Abstract

In this paper we’ll discuss how change management affects hemodialysis improvement. As hemodialysis is a technology dependent method of End Stage Renal Disease (ESRD) treatment, it is obvious that the need of continuous revisions in health care practices and researches on staff training are significant factors for success. “Change” defined as an attempt to replace existing knowledge with new. Change achievement is not always a simple procedure. In this study we examine nurses and patients reactions on changes and how can we accomplish successful changes every time they are needed. We also examine how changes in role of health care team can lead the team to our final destination, which is to provide the best hemodialysis treatment we can. Leadership, communication, informing, planning, and adjusting are the main contents for successful change management. We believe that we can improve haemodialysis practices and health care by giving learning opportunities to our nurses. Nursing training development can help them to follow changes. On the other hand we can get our patients to come on board with us on any change by encouragement and consistent try. As Hereticus said, “Nothing that is, has to be just because it is.” Therefore, we should keep thinking about managing changes all the time!

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