A risky business

Just when you get comfortable with life--you've got everything under control and you know what you're doing--along comes someone with a new idea with a change attached to it. From the European Courts, through the Government to the Trust Executive and then the Directorates, change seems to be a constant part of life. Julie Sprague is a theatre nurse who saw an opportunity to make a worthwhile change in her area of practice. This is the acceptable face of change, at clinical practice level, done with involvement and co-operation of colleagues. This article describes that change process together with the theories and rationale which support it.