Change Implementation in Healthcare
Bringing quality improvement processes to nursing practices invariably means that nursing leaders must give considerable attention to the management of change. Resistance to change is an integral aspect of any quality improvement effort. Sometimes the resistance stems from fear or the inability to see how things can improve. When patients present challenging behavior problems, staff may naturally be concerned for their own safety and be worried that the challenging behaviors are getting in the way of providing the best possible nursing care. This paper examines the implementation of a change process for addressing challenging behavior in patients within the framework of Kurt Lewin's change management theory (Sare and Ogilvie, 2009).
Veterans with cognitive problems from memory loss and dementia were regularly exhibiting the hitting, kicking, biting, yelling, spitting, repetitious questioning of staff, and other impulsive aggressive behaviors. Staff began a series of Challenging Behavior Meetings twice a month to discuss ways of dealing with Veterans who exhibited this type of behavior. The purpose of the behavior-focused meetings was to establish a menu of responses that staff could use when dealing with challenging behaviors ("Behavior Chain," 2005; "eCaring," 2012). While there was general understanding among the staff that any behavior response system needed to be flexible, there was also general appreciation for the need for a consistent system that would not be perceived...
Nursing Leadership and Conflict Management The complexities of communication in healthcare are accentuated by the urgency of providing expert-level care and continually fueling a high level of professional competence with one's peers and the broader professional communities. The more time-sensitive a given field of nursing or medical practice, the more critical it is to have highly accurate, relevant and timely patient data to make decisions on (White, Thornbory, 2007). Across the
" (1) What does the phrase "concept inventing" mean to you? 2) Does the process of concept inventing add clarity to a unique lived experience that aides in individualizing patient care? - or - Does the process of concept inventing add unnecessary jargon to the profession of nursing which creates barriers in collaboration with other disciplines? (3) State your stance on this issue and create a logical argument to defend your
In the emergency room, this distinction can have a determinant impact on the ability of the staff to preserve life and diminish pain and suffering. The introduction of a bioethical perspective into this dialogue invokes a question as to the primacy of an interest in pursuing to the utmost the well-being of the patient. This speaks to one of the core values associating the principles of the ANA with the
Nursing Theory and Leininger The world of contemporary nursing is a complex, yet rewarding, career choice. Far from the outdated paradigm of the Nurse being just the Doctor's assistant, the contemporary nursing professional takes on a partnership role with both the doctor and patient as advocate caregiver, teacher, researcher, counselor, and case manager. The new model of health care holds that the predominant focus be quality patient care - which comprises
Lewin’s Change and Force Field Analysis Theories Applied to a Geropsych Unit Using Lewin’s Change and Force Field Analysis theories to produce a more dedicated Geropsych Unit can be accomplished by putting each theory into practice. First, the goal of the change must be identified, which here is to develop a staff that is dedicated to its work and patients. Then the process can be begun. The first step is to
Cross-Sectional Study to Determine Factors in the Educational Advancement of the Licensed Practical Nurse to the Registered Nurse in the State of North Carolina According to the Harvard Nursing Research Institute, United States nursing school enrollments dropped by 20.9% from 1995 to 1998 (Healthcare Review, 2000). Behind headlines such as this one are the overwhelming issues which threaten the nursing workforce: 1) staffing cuts, 2) mandatory overtime, and 3) the
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