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Other theories of change contrasting lewins
Discusses Lewin’s perspective on change
Other theories of change contrasting lewins
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Manage change is challenging to medical facilities, new technology is already in confrontation nurses cannot find sufficient time to complete the alteration of patient-related tasks. There are the common obstacles to implement this by the change of the degree of process include the fear using the new technique, the lack of cooperation would expect just disappear. Many healthcare organizations apply Kurt Lewin's theory related to change and patterns of resistance to change. There are 3 steps to understand human behavior by Kurt Lewin's theory. First, Unfreezing Stage and then moving state, the last one is Refreezing Stage. In Lewin's first 'unfreezing' stage, an understanding of the difficulties related to the recognized problem is required.
Care Transformation has been one of the improvements Banner has made to put information for the patients at their fingertips by the use of the integrated electronic medical records which contains doctors and nurses’ notes, lab results and medical images. Research done about Care Transformation and results revealed that they is an increase in patient safety, reduced wait times by patients in the Emergency Room, improved patient satisfaction and staff retention. Under Care Transformation, Banner is implementing a lot programs that brings improvements in the clinical care and new technology is helping to provide quality and safer care to the patients. An Intelligent OB program is one of the implementation, known as PeriBirth, which bring improvement in the safety of the labor and delivery process
In their research study they tested the use of “a patient-monitoring system designed to optimize patient-turning practices” (Pickham et al. 2016), this system involves sensors being attached to patients and allows the nurses to determine “the patient 's current position and time-to-next-turn” (Pickham et al. 2016). As a result of this evidence based practice, these researchers were able to use their clinical expertise to gather patient data in order to improve nursing practice, as a result “After implementation of the system, compliance and patient turning was reported to have increased significantly from 64 to 98 %” (Pickham et al. 2016), therefore this is definitely something that could assist all nurses in helping the to perform their jobs more proficiently. However since this kind of monitoring is not currently used in all medical facilities, the importance of frequent re-positioning of patients is something I will remember and implement
Also referred to as Lewin’s Force Field Analysis, the theory incorporates three separate stages known as unfreezing, moving and, freezing or refreezing (Bozak, 2003). The intention of the model is to identify factors that can impede change from occurring; influences that resist change sometimes called restraining or ‘static forces’ and forces that promote or drive change, referred to as ‘driving forces’. When health care organizations fully understand what behaviors drive or oppose change, then work to strengthen the positive driving forces, change can occur successfully (Bozak,
Biomedical technology is the “physiological monitoring, diagnostic testing, intravenous fluid and medication dispensing and administration, and therapeutic treatments” (Yoder-Wise, 2015). As nurses we use this type of technology multiple times a day. In nurse management, we have to monitor these technologies for errors. Like at the beginning of shift my nurse and I go check the code carts are working and stocked. Information must be “accurate, reliable, and presented in an actionable form”; hence, if the code machine is not working properly it could be the difference between life and death (Yoder-Wise, 2015). Information is also transmitted electronically all the time. It is helpful when the entire health care team can access patient files all at once and from different locations; it also gives us a set language to use when charting because checking a box helps with the language flow and prevent errors. However, sometimes information on the computer can be reputational and hard to see the pertinent information in a sea of other information. A nurses we must always have a working knowledge, which is “cognitive activity and critical thinking” (Yoder-Wise, 2015). We must have evidence based and up to date knowledge to provide the best care to patients. As a nurse manager, my nurse ensures that everyone is up to date on their continuing knowledge classes and are certified in different aspects like CPR. If there is a new process the hospital is using or new evidence about a
Kurt Lewin echoed this view in saying that an old attitude has to unfreeze, the
According to the author, nursing practice needs to stay current with technological advances while keeping its identity as a patient focused profession. Nurses use technology to improve care from a patient?s perspective, both in quality of care and cost. At the same time, nurses must learn to balance technological knowledge with personal skills, thus providing optimum clinical care while maintaining a person-focused relationship with the patient.
