NUR 704 Stetler (2003) describes culture as how things are done in an organization based on actual norms, beliefs and values Many health care organizations value “doing work” or being busy, making planned change hard to accomplish CNLs must create a vision that establishes EBP as a way of practicing-or transforming practice Leadership must have buy in Mentors Librarian Resources Protected time Education Shared governance Journal club Nursing rounds EBP competencies 1. 2. 3. Change to solve some problem. Change to make work and procedures more efficient. Change to reduce unnecessary workload Lewin’s change model is very well known Kotter Appeal to emotions Lewin Target early adopters in the change effort Rogers As you seek to get people to change, help them unfreeze from old ways Kotter Appeal to emotions Lewin As you seek to get people to change, help them unfreeze from old ways Rogers Target early adopters in the change effort Perhaps the greatest factor contributing to the resistance encountered with change is a lack of trust between the employee and the manager or the employee and the organization.
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