The need for change within the Surgical Department at UAHN
Working in a large academic healthcare facility, such as University of Arizona Health Network (UAHN), one of the top priorities is the safety of the patient. As a nurse in the operating room (OR) the top priority is being the patients’ advocate which includes monitoring the traffic in and out of the room throughout the surgical procedure. In the operating room the need for supplies at the ready is imperative. All operating rooms within the facility are restocked with supplies on the off shift which in theory readies the room for the next days scheduled procedures, but as in any organization there are times when an unexpected emergency occurs. When these emergencies occur time is
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SSI’s not only set back our patients, but they also create financial and economic burdens for our facility. Additionally, there are considerable inefficiencies throughout UAHN’s surgical services departments, especially in its handling of inventory and supply chain management. The management of inventory which includes the daily returned inventory from surgical cases creates an excess in labor, indicating our system is non-optimized and costs UAHN approximately $4 million annually. It is for these reasons I believe there is great need for change at the University of Arizona Health Network (UAHN) moreover these changes can be accomplished on more than one level. We can establish a more efficient workflow at the clinical level as well as at the supply chain management level, doing so will increase the effectiveness and the financial health of the UAHN organization.
The Change Model
The change model the leadership chooses will prepare the organization for the change process, implement the change, and strives to regain stability as soon as possible (Orlikowski, 1997). The model chosen for this change is Lewin’s three step change model of unfreezing, change, and refreezing, as it is believed to work best in this organization. According to Orlikowski (1997) Lewin’s model allows the organization to prepare for, implement the change, and attempt to regain stability as soon
Upon observation of the circulating nurse, I noticed that she was very interactive and involved in the surgery. One of the responsibilities of the circulating nurse is to retrieve any surgical supplies that are not available in the operating room and to make or receive any calls for the surgeon. During the surgery, I noticed the nurse call for an x-ray for the surgeon, the laboratory for biopsy samples, and the operating room floor front desk to inform them that the surgery would be later than expected. This is her responsibility as the surgeon cannot break sterility by touching the phone and it is easier for him to communicate through her and not leave the surgical site. Also in the operating room, I observed the scrub nurses’ roles. Before the operation, the scrub nurse opened all of the sterile packages, arranged them on the sterile field, and took count of what was there along with the circulating nurse. The scrub nurse did this because she is sterile during the entire procedure, and once the sterile packs are opened, the contents can only be handled by sterile personnel. The scrub nurse also was ready and waiting at the sterile field at all times to get the surgeon any equipment needed from the sterile field. This is helpful to the surgeon because it enables the surgeon to stay at the surgical site and convenient for when
No matter how easy is may seem on the surface, the unfreezing, moving and refreezing stages of Lewin’s 3-Step model must be taken (Lewin, 1946). These stages are difficult and persistence by the organization in sticking to its objectives for growth and improvement must remain a top priority. In reality no matter how many positives a new idea is there will always be resistance when it is introduced. Change management is therefore central to the process of making the transition from the old system to the new and change management practices should be employed throughout the transition (ITIL,
Havelock’s model of change will be used for this project. Perception of need, diagnosis of the problem, identification of the problem, devising a plan of action, gaining acceptance of the plan, stabilization, and self-renewal are all steps included in Havelock’s model of change (Kearney-Nunnery, 2012). Leadership is also an important part of the change process. In order to have a positive outcome, the leader must incorporate the staff in the change process.
Choosing a change model can be difficult for an organization. The company must ensure that the model it chooses will help them make the smoothest transition possible for everyone involved. The chosen change model must also help the company reach its goal within the time frame the company needs to have changes made.
In the 3-step model for successful organizational change, Kurt Lewin argues that successful change in organizations follows 3 steps:
As Niccolo Machiavelli once stated "There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things" (Burtonshaw-Gunn 2008 p 21). Change is as influential as it is necessary. Adopting effective change can also be a difficult endeavor. That is why this research is examining particular change models as a way to better understand methods which can be transposed into real practice. Here, the work of Palmer & Dunford (2009) is examined, in particular the concepts of change images found in chapter two of the work Managing Organizational Change: A Multiple Perspectives Approach. Change model images essentially prepare a foundation of structure and leadership for managers, which can be decided upon based on the specific environmental factors involved in the change itself. Managers can choose particular management styles based on the specificities of the situation and the desired results.
The models of change that I have chosen to describe are the ADKAR model and Kotter’s 8 step change model. The ADKAR model is mainly used to help identify and drive change as well as a tool to understand any gaps that are needed to strengthen along the change process. It is also a useful framework for planning change within an organization, before implementation, and in the execution phase of the change management process. This process begins with five key goals that are the basis of the model; awareness of the need to change, desire to participate and support the change, knowledge of how to change, ability to implement the change on a daily basis, and reinforcement to keep the change in place. Each step in the ADKAR model
The model represents a very simple and practical model for understanding the change process. For Lewin, the process of change entails creating the perception that a change is needed, then moving toward the new, desired level of behavior and finally, solidifying that new behavior as the norm. The model is still widely used and serves as the basis for many modern change models.
These are a list of the nine models that I will compare for our organizational change. The Lewin, three-step model, Bullock and Batten, planned change, Kotter, eight steps, Beckhard and Harris, change formula, Nadler and Tushman, congruence model, William Bridges, managing the transition, Carnall, change management model, Senge, systemic model, and the Stacey and Shaw, complex responsive processes. Along with discussing the models, I will
As mentioned before, there are several models that an organization can use as a guide for transformational change. John Kotter’s 8-Step Model is one that addresses the nuances of change in more detail than Lewin’s three-step model. His eight-steps are (Parmenter, 2015):
According to Kurt Lewin’s change model (1947), there are three aspects of managing organizational change: unfreezing, change intervention and refreezing. By observing the change model, all four characters are seen to go through the freezing stage when they found the first cheese station.
The aim of this report is to provide a critical analysis of the concept of change in the business industry. The concept of change can be tracked back to Lewin’s Model of Change therefore the intitial introduction of this report focuses on the relevance of the Model of Change and its importance to giving precedence to other relevant change management theories and how Kurt Lewin’s work on heavioral science and planned change during World War II gave rrise to prominence of experimental leadership and planned change processes which also in turn launched a new generation of research that lead to group dynamics and how change programs are implemented into an organisation (Burnes, 2004). This is important because today’s basic elements or factors
When changes are inevitable, the leaders usually design some adequate steps to make the change go smooth, effective and permanently. Kurt Lewin argued that successful change in organizations should follow three steps:
The purpose of this paper is to discuss organizational change and the management of that change. I will talk about the different drivers of change, the factors a leader needs to weigh to implement change effectively, the various resistances a leader may encounter while trying to implement change, and how various leadership styles will effect the realization of change. I will also discuss the knowledge I have gained through the completion of this assignment and how I think it might affect the way I manage change in my workplace.
Kurt Lewin developed a model of the change process that has stood the test of time and continues to influence the way organizations manage planned change. Lewin’s change model is a three-step process. The process begins with unfreezing, which is a critical first obstacle in the change process. Unfreezing involves encouraging individuals to shed old behaviors by changing the status quo. The second step in the change process is moving. In the moving stage, new attitudes, values, and behaviors are substituted for old ones. Organizations accomplish moving by initiating new options and explaining the rationale for the change, as well as by providing training to help employees develop the new skills they need. The last step in the change process is Refreezing. In this step, new attitudes, values, and behaviors are established as the new normal. The new ways of operating are concrete and reinforced. Managers should ensure