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Athabasca University
MHST/NURS 621
Dr. Kathryn Crooks
15 July 2020
Julia was a Neonatal ICU and Pediatric Emergency nurse who quickly found herself on the prevention and education side of Public Health to prevent the injury and illness she’d seen. Her passion is education, and she hopes to use her new leadership skills to make real change happen for her colleagues who work with families and give their heart to all they do. She is the proud owner of three small monkeys who use the current Covid situation to challenge her creativity, humour, and sanity every day!
My name is Sammie Khan. I live in Edmonton, Alberta, I am a human resources professional and work for a home health care company. My hobbies include cooking, reading, and watching crime-related shows.
Erinn has been working in oncology for ten years with a specific focus in prostate cancer research. Upon completion of her Masters degree, she would like to take on a leadership role in research mentoring other healthcare professionals and participating in the exciting new developments that can arise from research. In her spare time, she chases around two beautiful kids, enjoys reading and doing yoga.
Jennifer is an Emergency Response Nurse providing emergency care to the workers at the Suncor Oilsand Plant site just north of Fort McMurray. Jennifer is completing her Master of Nursing program in the hopes to obtain a leadership role, allowing her to share her knowledge and experience to others.
LEARNING OBJECTIVES
(McCutcheon, n.d.).
WHAT IS CHANGE FATIGUE?
Change fatigue is a general sense of apathy or resignation individuals or teams feel in the working environment when they perceive or when they face rapid and continuous organizational changes.
The rate of organizational change is perceived as too frequent, unfocused, uninspired, and unsuccessful.
(Office Guy Cartoons, n.d).
(Brown, et al., 2018; McMillan & Perron, 2013)
(Image of Person, n.d.)
(Love, 2016; National Institute for Health Quality, 2020)
CAUSES OF CHANGE FATIGUE
Marketoonist. (n.d.).
(Arens & Morin, 2016; Bernerth et al., 2011)
(Bernerth et al., 2011; Ford et al., 2008; Hammond et al., 2011; Meyer & Stensaker, 2006; Peus et al., 2009).
Exhaustion: constantly feeling depleted and overextended beyond one’s ability to handle workplace demands.
As a result individuals:
(Hamilton News, n.d.).
Upper management and those acting as change agents are responsible for ensuring the successful implementation of change initiatives. If not:
Beaudan (2006) suggests that all change initiatives end in shifts of power.
(Business Matters Magazine, n.d)
Change fatigue affects the organization's success in many ways of which include:
CONTRIBUTING FACTORS TO CHANGE FATIGUE
Goals and
Expectations
Speed of
Change
Underlying traits, systematic failures in direction and implementation, and general factors which impact the success of the change process.
Controlling for these complexities can significantly alter the outcomes for an organization.
Consideration of these type of mitigation strategies can also increase staff satisfaction, reduce resistance and attrition, and determine the success of a change project.
Mix of
People
Change is
Boring
(McMillan & Perron, 2013)
Lack of
Buy-In
GOALS AND EXPECTATIONS ARE NOT CLEARLY DEFINED
Organizations whose vision, mission statement, and process for achieving excellence are defined and communicated have better success at implementing and sustaining change (Beaudan, 2006).
THE SPEED OF CHANGE IS NOT APPROPRIATE
THE MIX OF PEOPLE IS NOT APPROPRIATE FOR THE TRANSFORMATION
(Beaudan, 2006)
THE CHANGE IS BORING
The change is constant and doesn’t seem different from previous changes or meaningful to an individual or
group (Bernerth et al., 2011).
The change doesn’t impact the people asked to modify their practices in a significant way so there is a lack of buy-in (Beaudan, 2006).
(One Clear Message Consulting, 2020)
(DanielLock Consulting, 2019)
(Vidupm, 2018)
Consequences
(Dreamstime, 2020).
MEASURING CHANGE FATIGUE
(Scale, n.d.)
Bernerth et al. (2011) identified that a need existed for the development of a validated scale to assess employee perception of change fatigue in the workplace. In an attempt to address this need, they developed a change fatigue scale and conducted studies to assess the reliability of their measure. Results from these studies suggest that this scale is superior in measuring change fatigue with high reliability, content validity, and internal consistency in larger sample populations. To date, this is the only validated scale to measure change fatigue.
