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1. Nursing 408 Leading Change
Aboriginal Health – Health link BC – Nursing Channel
"You can never cross the ocean unless you have the courage to lose sight of the shore."
Christopher Columbus
Overview: Power Point Presentation
Daniel’s Story:
• Canadian nurses are expected to:
“be aware of broader health concerns such as http://www.nursingchannel.ca/programs/daniels
environmental pollution, violation of human _story/index.html
rights, world hunger, homelessness, violence,
etc. and are encouraged to the extent possible Nursing Channel:
in their personal circumstances to work
individually as citizens or collectively for
policies and procedures to bring about social
change, keeping in mind the needs of future
Reflection: generations “. (CNA, 2002 p.15). http://www.nursingchannel.ca/
1.
Professional Links:
2. CRNBC
BCNU
3. NH
Social Media:
Facebook
References: Twitter
You Tube

2. Who Was Ethel Johns?
Was she a nurse, teacher, pioneer, researcher, hospital administrator or
magazine editor?
Ethel Johns was every one of these things…
Introduction
Ethel Johns was born in
England and grew up in How will you
Winnipeg where her parents
were teachers on the
Recent Recipients of the Ethel Johns be defined?
Award
Wabigoon Reserve in Ontario
and she quickly learned to
teach and speak Ojibway.
2006- Diana Davidson Dick Do you set
Ethel graduated from Nursing 2007- Dr. Anita Molzahn goals?
school in 1902 and in nine
2008- Marianne Lamb
short years held the
Superintendent position at 2009- Madelaine Buck Once a goal
Children's Hospital in
Winnipeg. By 1919 she was 2010- Gail Donner has been
working at Vancouver General
Hospital to create the first 5 achieved, do
year nursing graduate program
in the entire British Empire. you set
Ethel was then invited by the Ethel Johns was an extraordinary woman.
Rockefeller group to assist in She accomplished many tasks throughout
another?
establishing nursing schools in her life and also followed moral ethics like
Europe, but she sidelined
through the United States first
no other. She once quit a job because the Do you help
administration wouldn‟t allow some
to write a controversial report „scruffy-looking‟ union workers to help with others
on the disallowance of black
construction. Ethel Johns was a leader and achieve their
women to enter the nursing
programs. She finished her innovator in a time when strong women
career as the editor and were frowned upon. She advocated for fair goals?
business manager for the still treatment for all.
current magazine “The
Canadian Nurse”.

3. “Continuity gives us roots; change
gives us branches, letting us stretch
Leading Change and grow and reach new heights.”
- Pauline R. Kezer
Understanding change is crucial to
implementing quality improvement (QI) KEY ELEMENTS OF CHANGE: The knowledge base
initiatives. Widespread change will be
required to correct what many consider regarding successful change in health care organizations
to be outmoded and deficient systems of
care. This article summarizes the current can be summarized in eight crucial strategies or
literature--within both health care and
the fields of business and management-- principles: (1) develop a vision for change, (2) focus on the
regarding how change occurs at the
individual and organizational levels. change process, (3) analyze which individuals in the
Part 1 focuses on changing clinician
behavior, which is instrumental to any
organization must respond to the proposed change and
effort directed in the health care setting.
Part 2 examines the culture of change.
what barriers exist, (4) build partnerships between
Part 3 addresses issues of leadership,
along with the necessary steps to guide
physicians and the administration, (5) create a culture of
change in an organization. Part 4
summarizes key elements of change.
continuous commitment to change, (6) ensure that
Finally, Part 5 provides three case
examples of QI initiatives reported in the
change begins with leadership, (7) ensure that change is
recent literature to illustrate how the
application of the knowledge of change
well communicated, and (8) build in accountability for
management can assist in the successful
implementation of QI programs.
change. CONCLUSION: A knowledge of change
CONCLUSION: A knowledge of change
management can help leaders of QI programs in health
management can help leaders of QI care organizations successfully apply these concepts to
programs in health care organizations
successfully apply these concepts to
bring about much-needed bring about much-needed transformations in health care.
transformations in health care

4. (1) Develop a vision for
change
?Nurse leaders
? Leadership styles

5. 2) Focus on the change
process

6. (3) Analyze which individuals in
the organization must respond
to the proposed change and
what barriers exist
?barriers…government
processes

7. 4) Build partnerships
between physicians
and the administration
Examples can be MoreOB and
how the whole hierarchy
concept is eliminated and
nurses and physicians work on
the same levels.
This concept can be attempted
for all levels of hierarchy in the
healthcare system.

8. (5) Create a culture of
continuous commitment
to change
Education
Going paperless and
encouraging physicians and
staff to continue on
Telehealth

9. (6) Ensure that change
begins with leadership
?posters

10. (7) Ensure that change
is well communicated
EMR’s
CAIS
Communication systems

11. (8) Build in
accountability for
change
PRF’s