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The need to develop nursing practice through innovation and practice change

S G Wright1

  • 1European Nursing Development Agency, United Kingdom.

International Journal of Nursing Practice
|September 1, 1996
PubMed
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This study explores nursing change strategies, advocating for bottom-up approaches. Successful clinical nursing change requires leadership, planning, and internal reflection alongside external practice adjustments.

Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Change

Background:

  • Nursing practice requires strategic approaches for effective change.
  • Existing change models offer varied frameworks for implementation.
  • Understanding the drivers and barriers to change in nursing is crucial.

Purpose of the Study:

  • To examine diverse strategies for implementing change in nursing.
  • To advocate for 'bottom-up' approaches in clinical nursing.
  • To identify key factors contributing to successful nursing change initiatives.

Main Methods:

  • Review of change management theories (power-coercive, rational-empirical, normative-re-educative).
  • Analysis of factors supporting 'bottom-up' change in clinical settings.

Related Experiment Videos

  • Exploration of internal and external dimensions of nursing change.

    • Main Results:

    • Bottom-up strategies, team building, clinical leadership, and planning are vital for nursing change.
    • External changes in care organization and practices are insufficient alone.
    • Internal reflection on professional identity and goals is essential for change.

    Conclusions:

    • A holistic approach integrating external practice changes with internal professional development is necessary for successful nursing transformation.
    • Effective nursing change necessitates strong leadership, collaborative teamwork, and strategic planning.
    • The integration of personal and professional growth is key to achieving meaningful change in nursing.