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Transcript of Change Management
Ronda Charbonneau, MS, RN, CCRN
just the tip of the iceberg!
Freezing or "Refreezing"
Unfreeze, Change, Freeze (refreeze)
"Change is the tip of the Iceberg"
Change theory in
Describe and simplify a process
Grasp what is happening
Change is not predictable
Identifies the importance of recognizing change
Why do we use change models and theories?
Change is a journey
help us approach situations
Change theories/change management
Lewin’s 3-step change model
Kubler-Ross: Five stage Model
Steven Covey: 7 habits model
Different change theories
Founder of social psychology
Human aspect of change
Research on leading group change
Many other models are based on Lewin’s model
Change Management Model
Lewin’s Change model
Getting ready to change
Creating a situation to want to change
Moving people to become motivated for change
The more motivated we are to make the change occur.
Change is a process, not an event
“unfrozen” to move toward a new way
Often the hardest stage
Learning about changes
Need to be given time to understand and work with them
Mentors/role models are necessary to develop solutions and make change
Change or Transition
Establishing stability once changes have been made
Changes are accepted and the new “norm”
Become more comfortable with new change implemented
Force field analysis
low motivation for change
and change occurs
Change or Transition
Continue to communicate a clear picture
Articulate the benefits of change
Support is needed
Training, coaching, mentors
Continue to support the desired change
Ensure the desire change is accepted and maintained
Without it, people go back to “old ways”
"you've got to change your evil ways, baby....."
70% of all change in organizations fail
A holistic approach not taken for follow-through
Improve ability to change=improve change success
Kotter’s 8 steps of change
1. Create sense of urgency
2. Pull together a guiding team
3. Develop the change vision and strategy
4. Communicate the vision for buy-in
Kotter’s 8-steps of change
5. Empower others to act
6. Generate short-term wins
7. Never letting up
8. Incorporate change into culture
Many nurses learn a lot about themselves through the process of change
Connelly, M. (2014). Change-Management-Coach.com. Retrieved from http://www.change-management-coach.com/kurt_lewin.html
Kotter, J. (2014). Kotter International. Because change is essential. Retreived from http://www.kotterinternational.com/our-principles/changesteps/changesteps
The 4-Generation Gap in Nursing. Medscape. Apr, 2013.
TeamSTEPPS Fundamentals Course. Agency for Healthcare Research and Quality, Rockville, MD. http://ahrq.gov/professionals/education/curriculum-tools/teamstepps
Nurses at St. Anthony
Pro Challenge Breckenridge
4 generations in Nursing
Baby Boomers 1943-1960
Generation X ers 1961-1981
Dedicated, hard-working, loyal
Optimistic, productive, workaholic
Cynical, independant, informal
Confident, impatient, social!
Would rather be skiing!
Successful Change Management
Evidence Based Practice Changes
EBP Change at St. Anthony
Mananging Fluid Overload in the Geriatric Trauma Population
We want to go skiing!