External and internal forces lend equal weight to the process of change. The wise leade
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Get Help Now!r can incorporate both external and internal dynamics in assessing the need for
change and in building a systematic and organized response to it. (Porter-OGrady & Malloch p 284)
As a leader a priority will be in systems improvement and improvement in patient outcomes. Your microsystem assessment and performance improvement (treatment) plan
as developed in the co-requisite practicum course will involve change in some shape form and/or fashion for nursing staff in your microsystem.
Based on your current knowledge and assessment-to-date of your microsystem:
1. Identify a potential unit-based need for improvement (specific aim)
2. Discuss the external and internal forces that will most likely impact the change
3. Discuss at least 3 strategies (with literature support) you would implement to facilitate staff engagement with the proposed change
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