10.2 Leading Change

Question 1

Kotters 8 Steps for Change

Answer 1

1 - Create a sense of urgency
- Sparks motivation to help the team get moving
- Discuss opportunities that successful change can have
- Give people the chance to ask questions and get involved

2 - Powerful coalition
- Get a team together
- Mix of leaders and experts and stakeholders

3 - Create a vision of change
- Explain the values that are central to the process
- Inspire the future

4 - Communicating Vision
- Communicate your vision frequently and powerfully. Talk about it any chance you get

5 - Remove Obstacles
- Processes/structures that are holding back change and focus your energy there
- Recognize and award people for making change happen

6 - Creating short term wins, building on the change, and anchoring the change

Question 2

Kurt Lewin’s 3-Step Change Model

Answer 2

Step 1 - Unfreeze your Organization
- CONVINCE those affected by the change that the change is really necessary

Step 2 - Change your Organization
- GET those who have accepted the need for change to implement it with you

Step 3 - Refreeze your Organization
- Take actions to reinforce and support the change so it becomes a permanent way of doing business

Question 3

Diffusion of Innovation

Answer 3

• Overtime ideas gain momentum and diffuse throughout an organization (spread)
• As the idea diffuses, people may choose to either accept or reject the idea for use in practice.

5 Stages of Diffusion of Innovation
- Awareness (people become aware)
- Persuasion (people develop an attitude for the innovation either favorable/unfavorable)
- Decision (Person weighs the pros and cons of the innovation and decide to adopt/reject it)
- Implementation (Person puts the innovation to use, at this stage they are still determining how useful it is)
- Continuation (A person checks the results of the innovation decision and come to a final decision if they want to keep it)

Question 4

Internal Barrier

Answer 4

• Restraining factors that are found within an organization or unit where change is occurring
• Older nurses with more experience do not want to adopt new protocols or a change in practice.

Question 5

Early Adopter (Chamption)

Answer 5

• Promotes change early on and helps motivate other nurses for change

Question 6

Planned Change

Answer 6

• Deliberate, Organized and has a goal for improvement
• Plan for sepsis protocol change includes education, focused sessions to discuss with the staff, and sepsis warning signs in various places on the unit.