healthcare systems change occurs in the health sector just like in every other field that utilizes technology.
According to Green (2019), the healthcare system is rapidly evolving, and nurse leaders have the role of ensuring day to day operations of their units. All nurse leaders are considered agents of change and have a vital role in change management and ensuring that they
achieve their objectives through the change process.
Leaders must create a vision together with their followers and work towards achieving the vision together and ensuring that change resistance is effectively managed. The new healthcare systems change practice is appropriately adopted without reverting to previous ways.
An example is how various nurse leaders advocated for independent practice and prescription authority for the nurse practitioners. According to Watson (2020), before, nurses were not allowed to practice independently, they were mostly dependent on the physicians for supervision and further instructions. Various advantages of a nurse being independent practitioners were laid out together with the nurse practitioners' educational backgrounds and dexterity.
Several changes were made to the nursing act to give the nurses the authority to prescribe though some states still restrict their practice scope and require that they work under a physician. Moving from a situation where nurse practitioners were not allowed to prescribe an era where they are, and they are the leading primary care providers with prescriptive authority was a change that needed exquisite execution and display of effective nursing leadership. Adams & Markowitz (2018) stated that the main driving forces for this change were to improve the nursing profession, have better and efficient nursing care and allow a nurse to practice to the full scope, ability, and educational background.
The other aim was also to reduce the shortages of primary care providers that was and is being experienced. The milestone change was just a step
towards expanding the practice scope for registered nurses (RNs). Having well-drafted and healthcare systems change evidence-based solutions and justifications ensured that the change process was successful—one
of the obstacles was political involvement and resistance by some factions of healthcare providers. The best way these obstacles were dealt with was through advocacy through legislation. By following the appropriate legislation procedures, most of the challenges were dealt with and allowed for changes to the nursing act.
SYSTEMS CHANGE 4
References
Adams, E. K., & Markowitz, S. (2018). Improving efficiency in the healthcare system:
Removing anticompetitive barriers for advanced practice registered nurses and physician
assistants. Policy Proposal, 8, 9-13.
Green, C. A. (2019). Workplace incivility: Nurse leaders as change agents. Nursing
Management, 50(1), 51-53.
Rafferty, A. M. (2018). Nurses as change agents for a better future in health care: the politics of
drift and dilution. Health Economics, Policy and Law, 13(3-4), 475-491.
Watson, C. (2020). Prescription for care. Journal of Prescribing Practice, 2(7), 398-403.
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