Emergent Change

Journal Article

Luiking, M. L., van Linge, R., Bras, L., Grypdonck, M., & Aarts, L. (2015). Intensive insulin therapy implementation by means of planned versus emergent change approach. Nursing in critical care.


Prospective comparative study introducing a new insulin protocol in an ICU in the Netherlands. Measurement of compliance within two teams of nurses.


Looks at Emergent Change (EC) implementation versus Planned Changed (PC) implementation.

  • EC-implementation involves a new working method protocol with the nursing team driving improvements and change.
  • PC-implementation involves a new working method driven by management in a centrally directed “top-down” manner.


EC-implementation change process had improved nurse compliance and shorter time to achieve treatment objective.

Key Points

  • Translation of evidence base into practice and that nurses frequently need to change working practices.
  • Organisational culture of change.
  • Transformative change.
  • Engagement of the team is required for effective change implementation.
  • The team find ways to achieve goals and standards.


For those interested in the glucose control and insulin discussion, I would advise reviewing NICE-SUGAR and VISEP trials for current evidence based approach. This article was used for its fantastic change management merits.

For critiquing articles Joanna Briggs Institute and BestBets.

Facilitating Emergent Change in a Healthcare Setting: Dr. Peter Dickens

Book List for Nurse Educators

As we write this blog we will endeavour to keep a reading list of books we have found interesting. Take a look at some inspiring reading lists from Bill Gates and Goodreads.


Books: in no particular order

Knowles, M. S., Holton III, E. F., & Swanson, R. A. (2014). The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development. Routledge.

Bowden, J., & Marton, F. (2004). The University of Learning. Psychology Press. [sample here]

Hendry, R. (2010). Building and Restoring Respectful Relationships in Schools: A guide to using restorative practice. Routledge, [sample here]

Taleb, N. N. (2007). The Black Swan: The impact of the highly improbable. Random House.

Senge, P. M. (1990). The Fifth Discipline. The Art & Practice of Learning Organization. Doupleday Currence, New York. [sample here]

McCormack, B., Manley, K, & Garbett, R. (2008). Practice Development in Nursing. [sample here]

Price, D. (2013). OPEN: How we’ll work, live and learning the future. Crux Publishing Ltd. [sample here]

Biggs, J., & Tang, C. (2011). Teaching For Quality Learning At University (4th ed.). Maidenhead: McGraw-Hill Education. [sample here]

Covey, S. (1989). The Seven Habits of Highly Successful People. Fireside/Simon & Schuster. [sample here]

Wenger, E. (1998). Communities of Practice: Learning, meaning, and identity. Cambridge university press. [sample here]

Drucker, P. (2007) The Practice of Management. revised edn, Butterworth-Heinemann. [Goodreads blurb]

Quinn, F. M. (2000). The Principles and Practice of Nurse Education. Nelson Thornes.

Crawford, M. B. (2009). Shop Class as Soulcraft: An inquiry into the value of work. Penguin. [sample here]

Brown, P. C., Roediger, H. L., & McDaniel, M. A. (2014). Make It Stick. Harvard University Press. [Goodreads blurb]

Oakley, B. (2014) A Mind for Numbers: How to Excel in Math and Science (Even if You Flunked Algebra). Penguin. [Goodreads blurb]

von Glasersfeld, E. (2013). Radical Constructivism. Hoboken: Taylor and Francis.

Mesko, B. (2014). The Guide to the Future of Medicine: Technology and the human touch. Webicina kft. [link to free chapter]

Rungapadiachy, D. M. (1999) Interpersonal communication and psychology for health care professionals. Theory and practice. Oxford: Butterworth-Heinemann.

De Botton, A. (2010). The Pleasures and Sorrows of Work. Emblem Editions. [Goodreads blurb]

Killen, R. (2006). Effective teaching strategies: Lessons from research and practice. Cengage Learning Australia.

Foucault, M. (1998). The History of Sexuality: The Will to Knowledge. London, Penguin. [Goodreads blurb]

Illich, I. (1971). Deschooling Society. New York, 56.

