They can be an individual or group that is interested in or affected by the change. When stakeholders are involved in the change, they raise awareness in the community, and provide valuable insight (ORourke, Higuchi, and Hogg, 2016). Working with stakeholders from the beginning of the project allows for their input and expertise on what the goals should be. When stakeholders are engaged, change is easier, and the plan is often better developed (Ginex, 2018).

The proposed change project will require several stakeholders. Internal stakeholders for postpartum hemorrhage bundle will include: administration, department manager, doctors, nurses, midwives, lab, surgery, house supervisor, and anesthesia. The external stakeholders will include administration at the corporate level of SCL-Health, the quality department, and possibly the legal team.

For us to successfully overhaul how we provide care to postpartum patients, we will need the support from all the stakeholders. OR and anesthesia are important stakeholders, because they can identify possible problems with staffing, and OR space during hemorrhage management. Providers, both MD and midwives, are important because they will need to agree on the best first-line medications and cutoffs for implementing the protocol. They must be prepared to be called back to the bedside more often if there is a concern about blood loss and change their practice from estimated blood loss, to quantified blood loss. The lab is also an important stakeholder; we are a small hospital, so they can help assess what blood products are available at any given time and how long it takes to prepare each blood product. The house supervisor is also important because they coordinate the departments and serve as an extra set of hands. We will need the support of external stakeholders, such as the administration team from SCL-Health to ensure we have both the financial and physical resources needed to implement the change. We also must ensure that we are meeting the requirements for quality and patient safety.

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We plan to provide data to the various stakeholders, so they are aware of the importance of this project. We will provide national statistics, but even more importantly, we will provide them with internal statistics on postpartum hemorrhage cases. Additionally, we will provide education opportunities to help providers gain sills and knowledge necessary to provide better care to our delivering moms.

References

Ginex, P. K. (2018). Overcome barriers to applying an evidence-based process for practice

change. ONS Voice, 33(5), 62. Retrieved from https://search-ebscohost-

com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=131514683&site=eds-

live&scope=site

O’Rourke, T., Higuchi, K. S., & Hogg, W. (2016). Stakeholder participation in system

change: A new conceptual model. Worldviews on Evidence-Based Nursing, 13(4), 261–

