LEWIN’S CHANGE MODEL AND HOW IT APPLIES TO NURSING LEADERSHIP

Rachel Provau RN MSNChief Nursing OfficerBayfront Health Spring Hill

OBJECTIVES

1. Understand Change Models

2. How Nursing Leadership utilizes this model

3. Example project

4. Questions?

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…

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

LEWIN’S 3 STEP MODEL Unfreezing Moving or Change Refreezing

APPLICATION OF MODEL H20 How do you change it?

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

CHANGE New Direction is shared Stakeholders

identified Takes time to embrace new ideas How does it benefit the individuals and

Organization Change Curve

CHANGE AGENTS – NURSING LEADERS

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

REFREEZING Evokes a New equilibrium Measure success Offer education to outliers and then

accountability Don’t tweak a new process too soon Celebrate ……

APPLICATION TO NURSING LEADERSHIP Managed Care VBP Patient Centered care Social Media Multiple generations of work force Core measures HCAHPS

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!

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………

ACME BEST EVER PRODUCT UNFREEZE How do you melt the ice

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

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….

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”