Bastable, S. (2014). Nurse as educator: Principles of teaching and learning for nursing practice (4th ed.). Burlington, MA: Jones & Bartlett Learning. [link to 2nd edition]

Freire, P. (2000). Pedagogy of the oppressed. Bloomsbury Publishing.

Goleman, D. (2006). Emotional Intelligence. Bantam. [Goodreads blurb]

Hattie, J. (2012). Visible learning for teachers: Maximizing impact on learning. Routledge. [Goodreads blurb]

Heron, J. (2001). Helping the client: A creative practical guide. Sage.

Wildavsky, B. (2012). The Great Brain Race: How global universities are reshaping the world. Princeton University Press. [Chapter 1]

Harding, L. (2014). The Snowden Files: The inside story of the world’s most wanted man. Guardian Faber Publishing. [sample here]

Levett-Jones, T. (Ed.). (2018). Clinical reasoning: Learning to think like a nurse. Pearson Australia.

Elliott, C. (2010). White coat, black hat: adventures on the dark side of medicine. Beacon Press [GoodReads Review]

Rogers, E. M. (1995) Diffusion of innovations. (5th ed.) Simon and Schuster, New York, USA. [summary article]

Creswell, J. W. (2012). Educational research: Planning, conducting, and evaluating quantitative. Upper Saddle River, NJ: Prentice Hall. [Link to 4th edition]

Gladwell, M. (2008). Outliers: The Story of Success. Hachette UK. [sample here]

Peters, S. (2013). The Chimp Paradox: The Mind Management Program to Help You Achieve Success, Confidence, and Happiness. Tarcher.  [Goodreads blurb]

Pallant, J. (2013). SPSS survival manual. McGraw-Hill Education (UK).

Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics. Allyn & Bacon/Pearson Education.

Orwell, G. (1945). Animal Farm. New American Library.

Orwell, G. (1950). 1984. New American Library.

Isaacs, W. (2008). Dialogue: The art of thinking together. Crown Business. [GoodReads review]

Tezuka, O. (2008). Black Jack (Vol. 1: Translated). Vertical. [GoodReads review]

Tezuka, O. (2008). Black Jack (Vol. 2: Translated).

Bandura, A. (1977). Social learning theory. Englewood Cliffs, N. J.: Prentice-Hall.

Rowling, J. K. (2013-2015). Harry Potter Series (Vol. 1-7). Bloomsbury Publishing.

Ones to Read

  1. 2019: Mix it up and read some classics (Collins, Dickens, Stevenson) and the Harry Potter series. Balance work-life relaxing time a little better.
  2. McChrystal, G. S., Collins, T., Silverman, D., & Fussell, C. (2015). Team of teams: New rules of engagement for a complex world. Penguin.
  3. Herrman, J. (2015). Creative Thinking Strategies for the Nurse Educator (2nd ed.). Philadelphia: F. A. Davis Company.
  4. Sweller, J., Ayres, P., & Kalyuga, S. (2011). Cognitive Load Theory (Vol. 1, Explorations in the Learning Sciences, Instructional Systems and Performance Technologies). New York, NY: Springer New York.
  5. Van Wulfen, G. (2013). The Innovation Expedition: A visual toolkit to start innovation. Bis.
  6. Ankel, A. & Sherbino, J. (2018). Adaptive Leadership For The New MedED: The one hour read.
  7. ALiEM. (2018). Education Theory Made Practical (Volume 2): An ALiEM Faculty Incubator eBook Project.
  8. St. Pierre, M., Hofinger, Gesine, & Simon, Robert. (2016). Crisis management in acute care settings : Human factors and team psychology in a high-stakes environment (3rd ed. 2016.. ed.).
  9. Duggan, L. V. (2018). Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance-A handbook for acute care health professionals. Canadian Journal of Anesthesia/Journal canadien d’anesthésie65(1), 139-140.
  10. Delany, C., & Molloy, Elizabeth. (2018). Learning and teaching in clinical contexts : A practical guide.