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Leadership and Change in Nursing

Leadership and Change

  • Kym Bell

I have chosen to use Jersey College in Trenton, New Jersey for my authority change project. Jersey College can be an educational medical program that provides the combo of Licensed Functional nursing (LPN); Bachelor of Knowledge in Medical (BSN) and bridge programs for Authorized Nurses (RN). The college or university is positioned in an urban setting up with the college student body mostly from lower income families. The university provides, "education for parents through an wide open curriculum that accommodates diverse lifestyles" (Jersey College, 2014). The institution prides itself on being the conduit to provide diverse opportunities for Certified Medical Assistants (CNA), LPN's, & RN's. The program provides the ability for LPN's and RN's to acquire a BSN. Jersey School was founded in 2003 and was at first called The Center for Allied Health & Nursing Education. In 2004, the LPN program was approved by the New Jersey Table of Medical. Since starting in 2004, the institution has grown to incorporate two New Jersey campuses and two Florida campuses. The institution is associated with many corporations who provide a variety of other educational opportunities for students (Shirt College or university, 2014, p. 1).

In recent years, there has been a reduction in the availability of nursing faculties and training sites for nursing students. This has increased the need for nursing instructors to look at alternative medical sites. A variety of medical sites are had a need to provide students diverse learning and training opportunities. These practice opportunities are had a need to prepare students to become self-employed professional heath good care personnel. One solution to this problem is to determine a digital skills laboratory software program. The stakeholders because of this project will be the college, trainers, students, parents, and the near future communities that these students will be working in.

Organizational Structure

There can be an organizational composition that depicts the framework for running Shirt College or university (Appendix A). There's a plank of directors that contain the governing power. The Chief Executive Officer (CEO) is included in this group. The budget and financial management of the university is overseen by the CEO. The plank hires the chief executive of the faculty. Presently the chief executive of Jersey College is Steven Litvak. He in charge of organizing, constructing, performing, and assessing the financial facet of the faculty. The chief executive is in charge of maintaining and establishing the mission, purpose, and regulations of the faculty. The medical education office is led by the Dean of Students. The training department is split into the Practical Nursing Program and the Professional Nursing Program. The two merged programs have a budget for educational needs. If a large purchase needs to be approved the office must post a written demand to the Dean of Medical. The request is then published to the chief executive who then submits the get to the Plank of Directors. The school is licensed by the Council on Occupational Education (COE), New Jersey Higher (NJ) Education, and the brand new Jersey State Mother board of Nursing (Jersey College, 2014).

The division of Health insurance and Human Services (HHS) has recognized grants or loans that will sponsor a wide variety of research grants or loans to enhance the quality, safety, performance, and efficiency of healthcare in the use of technology. My plan is to use for a give called Faculty development: Integrated technology into nursing education and practice (ITNEP).

The US Division of Health and Man Services (HHS) (2014) offers a grant that delivers support to nursing collaboratives for faculty development in the utilization of information and other solutions in order to expand the capability of collegiate institutions of nursing to teach students for 21st century healthcare practice. Nursing collaboratives use health care information systems to enhance medical education and practice, optimise patient protection, and drive advancements in health care quality (HHS, 2014, para. 1).

Assessment of Readiness

Jersey University has an extremely small simulation laboratory that has very poor ventilation and very few nursing products. There are currently two students in my group which have latex allergy symptoms and cannot in physical form work in the skills lab with no allergies. The students often complain that, even though there are many mannequins, there are no simulators that attach to the mannequins. Many of the other machines and equipment are in disrepair. The mannequins' teaching capacities are outdated. Many of them have missing limbs or don't have anatomically appropriate parts. For example, one of the mannequin's tracheostomy hole is drilled incorrectly so the student can only just devote the tracheostomy tube upside down. The students do not believe that they are simply truly getting exposure to best practice in the present skills lab. The expense of replacing the lab has been talked about at many conferences and the idea of implementing a virtual lab has been around committee for days gone by year. The committee has explored many options and has come up with benefits and drawbacks of switching to a virtual lab. With the assistance of community and administration funding options, the future of a online skills lab is apparently coming.

