In order for a change process to be successful it is imperative that stakeholders accept and sustain the change. Internal stakeholders, those committed to serving the organization, play an important role in process change (The Denver Foundation’s Inclusiveness Project, n.d.). Identifying those that will affect the change and those that will be effected can help identify key stakeholders in and out of the organization (Fineout-Overhult, Williamson, Gallagher-Ford, Melnyk, & Stillwell, 2011). For my change project, early mobility of ICU patients, internal stakeholders will be instrumental in the success of the plan. First I will need to get insight and approval from the two intensivist at Banner Estrella. Both physicians agree that early mobility should be implemented and their support will help when submitting the plan to others. I would also present my idea, backed with evidence to support improved patient outcomes, to the Senior Clinical Manager and Director of ICU. These roles are filled by ICU nurses who also understand the importance of early mobility. Through the support of management and the physicians, I would then present my idea to the Chief Nursing Officer and Chief Executive Officer of Banner Estrella. Included in my information would be the effect of early mobility on patient care and the relation to cost savings. To present my ideas I would plan a meeting and have statistical data to back up the claim that early mobility of ICU patients decreases hospital length of stay.

External stakeholders are those that will be effected by the change, such as clients/patients and community partners (The Denver Foundation’s Inclusiveness Project, n.d.). For my change project critically ill patients admitted to the ICU will be impacted. Patients are an important stakeholder in this change project because without their participation there is no early mobility project. To gain insight into patient feelings and concerns I can talk to patients currently admitted to ICU. By discussing the plan and receiving feedback I can implement change that patients will support. In presenting information to patients it should be easy to understand and touch on the benefits along with the participation required by the patient.


Fineout-Overhult, E., Williamson, K., Gallagher-Ford, L., Melnyk, B., & Stillwell, S. (2011). Evidence-based practice, step by step: Following the evidence: Planning for sustainable change. American Journal of Nursing, 54-60.

The Denver Foundation’s Inclusiveness Project. (n.d.). Identifying internal and external stakeholders. Retrieved from The Denver Foundation:


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