NUR 630
Performance Improvement and Quality in Health Care
Topic 8 Discussion Question 1:
What two elements do you believe play the most significant role in sustaining change and why? Support
your answer with one or two references.
Sustaining change is the greatest obstacle following a successful change initiative. Change encourages
staff innovation for patient care, develops staff skill sets, improves staff morale, and leads to
opportunities (Kotter & Cohen, 2002). The two elements that play the most significant role in sustaining