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Overcoming Resistance to Change in a Hospital

I am having a problem linking the approaches for managing resistance with the two types of managing organizational change.

Scenario:
You're the nursing supervisor at a community hospital employing both emergency room and floor nurses. Each of these teams of nurses tends to work almost exclusively with others doing the same job. In your professional reading, you have come across the concept of cross-training nursing teams and giving them more varied responsibilities, which has been shown to improve patient care while at the same time lowering costs. You call the two team leaders, Sue and Scott, into your office to explain that you want the nursing teams to move to this approach. To your surprise, they are both opposed to the idea. Sue says she and the other emergency room nurses feel they're needed in the ER, where they fill the most vital role in the hospital. They work special hours when needed, do whatever tasks are required, and often work in difficult and stressful circumstances. They think the floor nurses have relatively easy jobs for the pay they receive. Scott, leader of the floor nurse team, tells you that his group believes the ER nurses lack the special training and extra experience that the floor nurses bring to the hospital. The floor nurses claim they have the heaviest responsibilities and do the most exacting work. Because they have ongoing contact with patients and families, they believe they shouldn't be called away from vital floor duties to help the ER nurses complete their tasks.

Determine what you think would be the best three approaches for managing resistance to change to apply to the nursing teams situation.

The four approaches for managing resistance to change are:

1. Education and communication*
2. Participation*
3. Facilitation and support*
4. Negotiation*

Compose a description of how you would implement each of the three best approaches at the hospital.

(I have starred the ones I think are best choices but I am having difficulty understanding how I would use one or more of the following approaches to managing organizational change:
1. Lewin's Three-Step Model
2. Action Research

I appreciate any clarification on this (300 words)

Solution Preview

STEP 1
Using Lewin's Three-Step Model:
The three steps are unfreezing, moving and refreezing.
In practice, Sue and Scott have to be shown the dysfunctional of their current positions. Each of them has shown how their current position is baneful for the hospital. We should also remember that Sue and Scott may be the hospital's employees who are benefiting from the status quo. To show them the futility of their current situation one or more of approaches that you have selected may be used. For instance, education and communication can be used to send your message to all nurses in the hospital that cross functional training is important for them.
During the move stage, planned interventions are required. Also in this stage one or more of the interventions proposed by you can be used. For example, facilitation and support will be excellent in overcoming ...

Solution Summary

This posting examines managing resistance to change in the context of community hospitals.. It discusses the three best approaches to managing resistance..

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