According to the Joint Fee (2014), one of the major causes of an sentinel event in america is the lack of communication. This implies miscommunication is usually demonstrated in the form of "wrong patient, wrong site, and wrong procedure". A sentinel event is a recurring medical issue inside a facility that causes patient harm. The Joint Commission payment has recognized that lots of of these mistakes can be prevented by going for a "periods". The "periods" procedure takes a consensus of most healthcare people that are involved with the individual. Everyone must stop what they are doing to validate they have the right patient; the correct site being evaluated; and the correct paperwork/lab results must be confirmed. Nursing students need to recognize how important it is to verbally and nonverbally talk to each other to avoid potential medical flaws. The usage of a virtual nursing skills laboratory can mimic medical situations in a safe and regular environment. This sort of laboratory will provide multiple opportunities for students to have interaction and communicate with a variety of cyber patients. Nursing students can start using a electronic environment to learn specialized medical skills and also to practice communication techniques. These skills will be useful when students are getting together with patients, individuals and other medical team members.

Currently, the students don't have ample opportunities to gain access to a computer throughout their class time. Lots of the students, over ninety percent, have computer systems of their own. The medical program is not currently set up allowing access to course information or other learning materials online. The Dean of Nursing is a very forward considering person and has petitioned the leader to get a working virtual laboratory. The Dean and teachers would like to upgrade the school's equipment and keep carefully the facilities modern and technologically savvy. The brand new program could keep current students current and a fresh virtual laboratory would be a great way to attract new students in to the program.

Analysis of Data

There are many types of leadership theories, I chose to use Lippett's Theory of change. This sort of theory decrees a leader is needed to promote the need for change. Lippitt, Watson, & Westley (1958) applied the basics of Lewin's Theory of Change which included the concept of freeze, unfreezing and refreezing. Lippitt widened on Lewin's theory with the addition of four more steps.

Lippitt et al. (1958) discovered that: Maintaining a favorable balance of

forces is a continuous job for the change agent and consumer system, beginning

with the initial decision to attempt a change job or helping relationship

and continuing before job has been completed (p. 73).

Lippitt's Theory of change has seven stages.

Phase 1: Identify there is a problem

The problem is that the current hands-on skills laboratory is out of particular date and looking for an enormous facelift. The expense of this renovation would be staggering to the establishment.

Phase 2: Measure the motivation and capacity for change

The students, as well as faculty, have voiced their thoughts that either a new skills practical laboratory or virtual laboratory must be put into enhance the teaching/learning capacity for the school.

Phase 3: Measure the resources and desire of the change

There is a give and government financing for the school to replace the existing laboratory with a online one. Lots of the faculty have eliminated back to university and also have been exposed to new technological developments. Virtual software can offer medical students with a multitude of learning opportunities that cannot continually be utilized in the "real" world. The faculty is eager to understand how to work in a online environment. They have got stated they are eager to be instructed in how to perform this type of lab. Upper management is ready to set up enough time and energy that is essential to make this change.

Phase 4-Design the intensifying phases of change

The levels that will need place will be:

  1. Have a representative, from the selected virtual laboratory software company to come and talk with those staff members which have volunteered to be "Super Users".
  2. Implement an exercise consultations for "Super Users". These are fellow co-workers that that are given extensive training to assist others in transitioning to a new service or product.
  3. Meet with the nurse managers to provide training using the new laboratory software.
  4. Answer all questions and concerns that may affect each individual instructor's educational needs for every specific laboratory classroom.
  5. Provide training sessions for educators to provide each instructor recommendations for the new software.
  6. Go "live" with the digital laboratory software with students.

Phase 5: Ensure the role and responsibility of the change agent is plainly understood

  1. Clearly identify as much of the issues as possible to fix before going "live" with the program.
  2. Ensure that everyone that works with this change will have complex backup and support.
  3. Confirm that there will be a representative from the business to answer every questions.

Phase 6: Maintain the change through communication, responses, and group coordination

  1. There will be evaluation forms for professionals and students to provide feedback. Users will be surveyed to judge any changes that may be had a need to support their teaching/learning needs.
  2. The analysis will be a continuing process. As problems happen, there will be a representative on site or by cell phone to aid any users.

