exam 2: nurse as a change agent Flashcards
what is the goal of a nurse as a change agent
improve the quality of healthcare
nurse’s role in change
witness first-hand
work towards making the change
why does resistance to change occur
fear of the unknown, keep tradition, personal security threatened
what are some skills of effective change agents
patience, assertiveness, charisma
lewin’s force field model
behavioral approach; Change agents promote unfreezing, moving, refreezing steps throughout process
goal of lewin’s model
analyze restraining and driving forces and shift balance to support change
restraining force
elements that hinder change
driving force
elements that support change
unfreezing
Destabilizing the system, disconfirmation, guilt + anxiety
changing
Change put into place, new equilibrium, new info + behaviors
where do you start seeing road bumps in lewin’s model
changing phase
refreezing
Stabilizing the system, integrating change for regular function
where should you start reinforcement in lewin’s model
refreezing
lippit’s phases of change
ext of lewins, emphasis on COMMUNICATION
havelock’s model
modified lewins, emphasis on PARTICIPATIVE APPROACH
