This learning activity equips nurse leaders with essential change management competencies for today's evolving healthcare environment. Participants explore foundational frameworks including Lewin's Three-Stage Model, Kotter's Eight-Step Process, and IHI's PDSA methodology while examining contemporary trends such as AI integration, value-based care, and digital transformation. The activity analyzes barriers to change and presents evidence-based strategies including stakeholder engagement, transparent communication, and dialogic leadership. Through a heart failure readmission case study, learners develop skills in designing implementation plans with assessment, measurement, and sustainability components. The activity concludes with self-reflection on personal leadership styles, emphasizing emotional intelligence and continuous development as critical competencies for leading organizational transformation while maintaining commitment to patient safety and quality.