NTI - How to Impact Change on Your Unit: Marian Altman, RN,MS,CCRN-K,CNS-BC,ANP Interview

The following NTI interview with Marian Altman will give you some valuable information and tips on how to achieve this. Nurses General Nursing Article

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NTI - How to Impact Change on Your Unit:  Marian Altman, RN,MS,CCRN-K,CNS-BC,ANP Interview

Marian Altman RN, MS, CCRN-K, CNS-BC, ANP is a Clinical Practice Specialist at AACN (American Association of Critical-Care Nurses) who works with the AACN Clinical Scene Investigator (CSI) Academy, a 16-month nursing leadership and innovation training program to empower hospital-based staff nurses as clinician leaders and change agents whose initiatives measurably improve patient outcomes and hospital bottom lines. CSI projects have dealt with Behavioral/Psychosocial, Cardiovascular, Infectious Disease, Pulmonary, and Patient Safety Issues.

Marian facilitated a series of sessions at NTI focused on how to impact change on your unit, particularly as it relates to implementing evidence-based knowledge or best-practices.

Some of the topics covered were

  • Key concepts of a change project.
  • Team roles and their impact on project outcomes.
  • Social entrepreneurship and how to apply the concepts to a nursing change project.
  • How to apply the steps of Kotter's Change Theory to a nursing change project.
  • Components of an Influence Map and how to apply to a project.
  • The difference between process and outcome measures and how they relate to clinical outcomes and change initiative.
  • How to quantify the fiscal impact of a practice change.
  • How to apply components of a logic model and drill down plan.
  • Redosing strategies that lead to sustaining a change project.
  • How to scale a project to another unit, hospital-wide or system-wide.
  • Methods to disseminate project outcomes.
  • Components of innovative project management.
  • How to develop, plan and implement an innovative project that targets a patient/family or clinical outcome on the unit.
  • Using tools from the CSI Academy to create measurable improvements in patient/family, clinical or organizational outcomes.

In a recent NTI allnurses interview, Marian Altman answers the following questions:

  • What is a change agent?
  • How can nurses be effective change agents?
  • What are some challenges or obstacles to accepting change?
  • What are some important skills nurses learn in the CSI Academy?
  • How can nurses use innovation to create business opportunities that benefit patients?
  • Define social entrepreneurship and describe how to apply the concepts to a nursing change project.
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Chronic Care Coordinator

spotangel, DNP, RN, NP

24 Articles; 518 Posts

Specializes in ED, Tele, MedSurg, ADN, Outpatient, LTC, Peds.

Communication is key! Spot on !

Specializes in Wound care; CMSRN.

Here's the meat:


Many hands make light work. Stop whining and start making change. Be the example for the behavior you want to see in your patients and co-workers. Who knows; you could have some fun at work.

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