlined including their type of power and why (ex has expert power because they are a certified skin care specialists). 3. Develop a strategy for “unfreezing” current practice. Strategy for unfreezing includes data to be gathered or reviewed, a clear plan for making others aware of the need for change, and is supported by a reference for change theory. Identifies restraining forces. 4. Develop a strategy for “movement” of the change. Clear steps to implementation are identified; appropriate time lines are provided; includes all impacted by change; goals are specific, measurable, attainable, reasonable, and time sensitive; and related/supported by a reference for change. 5. Change evaluation: plan to evaluate the change is identified with clear indicators and time lines. 6. Refreezing: identification of how the results from evaluation will be disseminated and a time line for reevaluation 7. References: 2 or more references related to proposed change are cited 8. APA: Adheres to app APA formatting rules and citations are appropriately referenced in text

