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Change champions at the grass roots level: Practice innovation using the team process |
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Our nursing administrative group recognized the critical value of staff participation in formulation of the restructuring project and guidance throughout the project. Using a team approach, a taskforce of three staff nurses, two assistant nurse managers, a nurse clinician, a nursing practice specialist and a representative from nursing administration came together. They were given responsibility for researching and setting the course for restructuring change. A unit-based team including a unit secretary, a nursing attendant, an LPN, and six staff nurses was formed from volunteers from our 40 bed medicine unit to develop that unit's plan for restructuring. The unit-based team analyzed patient care needs and staff member roles. They created a new Patient Care Technician role as well as a nurse Care Coordinator role. The role of the LPN was invisioned as providing technical support. Staffing mix was also determined by the unit-based team. Both the taskforce and the unit-based team continue to evaluate, troubleshoot, and take every opportunity to sell their vision to further solidify it as the foundation for the future of patient care services at our hospital. The process will soon move forward to the next unit, a large surgical unit.
Scott, J., & Rantz, M.J. (1994).Change champions at the grass roots level: Practice innovation using the team process. Nursing Administration Quarterly, 18(3), 7-17. |