Leading and managing change in nursing
| Module title | Leading and managing change in nursing |
|---|---|
| Module code | NURM110 |
| Academic year | 2024/5 |
| Credits | 30 |
| Module staff | Dr Marie Clancy (Convenor) |
| Duration: Term | 1 | 2 | 3 |
|---|---|---|---|
| Duration: Weeks | 0 | 5 | 1 |
| Number students taking module (anticipated) | 60 |
|---|
Module description
This module focuses on the effectiveness of complex care processes, organisation and delivery, leadership, quality improvement and patient safety. It will bring together Exeter’s seven pillars of nursing to advance your knowledge, skills and behaviours. It is crucial to prepare you for the future of nursing so will emphasise the proactive leadership role of nurses in the interdisciplinary setting. Through the development of critical thinking skills and the promotion of reflective practice you will expand your knowledge and skills and maintain a commitment to embodying excellence in your professional development as a registered nurse.
Module aims - intentions of the module
- You will apply the knowledge from this module to support your transition to professional nursing and Adult Nurse Registration with the NMC.
- The module supports your academic and professional development as a nurse with its various forms of assessment: essays, reflection, service improvement proposal presentation, and develop distinct transferable skills: academic writing; identifying and reviewing relevant literature; e-learning; extracting the most relevant content and expressing it in brief form; working as part of a group and communicating complex data to an audience in an accessible form; becoming a proactive leader of safe quality nursing care and the management of your own learning and development.
- You will demonstrate and embody excellence in nursing knowledge and care in complex situations.
- You will develop as a proactive leader; understanding and applying theory to your practice to ensure patient safety.
You will fully integrate Exeter’s seven pillars of nursing into your academic practice as indicated below:
Fundamental essentials of nursing care:you will consider the legal, ethical and accountability issues involved with prescribing and develop knowledge around pharmacodynamics and pharmacokinetics to prepare you for future prescribing practice. The focus will be, enhancing patient safety and provision of excellent quality care. You will learn to manage, supervise and evaluate the fundamentals of nursing care delivery and enabling effective self-management. F
Patient and public involvement:you will apply the principle of “nothing about us without us” and demonstrate the ability to accurately assess a person’s capacity to make sound decisions about their own care and to give or withhold consent. This pillar becomes increasingly sophisticated and integrated with evidence for practice during this module and includes the impact of policy. PPI
Evidence for practice:as an Exeter nurse you will start to produce evidence for practice, you will consider the contribution of quality improvement models, tools and strategies to enhancing patient safety and the provision of quality care. You will make strong conceptual links with the development, testing, evaluation and implementation of complex nursing and other healthcare interventions, and appreciate the centrality of public involvement in service improvement and health services research. E
No health without mental health:this pillar enables you to consider decision making in challenging situations while providing holistic care by involving and advocating for individuals, families and carers. You will provide and support evidence based low intensity interventions for common mental health conditions. MH
Leadership and management:you will be leading on care management, supervising and delegating care, teaching and providing feedback to others. You will be able to debate the leadership challenges involved in partnership working with service users, carers’ families and agencies with complex multi-faceted needs. Leadership is a critical focus as you develop your professional capabilities and achieve an understanding of the operationalisation of health services, including developing a business case underpinned by an application of financial management processes. You will engage in relationship management to include performance management and resource management. LM
Global health:this pillar will enable you to appraise and apply information about health outcomes when supporting people and families to manage their healthcare needs and make important health choices. You will understand the evidence for behavioural change and public health initiatives whilst enabling people to make their own informed personal decisions. GH
Ethics and Professionalism: The Exeter Nurse will demonstrate commitment to professional values - including social justice - and to the flourishing of individuals, families and communities. The Exeter Nurse aspires always to do the right thing and to be of good character (E & P)
Intended Learning Outcomes (ILOs)
ILO: Module-specific skills
On successfully completing the module you will be able to...
- 1. Critically analyse the leadership challenges involved in interdisciplinary team working; and partnership working with service users, carers, and families with complex multi-faceted needs. L&M; E; PPI, E&P
- 2. Supervise and teach and critically evaluate teaching strategies used with students, colleagues and stakeholders to ensure quality fundamental care is achieved by providing constructive feedback. F; L&M
- 3. Critically appraise and apply information about health outcomes when supporting people and families to manage their physical and mental health care needs helping them to make informed health choices. GH; PPI; MH; E, E&P
ILO: Discipline-specific skills
On successfully completing the module you will be able to...
