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Related Experiment Videos

Change champions at the grassroots level: practice innovation using team process

J Scott, M Rantz

    Nursing Administration Quarterly
    |January 1, 1994
    PubMed
    Summary

    Staff nurses and administrators collaborated on a hospital restructuring project. This initiative involved creating new roles and redefining existing ones to improve patient care services.

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    Area of Science:

    • Nursing Administration
    • Healthcare Management
    • Organizational Change

    Background:

    • Recognized the critical value of staff participation in healthcare restructuring.
    • Initiated a project to improve patient care services through organizational change.

    Purpose of the Study:

    • To involve frontline staff in the formulation and guidance of a hospital restructuring project.
    • To develop a sustainable model for patient care services through collaborative team efforts.

    Main Methods:

    • Formed a task force with diverse nursing and administrative representation.
    • Established unit-based teams, including volunteers from a medicine unit, to develop specific restructuring plans.
    • Analyzed patient care needs and staff roles to create new positions and redefine existing ones.

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    Main Results:

    • Created new roles: patient care technician and nurse care coordinator.
    • Redefined the role of the licensed practical nurse (LPN) to provide technical support.
    • Determined optimal staffing mix through unit-based team analysis.

    Conclusions:

    • Staff involvement is crucial for successful healthcare restructuring.
    • The developed model provides a foundation for future patient care services.
    • The restructuring process is being expanded to other units, starting with a surgical unit.