title: Reflections by clinical nurse specialists on changing ward practice.
abstract: In September 2010, palliative care clinical nurse specialists at North Middlesex University Hospital Trust introduced competencies for all nurses in setting up and using syringe drivers. This was done after the trust identified a high level of clinical incidents involving syringe drivers. This article discusses how the competencies were implemented and assessed, explores the importance of understanding change management to achieve change, and how different leadership styles affect changes to practice.
authors.affiliation: North Middlesex University Hospital Trust.
authors.forename: Catherine
authors.initials: C
authors.lastname: Thomas
authors.forename: Angie
authors.initials: A
authors.lastname: Ramcharan
mesh_terms: D007857:Leadership; D009731:Nursing Audit; D009936:Organizational Innovation; D013041:Specialties, Nursing; D006113:United Kingdom