Change

Leadership and Management of change.

Student identification number. 97993009.

The writer in this assignment will analyse a change with regard to the change of use of her day surgery ward to that of an escalation ward due to ongoing bed pressures in her place of work.

She will discuss how the change was introduced and where it came from, she will explore the staff’s reaction and the effect the change has on their working lives. She will further discuss how as a ward manager she cascaded this change of practice to her team whilst all the time reflecting on her own managerial and leadership skills.

She will also focus on what the impact of this change of use of the day surgery ward was on both the care of the day surgery patients and indeed the care of the inpatients who were regularly decanted from the main wards for overnight stay to create bed capacity for emergency admissions in order to meet government targets DH (2003) which stated that patients should not wait more than four hours in A/E for a bed.

The writer, a manager of a day surgery unit having worked there for sixteen years and having developed an operational policy in line with the British Association of Day Surgery guidelines (2000) was informed by hospital management that the area was to remain open overnight due to bed pressures but was assured that it was a short term measure. The writer felt that the way the directive was passed to her was in a very autocratic manner. She was told this would be happening and basically that there was no room for discussion and was effective immediately.

Confidentiality in Healthcare is a legal obligation that is derived from statutory and case law Beech (2007). .

It is a requirement within professional codes of conduct and is included in NHS employment contracts as a specific issue linked to disciplinary procedures, therefore in line with the writers NMC(2004) professional code of practice confidentiality will be maintained...