Using Change and Innovation to Create a High Reliability Nursing - PowerPoint PPT Presentation

Using Change and Innovation to Create a High Reliability Nursing Program Denise Bosworth, MSN, RN, CNE Geri Chesebrough, DNP, RN, CNE

Learning Objectives 1. Identify and describe five traits of a high reliability nursing program. 2. Propose at least one action step to take for each of the five traits. 3. Summarize three challenges to implementing a change and how to overcome them. 2

Overview of High Reliability Organizations

5 Traits of High Reliability Organizations 1. Preoccupation with failure 2. Reluctance to simplify 3. Sensitivity to operations 4. Commitment to resilience 5. Deference to expertise Oster & Brataan (2016) Eck, et al. (2011)

High Reliability Organizations Process Improvement Leadership Culture

Preoccupation • • with Failure Reluctance to • • Simplify Sensitivity to • • Operations Commitment to • • Resilience Deference to • • Expertise 5 Traits of High Reliability Organizations

Leadership  Occurs at all levels in the organization  Leadership can be formal and informal  Must support an environment of learning  Moving to a team approach for process improvement

Process Improvement Models  PDCA  CQI  Six Sigma  Lean

Change Theories Lewin Kotter

Coping with Change Activity

Culture Change - How to make it stick

Fostering a Creative Culture

Collaborative Approach

Create a “no fear” climate

Stretch beyond your comfort zone

Celebrate Individuality and Encourage Uncertainty

Putting it all together • Develop a culture that works to achieve consistent excellence. • Learn from all experiences and evaluations. • Proactively plan for success through process improvement. • Plan for success as a team that is supportive of change. 18

References  Barry, R., Smith, A.C., & Brubaker, C.E. (2017). High-Reliability Healthcare Improving Patient Safety and Outcomes with Six Sigma (2 nd ed.). Chicago, IL: Health Administration Press.  Chassin, M.R.& Loeb, J.M. (2013). High-Reliability health care: Getting there from here. The Milbank Quarterly. Retrieved from: https://www.jointcommission.org/assets/1/6/Chassin_and_Loeb_0913_final.pdf  Coping With Change, 2009. Retrieved from: http://www.factivities.com/change_management/CopingwithChange.html  Dawson, P., & Andriopoulos, C. (2014). Managing Change, Creativity, and Innovation , (2 nd ed). London: Sage.  Eck, J. (2016). Failure is not an option: Making the case for high reliability educaiton systems. SEEN Connect. Retrieved from: https://www.seenmagazine.us/Articles/Article-Detail/ArticleId/5993/Failure-Is-Not-an-Option-Making-the-Case-for-High- Reliability-Education-Systems  Eck, J.H., Bellamy, G.T., Schaffer, E., Stringfield, S., & Reynolds, D. (2011). High Reliability Organizations in Education. Noteworthy Perspectives . Retrieved from: https://eric.ed.gov/?id=ED544261  Gill, R. (2013). Theory and Practice of Leadership, ( 2 nd ed). London: Sage.  Oster, C.A. & Braatan, J.S. (2016). High Reliability Organizations: A Healthcare Handbook for Safety and Quality. Indianapolis, IN: Sigma Theta Tau International.  Porter- O’Grady & Malloch (2015). Quantum Leadership: Building Better Partnerships for Sustainable Health , (4th ed). Burlington, MA: Jones & Bartlett  Weick, K.E. & Sutcliffe, K.M. (2015). Managing the Unexpected (3 rd ed.). Hoboken, NJ: John Wiley & Sons.