Preview

change management

Powerful Essays
Open Document
Open Document
2453 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
change management
Change Theories in Nursing
X

Ngozi Oguejiofo
Ngozi Oguejiofo has been writing on a freelance basis since 2009 and most of her writings are focused on health. She is currently a registered nurse. She is interested in teaching, and writes articles focused on student nurses for various online publications.
By Ngozi Oguejiofo, eHow Contributor

Print this article
Change means making something different from the way it was originally. Change may be planned or unplanned. Unplanned changes bring about unpredictable outcomes, while planned change is a sequence of events implemented to achieve established goals. In nursing a change agent is a person who brings about changes that impact nursing services. The change agent may be a nurse leader, staff nurse or someone who works with nurses. Change theories are used to bring about planned change in nursing. Nurses and nurse leaders must have knowledge of change theories and select the right change theory as all the available change theories in nursing do not fit all nursing change situations.
Related Searches:

1.
"Dosimeter" is Copyrighted by Flickr user: ...eagan under the Creative Commons Attribution license.
Lewin's Change Theory
Kurt Lewin's change theory is widely used in nursing and involves three stages: the unfreezing stage, moving stage, and refreezing stage. Lewin's theory depends on the presence of driving and resistant forces. The driving forces are the change agents who push employees in the direction of change. The resistant forces are employees or nurses who do not want the proposed change. For this theory to be successful, the driving force must dominate the resistant force.
Rogers' Change Theory
Everette Rogers modified Lewin's change theory and created a five-stage theory of his own. The five stages are awareness, interest, evaluation, implementation and adoption. This theory is applied to long-term change projects. It is successful when nurses who ignored the proposed change

You May Also Find These Documents Helpful

  • Good Essays

    But this also serves as a punishment in their work environment that leads to high rates of turnover. According to the study; 1 out of 5 nurses turnover cause big problems in health care when nurses are not satisfied with their jobs (Blair, 2014). Transformational leadership practice implementation increases reflective and flexible leadership style proven effective through shared responsibilities, strong cooperation, promotion of moral values and accepting their ideas. This often, led to sustainable operation and supportive environment. Therefore, transformational leadership in nursing is highly adoptable and recommended to increase the quality of care in nursing…

    • 462 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Bedside Shift Reporting

    • 1866 Words
    • 8 Pages

    Although change is hard when confronted with a new way doing something we are accustomed to it is important to know how it will change the flow of the floor. It is also important to have a plan. In changing end of shift report styles, there has to consistency throughout all nursing staff. As in Lefton’s (2007) article on change, she states that nurses and nurse managers need to have a plan but also be flexible in implementing it. She also states that with a large change is it important “to be proactive, highly involved, and have an open door policy” (Lefton, 14) with any problems that may arise. On every floor, there may be resistance to any change and difficulties in adapting to it. Just like in life, nurses must be patient and know that it in the long run it may be better for the patient and continue to be a best practice for care. Patients who make frequent visits to the hospital may also notice the change with bedside reporting. Nurses may help put the patient at ease by showing cohesiveness between the off going and the on coming nursing staff. Patients are also able to take part in their own care by asking questions and knowing what their plan of care is during their time in the hospital. After all, being…

    • 1866 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Chamberlain Nursing

    • 1231 Words
    • 5 Pages

    | Date: July 21,2013 | Your Instructor’s Name: Jill Price | Purpose: To identify a problem or concern that nursing can change and select key words for a literature search.…

    • 1231 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    Ward, MS, Rn C, K. (2002). A Vision for Tomorrow: Transformational Nursing Leaders. Nursing Outlook, 50(3), 121-126.…

    • 894 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Conclusion Based on the 2010 IOM Report, our nation is more than capable of accomplishing a complete reformation of our healthcare that will maximize the availability, accessibility, and quality of care given to patients. Nurses, especially, have the opportunity to play the most vital role in the reformation process. Changes in nursing education, nursing practice, and the increase in nurse leadership roles are only a few of the ways change can…

    • 887 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Your Instructor’s Name: Purpose: To identify a problem or concern that nursing can change and develop a PICO question to guide the change project.…

