Nursing management

Planning for change

Planning 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
college

Oxford

Oxford college of nursing

nursing

of

Submitted on,
05/07/11

SUBJECT
MANAGEMENT

TOPIC
CHANGE AND

NURSING

PLANNING FOR
NEW VENTURE AND
INNOVATIONS IN

NURSING

METHOD OF TEACHING

SEMINAR

A.V.AIDS
AND OHP

CHALK BOARD, PPT

DATE

07/07/2011

TIME

02 HOURS

NAME OF THE GUIDE

Prof. Ruby Jacob

NAME OF THE STUDENT

Sweta A.Naik

PLANNING FOR CHANGE

INTRODUCTION
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.
MEANING
Planned 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 CHANGE
The 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, 1972
FORCES 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
technology
CHANGE AGENT
A 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 CHANGE

Benefits 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."

INTRODUCTION
In 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.
MEANING
A 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 NURSING

Nurse 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 NURSING
INTRODUCTION
Innovation 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 values
Individuals should have similar values related to the new innovation so as to make it
more flexible to apply in practice.
Innovation leadership
The 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

CONCLUSION
Planning 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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