Challenges Impeding Implementation of the Selected Plan

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ChallengesImpeding Implementation of the Selected Plan

Ithas been established that delayed discharge and prolonged length ofstay leads to unnecessary costs and increased rates of complicationsamong the patients (Honiden &amp Siner, 2015). Implementation of theselected plan will be undertaken by a team of physician, nurses,departmental leaders and other support staff. Patients will beselected from the elderly groups who have been known to have aprolonged length of stay in health institutions. Consequently,various challenges may impede implementation of plan-do-study-actcontinual improvement model. Among the most sophisticated challengeis the fact that the departments of the surgical ward, admission, anddischarge among others are independent instead of beinginterdependent. This challenge affects the process of planning inthat the information, processes, and duties are not easily shared(Honiden &amp Siner, 2015). Correspondingly, the willingness of thedepartmental leaders to link members of various departments will alsobe established during planning.

Departmentalleaders may be willing to train and dedicate their time coordinatingresearch issues but maintains that there ought to be ample resourcesto facilitate the process. Accordingly, the process will attract costin the process of facilitating the individuals that will be involvedin coordinating research (Penner, 2013). Besides, the data collectionexercise as well as the system monitoring consumes time and energyand thus may be a costly process to accomplish. The cost of theimprovement model is estimated $200 per physician and $130 persupport staff in a day. Other expenses meant for equipment andprovision of transport for patients during discharge is estimated tobe $7,000 (Penner, 2013). The proposed plan is cost effective becausethe resources required are affordable. Staff engagement and provisionof leadership may require delicate combination involving sensitivityand research objective. Research shows that the individuals affectedby delayed discharge and prolonged length of stay is mostly theelderly patients and thus the issues of ethics will count. The reasonis that the patient must be willing to take part in the research(Zerwekh &amp Garneau, 2014). Ethical concerns need to be overcomeby the interview leading to willingness ought to be recorded, and thenames concealed safeguarding the privacy of research of theindividual who has given consent.


Honiden,S., &amp Siner, J. M. (2015). Advancesand challenges in critical care.Philadelphia, Pennsylvania: Elsevier Science Health Science.

Penner,S. J. (2013). Economicsand financial management for nurses and nurse leaders. New York: Springer Publishing Company, LLC,

Zerwekh,J. A. G., &amp Garneau, A. Z. (2014). Nursingtoday: Transition and trends.St. Louis, Missouri: Elsevier/Saunders.