- 4. Identify, assess and evaluate the contribution of quality improvement models, tools and strategies to enhancing patient safety and the provision of quality care. L&M; E; F
- 5. Interpret policies, principles and processes of performance management and their application to leadership roles in nursing. L&M
- 6. Develop a service improvement proposal by using and producing research, identifying strategic context, analysis, recommendations of improvement, change management, capacity building and implementation of identified change. L&M; E
ILO: Personal and key skills
On successfully completing the module you will be able to...
- 7. Critically appraise the influence of resilience and emotional intelligence in communication, produce clear accurate and timely records, and confidently contribute to the interdisciplinary team. F, E&P
- 8. Demonstrate proficiency at accessing and using digital literacy to inform safe, quality nursing care. F
Syllabus plan
Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:
The module consists of a mixture of interactive lectures, workshops, seminars, and Massive Open Online Course (MOOC).
Indicative content for this module includes:
To support the pillars: patient and public involvement, fundamental essentials of nursing care, no health without mental health, ethics and professionalism and global health,the Exeter nurse will learn essential evaluative skills and be able to compare and contrast systems of care, quality assurance mechanism including an awareness of human factors. [CM1]
The theory content for this module reflect the pillars fundamentals of nursing care, evidence for practice and leadership and management. You will consider leadership principles and concepts in relationship management of people with complex, diverse healthcare needs.
- Multi-disciplinary team working and collaboration
- Quality improvement models, tools and strategies
- Change management
- Service Improvement proposal development
- Managing conflict
- Resource management
- Coaching, teaching and giving constructive feedback
These hours contribute to the NMC and EU Directive requirement of 2,300 of learning hours. This module equates to 412 hours, rather than the nominal hours associated with a standard undergraduate 30 credit module.
Learning activities and teaching methods (given in hours of study time)
| Scheduled Learning and Teaching Activities | Guided independent study | Placement / study abroad |
|---|---|---|
| 162 | 250 | 0 |
Details of learning activities and teaching methods
| Category | Hours of study time | Description |
|---|---|---|
| Scheduled Learning and Teaching Activities | 75 | Problem based Learning |
| Scheduled Learning and Teaching Activities | 12 | Lectures |
| Scheduled Learning and Teaching Activities | 75 | Seminars |
| Guided Independent Study | 100 | Preparation for assessments |
| Guided Independent Study | 150 | Reading and preparation for sessions |
Formative assessment
| Form of assessment | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|
| Group presentation of service improvement | 10 minutes plus 5 mins question and answer session | 3,6.8 | Verbal feedback |
Summative assessment (% of credit)
| Coursework | Written exams | Practical exams |
|---|---|---|
| 40 | 0 | 60 |
Details of summative assessment
| Form of assessment | % of credit | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|---|
| Individual poster on service improvement | 40 | A1 poster (with guidance on font and presentation style) | 1-8 | Written and verbal feedback |
| Individual poster on service improvement | 60 | 20 minutes plus 5 minutes questions and answer session | 1-8 | Written and verbal feedback |
Details of re-assessment (where required by referral or deferral)
| Original form of assessment | Form of re-assessment | ILOs re-assessed | Timescale for re-assessment |
|---|---|---|---|
| Individual poster on service improvement (40%) | Individual poster on service improvement (A1 poster) (40%) | 1-8 | Up to 4 weeks after results |
| Individual presentation on service improvement (60%) | Individual presentation on service improvement (20 minutes plus 5 minutes questions and answer session) (60%) | 1-8 | Up to 4 weeks after results |
Re-assessment notes
Students must pass all items of assessment and demonstrate professionalism and Fitness to Practice to progress to be recommended for professional registration with the NMC as an Adult Nurse.
Indicative learning resources - Basic reading
Brookfield, S. and Preskill, S. (2016) The discussion book: 50 great ways to get people
talking. San Francisco, California: Jossey-Bass.
Cain, S. (2013) Quiet: the power of introverts in a world that can’t stop talking. London:
Penguin.
Day, J. (2013) Interprofessional Working. 2nd edition. London: Cengage Learning EMEA.
Ellis, P. (2019) Leadership, management & team working in nursing. Third edition. Los
Angeles: Learning Matters.
Ellis, P. (2021) Leadership, Management and Team Working in Nursing. 4th Revised
edition. London: Sage Publications Ltd.
Florence Nightingale Foundation (2023) Leadership development for nurses and midwives.
Edited by G. Stacey and G. Westwood. Amsterdam: Elsevier.
Glasby, J. and Dickinson, H. (2014) Partnership working in health and social care: what is
integrated care and how can we deliver it? Second edition. Bristol: Policy Press.
