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Leadership in action: creating a change in practice
1Heart Institute at Bridgeport Hospital, Bridgeport, Ct, USA. Denise.buonocore@yale.edu
AACN Clinical Issues
|October 6, 2004
Summary
Advanced practice nurses (APNs) can lead healthcare change by implementing evidence-based practice. This article outlines change process steps for APNs to improve patient outcomes and integrate new knowledge effectively.
Area of Science:
- Healthcare Management
- Nursing Practice
- Evidence-Based Practice
Background:
- Healthcare environments are rapidly changing, necessitating effective leadership for improved patient outcomes.
- Clinicians face challenges integrating new research findings into daily practice.
- Advanced practice nurses (APNs) possess the clinical expertise and change process knowledge to facilitate practice changes.
Purpose of the Study:
- To outline specific change process steps for APNs to implement in their institutions.
- To highlight the role of APNs as agents of change in healthcare settings.
- To provide a practical example of implementing an intensive insulin drip protocol.
Main Methods:
- The article focuses on the practical application of change management principles.
- It details the steps involved in developing and implementing practice changes.
- A case study of an intensive insulin drip protocol implementation is presented.
Main Results:
- Key elements for successful practice change development and implementation are identified.
- The study emphasizes the APN's strategic position to drive change.
- Understanding the change process empowers APNs to lead effectively.
Conclusions:
- APNs are uniquely positioned to act as agents of change in healthcare.
- Implementing structured change processes can overcome barriers to integrating new knowledge.
- APNs can lead initiatives to improve patient outcomes through evidence-based practice adoption.
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