Clinical Leadership: Bedside Handover Change Management Proposal

This report presents a proposal for leadership change management, focusing on bedside handover practices within healthcare settings. It highlights the importance of effective communication and patient-centered care during handovers, addressing existing errors and adverse situations. The author, acting as a nurse leader, emphasizes the need for honesty, integrity, vision, and inspiring leadership to implement successful change. The report explores various leadership aspects, including policy setting, accountability, coordination, and delegation. The servant leadership approach is advocated for its potential to motivate teams and foster strong relationships. The author reflects on their leadership performance using Lewin's change management model, emphasizing the importance of open communication and team engagement to achieve positive outcomes and improve patient care. Desklib provides access to similar documents and study tools for students.

Running head: PROPOSAL LEADERSHIP CHANGE MANAGEMENT
Proposal Leadership Change Management
Name of Student
Name of University
Author Note

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PROPOSAL LEADERSHIP CHANGE MANAGEMENT
Introduction
The study is mainly based on the concept of change management. It is basically on the
bed side handover change management which is introduced in this essay. It is seen that in
Australia there are around 7 million bedside handovers which is performed per year in hospitals
and another 26 million were given in the community settings (Rosenbaum More and Steane
2018). It is also seen that there are around 10-15 percent of the nurse day is focused basically on
the verbal reports and the clinical information is shared between the various health care experts
which is at least 10 times on each day. The bedside handover is considered as one of the most
dominant and widely accepted change which the health and social care settings basically uses it.
This is also considered as one of the best communication method for ensuring high standards of
quality care for the patients. There have been still 22 percent of the errors to be there due to the
poor communication during the bedside handover (Doel and Shardlow 2016). The poor bedside
handover is identified as the major factor in serious and adverse situations in hospital and other
health and social care settings. The bedside handover is actually being helpful in supporting the
patient centered care in accordance with the national policies and guidelines which are to be
maintained by the health and social care settings.
Analysis of Bedside Handover Change Management
It is said that the pros of this service is that there is high recognition of patients to be
done. This also ensures and promotes the patient centered care and it is providing the
opportunities for the health care experts to get engaged with the patients belonging to different
culture. The bedside handover is also useful in providing vital and useful information regarding
the patients and this also increases the satisfaction for the patients.

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PROPOSAL LEADERSHIP CHANGE MANAGEMENT
The study is basically focused on the development and analysis of the concept of change
management which is related with the bedside change management. It is also focusing on the
identification of the aspects of leadership which is related with the change management as well.
It also describes the clear rationale of the personal leadership approach which is linked with the
process of change.
My leadership role in this change management to be established should be that I will be
playing the role of communicator who will be communicating vital information of the clients and
handover the details of the information towards the nurse who should be getting the shift after
the shift hours will be completed by me. I should also be playing the role of a team worker who
should be able to understand the team dynamics and work with the other nurses effectively and
efficiently. I should also be playing the role of the leader who will be motivating and inspiring
the nurses associated with me in order to improve the patient centered care. I should also be
playing the role of problem solver and the decision maker by which it should be essential for me
to take effective decisions and resolve the issues of the patients with great care and sensibility.
The change management which I will be proposed to carry out is the bedside handover
change management. It is obvious that effective leadership is important in managing and
evaluating the change management for this study. So the leadership plays an important role in
identifying and implementing the change management. In this study I am playing the role of a
nurse who will be acting as the leader in proposing this change management in any health and
social care settings where I am currently working. So the different aspects of leadership are
highlighted below

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PROPOSAL LEADERSHIP CHANGE MANAGEMENT
Honesty and Integrity- In this proposed change management the nurse who is acting as
the leader should be developing a proper and ethical culture within the organization they are
working with. So the nurse leader should have honesty and integrity for getting success in the
long term. The nurse leader is followed by the nursing teams in order to accept and evaluate the
perceptions and ideas of the nursing leader (Cameron and Green 2015). The nurse leader should
always be trustworthy and they should be practicing the highest ethical standards in the health
and social care settings.
Great Vision- The nurse leaders do not focus much on their tasks or the activities,. They
should be focusing on what they are going to achieve and makes the nursing teams to be
achieved. They should have the deep knowledge of the current role they are playing and for
communicating the vision to the nursing teams (Hayes 2014). They are establishing clear and
concise goals in order to propose the change management in the settings.
Inspiring and Influencing Teams- The nurse leader in carrying out the change
management need to have the motivational and inspiring skills to have. They should have the
power of motivating and inspiring the teams with who the nurse leader will be working (Goetsch
and Davis 2014). They should be influencing the nursing teams in order to provide high quality
care to the patients.
Policy Setting and Quality measures- I should be bringing on the change to be proposed
should be defining and regulating the policies. They should be looking at the quality measures
and dealing with the patient outcomes in a strategic manner. They need to carry out the quality
checking of each of the patients who are in the verge of bedside handover each day.

