Johns Hopkins Nursing Evidence-Based
Practice
Appendix I
Action Planning
Tool
1. Complete the following activities to ensure successful translation:
❑Secure a project leader.
❑Identify change a n d champions.
❑Consider whether translation activities require different or additional members.
❑Schedule time to complete milestones.
❑Identify critical milestones and related tasks.
❑Identify observable pre- or post-measures.
2. Identify barriers to the success of the change and then identify
strengths that can be leveraged to overcome the obstacles.
Plan to Overcome Barriers
Barrier Resources or
by Leveraging Strengths as
s Strengths
Appropriate
Resistance or reluctance from Supportive leadership and Implement flexible learning formats
staff to engage in regular management encompass a (online modules, brief workshops) that
education programs due to time management approach focused can be integrated into existing schedules
constraints or perceived on active listening, guidance, without significant disruption. Provide
workload. and empowerment, creating an incentives or recognition for participation
environment where staff feel in education sessions.
valued and motivated. This
fosters a culture of trust and
open communication,
ultimately enabling employees
to overcome challenges and
engage more effectively in
educational programs.
Possible initial resistance from Objective measures for Emphasize that objective measures aim to
staff to being monitored or evaluation (frequency of de- enhance patient and staff safety and
evaluated. escalation techniques, response improve overall quality of care. Ensure
times), Research-backed that data collection is non-punitive and
evidence supporting the used for continuous improvement rather
effectiveness of the than punitive measures. Provide explicit
intervention, Existing culture feedback loops for staff to see their
of continuous improvement in progress and impact.
the organization
Concerns about subjectivity or Subjective measures for Implement anonymous feedback
potential bias in patient feedback. evaluation (patient satisfaction, mechanisms to encourage honest
staff members' self-reported responses from patients. Conduct regular
knowledge and confidence), surveys to track trends and identify areas
Research-backed evidence for improvement. Highlight positive
supporting the effectiveness of feedback to reinforce staff members'
the intervention confidence in their abilities.
Johns Hopkins Nursing Evidence-Based
Practice
Appendix I
Action Planning
Potential disruption to daily
Tool Flexibility in the education Incorporate education sessions during less
routines or patient care activities program implementation, busy periods or allocate dedicated time
Regular staff education on slots for staff education. Emphasize that
early behavioral and the education program is designed to
communicative cues for enhance their skills and ultimately
intervention improve patient outcomes. Seek input
from staff on preferred timing for
education sessions.
Potential resistance to change due The existing culture of Align the staff education initiative with
to entrenched practices or continuous improvement in the the organization's commitment to
attitudes. organization, Regular staff excellence and continuous improvement.
education on early behavioral Highlight how this initiative enhances the
and communicative cues for quality of care and safety for staff and
intervention, Flexibility in the patients. Encourage staff involvement in
education program shaping and refining the education
implementation program.
3. Consider whether or how this change will affect the following:
❑ Electronic health record ❑ Workflow ❑ Policies and procedures
4. Confirm support and availability of funds to cover expenses.
(Check all that apply.)
❑Personnel costs ❑ Education or further training
❑Supplies/equipment ❑ Content or external experts
❑Technology ❑ Dissemination costs (conference
❑Photocopying
costs, travel)
❑ Other:
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
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Johns Hopkins Nursing Evidence-Based
Practice
Appendix I
Action Planning
Tool
5. Identify critical milestones and related tasks:
(Insert Milestone 1) (Insert Milestone 2) (Insert Milestone 3) (Insert Milestone 4)
Needs Assessment Question Development Site approval Analysis of the
Telehealth Program
Organizational Needs Resource allocation Budget report
Assessment
Planning and Strategy Participants Education Organizational Needs Implementation
Assessment Timeline
Stakeholder analysis Stakeholder involvement Data analysis
Implementation and Training Set up a telehealth Integrate with existing on telehealth platform
platform systems usage
Pilot Testing Conduct pilot telehealth Gather feedback from Report generation
Tas
session staff
ks
Reporting and Documentation Analyze program Identify areas for Feedback collection
effectiveness improvement
Prepare a report on the Monitor usage and resolve Outcome’s assessment
program's impact technical issues
Integrate with existing Comparing results to
systems. objectives
Executive summary
writing
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
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Johns Hopkins Nursing Evidence-Based
Practice
Appendix I
Action Planning
Tool
Directions for Use of the Action Planning Tool
Purpose of form
This form is used to guide you as you create an action plan.
Activities to ensure successful translation
These are all activities that must be completed as you plan the change. Consider pre-
and post-observable measures that can be used to determine whether the change was
successful. In addition, identifying critical milestones allows the team to see whether
they are on track to accomplish the goals.
Identify strengths/resources and barriers to the success of
the change.
This analysis allows teams to identify barriers to implementation and potentially
mitigate them using inherent strengths and resources. You may find specific
challenges that will likely impact the ability to deliver on the action plan. Though
these obstacles can get in the way, knowing about them up front is helpful so that
you can engage support and create a plan to address them.
Consider whether or how the change will impact workflows and
processes
Be mindful of the impact of the shift downstream. For example, will changes need to
be made to the electronic medical record to accommodate the difference, or will this
change impact the workflow of any other staff who have not been considered?
Confirm support and availability of funds to cover expenses
Use this as a guide to prompt thoughtfulness about financial obligations that may
be a part of the rollout.
Identify critical milestones and related tasks.
Consider all the categories of work (milestones) necessary to implement this change.
To move forward, what tasks must be accomplished first for each milestone? When
must they be completed to stay on track? For example, if a milestone is to implement
a protocol, list all tasks to accomplish it.
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
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