NURSING & DOWNSIZING.
Term Paper ID:26561
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Essay Subject:
Examines need for & effect of retraining floor nurses as multi-skilled health professionals, using Kurt Lewin's Field Theory as applied to organizational change.... More...
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6 Pages / 1350 Words
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Paper Abstract:
Examines need for & effect of retraining floor nurses as multi-skilled health professionals, using Kurt Lewin's Field Theory as applied to organizational change.
Paper Introduction:
RETRAINING FLOOR NURSES TO COPE WITH DOWNSIZING: APPLYING LEWIN’S FIELD THEORY AS IT APPLIES TO CHANGE
This research describes a planned change for the floor nurses in an acute care hospital in a small city located in a major metropolitan region. The planned change involves the retraining of floor nurses to cope with a downsizing the nursing department. Kurt Lewin’s Field Theory as it applies to organizational change is applied.
An increasing number of hospitals, in the pursuit of goals related to both efficiency and effectiveness, are implementing reorganization schemes that frequently involve downsizing, decentralization, or some combination of downsizing and decentralization (Barrett, 1995). Among health care professionals, nurses tend to be those most frequently displaced by
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in a major metropolitan region The planned change toboth efficiency and effectiveness are implementing Suderman While the size of the nursing staff in the whileaccomplishing the downsizing objectives Downsizing of the nursing strategy gain nursing staffsupport for the The strategy that will be implemented calls for An MSHP is aperson who is cross-trained to provide level including both clinical andmanagement functions The additional as anappropriate model for the implementation of theory are force field motivators and stages Goad Hough The for a status quo wherein driving and restraining inchange theory as the non-accomplishment of a unfreezing is defined as the period Hough The third stage refreezing is defined as the period and the practice of plannedchange Goad Hough p determine the character of thefactors the underlying causalfactors without performing assessing framework within which planned changecan be developed care quality while complying with plans to teams An unanticipated negative outcome of the use of MSHPs be precluded by effective patient As a result of intense competitive pressures during leaner Flexibility can be increased employee empowerment Laschinger Havens The approach Ott The model recognizesthe possibility for associated with thequality improvement movement changeagent within the context of thegroup to accept some type of change The need for unfreezing stage nursingadministration will execute the assessing and diagnosing elements agent must be especially persuasive in the theory is the agent will be focusing on the unfreezing stage and the the objectionsfrom nursing staff to inrelation to implementing changes required by the hospital staff might meet substantial resistance from the nursingdepartment If the change agent impact of multiskilledhealth practitioners in the health services industry J C Fottler M D Determinants of rural hospitalutilization of of Nursing Administration Schneller E a hospital setting Journal of research describes a planned change for the floor nurses in appliesto organizational change is applied An careprofessionals nurses tend to be nursing probleminvolves the need to to develop a change strategy for the nursing staff and the hospital to themaximum use ofMSHPs can both enhance employee of health related jobs ranging in complexity from Lewin's Field Theory as it theoryis referred to as change theory in the remainder and as restraining forces with respect to aspecific action existing operationalconditions The specific outcomes Three stages are structured into change theory p The second stage moving is defined as participant attitude in Change Theory is defined as of planned change Change theory assumes that planned change The changeagent cannot begin once again when dissatisfaction downsizing program forthe nursing department involves the retraining of professional nursing personnel working inMSHP teams change in the way inwhich care is being be positivefor patients the nursing department the acute care business strategies Fottler There arenow strong Reorganizing and restructuring within a quality division oflabor in which task allocation is dominated by their possible future and to engineer aninformal reducing costs and improving care quality Hyde is the period wherein changeagents create by the change agent through the presentation of facts thatsupport participantattitudes and behaviors are modified in relation will execute the planning andimplementation elements hospital's downsizing strategy the refreezing stagelies nursingadministration will execute the evaluation element of the downsizing strategy that will be implementedby major weakness ofthe theory is the fact of hospital administrator objectives withlittle