NURS 4106 Week 9 Rollout and Stakeholder Plan Example

Patient Safety and Quality Improvement Walden University Free custom sample in 24 to 48h

This NURS 4106 Week 9 rollout and stakeholder plan example takes shift report out of the station and into patient rooms on a pilot hall of a composite 26-bed medical-surgical unit, with the offgoing and oncoming nurse together, the patient invited to take part and a quick safety check of lines, alarms and the room. The plan is written for seven in the morning, when report actually happens. Seven stakeholder groups are analyzed for their interests and concerns, including night nurses, day nurses, patients and families, charge nurses, the manager, physicians who round early and unlicensed staff. Lewin's three stages order the rollout, and a final section says what will be watched, such as report length and patient experience scores. Walden NURS 4106, Patient Safety and Quality Improvement, rewards specificity in RN to BSN rollout plans. Sources include AHRQ's bedside shift report toolkit and Lewin's change model.

CourseNURS 4106 Patient Safety and Quality Improvement
WeekWeek 9
Paper typeRollout and stakeholder plan
LengthAbout 530 words, 4 pages
FormatAPA 7 student paper
SchoolWalden University
ProgramBachelor of Science in Nursing (BSN)
UpdatedOctober 2026

Free sample paper for NURS 4106 Week 9

1

Rollout and Stakeholder Plan: Bedside Shift Report on a Pilot Hall, Written for Seven in the Morning

Student Name

College of Nursing, Walden University

NURS 4106: Patient Safety and Quality Improvement

Instructor Name

Month Day, Year

What this page is doingThe title places the plan at the moment it usually fails, the start of the day shift. A rollout plan earns its marks by anticipating that moment, not by describing the ideal.
2

Rollout and Stakeholder Plan: Bedside Shift Report on a Pilot Hall, Written for Seven in the Morning

The Change

On a composite 26-bed medical-surgical unit, shift report now happens at the nurses' station. The change moves report to the bedside, with the offgoing and oncoming nurse together, the patient invited to take part, and a quick safety check of lines, alarms, and the room. The evidence supports it: after one hospital implemented bedside report, patients rated several aspects of their care higher, nurses rated report as better for safety and involvement, and falls at shift change decreased substantially, although nurses felt report took longer, even though overtime did not rise (Sand-Jecklin & Sherman, 2014). That last finding is the one this rollout has to plan around.

Seven Stakeholder Groups

Table 1

Stakeholders in Bedside Shift Report

GroupWhat the change asks of themLikely concernHow the plan responds
Night nursesReport at the bedside at 06:45 to 07:15 after a 12-hour shiftLeaving late; waking sleeping patientsBrief script; patient woken only if they asked to be
Day nursesReceive report while walking the assignmentTime pressure before 08:00 medicationsReport order set by acuity so sickest patients are seen first
Charge nursesKeep the pace and cover call lights during reportBeing pulled into every roomUnit clerk and aides cover call lights for 30 minutes
Float and agency nursesFollow a routine they may not knowUnfamiliar expectationsScript card on the report sheet; charge nurse briefs them
Nursing assistantsAnswer call lights during reportWorkload spike at shift changeClear role during the 30 minutes
Patients and familiesHear and join the reportPrivacy; being overwhelmedSensitive information shared quietly or outside the room; patient can decline
Nurse managerSponsor and monitorOvertimeWeekly overtime check reported to staff
What this page is doingSeven groups are named, including night shift, floats and patients, each with a concern and a response. The plan is written around the people who can make or break it at 07:00.
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Sequencing Through Lewin's Stages

Unfreeze, weeks 1 to 2: share the unit's own data on handoff-related events and a short summary of the evidence at staff meetings on both shifts, including a night meeting, and invite nurses to watch a demonstration report. Lewin's model holds that change begins by loosening the current equilibrium, so staff must see why station report falls short before being asked to give it up (Lewin, 1947).

Change, weeks 3 to 8: pilot on the east hall only, 13 beds, both shifts. Two night and two day champions coach at the bedside. The script card sets the order: introductions, situation, background, assessment, safety check, and the patient's questions. Report time and overtime are tracked weekly.

Refreeze, weeks 9 to 12: after adjusting the script from pilot feedback, extend to the west hall, add bedside report to the unit's written handoff standard and to orientation, and schedule monthly audits in which the charge nurse observes three reports. Bedside report tends to last only where it is written into the unit's standing routines and checked afterward, not where it rests on the energy of the launch (Dorvil, 2018).

What Will Be Watched

Report duration per patient, overtime minutes per shift, falls in the hour around shift change, and a four-question patient survey on whether they were included. If overtime rises, the script is shortened before spread.

