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• Describe a project that has been implemented in your setting. This can be the adoption of a new form for teaching or recording assessments, a new piece of equipment, or any new or changed policy or procedure that affects patient care. Why was a decision made to make the change? Was a problem identified, or did someone read/hear about the change and suggest it be brought to your setting?
• Find a research study or report of a practice change project related to the project that your setting implemented. How strong was the evidence (provide the relevant descriptive statistics from the study or report and interpret their strength).
• How were the staff members informed that the change was coming?
• How were staff members educated on the change? How long did the training take? What was involved?
• What was the reaction of staff members to the change?
• Describe what went well and what challenges were identified as the change was actually implemented.
• Did the change make the intended difference in the outcome? What was the actual data used for evaluation of the success of the project?
• Has the change been sustained over time?
• What are the barriers to change in your setting?
• What are the facilitators to change in your setting?

Please update the slides on the power point and have the agenda match (it currently does not match the slides). 

The goal is to have a shared governance retreat within a behavioral health hospital staff (70 people) 

As we are on the pathway to excellence journey through ANCC.

-Add two breakout sessions (one to discuss core councils, will need instructions on how to get them speaking on this.  and one to create the shared governance model (I have the instructions for this). 

-Please add more examples to the core councils and put them all on a slide. 

-I would like pictures added to the slides (the theme is green which is the mental health color, and it will be held on St. Patrick’s Day). 

-for the slides that are wordy, please use bullet points instead and place speaker notes

-Add speaker notes for each slide

Domain- Clinical Judgement

One example of each of the two speres of care and description of how a nurse may apply to the domain on Nursing care.

 1) disease prevention/promotion of health and well-being, which includes the promotion of physical and mental health in all patients as well  as management of minor acute and intermittent care needs of generally healthy patients;  

2) chronic disease care, which includes management of chronic diseases and prevention of  negative sequelae;