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The proposed change
The unit currently completes shift handoff at the nurses' station. This proposal moves handoff to the bedside so patients can participate, nurses can verify safety checks together, and discrepancies are caught at the start of the shift.
Unfreezing
Lewin's model begins by creating readiness for change (Lewin, 1951). The nurse manager will share unit data on handoff-related near misses, invite staff to name the barriers they expect, and recruit two respected staff nurses as change champions.
Changing
Staff will pilot a short, standardised bedside script for four weeks on one hallway. Champions will coach at shift change, and concerns about privacy will be addressed by agreeing which information is reviewed quietly at the computer instead. Creating early, visible wins helps keep momentum (Kotter, 2012).
Refreezing
After the pilot, the script will be added to orientation, audited monthly, and discussed at staff meetings until bedside report is simply how handoff is done.
References
Kotter, J. P. (2012). Leading change. Harvard Business Review Press.
Lewin, K. (1951). Field theory in social science: Selected theoretical papers (D. Cartwright, Ed.). Harper & Row.