Change Fatigue Measurement Scale
The scale consists of a six item measure of change fatigue. A seven-point Likert scale, ranging from 1 = “strongly disagree” to 7 = “strongly agree” is used to measure participants answers. The results of the measure allows for a general impression as to whether too much change is taking place for an individual/organization.
(Bernerth et al., 2011; International Affairs and Best Practice Guidelines, 2011)
Early identification of excessive organizational change can allow for appropriate interventions to be implemented by leadership. In turn, these interventions will reduce or eliminate the negative outcomes that can arise from change fatigue, such as resistance and withdrawal to change (Bernerth et al., 2011).
(Businesswoman, 2020)
As a leader and/or manager, one must recognize and know how to manage change fatigue.
At times, these change leaders need to take a step back from all of the moving parts and think:
Let us take a look at how leaders/managers can help manage change fatigue.
HELPING PEOPLE THROUGH CHANGE FATIGUE
(Human Synergistics Australia & New Zealand, 2015)
Business Matters Magazine. (n.d.).
The following is a selection of learning activities.
Participate in at least one that meets your learning needs in the discussion forums.
ASSESSMENT QUIZ
1. Using the Bernerth et al. (2011) change fatigue measurement tool, assess your level of change fatigue. Provide the class with your best interpretation of the results.
Did anything surprise you? If so, how do you think that change fatigue could be decreased in your workplace? If you were not surprised by your results, provide the group with a reflection on why you feel your organization has been successful at avoiding change fatigue.
(Bernerth et al., 2011; International Affairs and Best Practice Guidelines, 2011)
REFLECTION
2. Draw from your experience. Have you experienced a change where communication may have been ineffective due to change fatigue in the individual or organization? What techniques could you use to resolve ineffective communication by addressing change fatigue?
3. Locate a scholarly journal article on change fatigue to learn more about how it affects organizational change. Please write a summary for your classmates and post it in the change fatigue forum.
(The Guardian, 2016)
What are your thoughts on change fatigue and the individual in the photo? Is the individual drowning with change fatigue or slowly recovering from change fatigue? Please describe one method to recover from change fatigue.
5. Search for TED talks or other videos on change fatigue and organizational change. Choices are abundant. Watch a few TED talks on this topic that you find informative and inspiring. Share a helpful quote from one of the videos and the link to the source in the change fatigue forum.
REFERENCES
Antonbrand. (2011). Bored cartoon man drumming his fingers [Image]. https://images.app.goo.gl/kvzCWcbhRKy4JGZcA
Arens, A. K., & Morin, A. J. S. (2016). Relations between teachers’ emotional exhaustion and students’ educational outcomes. Journal of Educational Psychology, 108(6), 800–813. https://doi.org/10.1037/edu0000105
Banks, S., Blackwell Langdon, L., Dorrian, J., Waggoner, L.B., Centofanti, S.A., Roma, P.G., & Van Dongen, H.P.A. (2019). Effects of fatigue on teams and the role in 24/7 operations. Sleep Medical Reviews, 48, 1-9. https://doi.org/10.1016/j.smrv.2019.101216
Beaudan, E. (2006). Making Change Last: How to Get Beyond Change Fatigue. Ivey Business Journal, January/February 2006.
Bernerth, J. B., Walker, H. J., & Harris, S. G. (2011). Change fatigue: Development and initial validation of a new measure. Work & Stress, 25(4), 321–337. https://doi.org/10.1080/02678373.2011.634280
Brown, R., Wey, H., & Foland, K. (2018). The Relationship Among Change Fatigue, Resilience, and Job Satisfaction of Hospital Staff Nurses. Journal of Nursing Scholarship, 3, 306. https://0-doi-org.aupac.lib.athabascau.ca/10.1111/jnu.12373
Business Matters Magazine. (n.d.). Humanizing Change and Preventing Change Fatigue. [Image]. https://images.app.goo.gl/CzSrWp8Rj3cpnymT8
DanielLock Consulting. (2019). 14 symptoms of change fatigue. https://daniellock.com/14-symptoms-of-change-fatigue/
DanielLock Consulting. (2019, December 6th ).14 symptoms of change fatigue. https://daniellock.com/14-symptoms-of-change-fatigue/
Dreamstime. (2020). Annual audit overworking fatigue managers sleep [Image]. https://www.dreamstime.com/annual-audit-overworking-fatigue-managers-sleep-annual-audit-overworking-fatigue-tired-managers-sleeping-chairs-floor-image140654729
Ead, H. (2015). Change fatigue in health care professionals- An issue of workload or human factors engineering? Journal of PeriAnesthesia Nursing, 30(6), 504-515. https://dx.doi.org/10.1016/j.jopan.2014.02.007
Garside, P. (2004) Are we suffering from change fatigue? Quality & Safety in Health Care, 13(2), 89-90. https://doi:10.1136/qshc.2003.009159
Ford, J. D., Ford, L. W., & D’Amelio, A. (2008). Resistance to change: The rest of the story. Academy of Management Review, 33(2), 362-377. doi:10.5465/AMR.2008.31193235
Hamilton News. (n.d.). Employees’ change fatigue [Image]. https://images.app.goo.gl/QjjZQUTcDgmsrcyHA
Hammond, G. D., Gresch, E. B., & Vitale, D. C. (2011). Homegrown process improvement employing a change message model. Journal of Organizational Change Management, 24(4), 487–510. doi:10.1108/09534811111144638
Human Synergistics Australia & New Zealand. (2015 Nov, 26). Helping People Through Change Fatigue [Video]. https://www.youtube.com/watch?v=CkS7pftS9oM
Huy, Q.N. (2001). Time, temporal capability, and planned change. Academy of Management Review, 26, 601-623.
[Image of a Businesswoman]. (2020). https://www.istockphoto.com/ca/vector/businesswoman-feeling-tired-and-low-battery-gm944025570-257894885
[Image of person]. (n.d.). https://images.app.goo.gl/qWZFGpbSdcPQLY7w5
[Image of puzzle pieces]. (n.d.). https://images.app.goo.gl/DePdEK7rT3uEAMEw6
[Image of road signs]. (n.d.). https://images.app.goo.gl/Lfaozoa5gA9QeXXk7
[Image of a scale]. (n.d.). https://webstockreview.net/explore/scale-clipart-food-scale/
[Image of tortoise and hare]. (n.d). https://images.app.goo.gl/b8cT8QNxmc36DzYL7
[Image of wind-up man at desk]. (n.d.). https://images.app.goo.gl/JFU3Uw5hcZyw7E9G8
International Affairs and Best Practice Guidelines.(2011). Preventing and mitigating nurse fatigue in healthcare. https://rnao.ca/sites/rnao-ca/files/Preventing_and_Mitigating_Nurse_Fatigue_in_Health_Care.pdf
Love, S. (2016). The signs of change fatigue. https://www.lovehr.ca/2016/08/the-signs-of-change-fatigue/
Marketoonist. (n.d.). New normal [Image]. https://images.app.goo.gl/7M11QL9Tihdc7uBA7
McCutcheon, S. (n.d.). Textbooks [Image]. https://unsplash.com/photos/eMP4sYPJ9x0
McMillian, K., & Perron, A. (2013). Nurses amidst change: The concept of change fatigue offers an alternative perspective on organizational change. Policy, politics, & nursing practice, 14(1), 26-32. https://doi:10.117/1527154413481811
Meyer, C. B. & Stensaker, I. G. (2006). Developing capacity for change. Journal of Change Management, 6(2), 217-231. https://doi:10.1080/14697010600693731
National Institute for Health Quality. (2020). Change management fatigue. https://www.nichq.org/insight/how-cope-change-fatigue#:~:text=Change%20fatigue%20symptoms%20include%20stress,initiatives%20to%20stall%20and%20fail.
Office Guy Cartoons. (n.d). Change Fatigue [Image]. https://images.app.goo.gl/RdYNHHWUYY28278f8
One Clear Message Consulting. (2020). Strategies for effectively managing change fatigue [Image]. Retrieved from: https://www.oneclearmessage.com/strategies-for-effectively-managing-change-fatigue/
Peus, C., Frey, D., Gerkhardt, M., Fischer, P., & Traut-Mattausch, E. (2009). Leading and managing organizational change initiatives. Management Revue, 20(2), 158-175. htps://doi:10.1688/1861-9908_mrev_2009_02_Peus
The Guardian. (2016). The observer ME/ chronic fatigue. [Image]. Retrieved from: https://www.theguardian.com/society/2016/feb/15/it-was-like-being-buried-alive-victim-of-chronic-fatigue-syndrome
Vidupm. (2018). 3 tips to help small business battle change fatigue [Image]. https://blog.vidupm.com/3-tips-to-help-small-business-battle-change-fatigue/