Change  theory2015

al-quds university

1. CHANGE  
presented by SAMAR ELYAN
 

2. •my objectives:
1.Define strategies for change.
2. strategies for effecting change :
3.Know types of change.
4.UnDerstanD the actions that what
can
managers change.
5. effective manageD change leaDs
to

2

3. Change:
Change is constant in today's health care
organization.
-An alteration, haphazard or planned to make
something different .
Any alteration, regardless how slight or how major
, or how large or small the object of change .
-Change agent - an outside helper used to plan
and implement the process of change .

4. 4
Change can be:
a. Planned :
actively involves predetermined goals,
participative management , mutual goal setting ,
equal power ratio , deliberativeness ,a change
agent and a target date .
  b. Unplanned : a reactive process where change
either occurs without personal involvement or is
introduced from outside.     
       

5. 5

Strategies for effecting
change :
1.
Emperical rationale
strategies :
2. -
Normative reeducative
strategies :
3.
Power coercive strategies
:

6. 6
Types of change :
1.Coercive change : non mutual goal setting , imbalanced power
ratio , one side deliberative .
2.Imulative change : change is fostered through identification
with & emulation of power figures .
3.Indoctrination : mutual goal setting , imbalance power ratio &
deliberative .
4.Interactional : mutual goal setting ,fairly equal power ,but no
deliberativeness .
5.Natural : includes accident or acts of God , they involve no
goal setting or deliberativeness .
6.Socialization change :One conforms to the needs of social
group .
7.Technocratic :collecting& interpreting data , report for
analysis to bring change .

7. 7
Resistance to change :
Today ,resistance is recognized as a natural and
expected response to change.
People hate change ?
Change can be a threat to managers ?
Why people resist change ?
Uncertainty.
Concern over personal loss (fear).
Belief that change isn’t best organizational
interest (goals).
Habits, values, self esteem.
Stress.
Increase energy.

8. 8
What can managers change :
•People: attitude , skills expectation
•Structure: authority , degree of centralization,
coordination.
•Technology :work process , equipment used .

9. 9
 Effective managed change leads to:
-improvement in patient services
-raised morale
-increased productivity
-meets patient and staff needs

10. 10
References:
1.Tomey,AnnMarriner,(2000) Guide to nursing management
and leadership.6
th
ed.262-285.
2.Swansburg,Russel C.(1996). Management and leadership
for nurse managers.2nd ed. p.p. 287-320.
3.Marquis Bessie L and Huston,Carol . Leadership Roles
and Management Functions in Nursing . 6
th
ed. Organizing
pt. care .p.p.166-180.