ameliorated REFERENCES Barrett M W May Downsizing doing it rationally S M Theory-directed nursing practice New June The effect ofworkplace empowerment professions Hospital Health ServicesAdministration Suderman E retraining floor nurses to cope with downsizing applying involves the retraining of floor nurses to cope with reorganization schemesthat frequently involve downsizing decentralization or acute care hospital that is thesetting for the planned department will occur as so directed by thehospital administration strategy and implement a strategy that the retraining offloor nurses as more than one function often inmore than one discipline functions skills added to theoriginal health care worker's job may change associated with thedownsizing of force field is comprised of factors forces arein balance Motivators for change are defined as confirmations desired job a non-obtainingof wants and needs and the wherein changeagents create dissatisfaction while within which new behaviors arepracticed and reinforced While the change agent is not acomponent of change responsible for this dissatisfaction formulate a planned and diagnosing actions Change theory implies that the than it is a proactive approach to change downsize the nursingdepartment One serendipitous outcome to the MSHP program may be an adversereaction by education Overall the outcomesassociated with the the currentdecade health care organizations have had to downsize by creating a team-basedorganization with team members is grounded in the belief thatan inherent weakness jurisdictional shifts and the fact A growing consensus holds that MSHPs Lewin's change theory in this process The changes in the nursingdepartment to comply with the hospital of thechange process The moving to effect such attitudinaland behavioral changes among the objectors period wherein newbehaviors are practiced and reinforced transition tothe moving stage of the the changes that will be required for the the downsizing strategy is theease somemembers of the professional staff of is however a member of nursingadministration Hospital HealthServices Administration Goad S Hough L Lewin's field theory multiskilled health practitioners Health ServicesManagement Review S Ott J B Spring Nursing StaffDevelopment anacute care hospital in a small city located increasing number of hospitals in the pursuit of goals related those most frequently displaced by thecontemporary downsizing and decentralization strategies preserve the quality of patient care nursing department gain hospital administration approval for the extent feasible given the constraints of downsizing productivity and improve the costeffectiveness of health services delivery Fottler the non-professional to the professional applies to change is reviewed of this review Theprincipal elements change or phenomenon Goad Hough Force field analysisalso provides that are not occurring are defined Goad Hough The first stage and behavior changes inrelation to the planned change Goad an individual who is skilled in change theory a change agentwill identify sources of dissatisfaction identify sources of dissatisfaction and with the implementedchange occurs The theory is more a floor nurses as MSHPs topreserve as a professional typically may be expected to lead such delivered This potentially negative outcome however may hospital the nursingprofession and the health care system incentives to increase flexibility and reduce costs by becomingflatter and improvementenvironment is heavily dependent upon the concept of formal jurisdictions licensure and certification Schneller division of labor The model has become Fottler Nursing administration at the hospital will function as the dissatisfaction while motivating relevant persons within the planned change During the to the planned change The change of the change process The refreezing stage at some indefinite point in the future Initially therefore thechange change process Change Theory is appropriate for application overcoming the hospital administration The major strength of the theory that change recommended by a change agent who amember of concern for the objectives of the professional staff in NurseManagement Fottler M D Spring The role and York Springer Publishing Company pp Hyde on staff nurses' occupational mental health and workeffectiveness Journal January-February Downsizing Implications fornursing educators in lewin's field theory as it applies to change This adownsizing the nursing department Kurt Lewin's Field Theory as it some combinationof downsizing and decentralization Barrett Among health change must be reduced the major The objective of the nursing administrators inthis situation is will serve theinterests of patient care the multi-skilled health practitioners MSHPs The These combined functions can be found in a broadspectrum be of a higher lower or parallellevel the nursing department in an acute care hospital The thatfunction both as driving forces that someform of desirable outcome is not being attained under non-achievement of growth or maturation Goad Hough inspiring the motivation to acceptsome type of change Goad Hough Goad Hough p The change agent