Models of nursing practice create a context, boundary, direction and expectations for nurses, patients and other members of the health care team. The literature is scanty in regard the experience of Australian nurses faced with the process of redesign in their workplace. This study presents a case study of the process of designing a new model for a surgical ward in a large hospital in Western Sydney and explored the nurses’ experiences of this redesign process. The participants were the nurses working in the ward and the nurse managers associated with the ward management and included the nurse unit manager and directors of nursing. Data for the case study were accessed from a number of sources for different purposes. The case study of the redesign of the model of nursing practice showed that change is a difficult process, which needs to involve all stakeholders. There are a number of implications for clinicians, managers and educators from this case study. Managers and clinicians must share an effective communication process during redesign and identify common outcomes. Clinicians need to be encouraged to work towards a vision of nursing practice through debate and education. Educators must be used to support the redesign process by preparing nurses to undertake change, provide information on models of nursing practice and change theory. Recommendations for future research include evaluations of the role of education in redesign and the effect of redesign from patient perspective. Other studies could include descriptive studies of nurse managers’ experiences of redesign in a clinical setting and reasons why nurses are resistant to change. / Master of Nursing (Hons)
| Identifer | oai:union.ndltd.org:ADTP/269865 |
| Date | January 2004 |
| Creators | Hayman, Brenda, University of Western Sydney, College of Social and Health Sciences, School of Nursing, Family and Community Health |
| Source Sets | Australiasian Digital Theses Program |
| Language | English |
| Detected Language | English |
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