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Identify a problem in your clinical setting(NURSING) that requires change. Using one of the change theories from Chapter 13 Innovation and Change, explain how the change can be successfully implemented.




After completion of this chapter, the reader will be able to
?Describe why innovation and change are needed in nursing practice.
?Assess one?s own past reactions and behaviors when confronted with change.
?Describe the role of the nurse as change agent.
?Describe nursing leadership characteristics and skills that promote innovation and change.
?Distinguish planned from unplanned change.
?Apply Lewin?s change theory, Kotter?s eight steps to leading change, and Rogers?s diffusion of innovation to innovations and changes in one?s practice setting.
?Discuss effective change strategies.
?Identify factors that promote resistance to change and factors that promote change.
?Describe effective strategies to manage constant change.

Whether we like it or not, change is constant in our profession. Nursing leaders need to embrace innovation and change if we are going to help improve our nursing processes and outcomes for our patients. Innovation and change will require you to be open to new ideas, commit to continu- ous learning, be creative, and let go of the past (French-Bravo & Crow, 2015). In this chapter, you will find in-depth information that will be useful in creating innovations and implementing change. This chapter presents a framework for the development of skills to foster innovation and lead change.

Leadership and Management Competence in Nursing Practice : Competencies, Skills, Decision-Making, edited by Audrey M.,


246 III: Leading Change

Before answering that question, let us define innovation and change. ?Innovation? means creating something new (e.g., an idea, procedure, or device) or altering something that already exists. ?Change? means implementing something new. As nurses, we want to improve our patient outcomes and our work environment and processes. However, we cannot make improvements by doing things the way they have always been done before. We have to be willing to challenge the way things have been done to make improvements. Ask yourself the following: ?Why do we do things this way?? Simply ponder- ing the question ?Why?? can lead you to challenge the status quo and lead you to new ideas and innovations. Nurses new to an organization are especially valuable because they might see opportunities for improvement that have been overlooked. However, even if you have been working in an organization for a while, you should start to question why things are done in a particular way and look for ways to improve processes to obtain better results. Not only should you question, but you should also listen. Talk with others and get diverse view- points (Cashman, 2013). This questioning and listening can lead you to innova- tive ideas that in turn can be implemented to make a positive change. Change can then lead to improvements in the quality and safety of the care we provide. As a clinical leader, you will play a vital role in innovation and change!

Innovation plays an essential role in nursing practice because it allows for adaptation and response in the practice environment. It helps move the nursing profession forward by optimizing patient care to improve safety and patient outcomes (Hancock, 2015). Nursing innovations can also be used to create effi- ciencies in our daily responsibilities (Hancock, 2015). As an associate?s degree nurse, you have probably thought about your work processes and considered alternative ways of getting the job done. Nurses tend to think ?outside the box? and creatively. Innovation in nursing promotes growth and progression within the nursing profession. It enhances creativity and encourages inventive problem-solving. Nursing innovations can lead to new and improved pro- cesses and/or resources that will potentially decrease cost, improve patient safety, enhance optimal patient outcomes, and advance nursing care (Hancock, 2015). As advances in healthcare technology are made and patients need greater care, nurses should be willing and able to change old practices and systems for new, innovative approaches (Kalisch & Begeny, 2010). Delivering quality care is essential as is the ability to create innovative approaches, act quickly, and take calculated risks (Kalisch & Begeny, 2010). Creativity is important to the process of innovation, but the creative idea alone cannot be sustained unless implemented in the proper environment. The feelings of patients, families,
Leadership and Management Competence in Nursing Practice : Competencies, Skills, Decision-Making, edited by Audrey M.,

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