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Critically explore and appraise the leadership (Session 4) and change management strategies (Session 2) that will be used to implement the change

No# of Pages:
24 pages (6,000 words)

Topic:
Hospital acquired pressure ulcer prevention

Guidelines for writing your Dissertation

There are some essential elements, which should be included in all dissertations, and these are identified below. However, it is important to emphasise that this is a guide only, and that you may wish to adapt or add to these sections.

Your completed dissertation should demonstrate achievement of your module learning outcomes:

• Evaluate the role of nurse leaders in leading, managing, and changing practice through innovation in order to improve patient / service user care in a variety of settings
• Critically analyse and evaluate methods of service evaluation and service improvement to propose and plan for organisational change and service improvement
• Systematically appraise and apply collaborative approaches to risk identification, problem solving and decision-making in planning and implementing innovations in challenging, complex and dynamic health and social care systems.
• Appraise current healthcare challenges and evaluate the involvement of all stakeholders in developing plans for delivering change and innovation that focus on better outcomes for people who use services.

If you don’t fully understand any of these outcomes, be sure to discuss them with your Dissertation Supervisor/Module Tutor.
Structure Guidance:

As this is your final Dissertation, it would seem appropriate that each student put some thought into how the work is presented. We would like each of you to have a sense of pride and satisfaction regarding its final format and presentation, but not at the expense of the content. The marks awarded for ‘presentation’ are not overwhelming, so its presentation should not be seen as simply a way of ‘getting more marks’.

Title Page

This should clearly identify the title of your dissertation, which indicates the topic of enquiry, the programme, your student number and date of submission. This assessment will be marked by your allocated supervisor, and will also be second marked by another member of the College, i.e. anonymous marking will not be practised for this module.

Abstract: Please note that an abstract is NOT required.

Acknowledgments

You may wish to write a short personal testimony (e.g. 1 – 2 paragraphs) thanking or acknowledging any key people that you recognise to be significant to your journey over the last three years, or simply in completing the dissertation. This may include family or other key people. It is not compulsory, and is should be seen as a very personal decision. This should be placed before the contents page. This is NOT part of the word count.

Chapters/Headings

The Assessment Guidelines outline key headings/sections. However, you may wish to use ‘Chapters’ throughout the dissertation to ‘sign-post’ specific sections. You may wish to directly follow the guidelines; it is really an individual decision for each student as to how this is done.

Content Page

A contents page is not compulsory, but it is recommended as it does help to guide the marker re the key parts of the dissertation, and other appendices can be located quickly. (Page numbers should also be inserted throughout, especially if you include a contents page). This is NOT part of the word count.

Tables/Figures

Relevant Tables or Figures can be inserted in the text of the dissertation, or they can be placed in appendices; this is up to you. In either case, the source of the table/figure must be included on the page, using the UWL referencing framework. If more than one table/figure is used they should be numbered sequentially i.e. Table 1, Table 2, Table 3. The content of any table is NOT counted in the word count, however, it is also not marked. Its contents should therefore be complementary to what you have already outlined in your discussion.

Glossary

If your dissertation contains a large number of abbreviations, (NICE, NHS, Office of National Statistics (ONS), Nursing and Midwifery Council (NMC) and so on, we would advise you to consider having a ‘Glossary’ where you are able to outline each of the titles in full, along with their abbreviation. This should be placed after the final reference list and before the Appendices.

Please note: If you include a Glossary, you are still required in the text to write the title of the professional body or government department and so on, in full when introduced for the first time, followed by the abbreviation.

Appendices

Any appendices included in the dissertation must be relevant and directly associated with the text. Whilst appendices do not form part of the word count they should only compliment the text, not be considered as an ‘add on’ for marking or as a means of keeping within your word count. You will only be marked on what is found in the text. All appendices need to be placed after the final reference list.

Appendices should be numbered (1, 2, 3...) or labelled (A, B, C...) sequentially, and in a way that correlates to where they are found in the text. For example, the first appendices used would be either 1 or A, the second 2 or B, and so on. For example:

“This can be seen in Appendix 1/Appendix A”. or

“Statistics for this infection rate having been on the increase since 2009 (See Appendix 1/A)”.

Font and format

It is recommended that you use Arial font (no smaller than 12 font), with 1.5 spacing throughout.

