Critiquing a Change Effort

As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change. Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.

To prepare:

• Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.
• Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?
• How did the change affect your job and responsibilities?
• Consider the results of the change and whether or not the intended outcomes have been achieved.
• Was the change managed skillfully? Why or why not? How might the process have been improved?

Post a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. Explain the rationale for the change, and whether or not the intended outcomes have been met. Assess the management of the change, and propose suggestions for how the process could have been improved.

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

• Review Chapter 7, “Strategic and Operational Planning”
• Chapter 8, “Planned Change”This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change

McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C.,  Baumgart, A.,  Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254–267 doi: 10.1097/QMH.0b013e31828bc37d

An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32–37. doi: 10.7748/nm2013.04.20.1.32.e1013

Retrieved from the Walden Library databases.

Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69–72. doi:10.1097/NNA.0b013e31827f20a9

Retrieved from the Walden Library databases.

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In your assignment this week, you will develop the learning scenario on which you will base most of your other assignments in this course. Your learning scenario can be based on previous, present, or fictitious experiences. For example, if you are not an instructional designer, but have participated in a course or training program that did not meet the learning goals or close a performance gap, you might choose that learning scenario as your example. If you are currently an instructional designer or working in that role, you might choose an upcoming project or a portion of that project to work on for this assignment. As always, consult your professor if you need help formulating your learning scenario so that the scenario includes a clear learning need.

Be sure to include the following components in your assignment:

• Describe the learning scenario with comprehensive detail. Be sure to identify the current state (“as is”) and the desired future state (“to be”). Use fictitious names of individuals and organizations, even if the scenario is not based on actual events. Developing your own learning scenario is how you get to tailor the assignment to your interests and experiences. This approach is often referred to as a learner-centered design.
• Analyze the learning need in the scenario. Start by describing the learning need and how you know it is a learning need.
• Justify which model (problem, innovation, discrepancy) you think would be most appropriate in conducting the needs assessment.
• Discuss any ethical, legal, or political factors that might influence the identification or analysis of the learning need or needs assessment model. For example, would the organization be liable to pay penalties if your analysis revealed than mandated safety training had not occurred and was necessary? What if executives put pressure on you to overlook certain findings in favor of their own perspectives?

Length: 3-5 pages, excluding title and reference pages

References: Include a minimum of 3 scholarly resources.

The completed assignment should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. The content should reflect scholarly writing and current APA standards and should adhere to Northcentral University’s Academic Integrity Policy.

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