Good Literature Review About The Nurse Role In Creating And Sustaining A Change Initiative Or Innovation

Type of paper: Literature Review

Topic: Nursing, Health, Management, Human Resource Management, Workplace, Health Care, Staff, Leadership

Pages: 4

Words: 1100

Published: 2021/01/02


The relevance of this topic is to introduce a different theory that can be used in the management of dyspnea; this is evaluated based on recommendations. The recommendations are evaluated based on personal experiences. This is in the essence that the recommendations are used on personal experiences that can be used for improving nursing practice. This clearly illustrated in the strategies that are laid.

The Leadership Issue/Experience

In my community placement for the fall semester, I was placed at the Dorothy Ley Hospice, and I had one leadership experience that was meaningful to me. I assumed a new leadership role in the health education of clients, family members and staff regarding the topic of dyspnea and anxiety in palliative care individuals. I developed a PowerPoint presentation and a pamphlet about the Cancer Care Ontario (CCO) breathing exercises as an early intervention for clients with dyspnea. I demonstrated a formal leadership role in researching, creating, and disseminating the impact of dyspnea with dying clients. This experience allowed me, as a nursing student, to create and sustain a change initiative or innovation in this palliative care facility. The hospice staff is currently using the resources that I created to educate clients and caregivers about more effective ways to improve dyspnea management.

Importance and Relevance of the Topic

Nursing as a profession is quite diverse, and there is a need to ensure there are constant changes which are aimed at improving practices. In this instance, the paper will provide a review of hospice patients; particularly, the dyspnea and anxiety in palliative care individuals. Dyspnea is common among patients mainly admitted in Hospice. It is important to ensure that these patients are empowered with the essential information. This is vital in facilitating proper management practices.

Interpretion and Analyzes of the Issue/Experience

The described situation is only achievable through fostering proper awareness where patients will be willing to participate actively in management. According to Bylund, Peterson, & Cameron (2011), resource commonly used in assessing the changes and used as a form of motivation is the Cancer Care Ontario (CCO) breathing exercises. The use of this management practice has been effective in managing dyspnea. However, there is the need to promote the use of this practice among the patients. The most appropriate approach would be involving the patients through practicing with them to ensure effectiveness is guaranteed. Studies assert that such changes can only be implemented if there is full support of the patients who should be willing to participate continuously in the management practice (Castiglione & Ritchie, 2012). It is also important to monitor progress through constantly enquiring on any changes that patients may experience and any improvements that they may have in their breathing. These changes are relevant in nursing practices since they are aimed at improving health care. Nursing practices should focus on exercising constant changes that target ensuring that patients are provided with the best and adequate services.

Literature Review

Castiglione & Ritchie (2012) clarifies that changes in health care among patients with dyspnea can only be achieved by properly analyzing the current situation. The practice is beneficial in recognizing the changes that need to be made based on the challenges that are currently being encountered. Through such analyzes, it would be possible to plan appropriately on the new management practices which are meant to involve patients. It is also worthwhile acknowledging that these changes can only be implemented if a clear vision is set which need to be based on the role that the patients will play. Strategies should also be aimed at actively involving family members (Castiglione & Ritchie, 2012). This is because family members are important in providing support to Hospice patients due to the nature of their illnesses. Implementation of the strategies should also be evaluated through constant check upon the patients. Through this, it will be possible to assess patients’ improvements and any challenges that they may be encountering. The staff members should also be well educated on best practices which will be relevant in providing education to other clients. Through this, a proper chain will be established guaranteeing the effectiveness of the laid down strategies. Assessment is also crucial where patients are required to air their views regarding the role that they are playing in the management process. This will be essential in determining whether each patient is useful in the management practices.
According to Bainbridge & Nasmith (2011), Inter and intra-professional relationship and teamwork are important among the staff and the family members. A good relationship is vital in encouraging patients to participate actively in the dyspnea. Through this, there will be the creation of supportive groups which will be relevant to the procedure of providing support. Through teamwork, there is the creation of a supportive organizational culture which is relevant in facilitating the implementation of the relevant policies. The implemented policies should be supportive, which is essential for ensuring there is effectiveness in the practices being conducted (Bainbridge & Nasmith, 2011). Procedures are best facilitated and supported by the staff. This is because the staff members are required to monitor the progress of patients and oversee the overall performance. Through this, it will be possible for the intended programs to prosper.
Bylund, Peterson, & Cameron (2011), guides that professional relations should also involve relationships between the family, clients and a facilities customer care. Through this, the competence of the staff and management will not be questioned. This is attributed to the role that family support plays in health care and particularly among Hospice patients.
Virani (2012) asserts that improving communication is vital to facilitate and effectively manage the dyspnea treatment method. The strategy should be evaluated based on the targeted audience. This is because there are different parties involved in health care. Good public communication should be maintained to inform the patients and other people of the services being offered. Communication should also be improved in the essence that there will be proper communication among the staff while also considering staff members’ personal thought (Virani, 2012).
The diffusion innovation theory can be adapted to foster successful implementation of the intended plan. Kaminski (2012) argues that the diffusion innovation theory has been acknowledged as a theory that has facilitated the development and achievement of many great plans. It is evident that the involvement of patients in their dyspnea is a new management plan and need to be achieved. This plan can only be achieved if all the relevant factors are considered (Kaminski, 2012).

