NUR4827 FNU Essentials of Nursing Leadership & Management Essay The essay has to be in APA Format. I need you put a title to the essay according to the que

NUR4827 FNU Essentials of Nursing Leadership & Management Essay The essay has to be in APA Format. I need you put a title to the essay according to the questions, not put the name of the class as title. Minimum 750 words.

Read Chapter 9 book:

1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.

a-Will you have to leave earlier to be in class on time?

b-Will you meet different people on your way to class?

c-See different sights?

d-Would you change your route to class on the day of the final exam?

e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death.

a-How did you react to the change?

b-Would you have reacted differently if you had had more information?

c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.

Book: Essentials of Nursing Leadership & Management

6th Edition

Sally A. Weiss MSN, EdD, RN, CNE, ANEF

Ruth M. Tappen EdD, RN, FAAN

ISBN-13: 978-0-8036-3663-7
0 Chapter 9
People and the Process
of Change
Copyright © 2015. F.A. Davis Company
Change
• A natural phenomenon
• Macro- and micro-change
Copyright © 2015. F.A. Davis Company
The Process of Change
• The comfort zone
– Unfreezing
– Change
– Refreezing
– Return to new comfort zone
Copyright © 2015. F.A. Davis Company
The Change Process
Unfreezing
Change
Refreezing



Comfort → Discomfort → New
zone
zone
zone
Copyright © 2015. F.A. Davis Company
Sources of Resistance to Change
• Technical concerns
• Psychosocial needs
• Position and power
Copyright © 2015. F.A. Davis Company
Receptivity to Change
• Recognize differences in preferences for certainty.
• Speak to people’s feelings.
• Stories and Drama vs. Statistics.
Copyright © 2015. F.A. Davis Company
Resistance
• Recognizing resistance
• Lowering resistance
– Information dissemination
– Disconfirmation of currently held beliefs
– Psychological safety
– Command
Copyright © 2015. F.A. Davis Company
Dictating Change
• Effective in many situations
• Communicates a sense of urgency
• Change may be rapid but without a lasting
commitment
Copyright © 2015. F.A. Davis Company
Active Resistance to Change
•
•
•
•
Attacking the idea
Refusal to change
Arguing against change
Organizing resistance of other people
Copyright © 2015. F.A. Davis Company
Passive Resistance to Change
•
•
•
•
Avoiding discussion
Ignoring the change
Refusing to commit to the change
Agreeing but not acting
Copyright © 2015. F.A. Davis Company
Strategies to Overcome Resistance
•
•
•
•
Point out similarities.
Express approval.
Recognize competence and skill.
Provide assurance.
Copyright © 2015. F.A. Davis Company
Strategies
• Suggest new opportunities.
• Express value of contributions.
• Ensure involvement.
Copyright © 2015. F.A. Davis Company
Strategies (cont’d)
• Provide opportunities for expression.
• Allow time for practice.
• Provide a climate of acceptance.
Copyright © 2015. F.A. Davis Company
Four Phases of Planned Change
Design the change

Plan the implementation

Implement the change

Integrate the change
Copyright © 2015. F.A. Davis Company
Design the Change
•
•
•
•
•
What is the purpose?
Is the change necessary?
Is the change technically correct?
Will this work?
Is there a better way?
Copyright © 2015. F.A. Davis Company
Plan the Implementation
• Why is there resistance?
• Is the resistance justified?
• What can be done to prevent or overcome
resistance?
Copyright © 2015. F.A. Davis Company
Implement the Change
•
•
•
•
What is the magnitude?
What is the complexity?
What is the pace?
What is the current stress level?
Copyright © 2015. F.A. Davis Company
Integrate the Change
• Is the change integrated into everyday operations?
• Are people comfortable with it?
• Is it well accepted?
Copyright © 2015. F.A. Davis Company
Conclusion
• Your leadership will influence how change
is handled.
• Change presents an opportunity for
professional growth and development.
• View change in a positive way.
Copyright © 2015. F.A. Davis Company

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