title: Embracing technology? Using change management strategies to improve the use of continuous lateral rotation therapy.
abstract: The purpose of this quality improvement initiative was to improve the utilization of continuous lateral rotation therapy (CLRT) in a nine-bed community hospital ICU within the context of a nurse-driven protocol. Nursing focus groups, analyzed using a strength, weakness, opportunity, threat (SWOT) approach, resulted in the implementation of four interventions over seven weeks. Change management strategies guided all aspects of the project. Results showed a modest increase in the utilization of CLRT. This initiative demonstrates that change management strategies may assist with the incorporation of technology into nursing practice by increasing empowerment and creating an attachment to and responsibility for outcomes.
authors.affiliation: William Osler Health Centre, Brampton, Ontario.
authors.forename: Pamela
authors.initials: P
authors.lastname: Cybulski
authors.forename: Johanna
authors.initials: J
authors.lastname: Zantinge
authors.forename: Deanna
authors.initials: D
authors.lastname: Abbott-McNeil
mesh_terms: D001291:Attitude of Health Personnel; D001510:Bed Rest / Q000009:adverse effects / Q000451:nursing; D001513:Beds / Q000706:statistics & numerical data*; D002983:Clinical Competence; D002985:Clinical Protocols; D003422:Critical Care / Q000458:organization & administration*; D003659:Decision Making, Organizational; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006764:Hospitals, Community; D006801:Humans; D024802:Nurse's Role; D009731:Nursing Audit; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009936:Organizational Innovation; D011187:Posture; D016730:Program Development; D012121:Respiration, Artificial / Q000009:adverse effects / Q000451:nursing; D012399:Rotation; D013673:Technology Assessment, Biomedical; D017749:Total Quality Management / Q000458:organization & administration*