Nurse-Led Change and Development in Clinical Practice


Nurse-Led Change and Development in Clinical Practice

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  • 製本 Paperback:紙装版/ペーパーバック版/ページ数 208 p.
  • 言語 ENG
  • 商品コード 9781861563378
  • DDC分類 610

Full Description

How may nurses be enabled to contribute to, develop and advance their practice when working in bureaucratic and hierarchical health care settings? Corporate recognition and support for nurse--led change and development is gradually increasing. However, 'top down' change is still frequently imposed without due regard for the wisdom of practitioners. Nurses should explore the theory and practice of change, identify changes to enhance the quality of patient care, and systematically put these into practice. As a result, they will be better equipped to cope with the implementation of national and local policy initiatives, which include shared clinical governance and evidence based nursing practice, both of which are described in this text. This book documents how nurses attempt to undertake change and development in clinical practice through the use of the exploratory, creative, innovative and empowering process of critical action research. The text illustrates the evolution and outcome of the change process. The personal developmental process of engaging in collaborative change in clinical practice is clearly evident.Change is very difficult and complex and if it is to be accomplished successfully it needs to be clearly understood. Consequently, the book also explores the complexity of attempting change in clinical practice. This includes the identification of some of the disempowering processes (both actual and imagined) that currently exist in health care settings.

Table of Contents

Foreword by Roswyn Hakesley-Brown                  vii
Abbreviations ix
Acknowledgements xi
Introduction xiii
CHAPTER 1 1 (20)
The context for nurse-led change and
CHAPTER 2 21 (31)
Evolving clinical change and action research
CHAPTER 3 52 (16)
Integrating theory and practice
CHAPTER 4 68 (27)
Preparing for the first study
CHAPTER 5 95 (34)
The evolving action research process
CHAPTER 6 129 (34)
Process and outcomes of nurse-led change and
CHAPTER 7 163 (14)
Development of the second study
CHAPTER 8 177 (24)
Advancing the change process
CHAPTER 9 201 (16)
Descriptive analysis of the unfreezing process
CHAPTER 10 217 (17)
A framework to advance change and development
in clinical practice
CHAPTER 11 234 (23)
Moving forward
References 257 (20)
Index 277