Skip to main content

The NDU as a Strategy for Change within Ambulatory Care

  • Chapter
Innovations in Paediatric Ambulatory Care

Abstract

This chapter illustrates an important example of how organisational change in a paediatric outpatient department has given the opportunity to a group of professionals to review their practice and work through a process of change. The aim was to establish a team, enhance working relationships, empower staff and improve practice. Empowerment of the nurses would, it was believed, create a more mature and professional approach, which would enhance clinical competence and foster greater confidence in the empowerment of families and patients (Lowson, 1995).

For us who nurse, our nursing is a thing

Which unless we are making progress

Every year, every month, every week

Take my word for it we are going back

(Florence Nightingale, 1872)

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Broome, A. (1990) Managing Change. Essentials of Nursing Management, Ch. 4. (Basingstoke: Macmillan).

    Google Scholar 

  • Buchanan, D. and Boddy, D. (1992) The Expertise of the Change Agent, Ch. 4 (London: Prentice-Hall).

    Google Scholar 

  • COPD (1994) Unit Philosophy. (Department of Child Health, Southampton University Hospitals NHS Trust).

    Google Scholar 

  • Department of Health (1991) The Patient’s Charter. (London: HMSO).

    Google Scholar 

  • Hollingworth, A. (1995) Foreword. Second COPD NDU Review. (Southampton: COPD).

    Google Scholar 

  • Koch, H (1991) Total Quality Management in Health Care, Ch. 3. (London: Longman).

    Google Scholar 

  • Lowson, S. (1995) The growth of an NDU in a paediatric outpatient department. British Journal of Nursing, 4(1): 36–8.

    Article  Google Scholar 

  • Lowson, S., Glasper, A. and Campbell, S. (1992) Families first: the Southampton NDU. Paediatric Nursing, 4(8): 6–9.

    Google Scholar 

  • Lowson, S., Glasper, E.A., Manager, R. and Phillips, L. (1995) Developing a centre for health information and promotion. British Journal of Nursing, 4(12): 693–7.

    Article  Google Scholar 

  • Martin, J.P. (1984) Hospitals in Trouble. (Oxford: Blackwell).

    Google Scholar 

  • Pearson, A. (1988) What are Nursing Development Units? (London: King’s Fund).

    Google Scholar 

  • Pettigrew, A. (1985) The Awakening Giant: Continuity and Change in ICI. (Oxford: Basil Blackwell).

    Google Scholar 

  • Phillips, L. (1995) Enuresis in children. Nursing Times, 91(42).

    Google Scholar 

  • Salvage, J. and Wright, S.G. (1995) Nursing Development Units. (Harrow: Scutari Press).

    Google Scholar 

  • Smith, S.D., Pell, C., Jones, P., Sloman, N. and Blacknell, A. (1989) Management Challenge for the 1990s: The Current Education, Training and Development Debate. (Sheffield: Training Agency).

    Google Scholar 

  • Snow, C. and Willard, P. (1989) I’m Dying to Take Care of You. (Redmond: Professional Counsellor Books).

    Google Scholar 

  • Times (1996) Doctor condemns NHS Trust financing. Times, 17 May.

    Google Scholar 

  • Wright, S. (1992) Exporting excellence. Nursing Times, 88(39): 40–2.

    Google Scholar 

  • Wright, S. and Salvage, H. (1995) Nursing Development Units. A Force for Change, Ch. 2. (London: Scutari Press).

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Copyright information

© 1998 S. Lowson and S.A. Wright

About this chapter

Cite this chapter

Lowson, S., Wright, S. (1998). The NDU as a Strategy for Change within Ambulatory Care. In: Glasper, E.A., Lowson, S. (eds) Innovations in Paediatric Ambulatory Care. Palgrave, London. https://doi.org/10.1007/978-1-349-14367-2_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-349-14367-2_5

  • Publisher Name: Palgrave, London

  • Print ISBN: 978-0-333-68478-8

  • Online ISBN: 978-1-349-14367-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics