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Leading and managing change in nursing

Module titleLeading and managing change in nursing
Module codeNURM110
Academic year2023/4
Module staff

Professor Richard Kyle (Lecturer)

Duration: Term123
Duration: Weeks




Number students taking module (anticipated)


Description - summary of the module content

Module description

This module focuses on the effectiveness of complex care processes, organisation and delivery, leadership, quality improvement and patient safety. It will bring together Exeter’s seven pillars of nursing to advance your knowledge, skills and behaviours. It is crucial to prepare you for the future of nursing so will emphasise the proactive leadership role of nurses in the interdisciplinary setting. Through the development of  critical thinking skills and the promotion of reflective practice you will expand your knowledge and skills and maintain a commitment to embodying excellence in your professional development as a registered nurse.

Module aims - intentions of the module

  • You will apply the knowledge from this module to support your transition to professional nursing and Adult Nurse Registration with the NMC.
  • The module supports your academic and professional development as a nurse with its various forms of assessment: essays, reflection, service improvement proposal presentation,  and develop distinct transferable skills: academic writing; identifying and reviewing relevant literature; e-learning; extracting the most relevant content and expressing it in brief form; working as part of a group and communicating complex data to an audience in an accessible form; becoming a proactive leader of safe quality nursing care and the management of your own learning and development.
  • You will demonstrate and embody excellence in nursing knowledge and care in complex situations.
  • You will develop as a proactive leader; understanding and applying theory to your practice to ensure patient safety.  

You will fully integrate Exeter’s seven pillars of nursing into your academic practice as indicated below:

Fundamental essentials of nursing care:you will consider the legal, ethical and accountability issues involved with prescribing and develop knowledge around pharmacodynamics and pharmacokinetics to prepare you for future prescribing practice. The focus will be, enhancing patient safety and provision of excellent quality care. You will learn to manage, supervise and evaluate the fundamentals of nursing care delivery and enabling effective self-management. F

Patient and public involvement:you will apply the principle of “nothing about us without us” and demonstrate the ability to accurately assess a person’s capacity to make sound decisions about their own care and to give or withhold consent. This pillar becomes increasingly sophisticated and integrated with evidence for practice during this module and includes the impact of policy. PPI

Evidence for practice:as an Exeter nurse you will start to produce evidence for practice, you will consider the contribution of quality improvement models, tools and strategies to enhancing patient safety and the provision of quality care. You will make strong conceptual links with the development, testing, evaluation and implementation of complex nursing and other healthcare interventions, and appreciate the centrality of public involvement in service improvement and health services research. E

No health without mental health:this pillar enables you to consider decision making in challenging situations while providing holistic care by involving and advocating for individuals, families and carers. You will provide and support evidence based low intensity interventions for common mental health conditions. MH

Leadership and management:you will be leading on care management, supervising and delegating care, teaching and providing feedback to others. You will be able to debate the leadership challenges involved in partnership working with service users, carers’ families and agencies with complex multi-faceted needs. Leadership is a critical focus as you develop your professional capabilities and achieve an understanding of the operationalisation of health services, including developing a business case underpinned by an application of financial management processes. You will engage in relationship management to include performance management and resource management. LM

Global health:this pillar will enable you to appraise and apply information about health outcomes when supporting people and families to manage their healthcare needs and make important health choices. You will understand the evidence for behavioural change and public health initiatives whilst enabling people to make their own informed personal decisions. GH

Ethics and Professionalism: The Exeter Nurse will demonstrate commitment to professional values - including social justice - and to the flourishing of individuals, families and communities. The Exeter Nurse aspires always to do the right thing and to be of good character (E & P)


Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

  • 1. Critically analyse the leadership challenges involved in interdisciplinary team working; and partnership working with service users, carers, and families with complex multi-faceted needs. L&M; E; PPI, E&P
  • 2. Supervise and teach and critically evaluate teaching strategies used with students, colleagues and stakeholders to ensure quality fundamental care is achieved by providing constructive feedback. F; L&M
  • 3. Critically appraise and apply information about health outcomes when supporting people and families to manage their physical and mental health care needs helping them to make informed health choices. GH; PPI; MH; E, E&P

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

  • 4. Identify, assess and evaluate the contribution of quality improvement models, tools and strategies to enhancing patient safety and the provision of quality care. L&M; E; F
  • 5. Interpret policies, principles and processes of performance management and their application to leadership roles in nursing. L&M
  • 6. Develop a service improvement proposal by using and producing research, identifying strategic context, analysis, recommendations of improvement, change management, capacity building and implementation of identified change. L&M; E

ILO: Personal and key skills

On successfully completing the module you will be able to...

  • 7. Critically appraise the influence of resilience and emotional intelligence in communication, produce clear accurate and timely records, and confidently contribute to the interdisciplinary team. F, E&P
  • 8. Demonstrate proficiency at accessing and using digital literacy to inform safe, quality nursing care. F

Syllabus plan

Syllabus plan

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:

The module consists of a mixture of interactive lectures, workshops, seminars, and Massive Open Online Course (MOOC).


Indicative content  for this module includes:

To support the pillars: patient and public involvement, fundamental essentials of nursing care, no health without mental health, ethics and professionalism and global health,the Exeter nurse will learn essential evaluative skills and be able to compare and contrast systems of care, quality assurance mechanism including an awareness of human factors. [CM1] 


The theory content for this module reflect the pillars fundamentals of nursing care, evidence for practice and leadership and management. You will consider leadership principles and concepts in relationship management of people with complex, diverse healthcare needs.

