Lewin's Model
A nurse manager notices falls are rising, gathers data, and presents the numbers at a staff meeting asking, "What would you like to do about that?" Which phase of Lewin's model is this?
A) Movement
B) Unfreezing
C) Refreezing
D) Change by drift
B) Unfreezing
(Creating awareness, diagnosing the problem, and clearing competing priorities)
A manager says: "The hospital board approved this new bedside report policy; anyone who refuses will face disciplinary write-ups." Which classic strategy is this?
A) Rational-empirical
B) Normative-reeducative
C) Power-coercive
D) Complex adaptive
C) Power-coercive
(Relies on authority, mandates, and formal sanctions)
According to our slides, what is cited as perhaps the greatest factor influencing employee resistance to change?
A) Lack of trust between employees and the manager or organization
B) Staff having too much formal education
C) Using new computer equipment
D) Having too many nurse volunteers
A) Lack of trust between employees and the manager or organization
When a nurse is contemplating returning to school for a BSN, which factor was classified on our slides as a restraining force?
A) Opportunity for advancement
B) Desire for a pay raise
C) Conformity to norms and fear of the unknown
D) Supportive family
C) Conformity to norms and fear of the unknown
Which change strategy relies on interpersonal skills, group norms, and peer influence by having respected staff nurses model the desired behavior?
A) Power-coercive
B) Rational-empirical
C) Normative-reeducative
D) Change by drift
C) Normative-reeducative
On our slide comparing roles, who is defined as the "mechanic" who plans, provides tools, and stays involved until refreezing?
A) The Leader
B) The Manager
C) The Outsider Agent
D) The Physician
B) The Manager
(The Leader is the "inventor" with the vision)
According to Lewin's model, how long must a leader remain actively involved during the Refreezing phase before a change truly becomes the new status quo?
A) 2 to 4 weeks
B) 1 to 2 months
C) 3 to 6 months
D) 1 year
C) 3 to 6 months
According to our presentation, what is considered best practice when applying Bennis, Benne, and Chin's classic change strategies?
A) Always use power-coercive methods first to enforce compliance
B) Combine strategies from all three groups to increase success
C) Use rational-empirical evidence only
D) Avoid involving staff to minimize debate
B) Combine strategies from all three groups to increase success
In Chaos Theory, what principle describes how a very small, seemingly minor change on a unit can create massive, long-term ripple effects across an entire hospital?
A) The Domino Principle
B) The Butterfly Effect
C) The Drift Effect
D) The Hawthorne Effect
B) The Butterfly Effect