Minimum of 750 words with at least 2 peer review reference in 7th edition apa style (make experience relevant to working in the emergency room in the hospital) The practice scholar works in a space between action and potential, anticipating the next step and translating the process for others. They bring the vision and context of change so stakeholders can implement the change. Reflect upon your personal and professional experience regarding change efforts and address the following.


Change is an inherent part of any organization, and the healthcare industry is no exception. In the fast-paced and dynamic environment of the emergency room (ER) in a hospital, change efforts play a crucial role in enhancing patient care, improving workflow efficiency, and ensuring overall organizational performance. As a nursing student who has had the opportunity to work in the ER, I have gained valuable insights and experiences regarding change efforts in this specific setting. This reflective essay aims to explore my personal and professional experiences in the context of change efforts, emphasizing the anticipation of the next steps, translation of the change process for stakeholders, and the vision and context of change that is essential for successful implementation.

Anticipating the Next Steps

In the ER, rapid decision-making and quick action are critical when it comes to patient care. As a student working in this environment, I have witnessed how change efforts necessitated anticipating the next steps to ensure effective outcomes. For example, when a new protocol was introduced to reduce the wait times for patients needing urgent medical attention, it was essential to anticipate the potential challenges that could arise during the implementation process. By conducting a thorough analysis of the current workflow, identifying potential bottlenecks, and proactively developing strategies to address these issues, the change effort was more likely to succeed. Anticipating the next steps also involves engaging key stakeholders, such as nurses, physicians, and administrative staff, to obtain their input and address any concerns they may have. This not only fosters a sense of ownership among the stakeholders but also helps in identifying potential barriers to change and devising appropriate solutions.

Translating the Change Process for Stakeholders

In the ER, effective communication is paramount, especially when implementing change efforts that impact multiple departments and individuals. As a practice scholar, it is crucial to translate the change process for stakeholders, ensuring that they understand the rationale behind the change, its potential benefits, and their role in its successful implementation. This requires clear and concise communication, tailored to the specific needs and preferences of different stakeholders. For instance, while physicians might require more in-depth information about the evidence supporting the change, nurses and support staff may be more interested in understanding the practical implications of the change on their daily work routines. By providing this tailored information, practice scholars can bridge the gap between the proposed change and its actual implementation.

Vision and Context of Change

A vision of change provides a roadmap for success, setting the direction and purpose for the change effort. In the ER, having a clear vision is crucial to ensure that the change aligns with the overall goals and objectives of the hospital and promotes high-quality patient care. As a practice scholar, I have witnessed how a shared vision can inspire and motivate stakeholders to embrace the change and work towards its implementation. For example, when implementing a new electronic health record system in the ER, the vision of improving patient safety by reducing medication errors and enhancing care coordination served as a compelling motivator for all stakeholders involved. Moreover, understanding the context of change is equally important. In the ER, change efforts must consider factors such as the availability of resources, the unique needs of the patient population, and the potential impact on current workflows. By taking into account the context of change, practice scholars can develop strategies that are feasible, sustainable, and have a higher likelihood of success.