Abstract
The final part of the series briefly explores key aspects of change theory and related communication skills that can be applied to improve management of change in relation to innovations in nurse prescribing practice. Change is an inevitable component of life and resistance to it is frequent. Even when innovations are welcome, and indeed an obvious improvement to services, changing practices within an organization inevitably encourages a cascade of responses. Conceptualizations of change such as Lewin's Stages of Change model (Lewin, 1952) and Roger's (1996) ‘Diffusion of Innovation’, can assist those in the midst of change to both understand it and manage it. Rather than simply directing that new directions in care delivery be implemented, it becomes obvious that a systematic, collaborative process is more likely to achieve success. This can begin by identifying organizational barriers that exist, providing relevant information and bringing together the multidisciplinary team to manage the change.
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