Assignment exploring the issues related to the management of change within clinical practice

In this essay I aim firstly to attempt to identify a change in practise I would wish to make and secondly, link this to the theory of change management and leadership management. The vision I would like to implement would be for the Worcester Royal Hospital psychiatric wards to have access to on site gym facilities, and for the psychiatrists to prescribe exercise to all inpatients.
Currently exercise is not used widely as an intervention in psychiatric nursing. The Labour government acknowledged that the physical health needs of people with mental health problems had been neglected and that this group need support to access appropriate …show more content…

In summary, I had several large forces for change. One being that exercise in alleviating the symptoms of mental health is supported by a large amount of evidence based research. Another large force for change is that people in mental health services suffer far worse physical health problems than members of the general population. I believe that my planned change or intervention will improve the physical health of this group. In my opinion the biggest force for change is that in times where health care cost demands are outpacing any rise in healthcare budgets, exercise is an intervention that can reduce the demands on the budget. After researching the topic I have concluded that the biggest force against this change would be the set up costs in terms of building facilities and training staff. Provision of physical activity also requires trained and qualified personnel; there is no data on availability, skills and training of staff with competence as exercise specialists and the expertise to treat people with a multitude of mental and physical problems as well as the skills to work in psychiatric settings. (Jones et al 2004). Another force against change would be navigating around administrative and policy rules. In the present culture of our society, procedures including health and safety, liability, manual handling and risk assessments may not allow ‘hospitals’ and ‘on site exercise facilities’ to be compatible. However,