WEEK 4 Flashcards
1
Q
Name the Three Stages of Lewin’s Unfreeze-Change-Refreeze Model
A
- Unfreeze
- Change
- Freeze
2
Q
Lewin’s Unfreeze-Change-Refreeze
Describe the requirements for Stage 1: Unfreeze
3
A
Letting go
* overcoming resistence
* disequilirium occurs
* disruption of the system
3
Q
Lewin’s Unfreeze-Change-Refreeze
Describe the requirements fro stage 2: Change
4
A
- Change in thought, feeling, and behaviour
- Level of uncertainty or fear
- Nurse looks at persuading others, working with others to find new info
- Connecting with leaders who have power to make change
4
Q
Lewin’s Unfreeze-Change-Refreeze
Describe the requirements for stage 3: Freeze
1
A
- establishing change as new normal
5
Q
Criticisms of Lewin’s Unfreeze-Change-Refreeze
1
A
Linear and simplistic
6
Q
Name the 7 Stages of Planned Change
A
- Diagnosing the problem
- Assessing the motivation and capacity for change in the system
- Assessing the resources and motivation of the change agent
- Establishing change objectives and strategies
- Determining the role of the change agent
- Maintaining the change
- Gradually terminating the helping relationship as the change becomes part of the organizational culture
7
Q
Phases of Change model was developed in response to:
2
A
- Exploitation of scientific knowledge
- Increasing expectation of scientific knowledge being useful to society
8
Q
Name the 6 Phases of Change
A
- Building a relationship
- Diagnosing the problem
- Acquire resources for change
- Selecting a pathway for the solution
- Establishing and accepting change
- Maintenance and separation
9
Q
Phases of Change
Describe Phase 1: Building a relationship
3
A
- Precontemplatino stage
- Before identification of change that needs to happen
- Building the problem
10
Q
Phases of Change
Describe phase 2: Diagnosing the problem
3
A
- Contemplation
- Change agent decides if change occurs or not
- Assess if it is worth input we will have to implement
11
Q
Phases of Change
Describe Phase 3: Acquiring the resources for change
1
A
- Decided change is worth it - determine steps and resources needed to make the change happen
12
Q
Phases of Change
Describe Phase 4: Selecting a pathway for the solution
1
A
- Determining the steps to take
13
Q
Phases of Change
Describe Phase 5: Establishing and accepting change
1
A
- Individuals are often resistant to change, so we have to make sure it becomes a habit and a normal part of the routine
14
Q
Phases of Change
Describe Phase 6: Maintenance and Separation
2
A
- Monitor the change and whether it is sticking
- Pull back on resources required to support the change
15
Q
Describe the 5 types of people associated with the Innovation Diffusion Theory
A
- Innovators (2.5%)
- Early adopters (13.5%)
- Early majority (34%)
- Late Majority (34%)
- Laggards (16%)
16
Q
Aim of Innovation Diffusion Theory
A
target early adopters or majority - late majority and others will follow
17
Q
Describe Chaos Theory
3 points
A
- Subset of complexity science
- Small changes of randomness can affect long term behaviour of that system
- A way to structure change in a highly complex system
18
Q
Criticism of the Nursing Process
Assessment, planning, implement, evaluate (2)
A
- linear theory
- no inclusion of driving and restraining forces (too simplistic)
19
Q
Name the 4 components of the medicine wheel and associated colors
A
- body - black
- mind - white
- spirit - yellow
- emotions - red
19
Q
Name the 4 components of the medicine wheel and associated colors
A
- body - black
- mind - white
- spirit - yellow
- emotions - red
20
Q
How does the medicine wheel relate to change?
3 points
A
- Symbol of wholeness
- Looks at change from the perspective of wholenss
- Guide to holistic change for individual and collective community
21
Q
What are the two responsibilities of the nurse leader?
A
- Change oneself
- Build capacity in others
22
Q
What are the 5 roles of the change coach?
A
- Guide others
- Set expectatoins
- Provide feedback
- Facilitation - encourage shared decision making
- Inspiration - instilling confidence in those you work with
23
Q
Name the three change strategies
A
- Power-coercive
- Empirical-rational
- Normative-reeducative
24
# Change Strategies
Describe **Power Coercive** change strategy
| 4 points
* Based on application of power through a legitimate authority
* To implement, you have to have a position of legitimate authority
* Little effort required to enforce change
* Staff have on ability to alter course of change
25
# Change Strategies
Describe **Empirical-Rational** Change Strategy
| 2 points
* People are rational humans
* If they have knwoledge regarding the change and perceive it as rational or beneficial, they will make the change
* *ex. providing education around benefits of change*
26
# Change Strategies
Describe **Normative-reedicative** change strategy
| 1
linking social norms and values to change
27
Considerations for response and resistance to change
| 6 points
1. Resistance is natural
2. Learn why people are resisting cahnge
3. Bridge the old with the new
4. Identify early adopters
5. Valuing the change - link it to values
6. Vision - communicate clear vision about benefits of change
28
What is Critical Race Theory
* Practice of interrogating the role of race and racism in society
* Critiques how the social construction of race and institutionalized racism perpetuate a racial caste system
* Recognizes that race intersects with other identities, including sexuality, gender identity, and others
* Recognizes race as a social construct; and racism is a normal feature of society embedded within systems and institutions
* Recognizes that racism is codified in law, embedded in structures and woven into public policy
* Rejects colorblindness
* Recognizes that the systemic nature of racism that bears primary responsibility for reproducing raciam inequality
29
What is Intersectionality
| 4 points
* *Build on a critical reflection on the unique social positions of indivudals within multiple intersections of oppression and priviledge*
* Stems from Black feminist thought
* Challenges traditional feminist theory which assumes homogeneity of women
* Multiple systems of oppression mutually interact to impact health
30
What is the value of applying Intersectionality in Nursing Practice
| 6 points
* Paradigm shift from individual expereinces to disrupt symptoms of oppression
* Used to emphasize importance of inclusion
* Response to a lack of progress in reducing health disparities
* Importance of understanding multiple factors that might otherwise be overlooked
* Naming the intersecting systems of oppression is a key to dismantling systems
* Collective responsibility of nurses to address social inequalities and impact on health outcomes
31
What is Queer Theory
The lens used to explore and challenge how scholars, activists, artistic texts, and the media perpetuate gender and sex-based binaries. Goal is to undo hierarchies and fight against social inequalities
32
Name the 4 Implementing Processes and 2 Conditional Contexts of Empancipatory Nursing Theory
Implementing Processes
1. Transforming
2. Engaging
3. Awakening
4. Becoming
Conditional Contexts
1. Relational contexts
2. Reflexivity
33
Describe Leadership from an Indigenous Perspective
*Leadership is about being grounded by our principles rooted in the values and practices of our culture*
* Focus on relationship building, traditional imagery and storytelling, and worldviews
* Holistic model of leadership using the circle of life teachings - individual (mental, emotional, physical, spiritual), family (greatest gift), community
34
What is "othering"
*The process of constructing the Other. It is a colonial creation for ill-gotten economic and political gain. Othering is embroiled in colonialism, dehumanization, racism, and gender-based violence*
35
Explain why nursing is **never neutral**
* Political determinants of health make it impossible
* *governance and policies that tie to inequitable health outcomes*
* *individual and biological determinants are too narrow*
* *political determinants of health govern social determinants*
* Nursing is situated within the political landscape
* Political advocacy as a key nursing strategy
* The caring relationship definitive for nursing practice is always situated within the broader political networks