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PROPOSAL LEADERSHIP CHANGE MANAGEMENT
Accountability and Decision making- I should be accountable with the decisions they are
making in order to influence the nursing teams. They are accountable with the practices they are
doing in the settings. This is useful in the effective decision making for improving the patient
outcomes and for the implementation of this change which is to be carried out. They are
accountable for the overall quality of care and delivery of the patients.
Coordination and Delegation- I as the nurse leader trying to have bedside handover
management to be implemented is not task focused. They are more or less focused on the
coordination and the teams and how they should be working together as a team. The nurse leader
should also be delegating the roles and responsibilities of the team members present in the
nursing team with whom the nurse leader has been working with.
The nursing leader for the implementation of the change management in the setting
should understand and clarify the rationale for the leadership approach taken for the bed side
handover change management to be carried out effectively. First of all it is useful for the nurse
leader to adopt the servant leadership. The rationale behind the adoption of this leadership
approach is that the nurse leader should have the potential of influencing and motivating the
others in the nursing team (Bartunek and Woodman 2015). They can be able to develop strong
relationships and helps in developing the skills of the team members. The nurse leader when
proposing this change need to meet the individual needs of the nursing team members so that
accurate and successful bedside handover change management is incorporated.
According to Al-Haddad and Kotnour (2015) the nursing leader should be articulating the
vision and mission of the change management to be implemented in the settings. The nurse
leader should be focusing on developing strong relationships and motivating the nursing teams

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PROPOSAL LEADERSHIP CHANGE MANAGEMENT
through the understanding and communicating the mission and vision. The praising of the team
members and providing utter respect and loyalty for the nursing teams helps in implementing this
change successfully in the settings. The nurse leader tries to engage the individual team members
closely in order to provide high quality patient care and delivery for the bedside handover.
In accordance with Allan and Sage (2016) the nursing leader should be able to
communicate and work very well with the team. The individuals present in the nursing team
should support the nurse leader in order to meet the requirements of the patients and for
improving the patient care and delivery for bedside handover change management to be
implemented. There are no individuals who could be able to achieve the goal and each and every
team members need to be working as a unit to achieve high level of success for this change to be
made feasible in the settings. I as the nurse leader will be delivering positive outcomes when the
nurse leader encourages the team to work together and work on constant efforts in achieving the
common goal of the setting.
I as the nurse leader should be communicating well with my nursing team so that I can be
able to make proper and effective decisions for the change to be implemented. The open
communication will actually help in analyzing the feedbacks and the resolving of any issues the
nursing team members should have in adopting this change. The open communication makes the
nursing team to get engaged more with the nurse leader and helps in achieving the vision of the
setting in a clear and concise way.

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PROPOSAL LEADERSHIP CHANGE MANAGEMENT
I am taking the role of nurse leader in proposing this bedside handover change
management to be implemented in the setting. I should be able to appraise my own leadership
performance in making this change to be clearly evaluated and make this change to be successful
within the setting. My leadership performance in initiating or adopting this change is very good.
I have been a good performer in bringing and proposing this change successfully. I have been
very good working with the team members .I could be able to resolve any issues and understand
their strengths and weakness which improved my own performance in leading a team for the
achievement of the common goal. I am a good communicator and able to communicate the
vision and mission of the change to be implemented. I could be able to improve the patient care
and delivery by meeting the needs and requirements of the patients and this develops satisfaction
of the patients towards the working of mine as the nurse leader. I have been able to solve serous
bedside handover cases by leading my team and the change implemented by me is proved to be
feasible for the setting as well.
I would be exploring the Lewin change management model in appraising my own
leadership performance. According to the lewin change management model, I as the nurse leader
is ready for the change to be happened and I could be able to make my nursing team to be able to
understand that they should be adopting to this change. I have been created the situation in the
setting to make the change happen. After that I should be appraising my own leadership
performance with the way of delivering the change to the nursing team with whom I have been
working with. The next is the stage of freezing where I as the nurse leader should be able to
make the nursing team to adopt and make the changes to be successful for the setting.

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PROPOSAL LEADERSHIP CHANGE MANAGEMENT
Objectives Success Criteria Actions Implementation
Listening to patients
requirements
I have recently
analyzed the feedback
of the patients clearly.
Gaining and
collecting feedbacks.
Communicating more
with the patients.
Engaging emotionally
with patients
I have involved the
family members in
gathering all the
required information
Clarify the
requirements and
needs of the patients
clearly.
Gaining of past
experiences and real
life events of the
patients
Authority of taking
decisions
I have been able to
take own decisions
regarding the success
of the change.
Leading the team
well.
Involving in analyzing
and taking part in
meetings.
Specific- My specific goal is to implement bedside handover management to be
implemented in the setting.
Measurable- I have reduced the bedside handover management more than 25 cases in my
settings.
Accountable- I am accountable with the change management decisions taken by me.
Realistic- The improvement in the quality care and delivery of the patients is my realistic
goal.
Time bound- I could be able to incorporate the change within 1 year in my setting.

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PROPOSAL LEADERSHIP CHANGE MANAGEMENT
Conclusion
From the study it is evident that the nurse leader has been successfully implemented the
bedside handover change management in the setting. It concludes that the implementation of
change is feasible in any settings only if any individual plays the role of an effective leader. So in
order to propose the change there is the need of the different aspects of leadership to be
identified and implemented. It is evident that it has explained critically the appraisal of the
personal leadership performance. It is also useful in the development of the personal
development plan including the analysis of the SMART goals.

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PROPOSAL LEADERSHIP CHANGE MANAGEMENT
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