[olympiad27]

Has anyone in practice as a CNS come across successful strategies for effecting change within a staff of ICU nurses? I have been given the task of improving clinical practice with a group of nurses who are over 60% agency staff. Help!

[WashYaHands]

There is an article written by Schoolfield & Orduna (2001). Understanding staff nurse responses to change: Utilization of a grief-change framework to facilitate innovation. Clinical Nurse Specialist , 15 (5). 224-228. that addresses the question you're asking.

I can't type the whole article here, but if you have access to this journal in Clinical Nurse Specialist, it covers some good strategies for effecting change with staff nurses. Sorry I can be of more help.

Linda

[renerian]

No articles but I found if the nurses go through a separate orientation like the MT. Carmel system has here for agency/travel nurses they do much better as far as outcomes and P&P standards. It is a classroom orientation and the people I have talked with found more attention on the front end made it much easier for them to fit in and be aware of issues.

renerian