Describe a change you have encountered in your nursing experience
Discuss: Change Theories Discussion
Step 1 Post your response to the discussion board.
Describe a change you have encountered in your nursing experience and answer the following questions:
What change theory was used to implement the change?
How were staff prepared for the change?
Was there resistance to the change and how was this overcome?
Was the change successfully implemented?
What other change theory could have been used in the situation? Explain why this theory would also be appropriate for this situation.
Step 2 Read other students’ posts and respond to at least two of them by Friday at 11:59pm Mountain Time.
Use your personal experience, if it’s relevant, to help support or debate other students’ posts. In your responses, provide your peers with one additional strategy from the change theory that could facilitate the change for staff members. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.
Peer Discussion 1 (Kristen)
We recently had a change with the process of PPE and how we care for patients who possibly have COVID. The theory that best describes this change is the Lippitt’s Model of Change. “Communication skills, rapport building, and problem-solving strategies are the basis for the phases” (Pearson, n.d.). The problem was identified. Then, resources were considered to bring on this change. Everyone had a responsibility to being involved with this change and also maintaining the change. Much of the staff were prepared for this change but, there was much resistance to the change. Many of the nurses did not agree that after 4 months of caring for possible COVID patients and using certain PPE why all of a sudden, we were now required to wear more PPE at all times. After having a discussion with the director, it became clear to the nurses who were first resistant on this change. Now, the change is successfully implemented and everyone abides by the change. Another theory that could have been used in this situation is Havelock’s Model. “Havelock describes an active change agent as one who uses a participative approach” (Pearson, n.d.).
Pearson. (n.d.). TOPIC 01: Change Theories. Retrieved July 20, 2020, from https://media.pearsoncmg.com/pls/us/edaff/13236026…
Peer Discussion 2 (Sarah)
Change is good and change is inevitable. The way health care is provided, organized, funded, and delivered is constantly changing as well; new ideas, continued research, and advancing technology offer new, more efficient, and improved ways of providing the best care to the patients we hope to serve. As nurses we need to embrace and accept change. Although there are many, one experience that comes to mind where I experienced a big change occurred was when I was a new nurse; the hospital I was working for was transitioning from paper charting to electronic medical records and charting. Prior to electronic medical records and computerized charting, I was only familiar with charting on paper. This was a big change for not only myself, but for everyone in the hospital.
The change theory used for this change was probably the Lewin’s Process of Change theory. In this theory, Lewin uses a force-field model where change is facilitated by a driving force that is navigating participant’s in a desired direction. Planning and implementing change utilizing this theory requires the driving forces of the proposed change and the participants to go through a three- step change process: unfreezing, moving, and refreezing (“The change,” 2020). Historically, this has been a reliable and successful change model used in healthcare settings. Furthermore, “the image of people’s attitudes thawing and then refreezing is conceptually useful in keeping both the theory of change and the reality of the change process in mind” (“The change,” 2020, p. 6).
Although there was some resistance, and probably fear of the unknown, the staff was prepared as much as possible before the initial “Go Live”. At that time, electronic medical records were a very foreign idea. Nursing is complicated and busy enough without adding a whole new way of charting, documenting, and communicating. We had several months of in-services, practice modules, and communication surrounding this new method of documenting. Additionally, each unit was provided both on-site IT assistance and “super-users” for the first few weeks and months after the “role-out” to assist with questions, concerns, and trouble shooting. Change is hard, but change is necessary. The change was successfully implemented, and now, all these years later, it is hard to imagine what it was like prior to electronic medical records. Another theory that could have been for this situation is Lippett’s Model of Change. Lippett’s theory extends itself from Lewin’s model emphasizing the “participation of key members of the target system throughout the change process, particularly during planning. Communication skills, rapport building, and problem-solving strategies are the basis for the phases” (“The change,” 2020, p. 8).
The change process (2020). Denver College of Nursing. Retrieved from https://media.pearsoncmg.com/pls/us/edaff/13236026…
Discussion: Change Theories Discussion
Discussion: Change Theories Discussion
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