Hello everybody! This is my first post to allnurses.com! I searched old postings and could not find anything pertaining to what I would like to ask- I am doing a paper for one of my classes and it is is an area where we need to write if we would support change in nursing practice. I have a lot of evidence in my research topic area that supports some changes/ additions to nursing care dealing with my topic. I also want to propose a hospital program which would be, of course, nurse led. Okay, here's the actual question: Would it be appropriate to include the implementation of a program as a change in nursing practice, per se? I am sorry to be so generic. I guess what the question is, is what constitutes a change in nursing practice? Thank you, in advance for any help you might provide in this matter. BTW, I also want to say that I have been reading allnurses for so long and I am truly saddened at the loss of Daytonite. She was so caring, and you could tell by all she put into her posts.