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
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
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.
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
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
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.
Change. It is a concept often discussed as being an inevitable part of human life, something people has experienced numerous of times, and will continue to experience throughout their lives. Change comes in many forms and has a range of effects, which are either negative or positive on those who experience it and respond to it. Change, particularly in relation to the topic ¡°Changing perspective creates awakening¡±, is a view that is repeatedly explored and been written in poem/film by thousands of composers.
The quote “ Be the change you wish to see in the world” By Gandhi means that if you want change to happen you have to make it happen. Or in other words you have to contribute to the change that you wish to be or happen. He wants to make it clear to the people in the world that you have to help and do something to make the change a success. So it is not bad or a total bust. You can’t just sit there and do nothing about the change that you wish could happen. You have to change to make the change in the world. That is what Gandhi is change to say in this quote.
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
According to Burnes, Kurt Lewin’s theory of change management has stayed relevant for over forty plus years, however as of recently, lewin’s approach was met with major scrutiny with critics often pointing out that change management theory applies to to work in situations where the work environment or project is small in nature and applies heavily on the fact that the organisation is stable and ignored instrumental politics in the business and furthermore was criticized for focusing too heaviliy on management driven tactics (Burnes, 2004). Burnes has specifically stated that the intention of the article is to reevaluate and to test the claims against the greater benefits that has been gained. It is very evident from the article that Burnes specifically talks about the social challenges that Lewin has faced and how that has in turn driven Lewin to create the Planned Approach to change and the elements of the change, which are Field Theory, Group Dynamics, Action Research and finally, the
In the 3-step model for successful organizational change, Kurt Lewin argues that successful change in organizations follows 3 steps:
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.
* Stage 0, awareness - at this stage, individuals have little knowledge about or interested in the change
Change is "the act or an instance of making or becoming different." It is not
Change is a common thing that happens all around us on a daily basis sometimes even without us noticing. It can range from family level to international levels, likewise in time frame it can happen on a daily basis, a monthly, yearly or even a decade. In the words of Senior & Fleming (6) Change can be simply defined as process of moving from one state to another. It is this transition that creates distress to the people due to fear of the unknown. We can not stop change but rather we can only manage it. So then what is change management?