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NSG Leadership Discussion: Change and Innovation in Nursing

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Initial Post:

1. Obtain a scholarly nursing journal on Innovation and Change in Clinical Nursing Practice or Nursing Education. Download the article (you will post it for your peers to review). There are several articles in the resources for the class.

2. Write your Literature Review (almost like an abstract), summarizing the key concepts presented in the article (you do not need to report statistical findings or elaborate on the type of research conducted). Identify the change process model used. – do not describe the model. (Example: The change process used was Lewin’s Model of Change.)

Make sure to identify the (1) problem/need for change/rationale for change, (2) the setting (practice or education) identified, and (3) how the results/findings could be implemented in the identified setting. Limit to 1-3 paragraphs- quality over quantity!

3. Attach the article to your discussion post

Respond to at least ONE peer that does not already have a response, and include the following:

1. After reviewing the article, identify 3 salient (relevant) points presented in the article in terms of the change proposed and the setting for the change, include a rationale/evidence for each point. For example, if you review an article about the implementation of simulation in nursing education to simulate clinical preparedness, you might conclude that: According to __________ (year), 65% nursing students in the study reported that simulation helped them learn psychomotor tasks better than the classroom environment and they felt more prepared when performing those skills in the clinical setting. When the simulation has been included in the curriculum at Stratford, it helped me feel better prepared and more confident during the clinical for the course….

2. then, Identify the change process/model used to implement the change.

  • Identify the steps in the change process. (Example, The change process used was Lewin’s Model of Change. The three steps of the model are one, two, three.
  • Then describe those steps in the change process/model.
  • Include the reference to the original article and any additional articles. Reminder to only utilize reliable and SCHOLARLY nursing references, such as nursing textbooks, ATI textbooks, scholarly peer-reviewed publications, and scholarly websites (ends in .org, .edu or .gov). Do not use .com, .net, wikis, blogs, or non-scholarly sources.
  • In-text citations are a must!

Peer response:

“The practice of nursing has evolved over the many years that it’s been established as a practice. One way that has occurred is by change. According to Brinkman (2017) “decades of displacement of senior nursing roles by administrative systems have created a culture where the focus has shifted from keeping patients safe and healthy to one of servicing administrative goals.” She goes on to discuss that through the hierarchy of roles, as nurses, we have lost our placement as leaders in the medical community and have a top-down ladder approach (Brinkman, 2017, p. 47). This is seen through all walks of nursing practice. It has taken the leadership role from the nurse. To paraphrase she explains that for nurses to become strong leaders, they need to be open to change, stay lifelong learners, and to ask the tough questions to be able to gain patient trust and to include the patient in their care (Brinkman, 2017, p. 47). By doing this and keeping curiosity open, asking questions, raising expectations and becoming strategically competent nurses will become the leaders to help move nursing as a practice forward. The change process that was used was Lewin’s Model of Change.

Reference:

Brinkman, A. (n.d.). Nurses as leaders: Nurses must cast off old hierarchies and embrace change if they are to become strategic leaders. Kai Tiaki Nursing New Zealand, 23(6), 43-43.”

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