The Nursing Process Of Change: A Case Study

Implementing change among all organizations is necessary to achieve success; within the health care industry change is constant and it is the role of management teams to assess, plan, implement and evaluate change to ensure satisfaction. Considering this among the other aspects of running a successful organization it is essential to ensure that there is minimal resistance and familiarity to change. Demands of the consumers and staff as well as regulations are continuously changing. The responsibility of managers is to successfully lead these inevitable changes.

According to Porter-O’Grady, 2016 et al p 324, our healthcare systems today are at the center of what is considered major change. Much of the change today is directly related to the foundational principles, concepts and associated with complexity in systems and relationships, and an understanding by nurse leader and follower; of what it takes to make meaningful change. Nurse Leaders, registered nurses, advance practice nurses, and other followers, at every level of our organizations must be increasingly aware of meaningful and sustainable changes that improves our healthcare systems (Porter-O’Grady, 2016 et al p 324).

Everyday nurses are learning something new. There is constant change as nurses face new challenges and advance their career. There are two models of transition that consider these challenges associated with change (Blais & Hayes, 2016). Bridges model of transition consists of three phases and he believes we go through all three as we experience change (Blais & Hayes, 2016). The first stage is the ending phase, which involves letting go of the past and discontinuing a connection (Blais & Hayes, 2016). When I got accepted into the nursing school I transitioned from a regular college student to a nursing student, which meant strictly focusing on passing nursing school. Once I pass the national state exam, I transition to a Registered Nurse. Then I transitioned from my employment setting as a waitress to a medical surgical telemetry nurse in a hospital setting. Within the ending phase, Bridges also describes four components: the second phase is the ending phase. It has four sections: disengagement, disidentification, disenchantment, disorientation. I fall under disenchantment, I currently work night shift and I have never been a night person. When I first started working night shift I was disoriented to time and constantly felt tired when I was out of work. I have now adapted to the schedule and can balance working nights and not being tired during the days when I am off. The second stage is the neutral zone, which consist of accepting your new role, however, the

The facility my change project has potential impact upon is a teaching hospital which is known for promoting, supporting, and encouraging clinical research and implementing latest evidence-based practice. Erlanger serves as the region's only academic teaching hospital and strives to employ healthcare professionals who are knowledgeable in the latest skill, technique, and evidence based practice (EBP) (Erlanger Health System, 2017). This serves as both a strength and opportunity for the facility. A major strength for the hospital is the support that is has for research and implementation of all change processes. In 2013 the Institute for Clinical Research (EICR), was developed to solidify unity of two objectives, providing patients’ access

In today’s healthcare system, effective leadership is essential to improving and reaching organizational outcomes. A leader is someone with the ability to influence others but, an effective leader uses positive strategies to inspire employees to work towards the same goal. Leadership in nursing requires a constant effort to motivate others to become part of the organizational transformation. This can be achieved using a transformational leadership style with a focus on communication, motivation, and empowerment.

The need for innovation in medical care becomes a priority in a growing world, with the world population growing at an alarming rate, from 3.036 Billion to 7.125 Billion in just half a century from 1960 to 2013. The rapid increase in population has translated to congestion in urban centers leading to enormous waste production; a lot of pollution made due to excessive fumes from vehicles on roads and even water pollution due to a rapid increase in industrial activities in the quest to satisfy production. All these effects are increasingly resulting to higher frequency within which people acquire infections leading to the need for specialized medical care.

People generally like to stay in their comfort zone, they do not like changes. However, change is a necessary part of life, we see change in nature every day. Change can be positive or negative. We can choose to embrace the change or reject it, we also can choose to allow the change to have a negative or positive impact on our lives. Helmstetter lists six steps when dealing with change. First to recognize the change, then to decide if you are going to accept or reject the change. The next step is to choose your attitude toward the change, then choose how you are going to deal with it and what actions you are going to take. The last step is to evaluate your progress of accepting the change (Lamberton and Minor, 2012)

Change is a hard concept for most, but change in the hospital setting can be beneficial for both staff and patients. According to Mclean (2011), “Every change begins with an ending” (p.79). How people respond to change can make the process easy or hard depending on how the change is presented.

Strategic leadership in healthcare is the act of transforming a health care organization so that its daily functioning matches the organization’s vision, core values, the cultures it serves, as well as organization’s culture, organizational climate and structure. In implementing strategic leadership, managers and healthcare executives can gain a greater sense of clarity in the changes that need to be made so that the organization can reach its full potential. Healthcare leaders can also make stronger connections internally and externally, with incorporating strategic leadership, to help the organization grow and expand the organization’s reputation, while contribute to the organization’s well-being.

It is transforming every day. During the past several years nurses have been involved in more than just direct care they have been involved in the management of reducing the safety risks and improving quality of care. For example the IOM report states that the research from the INQRI showed that it has lessened the medication error rates, by the nurse clarifying doctors’ orders and providing patient education. (Institute of Medicine, 2010, p. 90) By transforming our practice our scopes of practice will need to be redefined. This will allow the nurses to work at their fullest potential and increase patient satisfaction and to meet the needs of our patients. Expanding our knowledge in procedure and community based skills will be required. The most transformations will occur with are APRN’s but every change that will be occurring will have a major impact on the quality of care our patients are receiving. It is going to increase our opportunities to care for all that is in need.

Effective nurse leaders are often flexible and are able to change style of leadership to suit changing circumstances. They ensure that their people are regularly being challenged to grow and learn. Nurses show leadership by giving feedback and empowering others to bring out their best and the opportunity to grow. I believe that good leaders help people to see that what they do makes a difference. Nurse further their education to expand and gain knowledge so they can render excellent quality care that patients deserve. Also, the leaders would also help other nurses to work as a team to help the facility run to deliver high-quality care. A leader, “should think and talk about future trends that will affect the team's work, and make sure you communicate your vision to your team regularly” (Pearce, 2007, p. 25). I vision a leader as someone who can move others in achieving their goals and mission. For instance, our nurse supervisor addresses the

Extensive use of the word transition in nursing literature signals that it is a significant concept (Ralik, Visentin, Van Loon, 2006). It is essential for nurses to possess knowledge and understanding of transition. The purpose of this paper is to provide a comprehensive examination and explore the definitions and key elements of the concept of transition and show how gaining knowledge of transition can positively impact client care and the nursing profession. Understanding transition will help improve client care by teaching nurses how to assess for, and facilitate transition and develop health promotion initiatives. Ultimately, the goal is to have better outcomes for clients going through transition. Continued research and education

With our main research question we aim at exploring the importance of effective change management and the characteristics of a successful change management program in a hospital. The main research question can be formulated as: To what extend is change management necessary and how can it most efficiently be implemented in a hospital?

In the healthcare field, nursing leaders and managers face consistent issues in their respective practices that force them to alter the way they work and the way they think. In taking on a role as a leader within the field, nursing leaders and managers also take on the role of ensuring that work within an organization runs smoothly regardless of new issues that may arise in the healthcare arena. For instance, in today's healthcare environment, the issues of nurse shortage and nurse turnover have the capacity to alter the healthcare field and many of its respective branches and organizations should these problems not be managed properly by the leaders in the field. In viewing the issue at hand and in discovering how nursing leaders and managers are expected to act, and do act, in order to approach this issues, along with pinpointing the best approach possible to aid this issue, one can better understand which leadership styles are necessary for leaders to function.

The healthcare system has seen significant change over the past decade. This is due to improved technology, healthcare reform, and the economic crisis (Hendren, 2010). With the changes that are occurring,