title: Want to create lasting change? It's all about that base.
abstract: The American Association of Critical-Care Nurses (AACN) created the Clinical Scene Investigator (CSI) Academy for nurses at the bedside to develop leadership and innovation skills to create and sustain lasting change that positively impacts patient outcomes. In our 2015 three-part series, we explored how to redefine "nonproductive" time, change leadership, and the formation of the Massachusetts CSI Nursing Delirium Collaborative. In this first part of our 2016 series, we share the Duke Raleigh CSI Academy team's journey through change management while creating an early progressive mobility (EPM) initiative.
authors.affiliation: Katherine Geyer was a clinical nurse IV, Medical-Surgical ICU, at Duke Raleigh Hospital in Raleigh, N.C., where she led the early progressive mobility project with the AACN CSI Academy. She's currently pursuing her MSN full time in the Family Nurse Practitioner Program at the Duke University School of Nursing. Marian Altman is a clinical practice specialist for the American Association of Critical-Care Nurses in Aliso Viejo, Calif.
authors.forename: Katherine
authors.initials: K
authors.lastname: Geyer
authors.forename: Marian
authors.initials: M
authors.lastname: Altman
mesh_terms: D064648:Critical Care Nursing; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration*; D015279:Organizational Culture; D009936:Organizational Innovation; D012956:Societies, Nursing; D014481:United States