D.6 Change management Flashcards

Employ appropriate, effective and efficient change management methodologies.

1
Q

What is the primary reason a species survives according to the quote by Megginson?

A

The species that survives is the one that is able best to adapt and adjust to the changing environment.

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2
Q

List the methodologies discussed for change management.

A
  • Kotter’s 8 Steps
  • Prosci’s change management methodology (ADKAR)
  • The Change Curve (Kubler Ross)
  • The Change Leader’s Roadmap
  • The Three-Stage Change model
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3
Q

What is Step 1 of Kotter’s 8 Steps?

A

Establish a sense of urgency

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4
Q

What does establishing a sense of urgency entail?

A

Encouraging stakeholders to see the need for change and convincing them of the importance of taking action immediately.

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5
Q

What is Step 2 of Kotter’s 8 Steps?

A

Create the guiding coalition

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6
Q

What are the four qualities of an effective guiding coalition according to Kotter?

A
  • Positional power
  • Expertise
  • Credibility
  • Leadership
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7
Q

What is the purpose of developing a change vision in Kotter’s model?

A

To clarify how the future will be different from the past.

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8
Q

What are the six characteristics of compelling visions as per Kotter?

A
  • Imaginable
  • Desirable
  • Feasible
  • Focused
  • Flexible
  • Communicable
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9
Q

What does Step 4 of Kotter’s 8 Steps focus on?

A

Communicate the vision for buy-in

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10
Q

List the four key communication strategies Kotter recommends for vision communication.

A
  • Simple
  • Vivid
  • Repeatable
  • Invitational
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11
Q

What is the focus of Step 5 in Kotter’s 8 Steps?

A

Empower broad-based action

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12
Q

What does generating short-term wins involve according to Step 6 of Kotter’s model?

A

Creating visible, unambiguous success as soon as possible and recognizing and rewarding those involved.

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13
Q

What is the significance of Step 7 ‘Never let up’ in Kotter’s model?

A

To use the momentum built to address things that don’t fit the vision.

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14
Q

What does Step 8 of Kotter’s 8 Steps entail?

A

Incorporate changes into the culture

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15
Q

What are the three main components of Prosci’s change management methodology?

A
  • The 3-phase process
  • The PCT model
  • The ADKAR model
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16
Q

What are the three phases of Prosci’s change management process?

A
  • Preparing the approach
  • Managing the change
  • Sustaining the outcomes
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17
Q

What does the PCT model emphasize?

A
  • A well-articulated definition of success
  • Strong leadership/sponsorship
  • Effective project management
  • Effective change management
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18
Q

What does the ADKAR model stand for?

A
  • Awareness
  • Desire
  • Knowledge
  • Ability
  • Reinforcement
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19
Q

What are the five stages of grief according to Kubler-Ross’s change curve?

A
  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance
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20
Q

What is the basic premise of change curve models?

A

Individuals tend to experience specific reactions to change at different rates and degrees.

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21
Q

What is the first phase of the Change Leader’s Roadmap?

22
Q

List the nine phases of the Change Leader’s Roadmap.

A
  • Preparing
  • Creating the vision, commitment and capability
  • Assessing to determine design requirements
  • Designing the desired state
  • Analysing the impacts
  • Planning and organising for implementation
  • Implementing
  • Celebrating and integrating
  • Learning and correcting (fine-tuning)
23
Q

What is the focus of the phase ‘Creating the vision, commitment and capability’ in the Change Leader’s Roadmap?

A

Fleshing out and validating the initial phase by taking it outside the change team to the whole organisation.

24
Q

What is the first stage of Kurt Lewin’s Three-Stage Model for change?

A

Unfreezing

This stage involves preparing the organization to accept that change is necessary by breaking down the status quo.

25
Q

What are the keys to the unfreezing stage in Lewin’s model?

A
  • Developing a compelling message showing why the status quo cannot continue
  • Challenging existing beliefs, values, attitudes, and behaviors
  • Creating a compelling need for change
  • Communicating the vision for change
  • Managing doubts and concerns
  • Addressing stakeholder concerns
26
Q

What is the main focus of the changing stage in Lewin’s model?

