Planning Change for Improved Outcomes

NUR 704
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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
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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
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Lewin’s change model is very well known
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Kotter
Appeal to emotions
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Lewin
Target early adopters in
the change effort
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Rogers
As you seek to get people
to change, help them
unfreeze from old ways
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Kotter
Appeal to emotions
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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.