Initiating Nursing Changes


The nurse administrator may assume a role to initiate change.
> Discuss ways that you can get involved in organizational change initiatives
> on a larger scale. Use your selected clinical topic and articulate what
> this might look like in the following progressions:
> As a new graduate
> After 2 years of experience
> After 5 years of experience
> After 10 years of experience
> The practice of nursing research?
> Clinical Nursing: Identify any legal, ethical, sociocultural considerations
> (including Institutional Review Board Guidelines).
> RB
> What measures would you take to confirm/eliminate the need for
> Institutional Review Board (IRB) approval of your proposed project?
> what is Centers for Medicare & Medicaid Services
> what is The Joint Commission
> what is Regulatory Bodies

Initiating Nursing Changes
Changes in nursing field are significant in improving the quality of services and moti9vationg medical practitioners to offer high quality services. Moreover, it is one ways of fostering efficiency in medical care both primary and secondary care services. Fort this reason, I considers it necessary for take part in making several changes in the organizations both within the organization am serving s well large scale organizational involvement.
My involvement in in Initiating Nursing Change
As a nursing officer experienced for two years in my career, my contribution towards making changes in the organization may be influenced by little knowledge by within the organization at large. Therefore, I am obliged first identify any ethical, legal and social cultural considerations inhibiting fair distribution of health services and efficiency of health practitioners in delivery of health care services (Benson, et al, 2007). These considerations must match the Institutional Review Board guidelines. Making a critical review of the changes affecting the organization and any loopholes within the guidelines of health care provision are the key considerations I considers to have a significance in health care delivery services (Bruyneel, et al, 2015).
After five years of experience, I would ensure that several changes are initiated in the organizations have been made. A comprehensive review of Institutional Review Board Guidelines will be undertaken to see the appropriateness of every guideline, its role in fostering quality health service provision and any limitations towards easy access to health care services associated with the guidelines (Considine & McGillivray, 2010). Alterations of the guidelines would be effected to ensure the guidelines accommodates contemporary changes such as Medicare and Medicaid services guidelines, the joint commission guidelines and other nursing regulatory bodies.
Following my 10 years’ experience in nursing, I would undertake several researches aimed at unfolding Institutional Review Board’s guidelines and how they interrelate with the guidelines of various medical care institutions such as Medicare and Medicaid services and The Joint Commissions (Johansson, et al, 2002). This is vital in confirming and eliminating various requirements by IRB. There are various occasions where IRB provisions inhibits quality care services and undermines the welfare of those in medical field. As a result, the quality of services is compromised (Smyer, et al, 1997).
Nursing regulatory bodies comprises the organizations established to assess, monitor, evaluate and make recommendations of various changes in nursing field. They are responsible for ensuring that ethical and legal procedures linked to health care provision have been fully met. Any changes made at various levels of health care systems must comply with the provisions of Nursing Regulatory Bodies (Zimmerman, 2003). In order for me to make sound changes, I would consider nursing work ethics such as honesty of nurses in keeping confidential patients information, reproductive rights, patients freedom in comparison to the control of nurses and management of resources in nursing.
Enhancement of diversity among nurses and other health care practitioners is detrimental towards facilitating effectiveness and quality of services among nurses serving in divergent cultural and social settings from their own (Considine & McGillivray, 2010). It also will aid in building strong relationships between the nurses and communities they are serving hence, fostering the quality of services. The joint Commission needs to only accredit health facilities and practitioners who depicts high qualifications to uphold the quality of primary and secondary health care. This is possible only if the Joint Commission will uphold competence of the services they offer to their clients.

Benson, E., Rippin-Sisler, C., Jabusch, K., & Keast, S. (2007). Improving Nursing Shift‐to‐Shift Report. Journal of nursing care quality, 22(1), 80-84.
Bruyneel, L., Li, B., Ausserhofer, D., Lesaffre, E., Dumitrescu, I., Smith, H. L., … & Sermeus, W. (2015). Organization of hospital nursing, provision of nursing care, and patient experiences with care in Europe. Medical Care Research and Review, 72(6), 643-664.
Considine, J., & McGillivray, B. (2010). An evidence‐based practice approach to improving nursing care of acute stroke in an Australian Emergency Department. Journal of clinical nursing, 19(1‐2), 138-144.
Johansson, P., Oleni, M., & Fridlund, B. (2002). Patient satisfaction with nursing care in the context of health care: a literature study. Scandinavian journal of caring sciences, 16(4), 337-344.
Smyer, M., Brannon, D., & Cohn, M. (1992). Improving nursing home care through training and job redesign. The Gerontologist, 32(3), 327-333.
Zimmerman, D. R. (2003). Improving nursing home quality of care through outcomes data: the MDS quality indicators. International journal of geriatric psychiatry, 18(3), 250-257.

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