Examples of Tools

Developing examples of what Service Innovation/Improvement/Change might ‘look like’ would be very helpful and may help to compliment the discussion found within the dissertation. For example, if you are going to develop a leaflet to enhance education, you may wish to design and include this as an appendix. You may also wish to design your evaluation tool e.g. patient pre and post questionnaire, or satisfaction survey.

You will NOT lose marks if you do not include such examples in the appendices. The most important thing is that you are able to discuss them with some detail within the dissertation, so that the marker is clear that you have thought this aspect of the project through thoroughly, and in accordance with accompanying literature.The Leading Innovation and Improvement in Nursing Practice Team2020

Summary of the content of the Dissertation

• Health policy
• Change Management & Improvement
• Change models and management
• Identifying areas needing improvement
• Innovation/Strategic leadership
• Project planning & management SMART
• Service improvement & Managing service improvement
• Role of the nurse & Role of the nurse in innovation / improvement / leading / change.
• Process mapping
• Recruitment / safe staffing
• Report writing
• Measuring and managing performance
• Resource management
• Staff development
• Audits
• Service evaluation
• Reach and scope
• Needs assessment
• Risk assessment
• Route cause analysis
• Patient / service user safety / outcomes / feedback
• Quality and clinical governance
• Quality assurance
• Quality of life / health / healthcare
• Evaluation method

General advice:
Discussion (4000 words) For the sections below: please ensure that you are introducing the section by doing a small critical analysis of what you are required to discuss (this is found in the title of each section below), including definitions, advantages, disadvantages of the things you are discussing with supporting literature. This needs to demonstrate your
knowledge of what you are required to discuss. After this, start discussing how the things you discussed above will be put into practice for your change/innovation. This needs to demonstrate that you understand application to practice, addressing what parts of what you critically discussed above might present challenges in your innovation’s application to practice and what you
plan to do to either prevent or manage these challenges.

Consider these 2 points for every section below in the discussion.

1. Critically explore and appraise the leadership (Session 4) and change management strategies (Session 2) that will be used to implement the change. In discussing your strategy you need to evaluate the role of nurse leaders in leading, managing, and changing practice (Session 6 & 10) through innovation in order to improve patient / service user care in a variety of settings in your field of practice (Session 9). (LO1). Tip: At the very least, there should be a critical analysis of at least 2 change models/ 2 leadership styles answering the ‘what, why, how, when etc of each model/strategy you choose, analysing its benefits and disadvantages.

2. Critically discuss your proposed delivery plan (Session 5) of change / improvement / innovation to improve patient safety/outcomes (Session 9). You need to clearly evaluate the involvement of all stakeholders in developing the plans for delivering change and innovation that focus on better outcomes for people who use services in your field of practice (Session 3&4). (LO4). Tip: The delivery plan needs to include your change models and leadership style as to when each is being used, at wat stage, consider possible challenges and what you will do to avoid or manage them

3. Systematically appraise collaborative approaches to identifying risks and challenges, problem solving and decision-making in planning and implementing your proposed change in challenging, complex and dynamic health and social care systems such as the NHS. You need to clearly identify potential barriers and how these will be managed using evidence -based approaches (Session 8 & 9). (LO3). Tip: Part of this should include a critical analysis of the importance of communication and your chosen leadership style should be seen in use here/referenced here.

4. Discuss how you will evaluate and measure the success of your delivery/implementation plan and what further action plan might be required (Session 7 & 8). (LO2). Tip: See comment at beginning about critical analysis, analyse importance of evaluation here then apply to practice by stating how what you discussed will be done in your innovation

5. Critically reflect on how you have developed your ability to lead change since year 1. You need to reflect on how your learning has prepared you to be able to lead, manage, and improve services in order to improve patient / service user outcomes and or safety in your field of practice (Session 6). (LO1). Tip: For this section, remember, in year one you learned about accountability, self-awareness, reflection etc, year 2 was about teamwork, conflict resolution, communication etc, year 3, consider all that you have learned in theory and in practice about leadership qualities, consider the spectrum of novice to expert in your development.

Conclusion (500 words)

1. Summary: Write a short concluding statement, which summarises the key learning points that have emerged from the discussion. Tip: Remember to address all the learning outcomes of the module to as you would have mentioned these in your introduction.

2. Recommendations. Tip: Make recommendations on what needs to be done in light of your findings and conclusions. You needs to address leadership and change management too here. Some things might fall in different sections for you and this will be okay if it makes sense, I do urge that you follow the guidance in terms of the order of sections
though.