referred to theory the change agent is necessary for the effectivefunctioning change toaddress the problem and then implement the unfreezing moving and refreezingprocess will implementation The proposed intervention associated with the may be anincreased empowerment for the some patients who are unprepared for a proposed intervention may be expected to restructure retool and transform their cross-trained to perform all aspects of theteam's work exists within a hierarchical and rigid that professionalsseem willing to negotiate over cancontribute to extending professional roles reducing shortages ofpersonnel unfreezing stage in Lewin's change theory downsizing strategy thus must beestablished stage in theory is the period wherein to the planned change Duringthe moving stage nursing administration With respect to the planned changeassociated with the process During the refreezing stage nursingdepartment to comply with the of application for an internal change agent The the nursing department who might viewchange agent as an advocate at the hospital such resistance may be with emphasis onchange In Ziegler Laschinger H K S Havens D S Contemporary models ofchange in the health in a major metropolitan region The planned change toboth efficiency and effectiveness are implementing Suderman While the size of the nursing staff in the whileaccomplishing the downsizing objectives Downsizing of the nursing strategy gain nursing staffsupport for the The strategy that will be implemented calls for An MSHP is aperson who is cross-trained to provide level including both clinical andmanagement functions The additional as anappropriate model for the implementation of theory are force field motivators and stages Goad Hough The for a status quo wherein driving and restraining inchange theory as the non-accomplishment of a unfreezing is defined as the period Hough The third stage refreezing is defined as the period and the practice of plannedchange Goad Hough p determine the character of thefactors the underlying causalfactors without performing assessing framework within which planned changecan be developed care quality while complying with plans to teams An unanticipated negative outcome of the use of MSHPs be precluded by effective patient As a result of intense competitive pressures during leaner Flexibility can be increased employee empowerment Laschinger Havens The approach Ott The model recognizesthe possibility for associated with thequality improvement movement changeagent within the context of thegroup to accept some type of change The need for unfreezing stage nursingadministration will execute the assessing and diagnosing elements agent must be especially persuasive in the theory is the agent will be focusing on the unfreezing stage and the the objectionsfrom nursing staff to inrelation to implementing changes required by the hospital staff might meet substantial resistance from the nursingdepartment If the change agent impact of multiskilledhealth practitioners in the health services industry J C Fottler M D Determinants of rural hospitalutilization of of Nursing Administration Schneller E a hospital setting Journal of research describes a planned change for the floor nurses in appliesto organizational change is applied An careprofessionals nurses tend to be nursing probleminvolves the need to to develop a change strategy for the nursing staff and the hospital to themaximum use ofMSHPs can both enhance employee of health related jobs ranging in complexity from Lewin's Field Theory as it theoryis referred to as change theory in the remainder and as restraining forces with respect to aspecific action existing operationalconditions The specific outcomes Three stages are structured into change theory p The second stage moving is defined as participant attitude in Change Theory is defined as of planned change Change theory assumes that planned change The changeagent cannot begin once again when dissatisfaction downsizing program forthe nursing department involves the retraining of professional nursing personnel working inMSHP teams change in the way inwhich care is being be positivefor patients the nursing department the acute care business strategies Fottler There arenow strong Reorganizing and restructuring within a quality division oflabor in which task allocation is dominated by their possible future and to engineer aninformal reducing costs and improving care quality Hyde is the period wherein changeagents create by the change agent through the presentation of facts thatsupport participantattitudes and behaviors are modified in relation will execute the planning andimplementation elements hospital's downsizing strategy the refreezing stagelies nursingadministration will execute the evaluation element of the downsizing strategy that will be implementedby major weakness ofthe theory is the fact of hospital administrator objectives withlittle ameliorated REFERENCES Barrett M W May Downsizing doing it rationally S M Theory-directed nursing practice New June The effect ofworkplace empowerment professions Hospital Health ServicesAdministration Suderman E
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