    • 1126 Words
    • 4 Pages
    Good Essays
  • Good Essays

    IOM Report On Nursing

    • 674 Words
    • 3 Pages

    Nursing profession is the largest division of the healthcare employees. Nurses play an important role when it comes to patient care. There are many obstacles that prevent nurses from being able to respond effectively to constantly changing healthcare system and to make changes and advance health, these obstacles need to be overcome. The Robert Wood Johnson Foundation along with Institute of Medicine (IOM) proposed to assess the need to transform the nursing profession in 2010. The report included making…

    • 674 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Hi Craig, this nursing change intervention is great. It is always the best way to prevent, it's cheaper. Prevention is the best treatment. The nursing theory sounds like it supports your nursing change intervention well. Giving each patient the best and safest care is our number one goal as a nurse on the floor as they rely their health to us. A good nurse will contribute to the success and stability of healthcare institutions and to the mental and physical wellbeing of their…

    • 84 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    This report will review the impact of the Institute of Medicine (IOM) 2010 Report on the future of Nurses leading change by education, Nursing Practice in primary care, changing Nursing Practice to meet to IOM Report goals and impact on Nurse’s in leadership roles for the future. The future of Healthcare is ever changing. In 2008, a report was made that provided a two year look at keeping up with the ever changing Healthcare changes and overhaul needed. The report was created by Robert Wood Foundation (RWF). RWF saw the future needs that are here with the increase aging population,…

    • 999 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Nursing as a profession is the largest component of the healthcare workforce in America. There are 3 million Registered Nurses in the country, and the Healthcare settings have been changing since the “2010 Affordable Care Act” (ACA). Nurses are the most influential in this fundamental transformation. However, a number of obstacles prevent nurses from being up to the professional code in their responsibilities and practices in the changing Healthcare environment, and these hurdles need to be jumped to lead change and advance health (IOM Report, 1)…

    • 1090 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Team and Team Processess

    • 983 Words
    • 4 Pages

    The case study clearly sets the two nurses experiences apart. Nurse A was part of a team that embraced the change, took the right steps to implement the change and understood the advantages of adopting this new technology. Effective communication and coordination among team members might have been the reason why they felt empowered and safe to speak up when something was…

    • 983 Words
    • 4 Pages
    Good Essays
  • Better Essays

    When thinking of change, consider policies, processes, procedures, products and personnel”. (Lehman, K, V. 24, 2008) One of the ways hospitals can help their nurses go back to school and obtain their degree is to plan resources that will be available to help them be successful. If hospitals could help remove the barriers it would help encourage the nurses to go back to school.…

    • 896 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Change Is Grow Case Study

    • 351 Words
    • 2 Pages

    Change Is Growth Any major change on the nursing care environment, such as adoption of a nursing model of care, requires ongoing support and reinforcement in order to maintain the benefits of such change. The process of implementing Johnson’s nursing model would take time and that using a strategy of making new changes, providing education, and then reinforcing the change, would afford the most success with nursing staff. Nursing rounds would also be facilitated, using this model as a guide. Advanced practice nurses and unit based nurse educators will modify their job descriptions so they reflect nurse competencies of the nursing model. This model will focus on a process of moving the field to accept change, incorporate science into practice,…

    • 351 Words
    • 2 Pages
    Good Essays
  • Best Essays

    Shirey, M. (2013). Lewin’s Theory of Planned Change as a Strategic Resource. JONA: The Journal of Nursing Administration, 43(2), pp.69-72.…

    • 3271 Words
    • 10 Pages
    Best Essays
  • Good Essays

    In this theory, Lewin described the change process in three phases, unfreezing, movement and refreezing. During the first step, the existing situation was routine and boring. At this stage motivation to bring the change was used in order to achieve unfreezing. The second step in Lewin’s three step change theory is movement. In this stage, the action was taken which is persuading the nurse educator to implement the change. The final step is refreezing, which means that the action has been implemented and enforced by the unit policy. The second change theory that applies to this situation is the theory of planned behavior. The aim of this theory is to predict the individuals’ intention to engage in a behavior. The major factor that contribute to this theory is perceived behavioral control on the important skills or resources to implement the behavioral change (Kritsonis,…

    • 492 Words
    • 2 Pages
    Good Essays