objective 5.13-5.17

Question 1

is the opportunity to
alter the flow of events in
your life, the life of your
patients, or of an organization

Answer 1

change

Question 2

what are the types of chnage?

Answer 2

personal
workplace

Question 3

what are seven habits by Covey?

Answer 3

1. Be proactive
2. Begin with the end in mind
3. Put first things first
4. Think “win-win”
5. Seek first to understand and
   then to be understood
6. Synergize
7. Sharpen the saw

Question 4

what affects our perception of change?

Answer 4

o Fear
o Comfortable pew
o Past experiences
o Expected outcome

Question 5

Fear of the unknown
Loss of control

Answer 5

fear

Question 6

Comfortable where you are
Life seems good right now

Answer 6

comfortable pew

Question 7

What has been tried in the past

Answer 7

past expierences

Question 8

What you expect will happen
now

Answer 8

expected outcomes

Question 9

Psychological process people go through to come to
terms with a new situation

Answer 9

transition

Question 10

what are features of transition

Answer 10

o A phase of turmoil
o Disturbances in bodily function
o Mood and cognitive changes
o An altered time perception

Question 11

what are types of transition?

Answer 11

o Developmental
o Situational
o Organizational
o Health-illness

Question 12

what are factors influencing transition?

Answer 12

o Meanings
o Expectations
o Level of knowledge or skill
o Environment
o Level of planning
o Emotional and physical well-
being

Question 13

what are the stages of transition?

Answer 13

o Ending
o Neutral Zone
o Beginning

Question 14

o Letting go (feelings of loss)
o Feelings of insecurity, uncertainty,
disconnectedness
o Need to acknowledge losses and allow grieving

Answer 14

ending stage

Question 15

o Emotional wilderness
o Core of the transition period
o Feelings of self-doubt, confusion, fear
o Most challenging
o Is there opportunity or danger?
o Need to stay the course
o Best time for renewal, creativity, self development

Answer 15

neutral zone

Question 16

o Have an enlarged comfort zone
o Feelings of hope
o You are positive, motivated
o Need to embrace a new set of opportunities which enables you
to reach out, take risks, and enlarge your comfort zone

Answer 16

beginning stage

Question 17

what does successful transition require?

Answer 17

o Building relationships
o Communication
o Self-awareness

Question 18

what are types of workplace change?

Answer 18

planned
change by drift
accidental

Question 19

o Requires a change agent
o Someone who initiates, motivates and implements change

Answer 19

planned change

Question 20

o Unplanned change
o Caused by imbalances in the system
o Individuals are not well informed
o There is often resistance and hostility

Answer 20

accidental change

Question 21

A methodology to systematically transform existing conditions to a
more equitable and just situation.

Answer 21

change theory

Question 22

Is the creation of a synergistic alliance
that honours and utilizes each person’s
contribution to create collective wisdom
and collective action

Answer 22

collaboration

Question 23

First element in creating
collaborative relationships is to
identify allies across and within
groups who may have an
interest in the proposed
change. Need to engage them
as partners in the change
process

Answer 23

developing partnerships

Question 24

o Second element of creating collaborative
relationships
o Not possible to talk about leading change
without talking about power
o Nurses leading change need to be aware
of power dynamics, understand how they
operate and know how to negotiate power
effectively for inclusivity and positive
social change to occur.

Answer 24

negotiating power

Question 25

o Third element of creating collaborative
relationships
o A conscious choice to commit time,
resources, and energy to a change
project
o Demands engagement

Answer 25

participation

Question 26

is a process that requires that we consistently
and critically question our assumptions that underlie our
customary, habitual ways of being, thinking and acting in
everyday life and work

Answer 26

critical thinking

Question 27

o Third component in the relational emancipatory framework
o The relationship between experience, theory, reflection, and
action
o Looks at “societal good”
o Change agents require critical reflexivity to view situations
from a variety of perspectives and to try out changes that have
been agreed upon by the team

Answer 27

reflection in action

Question 28

Nurses leading change using this relational emancipatory
change framework create and implement change through
iterative cycles of reflecting, planning, and acting that are based
upon relational and emancipatory values. Through this process
change is planned and operationalized

Answer 28

the change process

Question 29

what are the 6 phases of the change process?

Answer 29

1. Initiation
2. Reflection and Planning
3. Action
4. Critiquing, Reflecting, and
   Planning
5. Follow-up Action
6. Subsequent Cycles

Question 30

Nurses who lead change face two immediate tasks: to identify
and engage key stakeholders and to gain clarity about the issue
or problematic condition to be changed.
o Stakeholder is one who had a stake in the intended goal or aim
of the change process
o With the team established and issue or condition to be
changed identified, through team collaboration, the group turns
its attention to establishing group processes and norms

Answer 30

initiation phase

Question 31

o The team develops and articulates the
purpose and goals of the change process
o Answers the question: What are we trying to
achieve?
o Identify experiental and propositional
knowledge: knowledge from our experiences
and knowledge from the literature
o Identifies goals to focus its change project

Answer 31

reflection and planning phase

Question 32

This phase is critical as it involves social action in the everyday
practice of nursing
o Team implements the identified components from the
conceptual map or model and tries them out in practice
o Team is putting it’s propositional knowledge up against its
practical knowledge
o Collect evidence of the impact of change in practice in this
phase

Answer 32

action phase

Question 33

o Team critiques what is learned from trying out planned change in
practice
o Reflect on what they learned in practice (Practical knowledge) in relation
to how they conceptualized the change (propositional knowledge)
o Reflects on its experiences and plans for the next action phase.
o Looks at: What do we need to know more about? What other changes do
we need to try? What strategies can we sue to understand and monitor
these changes

Answer 33

critiquing, relfecting, and planning phase

Question 34

o Team implements the agreed-upon
activities to initiate further change in
practice and continues to monitor the
impact
o Integrates prior learning and critical
reasoning and reflection

Answer 34

follow-up action phase

Question 35

o A series of cycles are carried out following the same format
o 3-5 cycles are usually sufficient to bring about transformational
change

Answer 35

subsequent cycles phase