NR 715 Week 7 Discussion: Stakeholders
Student Name
Chamberlain University
NR-715: Scientific Underpinnings
Prof. Name
Date
Stakeholders Discussion Purpose
The aim of this discussion is to enable Doctor of Nursing Practice (DNP) students to demonstrate their understanding of how stakeholders influence practice change in healthcare settings. Stakeholders at the organizational, community, and national levels play a vital role in shaping sustainable practice transformation. By analyzing their contributions and challenges, students gain practical insight into the complexities of implementing change across different levels of the healthcare system. This discussion encourages students to reflect on the collaborative nature of healthcare practice and the role of stakeholders in sustaining long-term improvements.
Instructions
1. Identify and Examine Stakeholders
Question: Identify and examine organization and/or community stakeholders you anticipate will be a part of the interprofessional team when implementing your future practice change project.
Answer:
In any practice change initiative, several stakeholders play critical roles. At the organizational level, stakeholders include nurse managers, clinical staff, information technology (IT) specialists, and administrators. Their involvement ensures alignment with institutional policies and resource allocation. Community stakeholders may include local health departments, patient advocacy groups, and non-profit organizations that focus on public health promotion. Engaging these stakeholders ensures that practice change aligns with community needs and promotes equity in healthcare delivery.
2. Integration of Stakeholders into Translational Science Model
Question: Integrate your key stakeholders into the constructs from the translational science model that you identified in Week 6.
Answer:
The translational science model emphasizes moving evidence-based research into real-world practice. Within this framework, organizational leaders provide structural support by facilitating funding and policy development. Clinicians and nursing staff act as frontline implementers of practice change. Community partners, such as advocacy groups, contribute by highlighting patient-centered needs and helping measure community impact. National stakeholders, including regulatory bodies and professional associations, support sustainability by ensuring compliance with healthcare standards.
3. Analyze Barriers with Stakeholders
Question: Analyze the barriers you might experience with these stakeholders with the proposed practice change.
Answer:
Several barriers may arise when working with diverse stakeholders. Organizational stakeholders may resist change due to concerns about workload, staffing shortages, or limited financial resources. Community partners might face barriers in communication and resource-sharing, especially when there are differences in priorities. National-level stakeholders may impose regulatory requirements that delay or complicate the implementation process. Overcoming these barriers requires clear communication, continuous engagement, and effective change management strategies.
NR 715 Week 7 Discussion: Stakeholders
Stakeholders and Roles in Practice Change
| Stakeholder Group | Role in Practice Change | Potential Barriers | Strategies for Engagement |
|---|---|---|---|
| Organizational Stakeholders | Leadership, funding, policy enforcement, project oversight | Resource limitations, resistance to change | Shared governance, leadership buy-in, staff education |
| Clinical Staff (Nurses, Physicians) | Implement practice changes, provide direct patient care | Workload concerns, fear of workflow disruption | Training, incentives, continuous feedback |
| Community Stakeholders | Advocate for patient needs, ensure cultural and social alignment | Miscommunication, differing priorities | Community forums, transparent communication |
| National Stakeholders | Provide regulatory guidance, promote sustainability, ensure compliance | Bureaucratic delays, regulatory constraints | Advocacy, alignment with national standards |
Program Competencies
This discussion allows DNP students to meet several program competencies, including:
- Organizational Leadership (PO 6): Developing leadership skills to drive systemic change and enhance clinical outcomes.
- Healthcare Technology (POs 6, 7): Applying advanced information systems and technology to improve patient care.
- Healthcare Policy and Social Justice (POs 2, 9): Analyzing health policies to advocate for equitable care and reduce disparities.
- Collaborative Culture (PO 8): Creating supportive environments for interprofessional teams to improve population health.
- Research Translation (PO 1): Applying synthesized evidence and population data to promote preventative healthcare.
- Professional Leadership (POs 1, 4): Leading through advanced judgment, systems thinking, and accountability.
Course Outcomes
This assignment also supports course outcomes by:
- Collaborative Leadership: Evaluating the role of DNP-prepared nurses in guiding interprofessional teams across healthcare systems (PCs 4, 5, 6, 7, 8; POs 1, 2, 4, 7, 8, 9).
- Stakeholder Evaluation: Assessing the function and contributions of stakeholders in translating evidence into practice (PCs 2, 4, 5, 6, 8; POs 4, 6, 8, 9).
References
American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. http://www.aacnnursing.org/DNP/DNP-Essentials
Hurwitz, D., Yeracaris, P., Campbell, S., & Coleman, M. A. (2019). Rhode Island’s investment in primary care transformation: A case study. Families, Systems, & Health, 37(4), 328–335. https://doi.org/10.1037/fsh0000450
Interprofessional Education Collaborative (IPEC). (2011). The core competencies for interprofessional collaborative practice. https://nebula.wsimg.com/3ee8a4b5b5f7ab794c742b14601d5f23?AccessKeyId=DC06780E69ED19E2B3A5&disposition=0&alloworigin=1
Interprofessional Education Collaborative (IPEC). (2016). The core competencies for interprofessional collaborative practice: 2016 update. https://nebula.wsimg.com/2f68a39520b03336b41038c370497473?AccessKeyId=DC06780E69ED19E2B3A5&disposition=0&alloworigin=1 (Original work published 2011)
NR 715 Week 7 Discussion: Stakeholders
Joudrey, P., Oldfield, B. J., Yonkers, K. A., O’Connor, P. G., Berland, G., & Edelman, E. J. (2020). Inpatient adoption of medications for alcohol use disorder: A mixed-methods formative evaluation involving key stakeholders. Drug and Alcohol Dependence, 213. https://doi.org/10.1016/j.drugalcdep.2020.108090
World Health Organization (WHO). (2010). Framework for action on interprofessional education and collaborative practice. https://www.who.int/hrh/resources/framework_action/en/