269. doi:10.1111/wvn.12165

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//appNavObj.setWindowTitle(“???<tiles:getAsString name=’title’></tiles:getAsString>???”); appNavObj.setWindowTitle((“Course Outline IU View”)+” | LCS Learning Platform”);  Back To TopBack To Top #myLinkBoxDiv{bottom: 34px;}  var currentTime = new Date(2019,08,27,20,48,45);    // width and height of the online chat popup   function updateClock ( ) {   //alert(‘currentTime in function  = ‘+currentTime);   var currentHours = currentTime.getHours ( );   var currentMinutes = currentTime.getMinutes ( );   var currentSeconds = currentTime.getSeconds ( );    // Pad the minutes and seconds with leading zeros, if required   currentMinutes = ( currentMinutes < 10 ? “0” : “” ) + currentMinutes;   currentSeconds = ( currentSeconds < 10 ? “0” : “” ) + currentSeconds;    // Choose either “AM” or “PM” as appropriate   var timeOfDay = ( currentHours < 12 ) ? “AM” : “PM”;    // Convert the hours component to 12-hour format if needed   currentHours = ( currentHours > 12 ) ? currentHours – 12 : currentHours;    // Convert an hours component of “0” to “12”   currentHours = ( currentHours == 0 ) ? 12 : currentHours;    // Compose the string for display   var currentTimeString = currentHours + “:” + currentMinutes + “:” + currentSeconds + ” ” + timeOfDay;      var timeZone=’Mountain Standard Time’;   // Update the time display   if(document.getElementById(“clock”) != null){   document.getElementById(“clock”).firstChild.nodeValue = currentTimeString;   document.getElementById(“clock”).firstChild.nodeValue =document.getElementById(“clock”).firstChild.nodeValue+” “+timeZone;   //currentTime.setFullYear((currentTime.getYear()+1900),currentTime.getMonth(),currentTime.getDate(),currentTime.getHours(),currentTime.getMinutes(),(currentTime.getSeconds()+1));+   currentTime = new Date (currentTime.getTime()+1000);   }      }  // –>    var techSupportOn=false; var privacyPolicyOn=false;   var isOverIFrame = false;  function processMouseOut()  { isOverIFrame = false; }  function processMouseOver()  { isOverIFrame = true; top.focus(); }  function processIFrameClick()  { if(isOverIFrame)   { if(techSupportOn) {    jQuery(“#techBoxDiv”).slideUp(); jQuery(“#techBoxDiv”).css({“visibility”:”hidden”}); techSupportOn=false; } if(privacyPolicyOn) {    jQuery(“#popup3”).hide();   jQuery(“#popup3”).css({“visibility”:”hidden”}); jQuery(“#popupBg3”).css({“display”:”none”}); privacyPolicyOn=false; } jQuery(“.dropdown dd ul”).hide(); } }  function init()  { var element = jQuery(“iframe”); for (var i=0; i<element.length; i++)   { jQuery(element[i]).hover(function(e){ processMouseOver(); }, function(e){ processMouseOut(); }); } jQuery(top).blur(function(){ processIFrameClick(); });  }  //Get unread email count from Office 365 or GMail  function updateUnreadMailCount(){ var unreadMailCountURL=’https://login.microsoftonline.com/’; if(unreadMailCountURL!