A

Resolving uncertainty and looking for new ways

People need to understand how proposed changes will benefit them.

27
Q

What criticalities must be addressed during the changing stage?

A
  • Communicating often
  • Preparing stakeholders
  • Dispelling rumors
  • Empowering action
  • Involving people in the process
  • Generating short-term wins
28
Q

What does the refreezing stage involve?

A

Consolidating changes and ensuring they are embraced by the organization

Celebrating success is part of this process.

29
Q

What are the criticalities in the refreezing stage?

A
  • Anchoring changes into the culture
  • Identifying enablers and barriers
  • Ensuring leadership support
  • Providing support and training
  • Celebrating success
30
Q

What factors influence the uptake of innovations in health service delivery according to Greenhalgh et al.?

A
  • Relative advantage
  • Compatibility
  • Complexity
  • Trialability
  • Observability
  • Reinvention
  • Risk
  • Task Issues
  • Knowledge required
  • Augmentation/Support
31
Q

What is meant by ‘relative advantage’ in the context of innovation uptake?

A

Innovations with a clear, unambiguous advantage in effectiveness or cost-effectiveness are more easily adopted.

32
Q

What is ‘compatibility’ in relation to innovation adoption?

A

Innovations that align with the intended adopters’ values, norms, and perceived needs are more readily adopted.

33
Q

What role do champions play in the adoption of innovations?

A

Adoption by individuals is more likely if key players in their social networks support the innovation.

34
Q

What is the significance of ‘absorptive capacity for new knowledge’ in organizations?

A

Organizations that can identify, capture, and utilize new knowledge are better able to assimilate innovations.

35
Q

What are some common human reactions to conflict in change projects?

A
  • Avoidance
  • Victim behaviors
  • Aggression
  • Competition
  • Cooperation/peace-building
36
Q

What is a key approach to conflict resolution?

A

Ensuring that good relationships are the priority

This requires calmness, courtesy, and efforts to build mutual respect.

37
Q

How does transformation differ from change?

A

Transformation is about creating something fundamentally new, while change often involves improving existing structures.

38
Q

Fill in the blank: The future desired result in transformation is very _______.

A

different and new.

39
Q

True or False: Change management models are often used as prescriptive processes.

A

False

They are typically used as guiding frameworks.

40
Q

What is one of the dangers mentioned regarding managing change?

A

The enmity of those who benefit from the status quo.

41
Q

What is the future result of incremental change?

A

A reconditioned or improved version of the past

Incremental change is often referred to as ‘business as usual’.

42
Q

What does transformation aim to achieve?

A

A future that is very different and new

Transformation fundamentally changes services and systems.

43
Q

How does incremental change affect services?

A

Makes services better, cheaper, faster, more efficient

Incremental change focuses on improving existing processes.

44
Q

What is a key characteristic of transformation?

A

Makes services fundamentally different

Transformation alters the fundamental nature of services.

45
Q

What is the scale of incremental change compared to transformation?

A

Can be small and incremental or large and complex

Incremental change does not always have to be significant.

46
Q

What is the typical size of transformation initiatives?

A

Almost always large and significant

Transformation involves substantial shifts in operations.

47
Q

What does change involve in terms of implementation?

A

Implementing finite, well-defined shifts

Changes may or may not affect the entire organization.

48
Q

What does transformation require for implementation?

A

Reinventing the organisation and its business model

Transformation is based on a vision for the future.

49
Q

Where can incremental change originate from?

A

Any part of the organisation

Incremental change can be initiated by various levels within the organization.

50
Q

Where should transformation initiatives originate?

A

At the highest level of the organisation

Transformation is strategic and requires top-level support.

51
Q

What is the nature of transformation compared to change?

A

Bigger, longer-term, and more complex

Transformation involves a broader scope and impact.

52
Q

What is unique about digital transformation?

A

Leads to new phases of continuous change in organisations

Digital technologies create ongoing change beyond traditional perspectives.