Nursing management

Planning for changePlanning for a new venture&Innovations in nursing

SUBMITTED TO, SUBMITTED BY,Prof. Ruby Jacob Ms. Sweta a. naik M Sc nursing (I)Dept. of psychiatric nursing Oxford college Oxford college of nursing of nursing Submitted on,05/07/11

SUBJECT : NURSING MANAGEMENT

TOPIC : PLANNING FOR CHANGE AND NEW VENTURE AND INNOVATIONS IN NURSING

METHOD OF TEACHING : SEMINAR

A.V.AIDS : CHALK BOARD, PPT AND OHP

DATE : 07/07/2011

TIME : 02 HOURS

NAME OF THE GUIDE : Prof. Ruby Jacob

NAME OF THE STUDENT : Sweta A.Naik

PLANNING FOR CHANGEINTRODUCTION Change is a continual unfolding process rather than an either/ or event. The process begins with the present state, moves through the transition period, and ultimately comes to a desired state. Once the desired state has been reached, however, the process begins again. Integrative thinking, skill in applying change plan and an aptitude for problem solving will help the change agent achieve results during this dynamic and fluid process. MEANINGPlanned change involves a deliberate and conscious set of carefully orchestrated actions that will result in a better product, work environment, service, and other factors affecting an organization. DEFINITION OF PLANNED CHANGEThe deliberate design and implementation of a structural innovation, a new policy or goal, or an overt change in operating philosophy, climate, and style is called a planned change.-Thomas and Bennis, 1972FORCES LEADING TO PLANNED CHANGE External forces:External forces originate outside the organization or the individual.Eg: insurance agencies, government, consumer, new technology etc.

Internal forces:These come from within the organization (for organizational change) or a person (for individual change). Eg: strategies for success formulated by top management, decision to purchase new technologyCHANGE AGENTA change agent is a person who seeks to cause or create change. This person may originate the ideas for change or may be an individual who recognizes the value of new ideas originated by others. Nurses need to become change agents in regard to themselves, clients, and the institutions in which they practice.

TYPES OF PLANNED CHANGE Policy planning:This planning focuses on changing the value system or laws and regulations.

Strategic planning:This is the planning that an organization does when it considers longer range issues and goals.

Project planning: This planning focuses on operational matters in the organization.

STEPS OF PLANNED CHANGE Determining the change agent:Individuals who demonstrate to others the commitment to change should be made change agents.

Developing trusting relationship and open communication:Develop a trusting relationship with those who are involved in the change through open communication. Explain the need of change to them and how it will benefit the group.

Participation and involvement:Participation and involvement are crucial in achieving permanent changes. The degree of involvement must be balanced with the time available, full participation can be very time consuming if the group is a large one.

Provision of resources:Provision of resources and support also facilities for the purpose of change. This may take the form of extra paid time or stipend for the work of the group.

Other approaches: Negotiating:Negotiating where in both the parties might gain benefits. Negotiating with principle resisters helps to move the entire group forward. Co-optation:Moving key individuals towards the group desiring the change by giving them desirable roles in the planned change process so as to insure their commitment for change. However the change agent should not be manipulative since it will lead to lack of acceptance in the future.

Coercion:Coercion should be attempted when the speed is essential; however threatening job loss, lack of promotion etc causes hostility and total failure of the plan.

SPEED OF PLANNED CHANGEBenefits of speedy results should be weighed against the potential for success. Checking if trial and error method will leave enough time for adjustment and whether the adjustment in plan would lead to more efficient results etc.

PLANNING FOR A NEW VENTURE"A venture is most prone to failure during its first three years of operation - the so-called 'valley of death'. A key to getting through these early years is to avoid the obvious mistakes."

INTRODUCTIONIn an era of competitiveness, each nurse manager can be called on to develop ideas for new ventures. Having great ideas and singling out the great opportunity is only the first step in a long journey to a viable venture. The next steps typically need some planning. MEANINGA new venture plan usually refers to a plan for starting and operating a new venture in various areas of nursing. A new venture is usually planned knowing that it involves some risk in expectation of gain. Venture is often used to refer to a risky start-up. The term is broad enough however to encompass tasks related to any new venture whether initiated by an individual, group or organization for a profit or non-profit motive.

KEYS TO GOOD VENTURE PLANNING Focus on one venture at a time in a given area. Discover the opportunity first, and then evaluate how to exploit it. Develop three cases good, bad & likely for each scenario of a venture concept.

PLANNING AND MAKETING NEW VENTURE PLAN IN NURSINGNurse manger meets the other officials involved in planning of new venture and, Define problems and opportunities that may confront the new venture. Determine the position of the new venture and set objectives to meet anticipated problems and opportunities. Detail work steps, schedules, assignment of responsibility, budgets and other elements of implementation. Describe the monitoring plan.

INNOVATIONS IN NURSINGINTRODUCTIONInnovation generally refers to the creation or improvement of products, technologies, or ideas. Innovation is distinguished from renovation in that innovation generally signifies a substantial change or difference versus more incremental changes.Innovation has rapidly assumed a position of prominence in world competition. Today's marketplace is characterized by fast-paced and unremitting competition on a global scale. The medical arena also has to compete in this environment; health organizations need a level of innovation to survive in the stiff competition of the market place. As competition becomes more global and time-based, corporations must develop and deliver better new products in less time. The challenge for modern medical health organizations is to revitalize them so they can successfully and continuously develop new medical services and new businesses.FACTORS AFFECTING INNOVATION Internal drivers for change could include evolving business requirements, health organizationsal restructuring or revision to corporate strategy/business objectives. External drivers could include developments in technology, economic trends that affect the profitability/value for money of the relationship and the need for electronic or technical service.

VITAL ELEMENTS OF INNOVATION Innovation strategy:The health organizations and nurses should be able to know what challenges them to implement innovation and determine the best strategy to use in its implementation to be able to achieve the core objective of the project. This is where the health organizations should create a strategic plan for innovation, stating the objective of the innovative activity. Innovation skills:Developing new capacities and improved competencies of the health organizations internally Innovation shared valuesIndividuals should have similar values related to the new innovation so as to make it more flexible to apply in practice. Innovation leadershipThe individuals involved in the innovation should have adequate leadership quality to cruise it through and make it applicable for real.

QUALITIES TO BE POSSESSED BY NURSES TO BE INNOVATIVE Nurse should be interested and excited by new technology. Innovative nurse should be able to coordinate examination of new medical technology in areas beyond his/her immediate area of expertise, working with other nurses. She should be able to work closely with Patient Care Services in assessing current and future technology needs. She should have knowledge and expertise to develop experimental methodologies to test the technology. Strong project management and the ability to conceptualize new ideas as well as to work and motivate teams. Able to provide leadership in the development and dissemination of work. She must have ability to perform benefit cost analysis and evaluating applicable nursing clinical programs.

FACTORS RESPONSIBLE FOR SLOW PACE OF INNOVATION ADOPTION Characteristic of the innovation Characteristics of the innovation adopters Contextual factors

CONCLUSIONPlanning for change, planning for new venture and innovations are fields that require intensive approaches by the nurse managers. These are the reality of the hour and we nurses should have adequate skills so as to be able to bring it into practice and make the long needed change in the field of nursing.

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