=””){ jQuery(“#emailLink”).val(‘https://login.microsoftonline.com/’); } }  function openEmailLink(){ window.open(jQuery(“#emailLink”).val(), ‘_blank’); } jQuery(document).ready(function(e)  { jQuery(‘.lc_techSupportInfoWrap a’).hover( function() { jQuery(this).closest(‘.lc_techSupportInfoWrap’).find(‘.lc_techSupportInfo’).show(); }, function() { jQuery(this).closest(‘.lc_techSupportInfoWrap’).find(‘.lc_techSupportInfo’).hide(); } ) jQuery(“#footerEmailBx”).click(function(){ openEmailLink(); }); if(navigator.platform == ‘iPad’ || navigator.platform == ‘iPhone’ || navigator.platform == ‘iPod’){ //jQuery(“.footer”).css(“position”, “static”); };    jQuery(‘#popup3’).bind(“click”, function(e)   {   e.stopPropagation();    }); jQuery(‘#popupBg3’).bind(“click”, function(e)   {   e.stopPropagation();    }); jQuery(‘#techBoxDiv’).bind(“click”, function(e)    {   e.stopPropagation();   });   jQuery(‘#okButtonFooter’).bind(“click”, function() { jQuery(“#popup3”).hide(); jQuery(“#popupBg4”).css({“display”:”none”}); });   jQuery(“#popupClose3”).click(function() { jQuery(“#popup3”).hide(); jQuery(“#popupBg4”).css({“display”:”none”}); privacyPolicyOn=false; jQuery(“#privacyLink”).focus(); }); jQuery(‘#closeBtn1Lnk3’).bind(“click”, function(){ jQuery(“#techBoxDiv”).slideUp(); jQuery(“#techBoxDiv”).css({“visibility”:”hidden”}); techSupportOn=false; });   jQuery(‘#helpLink’).bind(“click”, function()   { window.open(‘http://support.loudcloudsystems.com’); });   updateClock(); setInterval(‘updateClock()’, 1000 ); appNavObj.updateEmailNotification(‘1’); jQuery(“#popupClose4, #okButtn2”).click(function() { jQuery(“#popup4”).hide(); jQuery(“#popupBg4”).hide(); }); jQuery(“#popupClose2”).click(function() { jQuery(“#popup2”).hide(); jQuery(“#popupBg2”).hide(); jQuery(“#techLink”).focus(); });   jQuery(“#clearCookie”).click(function(){ jQuery.cookie(“JSESSIONID”, null,{ path: ‘/learningPlatform’}); jQuery.cookie(“JSESSIONID”, null,{ path: ‘/lcsAnalytics’}); jQuery.cookie(“moduleName”, null,{ path: ‘/’}); jQuery.cookie(“loudbooksHelpShown”, null,{ path: ‘/learningPlatform’}); alert(“All cookies have been cleared from this browser.”); });   jQuery(“#closeTechSupportPopup”).click(function(){ if( jQuery(‘.techPopupdv’).is(‘:visible’) ) { jQuery(‘.sysTnfoDv’).click(); } jQuery(“#popup2”).hide(); jQuery(“#popupBg2”).hide(); jQuery(“#techLink”).focus(); });   jQuery(‘.techPopupdv’).hide(); jQuery(‘.sysTnfoDv’).click(function(){ jQuery(‘.techPopupdv’).toggle(); jQuery(this).toggleClass(‘sysTnfoDv2nd’) }); jQuery(‘.sysTnfoDv’).toggle( function() { jQuery(this).html(‘<a href=”javascript:void(0);” style=”color:inherit;text-decoration:none;”>Hide System Information</a><span class=”techUpArow”></span>’); }, function() { jQuery(this).html(‘<a href=”javascript:void(0);” style=”color:inherit;text-decoration:none;”>Show System Information</a><span class=”techDownArow”></span>’); });     var browserInfo = jQuery.client.profile(); jQuery(“#os”).find(“dd:last”).html(browserInfo.platform); jQuery(“#browserVersion”).find(“dd:last”).html(browserInfo.name+” “+browserInfo.version); jQuery.cookie(“checkCookieEnabled”, “true”,{ path: ‘/learningPlatform’}); if (jQuery.cookie(“checkCookieEnabled”)) { jQuery(“#cookiesEnabled”).html(“Yes”); } else { jQuery(“#cookiesEnabled”).html(“No”); }   jQuery.cookie(“checkCookieEnabled”, null,{ path: ‘/learningPlatform’}); jQuery(“#serverInstance”).find(“dd:last”).html(“plmuwbvs2303”); var techSupportEmail = “mailto:technical.support@gcu.edu?subject=Contact GCU Technical Support&body=Hi,%0A%0AWe have collected your system information in the body of this e-mail so that we can provide a better and fast solution to your issue. It would also be helpful for our support team if you include your Name, College Name, Instructor name and assigned class name