Innovations and Changes in Nursing Organization

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As a health practitioner, there are several changes that should be implemented in the nursing organization that I run in order to increase the rate and quality of service being offered to the patients that visit the organization on a daily basis. As noted before, nursing is a very important and crucial part of healthcare system. It is the largest occupation in the health care sector. It is therefore very important for the organizations dealing with health care delivery to make crucial changes and implement them for better patient recovery.

With the help of a computerized system some of the change initiative that can be implemented in the organization under proper supervision include the following:

- redesigning and extending roles as far as patient pathways to attract effective work force and retaining it is concerned;

- the patient flow should be optimized through service bottlenecks using the process templates;

- making patient access easier by reducing queues;

- applying a systematic approach to help care for patients with long term conditions;

- provide necessary follow-ups in the right care setting and eliminate unnecessary follow-ups for patients.

Main content: Include two or three complete sentences about the way in which the theory connects to each of the Units of Leaning and the Change Initiative. Try to complete as much of the form as you can so that you can benefit from the most feedback.

Unit 1: What is theory of change will be applied to facilitate the implementation process?

In order to establish change in the health care system I would employ Kurt Lewins Change management theory as a substantial framework and a blue print of action. This paper will also explain the applicability of this theory.

Unit 2: Map the process of the change initiative to be implemented. You may use a diagram to do this if that is preferred.

The process of change involves three major models of the theory in use. Unfreezing, Moving and Refreezing Stages of the theory. In this section detailed activities are stipulated that are focusing on change as follows:

a) Redesigning and extending roles as far as patient pathways to attract effective work force and retain it is concerned

Constantly redesigning and extending various roles in accordance with productive patient pathways to draw in and hold a successful workforce is an initiative that should be implemented. This change is recommended as it will give an evident change in health care service delivery (Chiappelli, 2010).

b) The patient flow should be optimized through service bottlenecks using the process templates

Process templates are utilized broadly as a part of the producing segment however their usage in medicinal services is generally new. The early NHS results are extremely huge. NHS groups report that they can free up around 30% of extra limit inside existing assets. Process layouts can possibly make a noteworthy commitment to successful operational administration in the NHS.

c) Making patient access easier by reducing queues

Multiple queues are an endemic element of the way we oversee understanding holding up in the organization. Patients might be part into particular lines by level of urgency (urgent, soon, schedule), by understanding "area" (inpatient, outpatient, emergency), by clinical condition inside of a specialist hone, or by individual clinicians inside of a strength or essential consideration group.

d) Applying a systematic approach to help care for patients with long term conditions

The following period of administration change sketched out in the organizations Change initiative underlines the significance of patient decision and the advancement of customized administrations (Evans and Haines, 2000). A key component of this is to empower individuals who have a long term condition (some of the time called endless scatters) to take more prominent control of their own treatment and increase support from health professionals in the community. Longterm conditions, which numerous individuals will live with for whatever remains of their lives, incorporate diabetes, asthma, joint inflammation, coronary illness and misery. Numerous individuals endure more than one of these conditions (Culver and Brownell, 1974).

e) Provide necessary follow-ups in the right care setting and eliminate unnecessary follow-ups for patients

There are several occasions where patients who visit the organization under change are asked to return back to the health care facility to have their health progress under checkups, tests or even results.

A noteworthy extent of these subsequent visits is clinically superfluous, make hindrance also, tension for patients and waste significant assets (Suchman, Sluyter and Williamson, 2011). 75% of all outpatient 'Did Not Goes to's (DNA) are for subsequent arrangements. The subsequent DNA rate differs between claims to fame and areas yet a scope of 1040% is regular. There are more than four million follow-up DNAs per annum, which cost the NHS more than 100 million a year. Numerous patients are voting with their feet. A great part of the present accentuation of the said organization overhaul work is on the front end of the patient procedure request administration and evading introductory clinic visits (Porzsolt and Kaplan, 2006).

Unit 3: What theories of Leadership are relevant and why?

This process of effecting change requires competent leadership at the helm of service in health services. The theories in this case link the traits and behaviours of nurses in accordance to the required skillset and competencies. The importance of nurse leadership is fundamental in health service delivery. Leadership particularly in health care system is the direct involvement in health service delivery and care while influencing other stakeholders to improve and sustain the care they offer.

Traditionally, leaders were identified to poses exemplary skillset and personality traits from those who follow.

Transformational leaders in health care system s they express a clear, compelling vision of the future of the organization. They intellectually inspire followers, recognize diverse views and also facilitate the development of strengths of followers. Transformational leadership approach is thus relevant.

Also, situational leadership approach is also important for the ever dynamic health care system. Effective leadership requires situational leadership techniques since effective leaders adapt and cope with their leadership styles to handle various situations. Situational leaders are competent in situations that require flexibility in health sector.

Moreover, there is transactional leadership approach. The transactional approach is one that is task-orientated and depicts elements of effectiveness when meeting deadlines, and or in emergencies such as when dealing with a cardiac arrest in a health care system. However, this technique may lead to non-holistic patient care. It is due to fact that nurses fosters on the duties they are mandated to accomplish, rather than the patient.

An element of transactional leadership is the autocratic leadership. This has leaders described to be power-oriented, controlling and closed-minded.

Unit 4: How will you measure the success of the change initiative?

Measuring success of change entails ascertaining the output of the activities geared towards health services. Indicators are fundamental in assessing the magnitude of success of the change initiative.


Various leadership techniques are relevant for nursing and health care systems. These will help implement this initiative successfully if harnessed well. With such kind of projects, there is need for imperative plan too to achieve ultimate success. This will be coupled with proper leadership in nursing to attain the desired outcome. Using Lewins change model to implement this computerized system can help improve services by involving all stakeholders in various aspects. For future recommendations, health care systems should consider such kind of initiatives for sake of effective workforce, patient access to quality services, and clear framework for proper follow-ups.

Indicative sources

Give four literature sources that you are likely to use in this essay.

Use Harvard style Chiappelli, F. (2010). Evidence-based practice toward optimizing clinical outcomes. Berlin: Springer.

Cowen, P. and Moorhead, S. (2011). Current issues in nursing. St. Louis, Mo.: Mosby Elsevier.

Culver, V. and Brownell, K. (1974). Modern bedside nursing. Philadelphia, Pa.: Saunders.

Evans, D. and Haines, A. (2000). Implementing evidence-based changes in healthcare. Abingdon, Oxon: Radcliffe Medical Press.

Porzsolt, F. and Kaplan, R. (2006). Optimizing health. New York: Springer.

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