Module 7 Flashcards
What is a PLANNED change?
A well-thought-out change with implementation strategies
UNPLANNED change is…
“Here we go”; It just kind of happens unexpectedly
Forces driving change in healthcare are?
- Rising healthcare cost
- Decline in reimbursements
- Growing elderly population
- New quality and safety imperatives
- Workforce shortages
- Emerging technology
When you think of Lewin’s Change Theory, how should you remember the 3 steps?
A melting ice cube traveling.
1st stage of Lewin’s Change Theory?
UNFREEZING (thawed out):
- gather data
- assess need for change
- employees should be aware
- you want everyone on board & recognize the need for change
2nd stage of Lewin’s Change Theory?
Moving: when change actually takes place
- Develop plans
- Set goals
- Implement and evaluate
3rd stage of Lewin’s Change Theory?
REFREEZING: new status quo; change integrated &stabilized
- Nurse managers will INSPECT what they EXPECT
- Evaluate the change
What part of the nursing process best correlates with the 1st stage of the change theory?
Assessing and Diagnosing
Planning and Implementing correlate with what change theory?
2nd stage of the Lewin’s Change Theory = Moving
What part of the nursing process does the 3rd stage of the change theory best correlate with?
Evaluation!
Tell me about a DRIVING force.
It’s a positive force; things are pushing change forward.
What is a Restraining Force?
Obstacle or negative force; it’s things that impede change
What is important to know about change?
Communication is IMPORTANT and resistance to change should be expected.
What are types of reactions to change?
Active
Passive
Indifference
Fear of Loss
Disruption of Interpersonal Relationships
Disruption of interpersonal relationships can be described as?
A change that does not allow you to see your friend during shift change anymore
What is the most important stage of the budgeting process?
PLANNING!
What are the steps of the budgeting process?
Planning
Coordinating and Communicating
Monitoring Progress
Evaluating Performance
What happens in the coordinating and communicating stage?
Various people will come together to discuss resources and resource allocation will be discussed
What is VARIANCE?
Difference between planned budget and actual results
Favorable variances are?
Better than expected (5000hr budget and only used 4000hrs)
Unfavorable variance would be?
Worse than expected (Brought in agency RNs and now $5000 over budget)
What is variance analysis?
process that looks at budget to see if you had favorable or unfavorable variances; are within in budget or not
What budget includes salaries, overtime, benefits, education, and staff development/training?
LABOR budget
What budget is the LABOR budget a part of?
Operational; it’s the largest part of it.
