You work in an aged care facility located in a rural township (population 8,000) in NSW.

Read the scenario :

You work in an aged care facility located in a rural township (population 8,000) in NSW. The town is located 50 km from the nearest larger town. The facility provides care for 100 aged residents, many of whom are some distance from their families and friends. The facility is staffed by registered, enrolled nurses and assistants in nursing, kitchen, cleaning and administrative staff. A Director of Nursing, a Deputy Director of nursing and a business manager oversee the operations of the facility. The services of a diversional therapist, a physiotherapist, a pharmacist and several doctors from the local general practice are also employed by the facility.

In response to facility accreditation, the Director of Nursing at the facility you work at is compelled to upgrade the facility’s documentation practices. The accreditation team found that entries in each resident’s record were infrequent and contained minimal information. Moreover, each resident’s record was divided between six different folders: a medication folder, a wound care folder, a nursing notes folder, a medical notes folder, an allied health folder and a care plan folder. The lack of integration was identified as creating a risk to the safety and quality of resident care as a holistic and up to date picture of each resident’s health status was impossible to ascertain. Visiting providers often had no knowledge of the residents’ health status or responses to treatment and depended on verbal recounts provided by staff.

The Director of Nursing decided to ask one of the senior registered nurses, Sam, to lead the practice changes required to address the issue. Sam consulted with a friend at another Aged care facility, who gave advice on what to do. Sam decided to merge all of the folders, with the exception of the medication charts, together for each resident (100 folders), which she completed over a weekend. On Monday when staff came to work, they were presented with a memo advising them of the change, specific times for records to be updated, and a sample of the appropriate structure to use when writing a resident’s report.

During that week, episodes of confusion occurred as staff could not access the record when required. Doctors were angry that their own notes were not immediately available and mixed in with others. Nurses were angry that were not getting off work on time as they had to wait until others had finished with the record before they could make their own entries. Some nurses didn’t bother waiting and went home leaving the care undocumented, and were reprimanded by Sam when they returned. The Director of Nursing ordered an audit in response to complaints and found that the notes were more out of date than before, and that the lack of consistency between the sections of the record remained an issue. Furthermore, staff were angry stressed and negative about the change and their lack of involvement. The Director of Nursing regretted not providing more support to Sam with the change project and resolved to renew the approach she had taken. Sam was happy for someone else to lead the project and reflected on the importance of applying change theory and principles of leadership for future change projects.


The Director of Nursing has asked you to develop and present a plan to lead the practice changes required to address the issue for review. Using Lewin’s Change Theory (Unfreezing, Movement, Refreezing) present how you will successfully implement change, maintain change and avoid resistance to change. Refer to the following principles of leadership to support your plan.

developing teams

• nurturing positive workplace cultures

• motivating team members

• empowering team members

• developing emotional intelligence

• enabling effective change


Leading and participation in change in clinical practice is fundamental to nursing work. This activity presents an opportunity for students to use a theory of change management and gain knowledge of core leadership principles. It is expected that this activity will foster deeper understanding of change leadership in nursing contexts.

Prepare a powerpoint presentation with 500 words to complete this task using APA 7th referencing.



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