Nursing leadership and management
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Read Chapter 9 attached and create a 500 words essay answering the following. (please use at least 2 references and follow APA style)
1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.
a-Will you have to leave earlier to be in class on time?
b-Will you meet different people on your way to class?
c-See different sights?
d-Would you change your route to class on the day of the final exam?
e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.
2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death.
a-How did you react to the change?
b-Would you have reacted differently if you had had more information?
c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.
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Chapter 9 People and the Process of Change Copyright © 2015. F.A. Davis Company Change • A natural phenomenon • Macro- and micro-change Copyright © 2015. F.A. Davis Company The Process of Change • The comfort zone – Unfreezing – Change – Refreezing – Return to new comfort zone Copyright © 2015. F.A. Davis Company The Change Process Unfreezing Change Refreezing Comfort → Discomfort → New zone zone zone Copyright © 2015. F.A. Davis Company Sources of Resistance to Change • Technical concerns • Psychosocial needs • Position and power Copyright © 2015. F.A. Davis Company Receptivity to Change • Recognize differences in preferences for certainty. • Speak to people’s feelings. • Stories and Drama vs. Statistics. Copyright © 2015. Nursing leadership and management
F.A. Davis Company Resistance • Recognizing resistance • Lowering resistance – Information dissemination – Disconfirmation of currently held beliefs – Psychological safety – Command Copyright © 2015. F.A. Davis Company Dictating Change • Effective in many situations • Communicates a sense of urgency • Change may be rapid but without a lasting commitment Copyright © 2015. F.A. Davis Company Active Resistance to Change • • • • Attacking the idea Refusal to change Arguing against change Organizing resistance of other people Copyright © 2015. F.A. Davis Company Passive Resistance to Change • • • • Avoiding discussion Ignoring the change Refusing to commit to the change Agreeing but not acting Copyright © 2015. F.A. Davis Company Strategies to Overcome Resistance • • • • Point out similarities. Express approval. Recognize competence and skill. Provide assurance. Copyright © 2015. F.A. Davis Company Strategies • Suggest new opportunities.
• Express value of contributions. • Ensure involvement. Copyright © 2015. F.A. Davis Company Strategies (cont’d) • Provide opportunities for expression. • Allow time for practice. • Provide a climate of acceptance. Copyright © 2015. F.A. Davis Company Four Phases of Planned Change Design the change Plan the implementation Implement the change Integrate the change Copyright © 2015. F.A. Davis Company Design the Change Nursing leadership and management
• • • • • What is the purpose? Is the change necessary? Is the change technically correct? Will this work? Is there a better way? Copyright © 2015. F.A. Davis Company Plan the Implementation • Why is there resistance? • Is the resistance justified? • What can be done to prevent or overcome resistance? Copyright © 2015. F.A. Davis Company Implement the Change • • • • What is the magnitude? What is the complexity? What is the pace? What is the current stress level? Copyright © 2015. F.A. Davis Company Integrate the Change • Is the change integrated into everyday operations? • Are people comfortable with it? • Is it well accepted? Copyright © 2015. F.A. Davis Company Conclusion • Your leadership will influence how change is handled. • Change presents an opportunity for professional growth and development. • View change in a positive way. Copyright © 2015. F.A. Davis Company Nursing leadership and management