In the past several years the healthcare system has experienced new changes in its structure and technology. The macro trends in healthcare are healthcare reform and the regulations of technology in healthcare that the government has put in place. Healthcare systems in the past have had some real complications both in the provided care and computer technology
In today’s nurse, the work environment has computers and other equipment that were not available a hundred years ago. A technologically advanced hospital can provide an efficient and accurate care to the patient. For instance, computerized medical reports are beneficial when a doctor or a nurse want to trace the medical history of an altered or intubated patient who may not be able to give accurate information during critical situations. These advances act as a safety feature for the patient and hospital. Also, the nursing profession today is no longer for females; it is more culturally diverse and now includes the male gender. Today, there are many organizations that mandate rules and regulations for the nursing practice like the ANA’s (American
New discoveries are made daily and require different approach as a result one can’t say I am comfortable I have been doing the same thing for years, why change now. We need to be proactive and open to learn new things for the sake of knowledge and patient’s safety and outcome. The future of nursing cannot be like the present, something got to change and I am ready to be part of that change. Whenever steps are made toward progress, transformation will take place, and if that requires more education the better. Living is learning. The openness to knowledge will make us stronger and better through the care we deliver to lead the nation to
This workload sometimes makes the nurse taking care of the patient overwhelmed and stressed because he/she feels they are the only one involved in the patients care. Nursing toady allows for collaboration with other disciplines to provide optimal care for the patient involved, other staff are added to the health care team reducing the work load on the primary nurse. The RN is not the only one providing care for the patients assigned but he/she remains the primary nurse and is able to make and change the patients plan of care according to their diagnosis. According to Bayton, (2015) Primary nursing model of care delivery is great for building a nurse patient relationship.” This article shows how the implementation of primary care nursing model promotes an ongoing communication between the patient, family and staff involved in the patients care. The patient is always informed of who their nurse would be for the day by the implementation of white boards in the patients rooms. The patent could build a rapport with the staff because they knew who their nurse was going to be for the day.
In the recent years, the health care system has gone through major transformation related to implementation of Affordable care. Also the nation is facing many health challenging for example the American population is aging, also the nation is increasingly getting diversify and the role of health care reform is more focused towards wellness and preventive care. In addition to it, the patient care has become more complexed and in order to meets the demands of the transformed healthcare system nurses has to delivery competent and high quality patient care. It include, nurses’ roles as leadership, policy maker, system improvement, research and evidence based practice and interprofessional collaboration work. On the other hand, nurses has to exhibit their competency in community and public health and geriatrics and master their skills in information technology system which will assist them in partnership care with other health care professionals in the provision of quality care. In order to acknowledge the expanding demands and fulfilling the recommendations of IOM, nurses has to prepare themselves to meet the needs of the nation’s health by acquiring higher level of education (The National Academics of Science. Engineering. Medicine,
The medical community has changed since the 1980s, as positions and duties has changed. Each position contains specific duties to help with patient care and outcome. Just like a pyramid, each position holds a superior rank to the other. The doctors are at the peak and control the patient care. They make the decisions based on the information provided to them by the nurses. The registered nurse (RN) is at the next level and communicates between the doctors and the supporting staff. The supporting staff, the final level, assist the patients on a one on one basis. This pyramid of positions alters depending on the specialty or facility that an individual is employed, and condition of the patient. One without the other is an impossible task...
Lewin’s Change Management Model has been around for a long time. According to Middaugh and Grissom (2012), Lewin’s change management model’s development started in the 1940’s and is considered one of the best models for organizational change. The use of a change model is to understand change and what in the organization is in need of change. One of the reason’s this model is still used is because of the simplicity of it. The three primary characteristics of this change model according to Lawler and Sillitoe (2010) are unfreezing the current processes, instituting a change in those processes, and stopping the attitudes that come with change.
The five-stage model of organisational development is an ongoing process and each of the five stages is interlinked. In order for the programme to be successful, Top-Knock will have to review the programme and update their organisational development programme on a regular basis. This will be done by going through each stage of the model regularly. Top-knock will have to use Lewins three-step model of change in order to ensure that the changes that were made also reinforces change amongst employees.
The world is constantly changing in many different ways. Whether it is technological or cultural change is present and inevitable. Organizations are not exempt from change. As a matter of fact, organizations have to change with the world and society in order to be successful. Organizations have to constantly incorporate change in order to have a competitive advantage and satisfy their customers. Organizations use change in order to learn and grow. However, change is not something that can happen in an organization overnight. It has to be thought through and planned. The General Model of Planned Change focuses on what processes are used by the organization to implement change. In the General Model of Planned Change, four steps are used in order to complete the process of change. Entering and Contracting, Diagnosing, Planning and Implementing, and Evaluating and Institutionalizing are the four steps used in order to complete the process of change in an organization. The diagnostic process is one of the most important activities in OD(Cummings, 2009, p. 30).