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Nursing 408 Leading Change

                       Aboriginal Health – Health link BC – Nursing Channel

              "You can never cross the ocean unless you have the courage to lose sight of the shore."
                                                                        Christopher Columbus


Overview:                                                                               Power Point Presentation

                                                                                        Daniel’s Story:


                                       • Canadian nurses are expected to:
                                “be aware of broader health concerns such as            http://www.nursingchannel.ca/programs/daniels
                                 environmental pollution, violation of human            _story/index.html
                                rights, world hunger, homelessness, violence,
                                etc. and are encouraged to the extent possible          Nursing Channel:
                                    in their personal circumstances to work
                                   individually as citizens or collectively for
                                 policies and procedures to bring about social
                                 change, keeping in mind the needs of future
Reflection:                             generations “. (CNA, 2002 p.15).                http://www.nursingchannel.ca/
1.
                                                                                        Professional Links:
2.                                                                                                     CRNBC
                                                                                                       BCNU
3.                                                                                                     NH
                                                                                        Social Media:
                                                                                                       Facebook
                            References:                                                                Twitter
                                                                                                       You Tube
Who Was Ethel Johns?
     Was she a nurse, teacher, pioneer, researcher, hospital administrator or
                               magazine editor?
                 Ethel Johns was every one of these things…
Introduction
Ethel Johns was born in
England and grew up in                                                             How will you
Winnipeg where her parents
were teachers on the
                                   Recent Recipients of the Ethel Johns            be defined?
                                                 Award
Wabigoon Reserve in Ontario
and she quickly learned to
teach and speak Ojibway.
                                         2006- Diana Davidson Dick                   Do you set
Ethel graduated from Nursing               2007- Dr. Anita Molzahn                       goals?
school in 1902 and in nine
                                            2008- Marianne Lamb
short years held the
Superintendent position at                 2009- Madelaine Buck                     Once a goal
Children's Hospital in
Winnipeg. By 1919 she was                    2010- Gail Donner                        has been
working at Vancouver General
Hospital to create the first 5                                                     achieved, do
year nursing graduate program
in the entire British Empire.                                                           you set
Ethel was then invited by the       Ethel Johns was an extraordinary woman.
Rockefeller group to assist in      She accomplished many tasks throughout
                                                                                       another?
establishing nursing schools in     her life and also followed moral ethics like
Europe, but she sidelined
through the United States first
                                    no other. She once quit a job because the       Do you help
                                    administration wouldn‟t allow some
to write a controversial report     „scruffy-looking‟ union workers to help with         others
on the disallowance of black
                                    construction. Ethel Johns was a leader and     achieve their
women to enter the nursing
programs. She finished her          innovator in a time when strong women
career as the editor and            were frowned upon. She advocated for fair            goals?
business manager for the still      treatment for all.
current magazine “The
Canadian Nurse”.
“Continuity gives us roots; change
                                                  gives us branches, letting us stretch
Leading Change                                     and grow and reach new heights.”
                                                           - Pauline R. Kezer

Understanding change is crucial to
implementing quality improvement (QI)         KEY ELEMENTS OF CHANGE: The knowledge base
initiatives. Widespread change will be
required to correct what many consider        regarding successful change in health care organizations
to be outmoded and deficient systems of
care. This article summarizes the current     can be summarized in eight crucial strategies or
literature--within both health care and
the fields of business and management--       principles: (1) develop a vision for change, (2) focus on the
regarding how change occurs at the
individual and organizational levels.         change process, (3) analyze which individuals in the
 Part 1 focuses on changing clinician
behavior, which is instrumental to any
                                              organization must respond to the proposed change and
effort directed in the health care setting.
Part 2 examines the culture of change.
                                              what barriers exist, (4) build partnerships between
Part 3 addresses issues of leadership,
along with the necessary steps to guide
                                              physicians and the administration, (5) create a culture of
change in an organization. Part 4
summarizes key elements of change.
                                              continuous commitment to change, (6) ensure that
Finally, Part 5 provides three case
examples of QI initiatives reported in the
                                              change begins with leadership, (7) ensure that change is
recent literature to illustrate how the
application of the knowledge of change
                                              well communicated, and (8) build in accountability for
management can assist in the successful
implementation of QI programs.
                                              change. CONCLUSION: A knowledge of change
 CONCLUSION: A knowledge of change
                                              management can help leaders of QI programs in health
management can help leaders of QI             care organizations successfully apply these concepts to
programs in health care organizations
successfully apply these concepts to
bring about much-needed                       bring about much-needed transformations in health care.
transformations in health care
(1) Develop a vision for
change


?Nurse leaders
? Leadership styles
2) Focus on the change
process
(3) Analyze which individuals in
the organization must respond
to the proposed change and
what barriers exist




?barriers…government
processes
4) Build partnerships
between physicians
and the administration


Examples can be MoreOB and
how the whole hierarchy
concept is eliminated and
nurses and physicians work on
the same levels.
This concept can be attempted
for all levels of hierarchy in the
healthcare system.
(5) Create a culture of
continuous commitment
to change


