Week 10 Change, Conflict and violence in the work place Flashcards

1
Q

Personal change

A

voluntary change with the goal of self-improvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Professional change

A

deliberate change with the goal of improving professional ability/status

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Organizational change

A

mandated change with the goal of improving the organization’s efficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Lewin’s Model

Traditional Change Theories

A
  1. Unfreezing—thawing of the current or old way of doing things (individuals realize need for change)
  2. Movement—intervention or change is introduced & explained (benefits & disadvantages are discussed) — the move occurs. transition period
  3. Refreezing—new way of doing things is incorporated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Working Within The Comfort Zone

A

People are accustomed to working together
People have a routine for doing their work
People feel they know what to expect and what is expected of them when they come to work
People know how to deal with whatever problems may arise
People feel they work in a relaxed and none threatening environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lippitt’s Model

Traditional Change Theories

A

Lippitt’s seven phases of change (builds on Lewin’s model)

  1. Diagnosis of problem
  2. Assessment of motivation & capacity for change
  3. Assessment of change agent’s motivation & resources
  4. Selection of progressive change objectives
  5. Choosing an appropriate role for the change agent
  6. Maintenance of the change once it has been started
  7. Termination of the helping relationship
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Havelock Model

Traditional Change Theories

A
Havelock six step model of change (based on Lewin’s work)
1.Planning
building a relationship
diagnosing the problem
acquiring resources
2.Moving 
choosing the solution
gaining acceptance
3.Refreezing
stabilization & self renewal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Havelock

A

Emphasized planning stage (believed resistance can be overcome with good planning & inclusion of affected staff)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Rogers and Shoemaker (1971)

Traditional Change Theories

A

Focuses on the goal of change and the communication of that goal to all concerned

Describes behaviors that characterizes how people respond to change:

  • -Innovators: actively seek and look forward to change. Embrace change
  • -Early Adopters: help make change possible. Open and receptive to change
  • -Early Majority: provides a support system for the change. Prefer status quo but are agreeable to change
  • -Late Majority: followers - skeptical but will change generally due to peer pressure to support the change
  • -Laggards: strive to keep doing things the way they have always been done…last to adopt.
  • -Rejecters’: work actively against the change. Oppose , are resistant and reject change openly hostile
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Rogers’ Diffusion of Innovations Theory

A
Broader in scope & approach
5 step innovation/ decision-making process
1Awareness
2.Interest
3.Evaluation
4.Trial
5.Adoption
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The Change Process

A

Planned change in the organization is different than personal change in that more people are involved, it is on a larger scale, more opinions must be considered

Reasons for change:

  1. To solve a problem
  2. To improve efficiency
  3. To reduce unnecessary workload
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Change process/nursing process

A

–Assessment – identify problem, data collection, analysis → structural, technological, people (eg. surg to obs move)
important to understand driving & restraining forces (e.g. political/ technological/cost/structural issues)

–Planning – who, when, time lines

–Implementation – change strategies (see p. 298 – Table 14-2)

–Evaluation – outcomes identified in planning phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does Resistance to Change look like?

A

Active- attacks or outright refusal to comply
May organize a group to actively resist the change
Frustration & aggression

Passive- Uses avoidance (not attending meetings to discuss the change)
Shows indifference
Shows acceptance on the surfaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Three strategies to promote change:

A
  1. the power-coercive strategy — do it or get out
  2. the normative-reeducative strategy — using the individual’s need for satisfying social relationships in the workplace
  3. the rational-empirical strategy — assumes that humans are rational people and will use knowledge to embrace change
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Change agent =

A

leader → communication & enthusiasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Strategies for lowering resistance to Change

A

Communication-open-honest-clear
Openly share information and provide education about the change
Actively involve those most affected by the change
Address currently held beliefs and rumors
Address individual concerns: personal or professional
Allow time to “vent”
Point out similarities between old and new
Involve staff in the planning and implementation
Plan ahead and allow time for adjustment
Change only what is necessary and when necessary

17
Q

Change readiness is an attitude that is:

A
  1. Open and receptive to ideas
  2. Excited, not anxious
  3. Challenged, not threatened by transitions
  4. Committed to change as an ongoing process
  5. Having the right attitude and positive thinking is the success to decreasing stress in change
18
Q

Change Readiness Evidence:

A
  • -Anticipate and initiate change
  • -Challenge the status quo
  • -Create change, instead of react to change
  • -Lead rather than follow
19
Q

conflict is a

A

disagreement about something of importance to each person involved (eg dress code)

20
Q

Conflict can be a healthy way of introducing new ideas

A

.

21
Q

Types of conflict

A

Intrapersonal- is an internal or personal conflict – within the person

Interpersonal – between two people, between groups or teams on the same unit

Organizational – can be healthy or damaging - cultural differences, competition for funding, resources, patient care, working conditions – can help to identify areas for improvement within the hospital or specific units

22
Q

CONFLICT RESOLUTION TECHNIQUES

A
Avoiding
Accommodating (cooperating) 
          “pick your battles” 
Competing (winner-loser)
Compromising (each side gives)
Collaborating (win win)
Negotiating ( ↑ communication)
Confronting (early in the conflict)
23
Q

Avoiding

A

Used most often by nurses

Is a no win technique because it sweeps problems under the rug.

24
Q

Competing

A

Involves a high concern for self and a low concern for others
Power-orientated

25
Q

Compromising

A

If over used: May lose sight of the larger issues and values

Appropriate when- goals are somewhat important but not important enough to use the more assertive strategies.

26
Q

Conflict Resolution

A

Open and honest communication is the key to successful conflict resolution

27
Q

Define Workplace Violence???

A

This includes verbal, physical, psychological, sexual and financial abuse of nurses using a broad definition of violence.
It also includes policies, processes and values that perpetuate and/or support this violence.