Nurse as a change agent
“You must be the change you wish to see in the world.” - Mahatma Ghandi
Overview
The theoretical foundations of change theory are robust: several theories now exist, many coming from the disciplines of sociology, psychology, education, and organizational management. Kurt Lewin (1890 – 1947) has been acknowledged as the “father of social change theories” and presents a simple yet powerful model to begin the study of change theory and processes. He is also lauded as the originator of social psychology, action research, as well as organizational development.
Lewin's change theory consists of three distinct and vital stages:
• Unfreezing
• Moving to a New Level or Changing
• Refreezing.
“Unfreezing”-
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Change by Exception: occurs when someone makes an exception to an existing belief system. For instance, if a client believes that all nurses are bossy, but then experiences nursing care from a very modulated nurse, they may change their belief about that particular nurse, but not all nurses in general.
Incremental Change: change that happens so gradually, that an individual is not aware of it.
Pendulum Changes: are
Change (noun): A situation in which something becomes different than it originally was. Change can occur anywhere or in anything, in stories, in people, etc. For instance, various examples of change can be found in Gary Schmidt’s novel, The Wednesday Wars, involving the main character, Holling Hoodhood. One of these changes is his relationship with his teacher, Mrs. Baker, who once did not seem to like him; however, as the story progresses, the two characters’ bond strengthens. Similarly, Holling’s relationship with his sister also fortifies further into the story, as they assist each other in high-pressure circumstances as well as bond over different events. Lastly, in the end of the story, Holling learns to act independently, and stand for
Shirey (2013) wrote about Lewin’s theory of change in which three stages individuals move through before change is
Change is a process that affects individuals and their environments. Some people choose to embrace change, while others resist it. “Macbeth”; the song “The Times They Are A-Changin’” and the episode of the Twilight Zone, “A Stop at Willoughby” all successfully convey the notion of change and demonstrate how individuals and societies can embrace or resist change.
“However good or bad a situation is, it will change.” Change is defined as an act of making or becoming different. In the world today, the things around us are constantly changing; nothing stays the same for long. Change is a way to grow and expand the world around us. However, change is not always viewed in a good light.
Lewin’s change theory involved applied behavioral science, action research and planned change each of which is necessary to examine during the implementation of change programs (Burnes & Cooke, 2012). Lewin’s field theory involves a number of concepts that can be used as a guide to help understand the forces that comprise group dynamics within their life space or environment. Lewin’s framework also explains the totality and complexity of people’s behavior within a social setting that can be modified to bring about successful change.
In the 3-step model for successful organizational change, Kurt Lewin argues that successful change in organizations follows 3 steps:
The model represents a very simple and practical model for understanding the change process. For Lewin, the process of change entails creating the perception that a change is needed, then moving toward the new, desired level of behavior and finally, solidifying that new behavior as the norm. The model is still widely used and serves as the basis for many modern change models.
The significance of Lewin’s change theory lay not in the formality of the theory itself but rather on his ability to conceptualize real situations and as a result come up with models that reflect ideal situations. Kurt Lewin cut a niche for himself as one of the pioneers of the applied, organizational and social psychology. Born Kurt Zadek Lewin in September 9 1890, he is acknowledged as the founder of social psychology and among the first people to study organizational development and group dynamics. He lays claim to the term action research which he coined in 1944 to try and explain the effect of social action and the factors that lead to the same. A spiral circle
“If we could change ourselves, the tendencies in the world would also change. As a man changes his own nature, so does the attitude of the world change towards him... We need not wait to see what others do.” — Mahatma Gandhi
Between sixth and eighth grades, I tried out for the dance team three times and color guard once. I did not make it onto any of these teams. It baffled me that I could not do it even after six years of dancing. Was I not trying hard enough? This was a rough time for me for I could not comprehend what was happening. However, each time I learned to get back up and work harder. I never did make the dance or Color Guard teams, but my failures set me on my path to finding something that I could do and be proud of. On this path, I found Cross Country. This team did not require a try-out; it was all about gradual improvement. I had never run before, but if my failures taught me anything, it was that I should never give up. My teammates and I pushed
The facility my change project has potential impact upon is a teaching hospital which is known for promoting, supporting, and encouraging clinical research and implementing latest evidence-based practice. Erlanger serves as the region's only academic teaching hospital and strives to employ healthcare professionals who are knowledgeable in the latest skill, technique, and evidence based practice (EBP) (Erlanger Health System, 2017). This serves as both a strength and opportunity for the facility. A major strength for the hospital is the support that is has for research and implementation of all change processes. In 2013 the Institute for Clinical Research (EICR), was developed to solidify unity of two objectives, providing patients’ access
I have always been told that “coaches make great teachers”, I never questioned this statement until I desired to be a teacher. During my hire as an assistant coach at RCC I also strive to become a teacher. I took up the opportunity to be a guest speaker and teachers aid for a sport psycolohy class. After every class the teacher commented on how I did, the good and bad. This helped me tremendously. This experience showed me that all my experience as a coach, as a girls bible study leader, and as a student myself gave me all the tools I needed to be a good teacher. Though this I found a new love and passion to teach.
Defining Change Change can be defined as an event that occurs when something passes from one state or phase to another, the result of alteration or modification, to lay aside, abandon, or leave for another, become different in essence; to lose one's or its original nature, to make different; cause a transformation, or to make or become different in some particular way, without permanently losing one's or its former characteristics or essence. There are many different views as to the complexity of change. Some may believe change is an illusion and nothing ever really changes. However, the majority, such as the post structuralism theorists, believe that change is inevitable. Change can be viewed
"Can I spend the night with you tonight" the young boy asks the other boy? The response, "No, my dad has me this weekend, maybe next week." We live in a world where over half of the marriages end in divorce. This is truly a confounding issue that faces us today. The moral and ethical ramifications brought about by such a change in family organization will only begin to show in the years to come. Some of these issues are addressed in both Laurie Abraham's "Divorced Father," and Barbara Whitehead's "Women and the Future of Fatherhood."
Change is when a person does not follow their everyday routine. They may want to try something different, or be forced to. Change can be for the good and the bad. Places can deal with change ranging from the weather, to the animals present, or the seasons changing. Also, objects can deal with change too. Objects like an iceberg can start to melt, or a forest fire can kill many trees in an area. As a human, we are the ones deciding on change. We are in a position to make big decisions and possibly even become a leader in order for change to happen. If one person starts to change, others will follow and hopefully, the change benefits all.