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Related Experiment Videos

Breakpoints and continuities: a case study of reactive change

J Stelling, J Milne-Smith

    Nursing Administration Quarterly
    |January 1, 1994
    PubMed
    Summary

    Nursing administrators successfully implemented significant changes in a pediatric psychiatry ward by establishing a bachelor's degree requirement, introducing family systems nursing, and initiating postdischarge follow-up, highlighting key drivers of successful healthcare change.

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    Area of Science:

    • Healthcare Management
    • Nursing Administration
    • Pediatric Psychiatry

    Background:

    • In 1987, a pediatric psychiatry ward underwent significant transformation.
    • Changes were driven by nursing administrators to improve patient care and nursing standards.

    Purpose of the Study:

    • To present a case history of the change process on the ward.
    • To identify the critical factors contributing to the success of these nursing-led changes.

    Main Methods:

    • A qualitative case study approach was used.
    • The study involved documenting the implementation of new nursing standards and practices.

    Main Results:

    • Key drivers for change included a clear nursing vision and perceived need for improvement.

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  • Successful implementation was facilitated by recognizing opportunities and aligning changes with institutional values.

    • Conclusions:

    • A strong vision, motivation for change, and strategic alignment with organizational structures are crucial for successful nursing initiatives.
    • The study underscores the importance of leadership and strategic planning in effecting positive change in healthcare settings.