Altering sceptical behaviours of nursing staff: A change management program for modern, integrated healthcare systems

By

ACKNOWLEDGEMENT

I would take this opportunity to thank my research supervisor, family and friends for their support and guidance without which this research would not have been possible.

DECLARATION

I, [type your full first names and surname here], declare that the contents of this dissertation/thesis represent my own unaided work, and that the dissertation/thesis has not previously been submitted for academic examination towards any qualification. Furthermore, it represents my own opinions and not necessarily those of the University.

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ABSTRACT

In this study we try to explore the concept of nursing behaviours in a holistic context. The main focus of the research is on changing nursing behaviours and moulding them in order to earn a better understanding of nursing staff and their changing behaviours. The research also analyses many aspects of what measures need to be undertaken for nursing behaviours and tries to gauge its effect on nursing practices and the performances that are being posted with it. Finally the research describes various factors which are responsible for scepticism being experienced and felt by the clients and tries to describe the overall effect of scepticism upon how nurses behave amongst themselves and while delivering their relevant tasks assigned to them.

TABLE OF CONTENTS

ACKNOWLEDGEMENTII

DECLARATIONIII

ABSTRACTIV

CHAPTER 01: INTRODUCTION1

Background of the Research1

Problem Statement1

Research Aim1

Research Objectives2

Research Questions2

Significance of the Study3

Limitations of the Research3

CHAPTER 02: LITERATURE REVIEW4

Importance of Nursing4

Nursing Behaviours4

Scepticism7

Types of Scepticism9

The Dawn of the 21st Century11

The Nursing Care Industry13

Treatment Quality and Managing Stress15

Critical Care Nursing18

Roles of Critical Care Nurses19

Human Factors in Critical Care Nursing20

Challenges to Implementation29

Internal and External Analysis of Nursing Industry in United Kingdom30

Skilled communication34

Need for Change40

Risk of Stress development and Management41

Change Theories42

The Effective Management of Corporate Change44

Change Resistance Challenges45

Current Issues or Trends Influence the Provision of Nursing Care to Families46

Significance of Family as a Client in Current Health Care Environment47

Culture and Change Management49

Organizational Considerations in a Change Management51

Performance and Change: expanding the scope of reflection52

Process of creation of Change53

Stages of Change Management54

Designing the Organizational Change55

How to increase the efficiency of the team of strategic change55

Teams and Groups - Overlapping Concepts55

Effectiveness of the management team56

CHAPTER 03: METHODOLOGY58

Research Design58

Research Ethics58

Literature selection criteria58

Search technique59

Keywords used59

Theoretical framework59

Research instruments59

CHAPTER 4: DISCUSSION AND ANALYSIS60

Organisational Culture and Change Management60

Management of Change62

Significance of Change Management63

Background of Organizational Change65

The Process of Change67

National Health Service (NHS)69

Past issues and Current problems facing NHS71

Barriers Relating To the Future of Health Care72

Improving behaviours of Nursing Staff80

Case studies80

Key Findings82

CHAPTER 5: CONCLUSION91

Recommendations and Further Research91

REFERENCES94

CHAPTER 01: INTRODUCTION

Background of the Research

To understand and identify the basic of nursing, the discipline in itself requires ample analysis and understanding of the kind of condition that is being faced and experienced by individuals in the world today. It must be acknowledged that nursing and nursing practices need to take up a lot of efforts, strategy, skills and tactics to cope up with the various pressures that are prevalent and undertaken in the world today.

Unfortunately to come to think of it, even nurses can have a hard time dealing with the pressures and ...