The health care system is constantly changing, and nurses need to be able to adapt to these changes in order to provide the best possible care to their patients. One of the most significant changes in recent years has been the move towards value-based care. Value-based care is a system of payment that rewards providers for providing high-quality care at a lower cost. This has led to a focus on preventive care and patient education, as well as a need for nurses to be more involved in the care planning process.

Clinical problem statement

One of the challenges that nurses face in the changing health care system is the lack of time to provide patients with the care they need. This is due to factors such as increasing patient acuity, decreasing reimbursement rates, and rising administrative burdens. As a result, nurses may feel rushed and unable to provide the level of care that they would like.

Purpose of the change proposal

The purpose of this change proposal is to develop a plan to improve the quality of care that nurses provide to their patients. The proposal will focus on increasing the amount of time that nurses have to spend with their patients, and on providing them with the resources they need to deliver high-quality care.

PICOT question

The PICOT question for this change proposal is:

• P: What is the effect of increasing the amount of time that nurses spend with their patients on the quality of care that they receive?
• I: Increasing the amount of time that nurses spend with their patients.
• C: The quality of care that patients receive.
• O: Time spent with patients, patient satisfaction, patient outcomes.

Literature search strategy employed

The literature search strategy for this change proposal included the following:

• A search of the PubMed database for articles published in the past five years.
• A search of the CINAHL database for articles published in the past five years.
• A search of the Cochrane Library for systematic reviews.
• A search of Google Scholar for grey literature.

Evaluation of the literature

The literature review found that there is a positive association between the amount of time that nurses spend with their patients and the quality of care that they receive. Studies have shown that patients who receive more time from their nurses are more satisfied with their care, and they have better outcomes, such as lower rates of readmission and mortality.

Applicable change or nursing theory utilized

The change theory that will be utilized in this proposal is the Diffusion of Innovation Theory. This theory states that the adoption of new ideas or practices is a process that occurs over time and involves a number of factors, such as the characteristics of the innovation, the characteristics of the adopters, and the social context.

Proposed implementation plan with outcome measures

The proposed implementation plan for this change proposal includes the following steps:

1. Educate nurses about the benefits of spending more time with their patients.
2. Provide nurses with the resources they need to deliver high-quality care, such as time management tools and educational materials.
3. Create a culture of support for nurses that encourages them to take the time they need to provide their patients with the care they need.

The outcome measures for this change proposal will include the following:

• Patient satisfaction surveys.
• Patient outcomes, such as readmission rates and mortality rates.
• Nurse satisfaction surveys.