title: The need to develop nursing practice through innovation and practice change.
abstract: This paper examines some of the strategies that can be used to produce change in nursing. These strategies range from the power-coercive through rational-empirical to the normative-re-educative. Strategies that promote a 'bottom-up' approach are advocated for clinical nursing and some of the principal factors towards success, such as team building, the presence of a clinical leader and planning are indicated. The paper will also expand on what needs to be changed in nursing, and what the purpose of such changes are. It is argued that externally focused efforts of change, such as the organization of care or new practices are only part of the picture. The journey of change also requires an inner exploration of who we are and what are we seeking to achieve in nursing.
authors.affiliation: European Nursing Development Agency, United Kingdom.
authors.forename: S G
authors.initials: SG
authors.lastname: Wright
mesh_terms: D015400:Clinical Nursing Research; D004059:Diffusion of Innovation; D004509:Education, Nursing, Continuing; D006801:Humans; D007857:Leadership; D016294:Models, Nursing; D009732:Nursing Care / Q000458:organization & administration*; D009740:Nursing Staff / Q000193:education / Q000523:psychology; D009745:Nursing, Supervisory; D011209:Power, Psychological