References

Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability. Nursing Management, 49(6), 20-25. https://doi.org/10.1097/01.NUMA.0000533770.12758.44

Lewin, K. (1947). Frontiers in group dynamics: Concept, method and reality in social science; social equilibria and social change. Human Relations, 1(1), 5-41. https://doi.org/10.1177/001872674700100103

Sand-Jecklin, K., & Sherman, J. (2014). A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation. Journal of Clinical Nursing, 23(19-20), 2854-2863. https://doi.org/10.1111/jocn.12575

The Walden NURS 4106 Week 9 instructions

The ninth NURS 4106 week often asks for an implementation plan with a stakeholder analysis. You describe the change, analyze each stakeholder group's interests, sequence the rollout with a change model and define what will be monitored. Faculty reward specificity, so a plan that relies on education and meetings alone loses marks. Cite a change model and implementation evidence in APA 7. Patients count as stakeholders. A pilot of a few weeks on one hall is common. Monitoring should connect to the earlier measures plan. NURS 4106 faculty want each stakeholder group given its interest, concern and a specific action. Sequence the rollout through the stages of the model. Define the pilot's length and the measures watched.

Inside the NURS 4106 Week 9 example

Four pages and a stakeholder table. The table lists seven groups: day nurses, night nurses, charge nurses, the nurse manager, float staff, the unit clerk, and patients with their families. Columns show for every group what it wants, how much sway it has, what worries it and how it will be engaged. Night nurses, for example, are expected to worry about report running past shift end, and the approach is a timed script tested with them first. The rollout section follows Lewin: unfreezing by sharing handoff audit results with staff, changing through a four-week pilot on one hall with super-users present at every shift change, and refreezing through updated orientation materials and monthly audits. A communication calendar closes the plan, listing what each group hears and when it hears it.

NURS 4106 Week 9 rubric: what earns full marks

Implementation rows reward specificity. Plans that list stakeholders without explaining their interests, or propose education and meetings as the entire strategy, tend to earn partial credit. The sample's table ties each group to a concern and a response, which demonstrates stakeholder analysis rather than a list of names. Where a change model is mandated, the credit follows concrete activities at each stage rather than the model's name. Feasibility is judged through timeline and resources, and a limited pilot with super-user support reads as realistic. Sustainability planning built into the rollout, such as orientation updates, answers a row many drafts neglect until the final stage. Including patients as stakeholders reflects patient-centered practice, which instructors in this course commonly look for. Formatting and organization make up the balance of the points.

NURS 4106 Week 9 help from the desk

Listing groups with no interests attached costs marks; give each one a gain and a fear. Another common gap is a plan that is all education. Add workflow changes and coaching at the bedside. Writers also forget the timing of report, which affects night nurses most. Plan around seven in the morning. Avoid leaving patients out. Sequence with Lewin's stages. Name what will be watched and how often. Close with the decision point at the end of the pilot. Writers also forget privacy when report happens at the bedside with visitors present. Plan how sensitive details are shared. Another frequent slip is a pilot with no end date. Set one.

Get a NURS 4106 Week 9 example written to your instructions

Name the change your project is introducing, attach the implementation template and rubric, and list any stakeholder groups your instructor specified. A custom rollout and stakeholder plan returns in 24-48h, the first one free, with the stakeholder table and change stages built around your intervention.

More NURS 4106 papers and BSN samples

NURS 4106 Week 9 questions, answered

Which change model fits a rollout plan?

Lewin's three stages are common in BSN courses because they are simple and map well onto a pilot. Kotter's steps and other models also appear. The sample uses Lewin and assigns concrete activities to each stage, which is what earns credit. Choosing a model the course readings cover is usually safest, since instructors grade application against the version they taught.

Why include patients as stakeholders?

Because bedside report happens in front of them, and their comfort and privacy affect whether the change works. Many plans list only staff and leadership, which misses a group with a real stake in the process. The sample gives patients and families a row in the table, with privacy as their concern and a process for sensitive information as the response.

How long should the pilot run?

Long enough to see whether the change holds past the first week, and short enough to adjust quickly. The sample uses four weeks on one hall, with audits during and after. Your template may set a timeline. What matters is that the pilot's length connects to the measures plan, so there are enough data points to judge the result.

Where can I find a free NURS 4106 Week 9 sample paper?

The bedside report rollout plan appears on this page with the change, seven stakeholder groups, Lewin's stages and what will be watched.

What change does the NURS 4106 Week 9 plan pilot?

Shift report in patient rooms on one hall, with both nurses, the patient invited and a quick safety check.