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Organizational Change Plan Part 1

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Organizational Change Plan - Part I
Deluxe Fernandez
HCS 587- Creating Change Within Organizations
January 26, 2015
Professor Thomas Sloan

Organizational Change Plan - Part I
Health care is subject to numerous changes at any given time along with the organizations and their employees. In today's climate, organizations have to be adaptive to changes as it is a requirement to survive, thrive, and succeed (Rafferty et al., 2013). One important aspect for success is to promote job satisfaction. "Job satisfaction is closely related to the performance and quality of work performed by an employee and, consequently, translates into the success of any organization" (Sypniewska, 2014, p. 57, para. 1). Having "lift teams" and equipments for lifting can improve nursing satisfaction. This paper will closely examine why there is a need to propose the "no lift policy". Barriers and influencing factors to change will also be discussed. The influencing factors for readiness will be explored. The theoretical model used for the proposed change will also be discussed. Finally, internal and external resources to support the change will be examined.
The Need For The Proposed Change
Bedside employees particularly nurses and nursing assistants have higher incidence of back injuries (Weinel, 2008). Such injuries are caused by manual lifting and repositioning patients. For example, in our organization's current ICU department, there are nine nurses on leave due to back or bodily injuries. Lack of lifting machines, lift teams, or ignoring the "no lift policy" causes increasing nursing turn over, increasing risk for patient safety, and increasing organizational cost by increasing workers compensation and the need to hire replacement workers (Upenieks, 2003).
Barriers To The Proposed Change
Barriers to the "no lift policy" include budget constraints, employees that are reluctant to changes, unsupportive management, and patient issues. This project requires purchasing equipments, in-depth training for such equipments, and extra money for sustaining training and implementation. Employees that are reluctant to change may live far and would resist to drive on their day-offs for additional education regarding new equipments or new changes. Management may have difficulty in budget constraints and may be reluctant to propel or support the change. Patients may be fearful if this new equipments are capable of carrying them safely (Weinel, 2008).
Influencing Factors To Change
Several factors influence the "no lift policy". Among them are the financial, social, and environmental factors.(Sypniewska, 2014). The financial aspect can greatly influence this change. If the organization is struggling with monetary constraints, the proposed change will stall. Likewise, the organization's healthy financial standing will propel the change to completion. Social factors include management, employees, and patients. Depending on the monetary status, management can expedite or stall the change. Employees may have the stronger impetus to make the change happen as nobody wants to be injured. Senior employees who are accustomed to do what they have always done may argue that they still survived without lift equipments or lift teams all this years. Other employees may resist the need to drive far on their day-offs. Patients may perceive equipments as safe or unsafe. It is imperative to educate both employees and patients regarding the change. Environmental challenges may arise such as limited space or older structures that will not support the equipment (Weinel, 2008).
Influencing Factors For Readiness
Factors that influence readiness for change include individual and organizational cognitive and affective aspects. Cognitive elements emphasize the belief that change is required. It also emphasizes that organizations and individuals possess the capability to implement and sustain change. The cognitive aspect presumes that change can positively impact their job and organization. Affective elements pertains to an individual's psychological and emotional feedbacks toward change. Examples would be joy, anger, excitement, and sadness (Rafferty, Jimmieson, & Armenakis, 2013). It would be appropriate to assess how the employees are positive in carrying out the change.
Theoretical Model/Framework
The key points in Kurt Lewin's change theory will provide the framework for this proposed change. The need to implement or drive change will represent the unfreeze stage. "Unfreezing" means creating a discontentment that will propel individuals to explore the need to change. The "moving stage" represents the new behaviors for adapting change. The stabilization and maintenance of new changes represents the stage of "refreezing" or accepting and adapting the new status quo (Gabriele, Arjen, & Jochen 2013) (Henshaw, 2010), (Sashkin, 1976).

Supporting Internal and External Resources
Internal resources to support such changes include employees and internal stakeholders. Nurses at the forefront will be advocates for changes that has to do with safety for themselves and for others. External resources include advocates for the Bill H.R. 2480 (Nurse and Health Care Worker Protection Act of 2013), the American Nurses Association and the Association of Perioperative Registered Nurses (Gabriele et al., 2013). Senators and lobbyists supporting the bill are also external resources that support these changes. According to the Bill H.R. 2480, the secretary of labor will conduct anonymous surveys to assess compliance on all organizations.

Conclusion
Numerous changes happen to organizations with the present climate. Adapting to changes is a requirement to continue to thrive and flourish. Adapting and conscientiously implementing the "no lift" policy will not only improve safety for nurses but for patients themselves. There will be increased job satisfaction and less turn over translating to an increase in organizational success. This paper closely examined why there is a need to propose the "no lift policy". It is imperative to examine and assess barriers, factors for readiness, theoretical models, supporting resources (internal and external), and influencing factors to change in order to successfully plan and implement the "no lift" program.

References
Gabriele, J., Arjen, V.W., & Jochen, Z.C. (2013). A theoretical framework of organizational change. Journal of Organizational Change Management, 26(5), 772-792
Henshaw, P.F. (2010, Jan). Models learning change: Connecting theoretical models to the natural world of complex systems. Cosmos and History: The Journal of Natural and Social Philosophy, 6(1), 122
Rafferty, A.E., Jimmieson, N.L., & Armenakis, A.A. (2013, January). Change readiness. Journal of Management, 39 (1), 110-135. doi: 10.1177/0149206312457417
Sashkin, M. (1976, July). Changing toward participative management approaches: A model and methods. The Academy of Management Review, 1(3), 75-86.
Sypniewska, B.A. (2014). Evaluation of factors influencing job satisfaction. Contemporary Economics, 8 (1), 57-72. doi: http://dx.doi.org/10.5709/ce.1897- 9254.131
Upenieks, V. V. (2003, Apr). The interrelationship of organizational characteristics of magnet hospitals, nursing leadership, and nursing job satisfaction. The Health Care Manager, 22(2), 83
Weinel, D. (2008, Mar/Apr). Successful implementation of ceiling-mounted lift systems. Rehabilitation Nursing, 33(2), 63-6, 87.

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