Action change in New Zealand mental health nursing: One team's perspective.

This paper describes an attempt at effecting change with specific relevance to the discharge planning of clients from a New Zealand inpatient mental health unit to a community setting. It explores how a team of community mental health nurses, practising in an urban/rural area, used the concepts of practice development to endeavour to bring about change while still retaining a client-centred focus. However, in their enthusiasm, they embarked on the road to practice change without undertaking some of the essential ground work. Nevertheless, although they did not achieve all they set out to achieve, they learned much in the process. In this paper, the authors outline their key learning points concerning the importance of engagement, communication, consistency and cooperation to the process and outcomes of practice change. Copyright © 2007 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]