Leading Change and Managing Conflict

Question 1

Change

Answer 1

Constantly evolving, enevitable and unpredictable, can create uncertainty. Affects staff, patients, and the organization overall. Can result in conflict.

Question 2

What is the nurse leader’s role in change?

Answer 2

• Instrumental in change at both the unit and organizational levels.
• Serve as change agents.
• Understand the change theories and models.
• Embrace change and innovation to ensure that safe and quality nursing care.
• Recognize conflict is present in the workplace.

Question 3

What is planned change?

Answer 3

Purposeful, calculated, collaborative, utilizes change theories, and well recieved.

Question 4

What is unplanned change?

Answer 4

Sudden and necessary and causes anxiety and stress.

Question 5

Lewis’s Force Field Model

Answer 5

Change results from two field or environmental forces, driving forces facilitate the change and move it forward, restraining forces impede change and maintain the status quo.

Question 6

What are the seven steps of Lippitts phases of change model?

Answer 6

1. diagnose the problem.
2. assess the motivation and capacity for change.
3. assess the change agent’s motivation and resources.
4. select progressive change objectives.
5. choose an appropriate role for the change agent.
6. maintain the change after it has started.
7. terminate the helping relationship.

Question 7

What are the five stages of action and choices of roger’s innovative decision process?

Answer 7

1. Knowledge
2. Persuasion
3. Decision
4. Implementation
5. Confirmation

Question 8

What are the eight stages of Kotter’s eight stage process of creating major change?

Answer 8

1. Establishing a sense of urgency.
2. Creating the guiding coalition.
3. Developing a vision and strategy.
4. Communicating the change vision.
5. Empowering broad-based actions.
6. Generating short-term wins.
7. Consolidating gains and producing more change.
8. Anchoring new approaches in the culture.

Question 9

Are changes cyclical or linear?

Answer 9

Cyclical.

Question 10

What are the two new theories based on systems theories and complexity sciences?

Answer 10

Chaos theory and learning organization theory.

Question 11

What are the responsibilities of a change agent?

Answer 11

Lead and manage the process, gather data, set goals and objectives, identify those who will be affected, implement and communicate, evaluate.

Question 12

What are the three responses to change

Answer 12

Normative-reducative strategy, empirical-rational strategy, and power-coercive strategy.

Question 13

Intrapersonal conflict?

Answer 13

Within self.

Question 14

Interpersonal conflict?

Answer 14

Two or more people.

Question 15

Intergroup conflict?

Answer 15

Two groups of people.

Question 16

Organizational conflict?

Answer 16

Within an organization.

Question 17

Avoiding?

Answer 17

withdrawing or hiding from conflict; not always effective, may just postpone the conflict.

Question 18

Accomodating

Answer 18

Sacrificing one’s own needs or goals and trying to satisfy another’s desires, needs, or goals, not usually effective.

Question 19

Competing?

Answer 19

Pursuing one’s own needs, desires, or goals at the expense of others, can result in aggression.

Question 20

Compromising?

Answer 20

Everyone giving something up and everyone getting something they want in return; usually effective.

Question 21

Collaborating?

Answer 21

Involving a shared approach to resolve conflict; time-consuming but most effective.