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NR 554 Week 2 DQ (with Peer Response): Leading Change

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NR 554 Week 2 DQ (with Peer Response): Leading Change Consider an educational or healthcare organization with which you are familiar. Analyze the organization with respect to its attitude toward change. Identify a healthcare policy that … adopted by this organization and determine the change mod...

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  • July 30, 2022
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  • 2021/2022
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Leading Change

Chamberlain College of Nursing

NR 554: Nurse Leader and Healthcare Policy

March 2018

, LEADING CHANGE 2

Consider an educational or healthcare organization with which you are familiar.

Analyze the organization with respect to its attitude toward change. Identify a

healthcare policy that has been adopted by this organization and determine the

change model used throughout the change process (if any). Include the history of

the change in terms of how the issue was identified, who the stakeholders were,

and how the implementation and evaluation were

received.

Leading Change

As the healthcare system is rapidly changing, healthcare organizations must change with

it. Changes to organizational policies will occur within the clinical setting as it adapts to sustain

evidence-based practices. One major role of the nursing profession is functioning as a change

agent. Nurses must continue to look for ways to impact change within the healthcare system. At

the Cleveland Clinic, the Stanley Shalom Zielony Institute for Nursing Excellence encourages

nurses to have an essential role in implementing evidence-based practices (EBP) that contribute

to positive patient outcomes. Frontline nurses across the Cleveland Clinic healthcare system are

encouraged to become change agents by getting involved in decision-making, thus joining unit-

based shared governance councils and unit-based practice councils. An evidence-based

intervention that was implemented as a hospital policy and introduced by shared governance to

be performed by nurses and other caregivers is purposeful rounding. Purposeful rounding

consists of hourly visits to patients throughout the day. It engages the patient, family, and nurse

and enhances communication between the patient, family, and staff.

The change model used to implement this policy is Kurt Lewin’s Change Theory Model.

Lewin change theory model is based on a 3-step process (Unfreeze-Change/Movement-Refreeze)

that provides a high-level approach to change (Shirey, 2013). According to Lewin’s theory, the

first stage of unfreezing involves the change agent recognizing a problem, identifying the need

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