Implementing Change and Stakeholder Support

Implementing Change and Stakeholder Support

Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your change proposal, and how you will go about securing that support?Implementing Change and Stakeholder Support

Implementing EBP change on a smaller level can be done through nursing staff and nursing leaders. A few examples of this would be ensuring that a patient is escorted off the unit rather than them being able to leave the unit alone. We actually had a patient who left hospital gown on, IV’s, IJ and all and when to the gas station to get some food and ran some errands. This can be done through the clinical manager. Another example would be implementing ways for fall-prevention which can be cleared by the clinical manager as well. The third example would be to ensure a nurse goes with a patient to imaging with transport to ensure they stay safe and monitored.

Bigger changes such as changing the nurse-to-patient ratio is something that goes higher up the chain as it involves a bigger financial piece to it. Even though there is evidence-based practice on the proper nurse to patient ratio out there especially in California other states and hospitals do not implement this change. This is part of a census to nurse ratio which produces the productivity, the higher the productivity the more the hospital spends on staff. Regardless of safety managers are on top of these numbers and hold charge nurses and staff nurses responsible for these. I know this personally as I spent quite a bit of time as a Charge Nurse.

Implementing change depends what kind of change needs to happen and whom to reach out to in order to propose the EBP change and hope that the stakeholders involved agree.


Engaging stakeholders from varied organizational levels is essential to successful healthcare quality improvement. Stakeholder engagement has been described as essential and even “critical” for moving knowledge into action within healthcare. Efforts to transform large systems are more successful when healthcare professionals are engaged, resulting in improvements to clinical outcomes and patient safety, quality of care, and financial performance. While there is a growing body of best practices for patient and physician engagement, organizations remain challenged in engaging the wide range of professional groups who contribute to improving healthcare. Engagement seldom occurs in isolation of one profession, but rather occurs across hierarchical organizational groups that vary in their power and status, worldviews, settings, and motives (White, 2017).

The stakeholders that need to be involved in the implementation of a fall prevention intervention in a facility like mine will be the internal stakeholders. Because for the successful implementation of the fall prevention intervention like “no pass Zone” requires engagement from most of the clinical as well as the non-clinical staff and the management.Implementing Change and Stakeholder Support


White (2017)How do stakeholders from multiple hierarchical levels of a large provincial health system define engagement? A qualitative study. Retrieved from:

Response 1: Alice

Alice, this is an informative discussion post that offers an informative analysis on why it is important to get stakeholder support for the success of a project. Although the post does not explicitly indicate the stakeholders needed for a project, it uses exemplification to show that stakeholders provide opinions that inform the project and are responsible for applying some of its elements. Still, there is a need for the discussion post to mention that stakeholders have different levels of influence and power within the organization. There are internal and external stakeholders who are involved at different levels of the project. The internal stakeholders should include the persons who are within the organization to include personnel such as nurses, administrators, doctors and other individuals who have clinical and non-clinical roles within the organization. They are important for the project’s success since they provide the appropriate framework, leadership, knowledge and skills to support the project. In fact, they would be responsible for translating the project details into practice (Milstead & Short, 2019). The external stakeholders should include all persons who are outside the organization but are affected by its activities. They include financial organizations, patients, suppliers, the government, health insurance providers among others. They are important as they provide the resources and framework to support the project. For instance, the government provides the policies to support the project. Exploring the influence and power of the specific internal and external stakeholders would be important for explaining why involving stakeholders would be important for ensuring the success of a project (Butts & Rich, 2018). Overall, it is important to provide greater detail on how the different stakeholders would influence the project and contribute to its success.


Butts, J., & Rich, K. (Eds.) (2018). Philosophies and Theories for Advanced Nursing Practice (3rd ed.). Jones & Bartlett Learning, LLC.

Milstead, J. & Short, N. (2019). Health Policy and Politics: A Nurse’s Guide (6th ed.). Jones & Bartlett Learning.Implementing Change and Stakeholder Support


Response 2: FNU

FNU, this is a great discussion post that explores why it is important to engage stakeholders in successful projects. The post notes that stakeholders are important since they provide knowledge that is turned into action as part of the project implementation. In addition, there is a need for the post to mention that stakeholders are affected by project as participants and the target population. Still, there is a need to mention that getting the support of stakeholders implies they would readily accept the different elements of the project and offer minimal resistance even as it is implemented. This is especially the case if they are involved in framing the project details after being engaged in interactive forums, in which case they would offer their opinions that would then be incorporated even before the project is implemented. This ensures that the stakeholders are able to see value in the project as it addresses their concerns thus galvanizing them to support its implementation and work towards its success (DeNisco & Barker, 2016). Besides that, getting the support of the stakeholders is critical for influencing public perception and opinion about the project. In addition, getting the support of stakeholders implies that they are aware of the project details and the part to play in its success or failure. Any stakeholder would only support a project if he/she is aware of its details and value (Renpinning, Gebhardt-Taylor & Pickens, 2016). Overall, it is important for the discussion post to mention that getting the support of stakeholders is important for the success of a project since these stakeholders provide the knowledge, skills and resources that would be required for the project to be implemented.


DeNisco, S. M., & Barker, A. M. (Eds.) (2016). Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed.). Jones & Bartlett Learning, LLC.

Renpinning, K., Gebhardt-Taylor, S., & Pickens, J. (2016). Foundations of Professional Nursing: Care of Self and Others. Springer Publishing Company. Implementing Change and Stakeholder Support