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Improving the processes of patient care to improve outcomes Essay Improving the processes of patient care to improve outcomes is fundamental to quality patient care and requires skills in change management. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 3). Jones Bartlett Learning. Kindle Edition. The term innovation, rather than change, is often used to gain attention and infer that something new and special is happening. One of Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 4). Jones Bartlett Learning. Kindle Edition. the reasons there are significant variations in the descriptions of change and innovation can be attributed to the various underlying assumptions about the environment and the nature of change. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 4). Jones Bartlett Learning. Kindle Edition. Linear change does not recognize the multiple, unanticipated human actions and communications that occur and the dynamic context in which the change is occurring. As a consequence, the linear perspective often becomes rigid, control driven, frustrating, and unsuccessful. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 5). Jones Bartlett Learning. Kindle Edition. The world is in continual motion, and movement occurs in more than linear ways. A change in one area can result in numerous, unanticipated changes in areas not considered. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 5). Jones Bartlett Learning. Kindle Edition. Interactions in a complexity perspective are characterized by creativity, interdependence, unpredictability, and collective knowledge. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 6). Jones Bartlett Learning. Kindle Edition. Change is †¦ †¢ Something new or different †¢ To make or become different †¢ To alter; to make different; to cause to pass from one state to another; as, to change the position, character, or Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 6). Jones Bartlett Learning. Kindle Edition. appearance of a thing; to change the countenance †¢ To alter by substituting something else for, or by giving up for something else; as, to change the clothes; to change one’s occupation; to change one’s intention †¢ To give and take reciprocally; to exchange; followed by with; as, to change place, or hats, or money, with another Source: Webster’s Dictionary (1991). Innovation is †¦ †¢ Anything that creates new resources, processes, or values or improves a company’s existing resources, processes, or values (Christensen, Anthony, Roth, 2004) †¢ The power to define the industry; the effort to create purposefully focused changed in Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 6). Jones Bartlett Learning. Kindle Edition. an enterprise’s economic or social potential Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 6). Jones Bartlett Learning. Kindle Edition. evidence-based practice, linkages between clinical practice and scientific standards, the quest for consistency, minimizing idiosyncrasies, and providing a scientific basis for policy construction are the basic reasons for a change in health care. Using an evidence-driven model serves to provide focus and organization of change initiatives; evidence-based practice is the platform for nurses’ work. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 10). Jones Bartlett Learning. Kindle Edition. chaos is normative in health care. Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 14). Jones Bartlett Learning. Kindle Edition. Personal knowledge and accountability for one’s own strengths and limitations specific to change and innovation, including technical capability and computer literacy †¢ Understanding the essence of change and innovation concepts as well as the tools of innovation †¢ The ability to collaborate and fully engage team members— that is, relational competencies Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 14). Jones Bartlett Learning. Kindle Edition. †¢ Competence in embracing vulnerability and risk taking Porter-OGrady, Tim; Malloch, Kathy. Leadership in Nursing Practice (p. 14). Jones Bartlett Learning. Kindle Edition.