Phase 7: Slowly and gradually remove the change agent

At the original stage of the task, you will see a agent on site to help anyone who's having trouble accessing or finding out how to navigate the new laboratory software. Following the first six or eight weeks, the physical occurrence of the program company will no longer be on site but, there will be twenty-four hour mobile phone support

(Lippitt, Watson, & Westley, 1958).

Plan for Change

After careful research, by a chosen committee, a specific computer software will be bought by the college. The college is currently looking into the software called "The Digital Clinical Experience" made by Shadow Health. Farmer (2014) states that we now have over 500 colleges and universities that are currently using this software in their medical programs. The article goes on to state that the Shadow Health's program "is broken down into ten modules, each of which correlate with a body system students examine in category" (Farmer, 2014, para. 10). The acquisition committee has a chairwomen that will contact the software developer and set up a demonstration of the merchandise. The committee associates will have the opportunity to speak to one of the 500 present consumer sites and observe the software doing his thing. Once the decision has been made to purchase this program, working out will begin.

  • Phase I will be the technological part of setting up and updating any computer equipment that the school has.
  • Phase II will be educating and training the trainers and "Super Users".
  • Phase III will be educating the students and remaining faculty.
  • Phase IV Take the program "live" and begin assigning lessons within the program website.

There will be follow up meetings and suggestion boxes to evaluate the staff and students responses in by using this new system. The personnel and students need to feel just like their ideas and feedback will make a difference to advertise advanced learning. The money it will take to update, mount, and teach faculty and students will be added into the cost of tuition. The research committee has evaluated the cost and also have approximated that the increase in semester cost will be two-hundred and $ 50 per student. There will be opportunities for students to lessen this cost by applying for grants or loans and/or financial aid.


As with any change, it will take time and dedication for personnel and students to get accustomed to the new software and work within an online environment. You will see an initial review for students and faculty prior to starting the web learning lab job. After the software has been up and running for six months, a follow-up survey will get to evaluate the student's and staff's perception of the learning quality provided by the program.

The students should be aware that there will be technical support open to them and this instructors will be fair regarding levels and assignment within this initial new environment. The students should be contacted, by the teacher, via email numerous times throughout the semester and asked if they are experiencing any issues or concerns with the new software (O'Neil, Fisher, & Rietschel, 2014, p. 134). The ongoing evaluation process allows the college to utilize the software creators to custom fit the needs of the college.


Farmer, R. (Oct, 2014) Virtual patient teaches nursing students lessons in real-life attention. Nurse. com. Retrieved from

http://news. nurse. com/apps/pbcs. dll/article?AID=2014141009007#. VFvjrvnF8mvAssets/ 092014_SpaceCoastBusinessMagazine_FlCTWWinners. pdf

Jersey College or university. (2014). About us: Accreditation and licensing. Retrieved from

http://www. jerseycollege. edu/about/accreditation-licensing/

Joint Percentage. (2014) Sentinel event data: root causes by event type 1995-2Q2014. Retrieved from

http://www. jointcommission. org/assets/1/18/General_Information_1995-2Q_2014. pdf

Lippitt, R. , Watson, J. & Westley, B. (1958). The dynamics of planned change. NY: Harcourt Brace.

O'Neil, C. , Fisher, C. , & Rietschel, M. (2014). Producing online learning surroundings in nursing education (3rd Ed. ). NY: Springer.

Shadow Health. (2014). Health examination software. Retrieved from

http://www. shadowhealth. com/health-assessment. html

The Centre for Allied Health & Medical Education. (January, 2012). Faculty recommendations for practicum activities.

United States Division of Health and RECRUITING (HHS). (2014). Faculty development: Integrated technology into nursing education and practice (INTEP). Retrieved from

http://bhpr. hrsa. gov/medical/grants/itnep. html

Appendix A


Admission Advisors

`Education Coordinator

Financial Aid Planner

Career Services AdvisorProgram Administrator

Media Services and LibrarianNursing Faculty

Administrative AssistantProgram Administrator Registrar Medical Faculty

Academic Affairs Coordinator

The Middle for Allied Health & Nursing Education. (January, 2012, p. 14)

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