Child and adolescent psychiatric nursing and the ‘plastic man’. Reflections on the implementation of change drawing insights from Lewin's Theory of Planned Change.

McGarry, Denise; Cashin, Andrew; Fowler, Cathrine

doi:10.5172/conu.2012.978

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…Given the most important measures listed in three stages of Kurt Lewin's model (9,12,21,26,27), we contend that unfreezing stage starts with changes in the apparent infrastructure factors that without a doubt, the changes in apparent infrastructure factors can lead to change hidden infrastructure and superstructure factors in change stage and if the changes in the hidden infrastructure and superstructure factors are coordinated and integrated by the apparent infrastructure factors, the hidden infrastructure factors will stabilize the changes in refreezing stage. But this process did not happen in our study.…”

Section: Discussionmentioning

confidence: 99%

Change Theory for Accounting System Reform in Health Sector: A Case Study of Kerman University of Medical Sciences in Iran

Mehrolhasani

Emami

2013

Int J Health Policy Manag

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The results showed that the unfreezing stage did not occur well and the components were immature, mainly because the emphasis was placed on superstructure components rather than the components of hidden infrastructure. The study suggests that a road map should be developed in the financial system based on Kurt Lewin's change theory and the model presented in this paper underpins the change management in any organizations.

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Section: Discussionmentioning

confidence: 99%

Change Theory for Accounting System Reform in Health Sector: A Case Study of Kerman University of Medical Sciences in Iran

Mehrolhasani

Emami

2013

Int J Health Policy Manag

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“…It consists of a group of 'early adopters' and of others whose intent to adopt this change is slower (McGarry, Cashin, & Fowler, 2012). In Australia, 25% of SoN have not yet adopted HPS.…”

Section: Adoption Of Hpsmentioning

confidence: 99%

Survey of Australian Schools of Nursing Use of Human Patient (Mannequin) Simulation

McGarry

Cashin

Fowler

2014

Issues in Mental Health Nursing

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Rapid adoption of high-fidelity human patient (mannequin) simulation has occurred in Australian Schools of Nursing in recent years, as it has internationally. This paper reports findings from a 2012 online survey of Australian Schools of Nursing and builds on findings of earlier studies. The survey design allowed direct comparison with a previous study from the USA but limited its scope to the pre-registration (pre-service Bachelor of Nursing) curriculum. It also included extra mental health specific questions. Australian patterns of adoption and application of high-fidelity human patient (mannequin) simulation in the pre-registration nursing curriculum share features with experiences reported in previous US and Australian surveys. A finding of interest in this survey was a small number of Schools of Nursing that reported no current use of high-fidelity human patient (mannequin) simulation and no plans to adopt it, in spite of a governmental capital funding support programme. In-line with prior surveys, mental health applications were meagre. There is an absence of clearly articulated learning theory underpinnings in the use of high-fidelity human patient (mannequin) simulation generally. It appears the first stage of implementation of high-fidelity human patient (mannequin) simulation into the pre-registration nursing curriculum has occurred and the adoption of this pedagogy is entering a new phase.

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“…An education day in adolescent health was designed and developed in response to this feedback. Resistance to change can often arise to due fear of incompetence or ‘learning anxiety’ . It was imperative to ensure staff felt confident in caring for young people and their desire for further knowledge was supported.…”

Section: Education and Trainingmentioning

confidence: 99%

Improving the quality of hospital care for Indigenous adolescents: Experiences from the Top End

Buckley

2019

J Paediatrics Child Health

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A recent Lancet publication reported the substantial and largely unmet health needs of Australian Aboriginal and Torres Strait Islander (Indigenous) adolescents; needs that we have been working tirelessly to address in the Northern Territory. In order to improve health outcomes for Indigenous adolescents, we must create health systems responsive to their needs. This paper focuses on changes made at Royal Darwin Hospital, which continue to improve the quality of care for this group. We describe these changes here, to celebrate the gains made and ultimately, we hope, to help address the health of Indigenous adolescents more broadly.Providing accessible health care in the NT is not without its challenges. Firstly, the health needs of Indigenous adolescents are complex, with morbidities including an excess burden of mental disorders and substance use, poor sexual and reproductive health, intentional and unintentional injuries and otherwise rare issues like rheumatic heart diseases and emerging type 2 diabetes. 1 There are significant geographical barriers, with approximately 60% of the Aboriginal population living remotely 2 and known difficulties attracting and retaining a skilled workforce in this environment. This becomes additionally complex when professionals are required to have broad skills to address multiple health needs, skills which may be different to their training. At times these challenges can seem overwhelming. Challenges however can also foster ingenuity and innovation. Indeed, with very limited resourcing we have been able to improve the quality of care that Indigenous adolescents receive at Royal Darwin Hospital, (RDH). With respect to patients in the NT-the majority of whom identify as Aboriginal, Aboriginal adolescents will be referred to throughout the rest of the paper.

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Child and adolescent psychiatric nursing and the ‘plastic man’. Reflections on the implementation of change drawing insights from Lewin's Theory of Planned Change.

Cited by 4 publications

References 3 publications

Change Theory for Accounting System Reform in Health Sector: A Case Study of Kerman University of Medical Sciences in Iran

Change Theory for Accounting System Reform in Health Sector: A Case Study of Kerman University of Medical Sciences in Iran

Survey of Australian Schools of Nursing Use of Human Patient (Mannequin) Simulation

Improving the quality of hospital care for Indigenous adolescents: Experiences from the Top End

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