Leadership and the Change Process What examples of leadership have you seen in working with others at your practicum setting as well as in other situations? What have you observed that inspires you to be an effective leader? What challenges have you noticed? How does this relate to your personal leadership style? How can you, as a leader, facilitate the translation of evidence into practice? What leadership skills aid this process? For this Discussion reflect on what makes a leader effective and how insights from theory as well as previous endeavors can be applied to planning for and implementing a change related to the translation of evidence into practice. To prepare: Consider evidence-based changes currently underway or recently achieved in your practicum setting. Analyze the practicum environment, examine data, and refer to theory to identify a need for a change you would propose. Reflect on examples of how leadership influences the translation of evidence into practice from within your practicum setting. Identify an evidence-based change appropriate for your practicum setting. Think of two or three instances that demonstrate how you have been able to—or, if not applicable, how you could—apply leadership skills in your practicum setting. Then, reflect on the results of your DiSC Assessment, completed in NURS 8300. What strengths and/or challenges have you encountered or might you encounter based on your personal leadership style? In what ways do you need to grow as a leader? Write a one page cohesive response using at least a scholarly peer review article / correct APA 6th edition formant that addresses the following: Based on your practicum experiences, discuss the influence of leadership on the translation of evidence into practice. Provide specific insights gained from theory as well as from changes currently underway or recently achieved in your practicum setting. Propose an evidence-based change for your practicum setting. Be sure to justify the need for this change using data. Explain how you might apply theory as well as observations gathered from your practicum site to planning for and implementing the proposed change. How are you developing your leadership skills in your practicum setting? Which aptitudes or experiences do you think are most important to your role as a leader in facilitating the translation of evidence into practice? If possible, relate this to specific learning objectives you developed during Week 1. Readings Chreim, S., Williams, B. E., Janz, L., & Dastmalchian, A. (2010). Change agency in a primary health care context: The case of distributed leadership. Health Care Management Review, 35(2), 187–199. doi:10.1097/HMR.0b013e3181c8b1f8 Retrieved from the Walden Library databases. In this article, the authors examine the influence of collective leadership for enacting change. They discuss the importance of building trust and creating common ground with various stakeholders. Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18(3), 326–331. doi:10.1111/j.1365-2834.2010.01076.x Retrieved from the Walden Library databases. Health care organizations have implemented the Magnet Model as a way to successfully implement practice change. This article examines the aspects of this process. Kaplan, H. C., Brady, P. W., Dritz, M. C., Hooper, D. K., Linam, W. M., Froehle, C. M., & Margolis, P. (2010). The influence of context on quality improvement success in health care: A systematic review of the literature. Milbank Quarterly, 88(4), 500–559. doi:10.1111/j.1468-0009.2010.00611.x Retrieved from the Walden Library databases. The authors address contextual factors that influence the outcome of change efforts related to quality improvement. Leadership, organizational culture, and information systems are discussed in this article. Shirey, M. R. (2011). Establishing a sense of urgency for leading transformational change. Journal of Nursing Administration, 41(4), 145–148. Retrieved from the Walden Library databases. This article for nurse leaders focuses on tactics for creating the sense of urgency needed to enact change. Smith, J. R., & Donze, A. (2010). Assessing environmental readiness: First steps in developing an evidence-based practice implementation culture. Journal of Perinatal & Neonatal Nursing, 24(1), 61–71. doi:10.1097/JPN.0b013e3181ce1357 Retrieved from the Walden Library databases. In this article, the authors discuss how to survey the environment to identify facilitators and barriers for implementing change. Van de Ven, A. H., & Sun, K. (2011). Breakdowns in implementing models of organization change. Academy of Management Perspectives, 25(3), 58–74. Retrieved from the Walden Library databases. The authors discuss perceived gaps between mental models of how change should unfold and the change process that is actually observed during implementation. White, K. M., & Dudley-Brown, S. (2012). Translation of evidence into nursing and health care practice. New York, NY: Springer Publishing Company. Review Chapter 6, “Translation of Evidence for Leadership” This chapter addresses the pivotal role of leadership in the translation of evidence into practice. Optional Resources Forbes. (2012). John Kotter/Change leadership. Retrieved from https://blogs.forbes.com/johnkotter/ This site offers a variety of articles by Dr. John Kotter or developed with him (e.g., “Interview: Dr. John Kotter on Creating Organization Change”, Jan. 11, 2012; “Leveraging Trust to Achieve Buy-In,” Nov. 22, 2011; “Getting Change to Stick”, Oct. 05, 2011). Review the site for items that are relevant and interesting to you. Kotter International. (2011). Kotter International. Retrieved from https://www.kotterinternational.com/ Use this site to find additional information about Dr. Kotter’s work. National Center for Healthcare Leadership. (2012). NCHL Health Leadership Competency ModelTM. Retrieved from https://www.nchl.org/static.asp?path=2852,3238 The NCHL Health Leadership Competency Model outlines key competencies related to organizational effectiveness and leadership development. Wall Street Journal. (2012). Leadership. Retrieved from https://online.wsj.com/public/page/lessons-in-leadership.html This section of the Wall Street Journal website features a variety of articles and video clips on leadership. The Walden Library also has holdings of Wall Street Journal articles. William Bridges and Associates. (2009). William Bridges and Associates. Retrieved from https://www.wmbridges.com/ William Bridges has been a key figure in change management. See the books and articles included on this site.
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