Education

Going paperless and
encouraging physicians and
staff to continue on

Telehealth
(6) Ensure that change
begins with leadership


?posters
(7) Ensure that change
is well communicated


EMR’s
CAIS
Communication systems
(8) Build in
accountability for
change


PRF’s

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Power point draft

  • 1. Nursing 408 Leading Change Aboriginal Health – Health link BC – Nursing Channel "You can never cross the ocean unless you have the courage to lose sight of the shore." Christopher Columbus Overview: Power Point Presentation Daniel’s Story: • Canadian nurses are expected to: “be aware of broader health concerns such as http://www.nursingchannel.ca/programs/daniels environmental pollution, violation of human _story/index.html rights, world hunger, homelessness, violence, etc. and are encouraged to the extent possible Nursing Channel: in their personal circumstances to work individually as citizens or collectively for policies and procedures to bring about social change, keeping in mind the needs of future Reflection: generations “. (CNA, 2002 p.15). http://www.nursingchannel.ca/ 1. Professional Links: 2. CRNBC BCNU 3. NH Social Media: Facebook References: Twitter You Tube
  • 2. Who Was Ethel Johns? Was she a nurse, teacher, pioneer, researcher, hospital administrator or magazine editor? Ethel Johns was every one of these things… Introduction Ethel Johns was born in England and grew up in How will you Winnipeg where her parents were teachers on the Recent Recipients of the Ethel Johns be defined? Award Wabigoon Reserve in Ontario and she quickly learned to teach and speak Ojibway. 2006- Diana Davidson Dick Do you set Ethel graduated from Nursing 2007- Dr. Anita Molzahn goals? school in 1902 and in nine 2008- Marianne Lamb short years held the Superintendent position at 2009- Madelaine Buck Once a goal Children's Hospital in Winnipeg. By 1919 she was 2010- Gail Donner has been working at Vancouver General Hospital to create the first 5 achieved, do year nursing graduate program in the entire British Empire. you set Ethel was then invited by the Ethel Johns was an extraordinary woman. Rockefeller group to assist in She accomplished many tasks throughout another? establishing nursing schools in her life and also followed moral ethics like Europe, but she sidelined through the United States first no other. She once quit a job because the Do you help administration wouldn‟t allow some to write a controversial report „scruffy-looking‟ union workers to help with others on the disallowance of black construction. Ethel Johns was a leader and achieve their women to enter the nursing programs. She finished her innovator in a time when strong women career as the editor and were frowned upon. She advocated for fair goals? business manager for the still treatment for all. current magazine “The Canadian Nurse”.
  • 3. “Continuity gives us roots; change gives us branches, letting us stretch Leading Change and grow and reach new heights.” - Pauline R. Kezer Understanding change is crucial to implementing quality improvement (QI) KEY ELEMENTS OF CHANGE: The knowledge base initiatives. Widespread change will be required to correct what many consider regarding successful change in health care organizations to be outmoded and deficient systems of care. This article summarizes the current can be summarized in eight crucial strategies or literature--within both health care and the fields of business and management-- principles: (1) develop a vision for change, (2) focus on the regarding how change occurs at the individual and organizational levels. change process, (3) analyze which individuals in the Part 1 focuses on changing clinician behavior, which is instrumental to any organization must respond to the proposed change and effort directed in the health care setting. Part 2 examines the culture of change. what barriers exist, (4) build partnerships between Part 3 addresses issues of leadership, along with the necessary steps to guide physicians and the administration, (5) create a culture of change in an organization. Part 4 summarizes key elements of change. continuous commitment to change, (6) ensure that Finally, Part 5 provides three case examples of QI initiatives reported in the change begins with leadership, (7) ensure that change is recent literature to illustrate how the application of the knowledge of change well communicated, and (8) build in accountability for management can assist in the successful implementation of QI programs. change. CONCLUSION: A knowledge of change CONCLUSION: A knowledge of change management can help leaders of QI programs in health management can help leaders of QI care organizations successfully apply these concepts to programs in health care organizations successfully apply these concepts to bring about much-needed bring about much-needed transformations in health care. transformations in health care
  • 4. (1) Develop a vision for change ?Nurse leaders ? Leadership styles
  • 5. 2) Focus on the change process
  • 6. (3) Analyze which individuals in the organization must respond to the proposed change and what barriers exist ?barriers…government processes
  • 7. 4) Build partnerships between physicians and the administration Examples can be MoreOB and how the whole hierarchy concept is eliminated and nurses and physicians work on the same levels. This concept can be attempted for all levels of hierarchy in the healthcare system.
  • 8. (5) Create a culture of continuous commitment to change Education Going paperless and encouraging physicians and staff to continue on Telehealth
  • 9. (6) Ensure that change begins with leadership ?posters
  • 10. (7) Ensure that change is well communicated EMR’s CAIS Communication systems
  • 11. (8) Build in accountability for change PRF’s