Gopee, N. (2022) Leading and managing healthcare. London: Sage Publications.
Henry H (2022) Be a leader in nursing: a practical guide for nursing students. Amsterdam: Elsevier.
Jo Galloway, N.G. (2014) Leadership & Management in Healthcare.
Kouzes, J.M. and Posner, B.Z. (2009) Leadership Challenge Forum and the Leadership
Challenge Workshop 2016. New York: John Wiley & Sons Inc.
Patterson, K. et al. (2013) Crucial conversations: tools for talking when stakes are high.
2nd ed. New York: McGraw-Hill.
Sharples, K. (2011) Successful practice learning for nursing students. Exeter: Learning
Matters Ltd.
Stanley, D. (2017) Clinical leadership in nursing and healthcare: values into action. Second
edition. Chichester, West Sussex: Wiley Blackwell.
Swanwick, T. (2020) ABC of quality improvement in healthcare. Edited by E. Vaux.
Hoboken, NJ: Wiley-Blackwell.
Taylor, R. and Webster-Henderson, B. (eds) (2017) The essentials of nursing leadership.
London: SAGE Publications Ltd.
Thomas, J., Pollard, K.C. and Sellman, D. (eds) (2014) Interprofessional working in health
and social care: professional perspectives. Second edition. London: Red Globe Press.
Wambach, A. (2019) Wolfpack: how to come together, unleash our power and change the
game. London: Piatkus.
West, M.A. (2021) Compassionate leadership: sustaining wisdom, humanity and presence
in health and social care. The Swirling Leaf Press.
Wood, S. and O’Keeffe, N. (2017) Stepping Up. Harlow: Pearson Education Limited.
Jasper, M., Rosser. M., Mooney, G. (2013) (eds.) Professional Development, Reflection and Decision Making in Nursing and Health Care. Wiley Blackwell.
Kim, M., & Mallory, C. (2017) Statistics for Evidenced Based Practice in Nursing (2nd ed.) Jones and Bartlett.
Polit, D.F., and Back, C.H. (2017) Essential of Nursing Research: Appraising Evidence for Nursing Practice. Wolters Kluwer.
Richards, D.A., and Hallberg, I.R. (eds.) (2015) Complex Interventions in Health. Routledge.
Schon, D.A. (2006) The Reflective Practitioner: How Professionals Think in Action. Ashgate.
Schmidt, N.A., & Brown, J.M. (2017) Evidenced based Practice for Nurses: Appraisal and Application of research, (4th ed.), Jones and Bartlett.
Stanley, D. (ed.) (2017) Clinical Leadership in nursing and Healthcare: Values into Action, (2nd ed.) John Wiley& Sons, available at: https://onlinelibrary.wiley.com/doi/book/10.1002/9781119253785
Tashiro, J., Shimpuku, Y., Naruse, K., et. al., (2013) Concept analysis of reflection in nursing professional development. Japan Journal of Nursing Science 10(2):170-179 available at: https://www.evidence.nhs.uk/Search?q=nursing+reflection&sp=on
Indicative learning resources - Web based and electronic resources
Department of Health: www.gov.uk/government/organisations/department-of-health-and-social-care
Nursing and Midwifery Council: www.nmc.org.uk
NHS Improvement: https://improvement.nhs.uk/improvement-hub/quality-improvement/
NHS Leadership Academy: https://www.leadershipacademy.nhs.uk
Royal College of Nursing: www.rcn.org.uk
National Institute of Health and Clinical Excellence: www.nice.org.uk
World Health Organisation: www.who.int
Healthtalk online: www.healthtalk.org
WeNurses (@WeNurses) · Twitter: https://twitter.com/WeNurses
The King’s Fund: https://www.kingsfund.org.uk/
https://www.elsevierclinicalskills.co.uk/
https://www.clinicalskills.net/
Indicative learning resources - Other resources
Journals:
American Journal of Nursing
British Journal of Community Nursing
British Journal of Nursing
Evidence-based Nursing
International Journal of Nursing Studies
Journal of Advanced Nursing
Journal of Clinical Nursing
Journal of Psychiatric and Mental Health Nursing
Worldviews on Evidence Based Nursing
| Credit value | 30 |
|---|---|
| Module ECTS | 15 |
| Module pre-requisites | NUR1000, NUR1100, NUR2000, NUR2100, NUR3000, NUR3150, NUR3300, NUR3400, NUR3500 |
| Module co-requisites | None |
| NQF level (module) | 7 |
| Available as distance learning? | No |
| Origin date | 18/07/2018 |
| Last revision date | 08/01/2024 |
