Nursing Initiating and Managing Change Tentative Plan

Nursing Initiating and Managing Change Tentative Plan

Nursing Initiating and Managing Change Tentative Plan

Scenario:  You, the nurse manager, have been notified that you must downsize your unit staff.  You have also been informed that your role as nurse manager will be expanded to cover more client areas, and that the staff for each shift on your current unite will be reassigned.  How can you prepare yourself and your staff for these changes?

Compose a tentative plan for addressing the downsizing and staff relocation with rationales.  (Consider small staff meetings to allow people to talk about the changes.  Also consider your own and your staffs’ adaptability traits.)

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Leading, Managing, Following, Initiating and Managing Change & Managing and Improving Quality Ch. 4, 5, & 6 Dr. Wills-Savoia DNP RN Chapter 4 Leading, Managing & Following • What makes a leader? Have you ever thought that perhaps a leader and manager are two different things? • Leader: one who uses interpersonal skills to influence others toward an accomplished goal (Sullivan, 2018). • Manager: one who is responsible for accomplishing the goals of the organization efficiently (Sullivan, 2018). Leadership Theories: Traditional Theories • Traditional Leadership Theories • Trait theories • Personal traits that best suit one for leadership • Behavioral theories • What do leaders do? • Contingency theories • Adapt to changing situations • Contemporary Leadership Theories • Quantum leadership • Based on chaos theory and the constant need for change • Transactional leadership Leadership Theories: Contemporary Theories • Engage in social exchange for give and take in leadership role • Transformational leadership • Inspire and motivate others • Shared leadership • Create partnerships with staff • Servant leadership • Derived from desire to serve • Emotional leadership • Self-awareness is key • What is the difference between the traditional vs the contemporary? What do you think is a better way to lead and/or manage? (Sullivan, 2018) Followership: What does this mean? • The follower is an active participant to leadership. They work with and complement the leader in various ways. This is fluid also, it changes based on the situation. At times, the leader becomes the follower. This is what leads to effective teamwork! Plan What does a manager do? Organize Direct Control Staff Nurse First Level Management Charge Nurse Clinical Nurse Leader Levels of Nursing Staff Chapter 5 Initiating and Managing Change • We already discussed how healthcare is fluid and everchanging. A good leader accepts that and works to assisting his or her staff to accept and adapt to that change. • The nurse leader becomes the change agent. Their role is to facilitate that change effectively. Change Theory While there are many theories of change, we will focus on Lewin’s change model for this course. Lewin’s Model of Change Unfreezing Moving Refreezing The Change Process • Identify Problem • Collect Data • Analyze Data • Develop plan • Identify those who support and those who do not support • Implement interventions • Evaluate effectiveness •Nursing Initiating and Managing Change Tentative Plan

What does this sound like? A little like the nursing process of course! This Photo by Unknown Author is licensed under CC BY-SA-NC This is inevitable. Not everyone will be ready or willing to accept this change. How do you overcome that? Resistance to Change There are 8 steps: TALK! Find out why Clarify that information Be OPEN! Discuss what happens if the change does not occur Discuss positive aspects of the change Keep those resistant in the loop and part of the process Be open, honest and supportive Redirect resistance • Initiating Change • You have a voice! Speak up when things are not working! What is the Nurse’s role? • Implementing Change • Get involved with planning • Unplanned Change • Be understanding and willing to put patient first • Handling Constant Change • Be prepared to move with healthcare! Chapter 6 Managing and Improving Quality What is quality management? This is how we can see what is not working and improve those aspects until desired quality is met. This is dependent on many factors and leadership must be involved. Remember though: EVERY nurse is a leader in his or her own way. This means we are all responsible for quality of care. Improving Care: How do we get there? • • • • • • National Initiatives Evidence-Based Practice Electronic Health Record (EHR) Dashboards Rounding Reducing Medication Errors What is the role of Risk Management? • They identify issues, analyze and evaluate risks and then work toward improving them. They can do this by understanding laws and codes, reduce risks, appraise safety, implement corrective measures and evaluates those measures. They have a BIG job! How does the nurse leader become involved? • Assist staff in understanding safety from the patient’s perspective. Listen to patient complaints, staff concerns, take action and follow up accordingly! This is not an easy job, it requires patience, thick skin and a true love of safe patients! Reference • Sullivan, E. J. (2018). Effective leadership and management in nursing (9th ed.). Pearson-Prentice Hall.