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Critiquing a Change Effort

Critiquing a Change Effort

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Critiquing a Change Effort

In order to promote efficient management of any given institution, the best approach entails coming up with strategies of managing organizational change. Change concepts generally involve innovation and introduction of something new into the organization. Therefore, organizational change focuses on improving the existing structures and involves activities that are aimed at strengthening and developing the organization efficiency and sustaining its subsistence (Battilana et al, 2010).

Recently my organization instituted a new health information system whose objective was to replace our old closed electronic health records with a new open health records system. This influenced my roles as a nurse by allowing me and other nurses to share and store relevant patients’ information at ease, share and reproduce information at the point of care, and ensure the care being provided adheres to the patients’ privacy and personal rights and HIPPA regulations (Grant et al, 2010). The rationale for this change was to replace the redundant closed system with an open system that allows sharing of ideas and pertinent data among caregivers (both internal and external). This modification would help nurses and other caregivers by making their work easier and in turn improve the provided healthcare outcomes by providing quality, patient centered, and evidenced based nursing care based on the stored information (Kumar, 2003). With the new system and its changes, the intended outcomes of promoting quality nursing care and eliminating issues of diagnostic errors have met, and at the moment, the issues of errors have significantly reduced by more than 75%. This is attributed to the mere fact that the new open system provides a detailed decision support system (DSS) that allows nurses and other caregivers to make decisions on matters exhibiting legal, ethical, and practice challenges during service delivery (Marquis & Huston, 2012).

The concepts of change management adopted are very credible and pertinent, and they are effective by the virtue of allowing the management to adopt a new techniques leading to new business hierarchies and inventive structures of addressing patient health needs through health information technology. Irrespective of the many advantages related with the new system, many personnel were reluctant to the changes (Battilana et al, 2010). The employees’ reluctance to accept the new changes could have been effectively handled by making the changes non-debatable or making it clear that change is not an alternative but a requirement. The process could have been improved by allowing the affected individuals to air their opinions and recommendations, making every individual responsible for his or her actions in regard to the change activity, and finally examining the success of implementation process at designed intervals (Kumar, 2003).

References

Battilana, J., Gilmartin, M., Sengul, M., Pache, A.-C., & Alexander, J. A. (2010). Leadership competencies for implementing planned organizational change. The Leadership Quarterly, 21(3), 422–438.

Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18(3), 326–331.

Kumar, A. (2003) .Change and Operations Management .New York: Cengage press.

Marquis, B. L., & Huston, C. J. (2012). Leadership roles and management functions in nursing: Theory and application (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

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Critiquing a Change Effort

Critiquing a Change Effort

As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change. Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.

To prepare:

  • Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.
  • Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?
  • How did the change affect your job and responsibilities?
  • Consider the results of the change and whether or not the intended outcomes have been achieved.
  • Was the change managed skillfully? Why or why not? How might the process have been improved?

Post  (1) a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. (2) Explain the rationale for the change, and whether or not the intended outcomes have been met. (3) Assess the management of the change, and propose suggestions for how the process could have been improved.

Readings

  • Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
    • Review Chapter 7, “Strategic and Operational Planning”
    • Chapter 8, “Planned Change”

      This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change
  • McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C.,  Baumgart, A.,  Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254-267 doi: 10.1097/QMH.0b013e31828bc37d

    An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.
  • Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32-37. doi: 10.7748/nm2013.04.20.1.32.e1013

    Abstract: Planned change in nursing practice is necessary for a wide range of reasons, but it can be challenging to implement. Understanding and using a change theory framework can help managers or other change agents to increase the likelihood of success. This article considers three change theories and discusses how one in particular can be used in practice.
  • Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69-72. doi:10.1097/NNA.0b013e31827f20a9

    Abstract: This department [manuscript] highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. With the goal of presenting practical approaches helpful to nurse leaders advancing organizational change, content includes evidence-based projects, tools, and resources that mobilize and sustain organizational change initiatives. In this article, the author explores the use of the Lewin’s Theory of Planned Change as a strategic resource to mobilize the people side of change. An overview of the theory is provided along with a discussion of its strengths, limitations, and targeted application.

Media

  • Laureate Education, Inc. (Executive Producer). (2012g). Organizational dynamics: Planned change and project planning. Baltimore, MD: Author.

    Note: The approximate length of this media piece is 9 minutes.

    In this week’s media presentation, experts discuss how today’s health care organizations can capitalize on the strengths of nurse leaders to plan for and navigate change effectively.

Optional Resources

  • Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia: Lippincott, Williams & Wilkins.
    • Chapter 9, “Time Management”
  • Batras, D., Duff, C., & Smith, B. J. (2014). Organizational change theory: implications for health promotion practice. Health Promotion International, Retrieved from MEDLINE with Full Text, EBSCOhost

    This article reviews select organizational change models to identify the most pertinent insights for health promotion practitioners.

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