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Nurs 442 Change Assignment

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Change Assignment

Enjoli L. Wasden

School of Nursing, Nevada State College

NURS 442: Nursing Leadership, Management and Health Policy

Evette Wilson, DNP, RN, COI

June 6, 2021
Change Assignment

One significant problem that I have identified in the clinical setting is employee attitudes

towards patients. I have seen a nurse who negatively identified certain patients as medication

seekers. This automatically put them at the bottom of her to do list. When she was interacting

with these patients her demeanor was negative. This nurse seemed annoyed when these patients

were explaining their situation and was short with her replies to them. Her tone was not one of

caring, and she spent as little time with these patients as possible. I feel that these patients did not

deserve the treatment that they received even if they were there to get pain medication. At the

end of the day, it was that patient’s decision and they will change when they are ready.

In order to implement a change in attitude towards patients, I would use Lewin’s Force-

Field Model of Change and Force-Field Analysis. This change model has three main components

that guide implementing change. The first step, “Unfreezing Stage” is basically about bringing

recognition to a perceived problem. In order for others to recognize that there was a problem I

would send out anonymous self-assessment surveys, that would ask staff how they feel about

their personal attitudes, how often they analyze their personal biases, how they like to be treated,

how do they think their demeanors impact others, and how they handle situations that they don’t

like. After the survey was completed, I would hold a meeting and go over the surveys

highlighting the most selected answers and then ask staff if they thought there was a problem.

The second step, “Moving Stage” involves a clearly identifiable problem and

implementation of strategies to resolve said issue. Once the meeting was over and staff came to

agreeance that there was an issue, I would ask them for their input on how they think we could

all implement the change. After input from staff about strategies they think are useful and

realistically able to be implemented I would encourage all staff to begin using them.
The third step, “Refreezing Stage” is a longer stage and involves the implemented

changes being used in the setting and may require careful monitoring as not to return to previous

ways. I anticipate that this type of change would meet a lot of resistance with staff. I especially

liked how our textbook mentioned that the resistance to change should not simply be ignored, but

embraced to better understand why it’s being resisted (Finkelman, 2020, p.86). To deal with

resistant staff, I would offer incentives for surveys that patient’s fill out about the care they

received during their stay. Another way to help with resistance would be to ask the staff to

anonymously submit their concerns about changing their attitudes and behaviors towards

patients. After getting the results, I would ask for their help to figure out how to change the items

that they were most concerned about. I think this strategy would work really well with this

scenario because staff would not feel singled out and could recognize that it was a whole

company issue and not just a staff issue, which I think would motivate them to embrace the

change.
References

Finkelman, A.W. (2020). Leadership and Management for Nurses: Core Competencies for

Quality Care (4th ed., p. 86). Pearson.

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