if possible. %0A%0AEnvironment%20Details:%20%0A%0AOperating%20System:%20″+browserInfo.platform+”%0A%0ABrowser:%20″+browserInfo.name+”%20″+browserInfo.version+”%0A%0AFlash%20Player:%20″+jQuery(“#flashEnabled”).find(“dd:last”).html()+”%0A%0ACookies%20Enabled:%20″+jQuery(“#cookiesEnabled”).html()+”%0A%0AServer%20Name:%20plmuwbvs2303″; techSupportEmail=techSupportEmail+”%0A%0A—————————— Please%20do%20not%20delete%20above%20section ——————————%0A%0AIncident Summary:%20″; jQuery(“#emailTechSupport”).attr(“href”, techSupportEmail);    });  jQuery.fn.center = function () { var currentRole= ‘com.lcs.core.role.value.Role@356dc6de’; if(currentRole !=”){     this.css(“position”,”absolute”); }else{ this.css(“position”,”fixed”); } this.css(“top”, Math.max(0, ((jQuery(window).height() – jQuery(this).height()) / 2) + jQuery(window).scrollTop()) + “px”); this.css(“left”, Math.max(0, ((jQuery(window).width() – jQuery(this).width()) / 2) + jQuery(window).scrollLeft()) + “px”); return this; }  function showTechSupport() { jQuery(“#popup3”).hide(); jQuery(“#popupBg3”).hide();   jQuery(“#popup4”).hide(); jQuery(“#popupBg4”).hide();   jQuery(“#popup2”).show(); jQuery(“#popupBg2”).show(); jQuery(‘#popup2’).center(); jQuery(“#popup2Heading”).focus();   if( jQuery(‘.techPopupdv’).is(‘:visible’) ) { jQuery(‘.sysTnfoDv’).click(); } if(jQuery(“.techSupport”).length >0 ){ new PerfectScrollbar(‘.techSupport’); } }  (function($){var profileCache={};$.client={profile:function(nav){if(nav===undefined){nav=window.navigator} if(profileCache[nav.userAgent+’|’+nav.platform]!==undefined){return profileCache[nav.userAgent+’|’+nav.platform]} var versionNumber,key=nav.userAgent+’|’+nav.platform,uk=’unknown’,x=’x’,wildUserAgents=[‘Opera’,’Navigator’,’Minefield’,’KHTML’,’Chrome’,’PLAYSTATION 3′,’Iceweasel’],userAgentTranslations=[[/(Firefox|MSIE|KHTML,?\slike\sGecko|Konqueror)/,”],[‘Chrome Safari’,’Chrome’],[‘KHTML’,’Konqueror’],[‘Minefield’,’Firefox’],[‘Navigator’,’Netscape’],[‘PLAYSTATION 3′,’PS3’]],versionPrefixes=[‘camino’,’chrome’,’firefox’,’iceweasel’,’netscape’,’netscape6′,’opera’,’version’,’konqueror’,’lynx’,’msie’,’safari’,’ps3′,’android’],versionSuffix='(\\/|\\;?\\s|)([a-z0-9\\.\\+]*?)(\\;|dev|rel|\\)|\\s|$)’,names=[‘camino’,’chrome’,’firefox’,’iceweasel’,’netscape’,’konqueror’,’lynx’,’msie’,’opera’,’safari’,’ipod’,’iphone’,’blackberry’,’ps3′,’rekonq’,’android’],nameTranslations=[],layouts=[‘gecko’,’konqueror’,’msie’,’trident’,’edge’,’opera’,’webkit’],layoutTranslations=[[‘konqueror’,’khtml’],[‘msie’,’trident’],[‘opera’,’presto’]],layoutVersions=[‘applewebkit’,’gecko’,’trident’,’edge’],platforms=[‘win’,’wow64′,’mac’,’linux’,’sunos’,’solaris’,’iphone’],platformTranslations=[[‘sunos’,’solaris’],[‘wow64′,’win’]],translate=function(source,translations){var i;for(i=0;i<translations.length;i++){source=source.replace(translations[i][0],translations[i][1])} return source},ua=nav.userAgent,match,name=uk,layout=uk,layoutversion=uk,platform=uk,version=x;if(match=new RegExp(‘(‘+wildUserAgents.join(‘|’)+’)’).exec(ua)){ua=translate(ua,userAgentTranslations)} ua=ua.toLowerCase();if(match=new RegExp(‘(‘+names.join(‘|’)+’)’).exec(ua)){name=translate(match[1],nameTranslations)} if(match=new RegExp(‘(‘+layouts.join(‘|’)+’)’).exec(ua)){layout=translate(match[1],layoutTranslations)} if(match=new RegExp(‘(‘+layoutVersions.join(‘|’)+’)\\/(\\d+)’).exec(ua)){layoutversion=parseInt(match[2],10)} if(match=new RegExp(‘(‘+platforms.join(‘|’)+’)’).exec(nav.platform.toLowerCase())){platform=translate(match[1],platformTranslations)} if(match=new RegExp(‘(‘+versionPrefixes.join(‘|’)+’)’+versionSuffix).exec(ua)){version=match[3]} if(name===’safari’&&version>400){version=’2.0′} if(name===’opera’&&version>=9.8){match=ua.match(/\bversion\/([0-9.]