NSG 4415 Lecture Notes - Lecture 8: Employee Retention, Homeostasis, Peer Pressure
Document Summary
Direction of change in 21st century health care organizations: Unfreezing = the change agent convinces members of the group to change or guilt, anxiety, or concern are elicited. Movement = the change agent identi es, plans, and implements appropriate strategies, ensuring that driving forces exceed restraining forces. Refreezing = the change agent assists in stabilizing the system change so that it becomes integrated into the status quo. Driving (facilitators) = forces that push the system toward change. Restraining (barriers) = forces that pull the system away from the change. Driving and restraining forces (goal: return to school) Lewin (1951): identified several rules that should be followed in implementing change. Change should only be implemented for food reason. All change should be planned and not sporadic or sudden. All individuals who may be affected by the change should be involved in planning for the change. Stage 1: pre-contemplation > no current intention to change.