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Nursing Affairs Department: Project Change

This document outlines a project to audit existing nursing processes at all nursing units in Riyadh, Kingdom of Saudi Arabia from October 16 to November 15, 2016. The project aims to systematically audit the nursing processes included in the Nursing Excellence Manual. A team was formed including a team leader and four members. They will validate audit tools, test reliability, distribute the tools, conduct simulation auditing, and prepare reports. The project will go through four test cycles from 2016 to 2018 to audit nursing processes and identify any gaps.

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74 views2 pages

Nursing Affairs Department: Project Change

This document outlines a project to audit existing nursing processes at all nursing units in Riyadh, Kingdom of Saudi Arabia from October 16 to November 15, 2016. The project aims to systematically audit the nursing processes included in the Nursing Excellence Manual. A team was formed including a team leader and four members. They will validate audit tools, test reliability, distribute the tools, conduct simulation auditing, and prepare reports. The project will go through four test cycles from 2016 to 2018 to audit nursing processes and identify any gaps.

Uploaded by

Encee Mian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NURSING AFFAIRS DEPARTMENT

Riyadh, Kingdom of Saudi Arabia

Project Change
Name of Project Change: Nursing Process Auditing
Unit/Area of Implications: All Nursing Units
Mentors: Norvin Miguel, NM and Sabarina Jumat, DON
Team Leader:
1. Maribel Hamac, NM
Members:
1. Nicanor Domingo III, EBP Council Member
2. David Romero, SN
3. Annie Marasigan, SN
4. Norisk Adalin, SN

Timeline: October 16 to November 15, 2016

Project Aim: To systematically audit existing nursing processes included in the Nursing Excellence Manual.
Key Drivers and its corresponding interventions
Key Drivers

Program Planning

Validating audit tools

Testing audit tools reliability


Distributing validated and
reliable audit tools to clinical
nursing units
Simulation Auditing
Preparing reports
Disseminating results

Interventions

Timeline

Team formation
Brainstorming
Documentation of plan
Plan presentation with the managers
Simulation audit design (1 week)
Final selection of audit tools to be included in the
simulation audit
Content validation by nurse managers and the audit
team
Secure approval from EDON
Pre dry run of the audit tools and simulation design
Debriefing
Post dry run of the audit tools and simulation design
Debriefing
Document dissemination to Nurse Managers
Implement plans
Prepare and submit reports to mentors and EDON
Arrange a meeting with Nurse Managers

Remarks

October 12, 2016


October 12, 2016
October 13, 2016
October 16, 2016
October 17, 2016
October 17, 2016
October 18-24, 2016
October 18-24, 2016
October 25-27, 2016
October 30-November 1
November 2, 2016
November 6-10, 2016
November 14, 2016
November 15, 2016

PDSA Ramp Planning


TEST 1
What: Nursing Processes Auditing
Who (population): All nurses
Where: All nursing units
When: October 16, 2016 to November 15, 2016
Who executes: Auditing Team

TEST 2
What: Nursing Processes Auditing
Who (population): All nurses
Where: All nursing units
When: May 16, 2017 to June 15, 2017
Who executes: Auditing Team

TEST 3
What: Nursing Processes Auditing
Who (population): All nurses
Where: All nursing units
When: December 16, 2017 to January 15, 2018
Who executes: Auditing Team

TEST 4
What: Nursing Processes Auditing
Who (population): All nurses
Where: All nursing units
When: June 1, 2018 to June 30, 2018
Who executes: Auditing Team

Page 1 of 2

Test of Change:
TEST CYCLE 1
Test Population
Plan
Prediction
Pre-Study Action
Study Results
Post-Study Action
TEST CYCLE 2
Test Population
Plan
Prediction
Pre-Study Action
Study Results
Post-Study Action
TEST CYCLE 3
Test Population
Plan
Prediction
Pre-Study Action
Study Results
Post-Study Action
TEST CYCLE 4
Test Population
Plan
Prediction
Pre-Study Action
Study Results
Post-Study Action

Start Date:
October 16, 2016
End Date:
All Nursing Staff
Refer to key drivers and interventions
There will be gaps in the nursing processes that will surface during the audit.
Refer to key drivers and interventions

Start Date:

November 15, 2016

End Date:

Start Date:

End Date:

Start Date:

End Date:

Overall Outcome:

Recommendations:

Project Sponsor:
DR. ANNE BLUNDEN
Executive Director of Nursing

Page 2 of 2

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