*)/);if(match&&match[1]){version=match[1]}else{version=’10’}} if(name===’chrome’&&(match=ua.match(/\bopr\/([0-9.]*)/))){if(match[1]){name=’opera’;version=match[1]}} if(layout===’trident’&&layoutversion>=7&&(match=ua.match(/\brv[ :/]([0-9.]*)/))){if(match[1]){name=’msie’;version=match[1]}} if(name===’chrome’&&(match=ua.match(/\bedge\/([0-9.]*)/))){name=’edge’;version=match[1];layout=’edge’;layoutversion=parseInt(match[1],10)} if(match=ua.match(/\bsilk\/([0-9.\-_]*)/)){if(match[1]){name=’silk’;version=match[1]}} versionNumber=parseFloat(version,10)||0.0;return profileCache[key]={name:name,layout:layout,layoutVersion:layoutversion,platform:platform,version:version,versionBase:(version!==x?Math.floor(versionNumber).toString():x),versionNumber:versionNumber}},test:function(map,profile,exactMatchOnly){var conditions,dir,i,op,val,j,pieceVersion,pieceVal,compare;profile=$.isPlainObject(profile)?profile:$.client.profile();if(map.ltr&&map.rtl){dir=$(‘body’).is(‘.rtl’)?’rtl’:’ltr’;map=map[dir]} if(typeof map!==’object’||map[profile.name]===undefined){return!exactMatchOnly} conditions=map[profile.name];if(conditions===!1){return!1} if(conditions===null){return!0} for(i=0;i<conditions.length;i++){op=conditions[i][0];val=conditions[i][1];if(typeof val===’string’){pieceVersion=profile.version.toString().split(‘.’);pieceVal=val.split(‘.’);while(pieceVersion.length<pieceVal.length){pieceVersion.push(‘0’)} while(pieceVal.length<pieceVersion.length){pieceVal.push(‘0′)} compare=0;for(j=0;j<pieceVersion.length;j++){if(Number(pieceVersion[j])<Number(pieceVal[j])){compare=-1;break}else if(Number(pieceVersion[j])>Number(pieceVal[j])){compare=1;break}} if(!(eval(String(compare+op+’0′)))){return!1}}else if(typeof val===’number’){if(!(eval(‘profile.versionNumber’+op+val))){return!1}}} return!0}}}(jQuery));        function getFeedbackForm(){ parent.lcsIFrameObj.loadFeedbackForm(); }    function fetchOnlineUsers(){ var uIds = ”; for (i=0;i<lcsConnect.userIdList.length;i++){ uIds += ‘&userIds=’+lcsConnect.userIdList[i]; } jQuery.get(‘/learningPlatform/user/users.lc?operation=isUserOnline&i=1’+uIds, function(data){ updatePresenceRoster(data); }); }    jQuery(function(){ jQuery(‘#lcsPrivacyPolicyId’).keydown(function(event) {     if (event.which == 9 && event.shiftKey) { // Tab is keycode 9 event.preventDefault(); jQuery(‘#okButtonFooter’).focus();     } }); jQuery(‘#okButtonFooter’).keydown(function(event) {     if (event.which == 9 && !event.shiftKey) { event.preventDefault(); jQuery(‘#lcsPrivacyPolicyId’).focus(); } }); jQuery(‘#popup2Heading’).keydown(function(event) {     if (event.which == 9 && event.shiftKey) { // Tab is keycode 9 event.preventDefault(); jQuery(‘#closeTechSupportPopup’).focus();     } }); jQuery(‘#closeTechSupportPopup’).keydown(function(event) {     if (event.which == 9 && !event.shiftKey) { event.preventDefault(); jQuery(‘#popup2Heading’).focus(); } }); });  © 2019 BNED LoudCloud LLC

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