The initiative is the introduction of admission and discharge stickers with set parameters for a patient admitted to High dependency unit (HDU) and discharged to the general wards from the unit.

Question1: Describe the service improvement (SI) initiative within the context of the literature.

• It should be used to contextualize the need for the project.
• It provides evidence to underpin the rationale for the project.

Question2: An analysis of implementing the SIP within the context of Lewin’s Change Theory

Question3: Analysis of Managing and Leading the Change, skills used to manage and lead the change (literature from the clinical leadership perspective)

Question4: Consider the literature associated with the concept of conflict resolution.

Question5: Were there things/processes you would have managed differently? Is there any advice offered in the literature?

Question6: How to evaluate the SIP (Audit? Survey? Stakeholder feedback? How?)

Challenges: Resistance to Change, Surprise, Inertia, Misunderstanding and lack of skills, Emotional Side Effects, Lack of Trust, Fear of Failure, Personality Conflicts, Poor Timing, Lack of Tact, threat to Job Status/Security, Breakup of Work Group, Competing CommitmentsChange can disrupt employees in their pursuit of other goals.

Strategies to overcome resistance