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After reading the assigned case study, review the change theories…
After reading the assigned case study, review the change theories within the assigned readings, videos, and journal articles. Using these resources, identify steps to support the analysis for the solution to the issue in the case study. Identify and discuss the change processes, resistance to change and supporting change agents. Answer all 3 questions
What evidence of resistance to change can you find in this case study?
What kind of resistance to change did the staff members exhibit?
What could the director of nursing do to increase acceptance of this change?
CASE STUDY:
A large health-care corporation recently purchased a small, 50-bed rural nursing home. A new director of nursing was brought in to replace the former one, who had retired after 30 years. The new director addressed the staff members at the reception held to welcome him. “My philosophy is that you cannot manage anything that you haven’t measured. Everyone tells me that you have all been doing an excellent job here. With my measurement approach, we will be able to analyze everything you do and become more efficient than ever.”
The nursing staff members soon found out what the new director meant by his measurement approach. Every bath, episode of incontinence care, feeding of a resident, or trip off the unit had to be counted, and the amount of time each activity required had to be recorded. Nurse managers were required to review these data with staff members every week, questioning any time that was not accounted for. Time spent talking with families or consulting with other staff members was considered time wasted unless the staff member could justify the “interruption” in his or her work. No one complained openly about the change, but absenteeism rates increased rapidly. Personal day and vacation time requests soared.
Staff members nearing retirement crowded the tiny personnel office, overwhelming the single staff member with their requests to “tell me how soon I can retire with full benefits.” The director of nursing found that shortage of staff was becoming a serious problem and that no new applications were coming in, despite the fact that this rural area offered few good job opportunities.
ASSIGNED READINGS AND RESOURCES:
Textbook:
Yoder-Wise, P.S. (2019) Leading and managing in nursing, 7th edition:
1. Chapter 18 “Leading Change” pgs. 320-335
2. Chapter 19 “Building Effective Teams” pgs. 336-357
Videos:
1. Marian Altman Discusses Innovation and how nurses can be change agents: https://www.youtube.com/watch?v=3p5RpKS0J5A
2. Lewin’s Process Model of Change Theory?: https://www.youtube.com/watch?v=2OKqnFnPdRE
3. Understanding Transitions in the Change Process: https://www.youtube.com/watch?v=U4kFQa0QeG4
4. Kotter’s 8 Steps for Change:
https://www.youtube.com/watch?v=mdLXUApmhsg
Journal Articles:
DuBose, B. M., & Mayo, A. M. (2020, November). Resistance to change: A concept analysis. In Nursing Forum (Vol. 55, No. 4, pp. 631-636).
Velmurugan, R. (2017). Nursing issues in leading and managing change. International Journal of Nursing Education, 9(4), 148-151.
Faupel, S., & Süß, S. (2019). The effect of transformational leadership on employees during organizational change-an empirical analysis. Journal of Change Management, 19(3), 145-166.
