Assignment Exploring the Issues Related to the Management of Change Within Clinical Practice. Nursing

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Assignment exploring the issues related to the management of change within clinical practice

In this essay I aim firstly to attempt to identify a change in practise I would wish to make and secondly, link this to the theory of change management and leadership management. The vision I would like to implement would be for the Worcester Royal Hospital psychiatric wards to have access to on site gym facilities, and for the psychiatrists to prescribe exercise to all inpatients.
Currently exercise is not used widely as an intervention in psychiatric nursing. The Labour government acknowledged that the physical health needs of people with mental health problems had been neglected and that this group need support to access appropriate
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When planning a change in the NHS such as this it is necessary to look at change theory models. These will be very relevant when implementing my change. The majority of contemporary research originates from the work of social psychologist Kurt Lewin in the mid-twentieth century. Lewin identifies three stages through which change must proceed before any planned change will become embedded in an organisation or system of working. These are unfreezing, movement and refreezing. I will base my change upon this model. Unfreezing is when I as a change agent proposes a plan for change to the team or organisation. During this stage I will attempt to win over team members who are not keen on my change, I will aim to resolve any anxieties or concerns regarding the change. Cummings and McLennan (2005) claim that an essential leadership role is to understand the different perspectives of individuals and stakeholders and to ‘align the changes to be meaningful for them’. During this stage I will attempt to access the relative merits of the forces for against change such as extent of the proposed change, nature and depth of motivation of stakeholders, and the environment in which change will occur. It is necessary for the driving forces for change to exceed the opposing forces for change, this is

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