  • Multi-disciplinary team working and collaboration
  • Quality improvement models, tools and strategies
  • Change management
  • Service Improvement proposal development
  • Managing conflict
  • Resource management
  • Coaching, teaching and giving constructive feedback

These hours contribute to the NMC and EU Directive requirement of 2,300 of learning hours. This module equates to 412 hours, rather than the nominal hours associated with a standard undergraduate 30 credit module.

Learning and teaching

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled learning and teaching activities76Problem based Learning
Scheduled learning and teaching activities28Lectures
Scheduled learning and teaching activities16Seminars
Scheduled learning and teaching activities69Leadership MOOC study
Guided independent study123Preparation for assessments
Guided independent study100Reading and preparation for sessions


Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Interdisciplinary team workshop1 session 2 hours1,2,7Verbal feedback

Summative assessment (% of credit)

CourseworkWritten examsPractical exams

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Poster on service improvement40A1 poster (with guidance on font and presentation style)1-8Written and verbal feedback
Presentation on service improvement6020 minutes plus 5 minutes questions and answer session1-8Written and verbal feedback


Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
Poster on service improvementPoster on service improvement (A1 poster)1-8Up to 4 weeks after results
Presentation on service improvement (60%)Presentation on service improvement (20 minutes plus 5 minutes questions and answer session)1-8Up to 4 weeks after results

Re-assessment notes

Students must pass all items of assessment and demonstrate professionalism and Fitness to Practice to progress to be recommended for professional registration with the NMC as an Adult Nurse. 


Indicative learning resources - Basic reading

Alligood, M.A. (2018) Nursing Theorists And Their Work, Elsevier.

Blank, R.H., Burau, V., & Kuhlmann, E. (2017) Comparative Health Policy (5th ed.) Macmillan International.

Bradshaw, T., and Mairs, H. (eds.) (2017) Health Promotion and Wellbeing in people with Mental Health problems, Sage publications.

Edelman, C.L., & Kudzman, E.C. (2018) Health Promotion Across the Life span, Elsevier. 

Griffith, R., & Tengath, C. (2017) Law and Professional Issues in Nursing: Transforming Nursing Practice, Sage.

Jasper, M., Rosser. M., Mooney, G. (2013) (eds.) Professional Development, Reflection and Decision Making in Nursing and Health Care. Wiley Blackwell.

Kim, M., & Mallory, C. (2017) Statistics for Evidenced Based Practice in Nursing (2nd ed.) Jones and Bartlett.

Naidoo, J., and Wills, J. (2016) Foundations for Health Promotion, Elsevier.

Polit, D.F., and Back, C.H. (2017) Essential of Nursing Research: Appraising Evidence for Nursing Practice. Wolters Kluwer.

Papadopoulos, I. (ed.) (2006) Transcultural Health and Social Care; Development of Culturally Competent Practitioners, Butterworth Heinemann.

Richards, D.A., and Hallberg, I.R. (eds.) (2015) Complex Interventions in Health. Routledge.

Schon, D.A. (2006) the Reflective Practitioner: How Professionals Think in Action. Ashgate.

Schmidt, N.A., & Brown, J.M. (2017) Evidenced based Practice for Nurses: Appraisal and Application of research, (4th ed.), Jones and Bartlett.

Sethia, B., and Kumar, P. (eds.) (2019) Essentials of Global Health, Elsevier.

Stanley, D. (ed.) (2017) Clinical Leadership in nursing and Healthcare: Values into Action, (2nd ed.) John Wiley& Sons, available at

Tashiro, J., Shimpuku, Y., Naruse, K., et. al., (2013) Concept analysis of reflection in nursing professional development. Japan Journal of Nursing Science 10(2):170-179 available at:

Watson, C. (2018) The Language of Kindness: A Nurse’s Story. Chatto & Windus.

West, M.A., Armit, K., Loewenthal, L., Eckert, R., West, T., and Lee, A. (2015) Leadership and Leadership development in healthcare: The Evidence base. The King’s fund/CCL. Available at

Wright, K.M., and McKeown, M. (2018)  Essentials of Mental Health Nursing, Sage Publications


Indicative learning resources - Web based and electronic resources

Department of Health:

Nursing and Midwifery Council: 

NHS Improvement:

NHS Leadership Academy:

Royal College of Nursing:

National Institute of Health and Clinical Excellence:

World Health Organisation:

Healthtalk online:

WeNurses (@WeNurses) · Twitter:
The King’s Fund:

Module has an active ELE page

Indicative learning resources - Other resources



American Journal of Nursing

British Journal of Community Nursing

British Journal of Nursing

Evidence-based Nursing

International Journal of Nursing Studies

Journal of Advanced Nursing

Journal of Clinical Nursing

Journal of Psychiatric and Mental Health Nursing

Nursing Ethics

Nursing Management

Worldviews on Evidence Based Nursing

Key words search

Leadership, Management, Accountability Professionalism  

Credit value30
Module ECTS


Module pre-requisites

NUR1000, NUR1100, NUR2000, NUR2100, NUR3000, NUR3150, NUR3300, NUR3400, NUR3500

Module co-requisites


NQF level (module)


Available as distance learning?


Origin date


Last revision date