Moving beyond resistance to restraint minimization : a case study of change management in aged care

Johnson, Susan, Ostaszkiewicz, Joan and O'Connell, Beverly 2009, Moving beyond resistance to restraint minimization : a case study of change management in aged care, Worldviews on evidence-based nursing, vol. 6, no. 4, pp. 210-218, doi: 10.1111/j.1741-6787.2009.00162.x.

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Title Moving beyond resistance to restraint minimization : a case study of change management in aged care
Author(s) Johnson, Susan
Ostaszkiewicz, JoanORCID iD for Ostaszkiewicz, Joan
O'Connell, Beverly
Journal name Worldviews on evidence-based nursing
Volume number 6
Issue number 4
Start page 210
End page 218
Total pages 9
Publisher Blackwell
Place of publication [Oxford, England]
Publication date 2009
ISSN 1545-102X
Keyword(s) restraint minimization
change management
residential aged care
quality improvement
research integration
emergent approach
implementation strategies
Summary Aim: This case study describes a quality initiative to minimize restraint in an Australian residential aged care facility.

Approach: The process of improving practice is examined with reference to the literature on implementation of research into practice and change management. The differences between planned and emergent approaches to change management are discussed. The concepts of resistance and attractors are explored in relation to our experiences of managing the change process in this initiative. The importance of the interpersonal interactions that were involved in facilitating the change process is highlighted.

Recommendations are offered for dealing with change management processes in clinical environments, particularly the need to move beyond an individual mind-set to a systems-based approach for quality initiatives in residential aged care.
Language eng
DOI 10.1111/j.1741-6787.2009.00162.x
Field of Research 111001 Aged Care Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2009, Sigma Theta Tau International
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Document type: Journal Article
Collection: School of Nursing and Midwifery
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