Recommendations for Change

Leadership is a key factor that needs to be evaluated in the strategic planning. This is because it is through it that there will be proper supervision. Leaders are required to facilitate the proper operation of the management plan. Leaders are also required to encourage the staff and the patients—through thoroughly evaluating the progress of the patients and looking into challenges that might be experienced. Through good leadership, there will be the provision of appropriate resources required in effectively handling management programs. However, it is important to ensure that leaders also acquire the relevant support from patients and staff members to foster good faith in provision of healthcare.
Fostering proper communication is also essential for ensuring that the staff can effectively coordinate the management programs to achieve the intended results. Different strategies should be laid down to promote good follow-up in relation to communication. This is important in ensuring the availability of the information that is relevant for facilitating further changes in dyspnea if required.
As a nursing student, one should understand and acknowledge his or her vital role in helping the community overcome the identified challenges. As demonstrated in my case, nursing students should work hard to develop programs/strategies that can address some of the health challenges that face the society. Evidently, my project has been very successful in educating the patients and caregivers on effective strategies to improve dyspnea management.
Graduate nurses and staff members should constantly engage in research that is aimed at improving healthcare. The is the need of working hard to establish new ways of promoting new practices, behaviors and guidelines/policies that are aimed at improving service delivery in healthcare.


I have learned various important ideas through this analysis. Initially, I have learned that the society is challenged by various issues in regard to access to healthcare. In this respect, I have acknowledged the vital role of nurses in helping the society overcome these challenges. Furthermore, I have learned that nurses can tactically integrate theories to address issues that undermine health care delivery. I have also embraced the need of understanding these theories and their implication to be in position of applying them accordingly to solve issue that characterize healthcare.


Through the review that has been provided, it is inevitable to state that the involvement of patients in the dyspnea program can be effective in improving health care. The argument is justified by the possibility that the practice creates in facilitating improved health care among patients suffering from dyspnea. This management practice can only achievable through properly analyzing the stated leadership and management theories. The relevance of proper leadership in this practice has been elaborated clearing illustrating the benefits that are associated with good leadership. Teamwork and inter-professional relationship are also essential in monitoring progress while evaluating any changes that need to be adopted.


Bainbridge L, Nasmith L. (2011). Inter and Intra-Professional Collaborative Patient Centered Care in Postgraduate Medical Education. Members of the FMEC PG consortium.
Bylund, C, Peterson, E & Cameron, K. (2011). A practitioner’s guide to interpersonal communication theory: An overview and exploration of selected theories. Canadian Medical Association Journal, 87 (3): 261-267
Castiglione, S., A., & Ritchie R., N. (2012). Moving into action: We know what practices we want to change, now what? An implementation guide for health care practitioners. Canadian Institute of Health Research. Retrieved on 25th March, 2015 from
Kaminski, J. (2012). Diffusion of Innovation Theory. Canadian Journal of Nursing Informatics. Vol. 6(2). Retrieved on 25th March 2015 from
Virani, T. (2012). Inter-professional collaborative teams. Canadian Health Services Research Foundation. Retrieved on 25th March 2015 from

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"Good Literature Review About The Nurse Role In Creating And Sustaining A Change Initiative Or Innovation," Free Essay Examples -, 02-Jan-2021. [Online]. Available: [Accessed: 08-Dec-2022].
Good Literature Review About The Nurse Role In Creating And Sustaining A Change Initiative Or Innovation. Free Essay Examples - Published Jan 02, 2021. Accessed December 08, 2022.

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