ASK A PROBING QUESTION, SUBSTANTIATED WITH ADDITIONAL BACKGROUND INFORMATION, EVIDENCE, OR RESEARCH USING AN IN-TEXT CITATION IN APA FORMAT. 2))
SHARE AN INSIGHT FROM HAVING READ YOUR COLLEAGUES’ POSTINGS, SYNTHESIZING THE INFORMATION TO PROVIDE NEW PERSPECTIVES. 3))VALIDATE AN IDEA WITH YOUR OWN EXPERIENCE AND ADDITIONAL RESEARCH.
Half of the page per response to my peers, with references, use the first person, be nice and respectful. Posts attached.
Respond in one or more of the following ways:
1))Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
2))Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
3))Validate an idea with your own experience and additional research.
(GARRETT)
Organizational Change
A little over one year ago, my organization transitioned from one form of health information technology to an upgraded health information technology. The transition was from a paperless charting system to a fully functional paperless system, including physician ordering. This task was to be completed in regard to the government’s involvement with meaningful use, and reimbursement for Medicare and Medicaid patients who are prevalent in the rural area I work in. All in all, the financial incentive was a driving factor, but my facility recognized that by implementing this new system we could improve the care and overall wellbeing of our patients. We could assist as well in tracking vital statistics that could be applied for research and best practice implementation. It was truly a winning situation for everyone!
From a nursing standpoint, the transition was demanding, because anything new is demanding in the midst of taking care of sick human beings. However, since we had already been utilizing computerized charting for patient charting and medication administration, the toughest task was figuring out the geographies of the new system. Through support of peers and change leaders, the task was successfully launched and now off and running. The government tasked organizations with being up and running to meet certain goals by certain dates. These dates were set in three sections, and I am proud to say that by the deadline of each event, we were at the mark expected. As of recent, we met our third deadline with success! At this point we are now modifying and fixing problems as we encounter them. We are far from mastering this new system, but we have come leaps and bounds since day one.
Management of Change
My facility utilizes a Line model business system. The order generally come from the top down. We are very fortunate to have a leadership who is educated, and has foresight. They are well versed and believe strongly in proactive planning and management rather than reactive management. Proactive planning takes into account the organizations past, present and future. This allows for the group to plan for the future, rather than reacting to it (Marquis & Huston, 2015, p. 143).
Proactive planning still takes preparation, adoption and implementation. This can only occur by leaders bridging and meeting needs by compromise between higher level decision makers and the staff carrying out daily duties (Laureate Education, 2012). It is important to find champions for change, from all departments involved. The champions need to be able to see the change vision, the positive yield it carries, and then have these people lead the way for change (Marquis & Huston, 2015). Even with the best of leaders, there needs to be a formal planned change theory. The choice of most facilities is Lewins Theory of Planned Change.
There are three simple steps which are unfreezing, movement, and refreezing. Unfreezing requires recognizing the problem and making a start of changing normal practices. “The movement stage necessitates creating a detailed plan of action and engaging people to try out the proposed change. Often, this stage is difficult because it has uncertainty and fear associated with change” (Shirey, 2013, p. 70). This stage involves training to overcome fears and clear communication to avoid losing sight of the desired target, which is a new and improved reality. Finally is the last stage of refreezing which is simply making the change sustainable, and making it the new way of everyday practice.
The Change Process
My organization did a wonderful job in the change process. They supplied change agents from all levels of authority, as well as all department specialties. There was ample time for preparation as well as trial implementation before the overall go live day. Finally, during the training and go live days ahead, there was change leaders present in all departments, in all shifts to make certain that all questions and concerns were answered and addressed.
References
Laureate Education, Inc. (2012). Organizational dynamics: Planned change and project planning. [Video file]. Retrieved from https://class.waldenu.edu/webapps/blackboard/content/listContent.jsp?course_id=_11196748_1&content_id=_28628444_1
Marquis, B. L., & Huston, C. J. (2015). Leadership Roles and Management Functions in Nursing (8th ed.). Philadelphia, PA: Waltors Kluwer Health/ Lippincott
Shirey, M. (2013, February). Lewins Theory of Planned Change as a Strategic Resource. The Journal of Nursing Administration, 43(2), 69-72. http://dx.doi.org/10.1097/NNA.0b013e31827f20a9
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