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Related Experiment Videos

Searching for sustainable change.

M Balfour1, C Clarke

  • 1Ophthalmic Day Case Unit, Royal Victoria Infirmary, Newcastle upon Tyne, UK.

Journal of Clinical Nursing
|February 1, 2002
PubMed
Summary

Implementing nursing practice changes requires interdisciplinary collaboration and staff engagement. A bottom-up, cyclical approach with reflective evaluation is key to sustaining innovation in healthcare settings.

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Area of Science:

  • Nursing Practice
  • Healthcare Management
  • Health Services Research

Background:

  • Nursing practice changes often face challenges due to perceived lack of autonomy.
  • Initiated projects frequently falter or cease, hindering innovation.

Purpose of the Study:

  • To explore staff perceptions regarding the self-administration of medication for patients.
  • To identify factors influencing the initiation and sustainability of innovative nursing practice changes.

Main Methods:

  • Action research study conducted in Newcastle from 1997 to 1999.
  • Utilized focus groups to facilitate discussion and sustain innovative change.
  • Examined staff perceptions of a specific practice development: self-administration of medication.

Main Results:

  • Successful health service change requires involvement from all disciplines.
  • Staff need theoretical knowledge of change processes and open communication about proposed practice alterations.
  • A clear problem definition, dissatisfaction with the status quo, and a defined direction are crucial.

Conclusions:

  • Change initiatives should be approached from the bottom-up.
  • Repeated evaluation exercises, employing a cyclical strategy with reflection, are essential for successful change.
  • Interdisciplinary collaboration and open communication are vital for sustaining nursing practice innovation.

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