This practical and popular text explores how nurses can serve as agents of change in the drive towards better working practice. The second edition has been expanded and updated to reflect new research on managing change in nursing practice and the recent developments in NHS legislation. This book includes material on stress release methods ranging from counselling to massage, the changing role of trade unions, why nurses should change practice,the benefits to patients, clinical leadership and clinical supervision. As well as exploring the concept of change theory and discussing how change might be applied to nursing at a clinical level, the many cases studies illustrate practical examples of 'how to' change nursing practice.