lewin’s change model and how it applies to
TRANSCRIPT
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LEWIN’S CHANGE MODEL AND HOW IT APPLIES TO NURSING LEADERSHIP
Rachel Provau RN MSNChief Nursing OfficerBayfront Health Spring Hill
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OBJECTIVES
1. Understand Change Models
2. How Nursing Leadership utilizes this model
3. Example project
4. Questions?
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CHANGE MODELS IN NURSING Bridges Transition Model
Kotter’s 8 Step Process for Leading Change
McKinsey 7-S Model
Lewin Change Model
None are Nurses…
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WHO IS LEWIN? Kurt Lewin born in 1890 Humanitarian, Social Scientist, Physicist Theories formulated in 1940s and still in use
today Areas of research – Field Theory, Group
Dynamics and Action Research Referred to as the Guru of Organizational
Change theory
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LEWIN’S 3 STEP MODEL Unfreezing Moving or Change Refreezing
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APPLICATION OF MODEL H20 How do you change it?
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UNFREEZING Forced or controlled Crisis Changing the way things are done or status
quo Strong reaction to change – Needed to evoke
the change Finding the new equilibrium is a motivator No
one likes uncertainty. Requires Strong support from management
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CHANGE New Direction is shared Stakeholders
identified Takes time to embrace new ideas How does it benefit the individuals and
Organization Change Curve
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CHANGE AGENTS – NURSING LEADERS
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SECRETS TO MANAGING CHANGE Communication with a United Front. No we
/they discussions or silos Dispel rumors Empower action- Utilize your naysayers as
your content experts Reinforce and reward small steps in process
as major victories Have a support group to help with difficult
staff. It is good to hear the same thing from multiple sources
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REFREEZING Evokes a New equilibrium Measure success Offer education to outliers and then
accountability Don’t tweak a new process too soon Celebrate ……
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APPLICATION TO NURSING LEADERSHIP Managed Care VBP Patient Centered care Social Media Multiple generations of work force Core measures HCAHPS
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CHANGE CURVE IN NURSING Shock- Oh no not another form Denial – Maybe if I don’t look
at emails.. Frustration- I don’t have 25
hours in my day Depression – Well I have to get
this done Experiment – How can I get
this done? What is the best way?
Decision- I am accountable for this and will get this done. It is best for the patients/staff.
Integration- Whoo… I succeeded and this feels Great!
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APPLICATION OF LEWIN’S THEORY Change Announcement – In 2 weeks we will have a new product the
ACME Best ever product and it will replace our Favorite product.
There will be a new form to go with the ACME Best ever product as well and all staff need to make sure this form is filled out.
Using the Lewin Model outline how the teams will accomplish this………
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ACME BEST EVER PRODUCT UNFREEZE How do you melt the ice
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ACME BEST EVER PRODUCT CHANGE How do you
communicate? Immediately to
prepare the staff Throughout the
change how to operationalize it for your department
Empower the staff to help you
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ACME BEST EVER PRODUCT - REFREEZE Anchoring the
change Monitor for the
group that ignores the change and hold them accountable
Always give a consistent message
Remember If the BOOV can change so can we….
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REFERENCES Mind Tools Editorial Team “Lewins’
Change Management Model”
Q. Studer “Hardwiring Excellence”
Mind Tools Editorial Team “Bridges’ Transition Model
Porter-O’Grady, T and Malloch, K. (2010) “Quantum Leadership: Advancing Information, Transforming Health Care” Third Edition
AONE Guiding Principles http://www.aone.org/resources/principles.shtml
Principles and Elements of a Healthful Practice/Work Environment http://www.aone.org/resources/leadership%20tools/library.shtml
Committee on Quality of Health Care in America, Institute of Medicine, 2000; “To Err is Human: Building a Safer Health System”, Linda T. Kohn, Janet Corrigan, and Molla S. Donaldson, Editors
The Joint Commission Standards and Measurements http://www.jointcommission.org/
Becoming a High Reliability Organization http://www.ahrq.gov/qual/hroadvice/
Melynk, B. & Fineout-Overholt, E. “Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice”