Effective change management within an Australian community palliative care service

British Journal of Community Nursing
Angie DredgeScott King

Abstract

This article attempts to examine and explore the change management process that was undertaken by the community palliative care service at Calvary Health Care Bethlehem, Australia, to challenge the historical practice of prescribing 'emergency subcutaneous medications' for all patients admitted to the service. It discusses how, using a team approach, change management was effectively facilitated to ultimately enhance service provision and consumer satisfaction. Literature (both national and international) was examined to identify the use of emergency medications in the community palliative care setting. The historical practice of all community palliative care patients being prescribed this medication within the Victoria region of Australia was tested, and concerns and misconceptions of staff and referrers were challenged in regards to this practice. Through working parties, descriptive surveys and staff evaluations, the use of the term 'emergency medication' was changed to 'anticipatory medication' with clear criteria for usage. Change was undertaken slowly and with continued collaboration of staff to ensure effectiveness. Staff survey results identified that the majority were satisfied with the change, and they considered ther...Continue Reading

References

Mar 17, 2009·Journal of Palliative Medicine·Margaret F BishopIra Byock
Mar 31, 2009·Journal of Palliative Medicine·Vyjeyanthi S Periyakoil
Jul 25, 2009·Journal of Palliative Medicine·Suzanne M WowchukHarvey Max Chochinov
Nov 6, 2009·Nursing Ethics·Anne Arber, Ann Gallagher
Mar 5, 2014·Journal of Palliative Medicine·Eric RoelandKathryn Thornberry
Mar 20, 2014·BMJ Supportive & Palliative Care·Christina FaullMichael Hudson
Jun 3, 2014·The Medical Journal of Australia·Margaret O'ConnorBrian H Le

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