Change Management

Contents
Introduction…………………………………………………………….3
Evidence Based Practice……………………………………………….4
Clinical Governance…………………………………………………...5-6
Findings from the literature……………………………………………6-7
Implementing the change………………………………………………7-9
Leadership…………………………………………………………….9-10
The Un-freezing Stage………………………………………………10-11
The Moving Stage…………………………………………………...11-13
The Re-freezing Stage……………………………………………….13-15
Resistance and barriers to change…………………………………...15-16
Conclusion…………………………………………………………..16-17
References…………………………………………………………..18-24
Appendices………………………………………………………….25-26

Introduction

This is essay is being written to identify and promote change in clinical practice in relation to nursing and …show more content…

Nurses’ should be working within the NHS Enhanced Recovery Programme (2008). However findings from the review have proven that assessments are not good enough or consistent throughout wards in the same hospitals. The evidence proves that self-reporting of pain was not seen as a vital part of assessment. Carlson (2009) shows that only 59% of registered nurses accepted patients report as valid assessment of pain although it is Gold Standard for pain assessment (Melzack and Katz 1994). Another study (Rejeh et al 2008) showed that nurses are too busy with such a large workload to be able to do full pain assessments on their patients. Young et al (2006) believes that a good assessment tool will help efficiently assess pain. According to The World health Organisation (Delphi, 2007) nurses can first evaluate the pain and can recommend to the treating doctor whether the use of pain relief medication is appropriate. However Cordts et al (2011) suggest that doctors are not listening to nurses’ assessments of the patient and this can lead to the patient not moving up a step on the WHO Pain Ladder. Medication is not given efficiently enough when a patient complains about pain. Doctors can be slow to prescribe, as they do not see it as urgency. Doctors then need to understand that analgesics need to be given promptly as to stop any further