Change Theory Basics
A structured framework that guides the introduction of new practices, policies, or behaviors.
What is change theory?
The theorist responsible for developing the Unfreeze, Change, Refreeze model.
Who is Kurt Lewin?
The stage of Lewin's Change Theory in which individuals are prepared for change and resistance is minimized.
What is Unfreezing?
Power derived from an individual's official position or title within a healthcare organization.
What is Legitimate Power?
A hospital administrator introduces a new documentation policy that all nurses must follow. Identify the type of organizational change being demonstrated.
What is a Top-Down Change?
Unfreezing, Changing, and Refreezing.
What is the three stages of Lewin's Change Theory?
A seven-stage change model that emphasizes the role and resources of the change agent.
What is Lippitt's Model of Change?
The stage of Lewin's Change Theory in which newly implemented changes are stabilized and sustained.
What is Refreezing?
Power gained through specialized clinical knowledge, skills, and professional experience.
What is Expert Power?
An experienced ICU nurse uses advanced clinical knowledge to teach new graduate nurses how to manage ventilators. Identify the type of nursing power being demonstrated.
What is Expert Power?
Forces that encourage change vs forces that inhibit or prevent change.
What is driving and restraining forces?
Knowledge, Persuasion, Decision, Implementation, and Confirmation
What is the five stages of Rogers' Innovation Decision-Process?
Change fatigue, resistance, and emotional responses.
What is the three challenges of organizational change?
Two types of power that influence behavior through incentives or the threat of negative consequences.
What is Reward Power and Coercive Power?
A hospital begins implementing a new electronic health record system after preparing staff through education and training. Identify the stage of Lewin's Change Theory being demonstrated.
What is Changing?
Change initiated by upper management versus change that develops from frontline employees' experiences and needs.
What is top-down change and emergent change?
An eight-step model that includes creating urgency, building a guiding coalition, and generating short term wins.
What is Kotter's Model of Change?
Precontemplation, Contemplation, Preparation, Action, and Maintenance.
What is the five stages of the Transtheoretical Model?
Power gained when others admire, respect, or identify with a nurse and are influenced by their example.
What is Referent Power?
A nurse manager celebrates an early reduction in patient falls following the implementation of a new fall prevention protocol. Identify the step of Kotter's Change Model being demonstrated.
What is Generating Short-Term Wins?
A method used to analyze factors that support or oppose organizational change.
What is Lewin's Force Field Analysis?
Relative Advantage, Compatibility, Complexity, Trialability, and Observability.
What is Rogers' five determinants of successful planned change?
Clear communication, staff involvement, education, emotional support, and addressing employee concerns.
What is strategies nurse leaders can use to reduce resistance to change?
The ability of nurses to influence healthcare decisions through advocacy, leadership, professional organizations, and policy development.
What is Professional Power?
Nurses oppose a new bedside shift report policy because they are comfortable with their existing reporting method. Identify the type of force in Lewin's Force Field Analysis being demonstrated.
What is a Restraining Force?