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Change Management
     Under supervision:
      Dr , prof : Eglal .
      Cairo University .
       prepared by
 Wesam Ahmed Thabet.
 Wafaa Rashwan Ahmed.
Presentation Outline
•   Introduction.
•   Define the change management.
•   The change agents.
•   Types of change .
•   Change management aims and targets.
•   Change management principles.
•   Kotter's 'eight steps to successful change.
•   Change process and change theory.
•   Change management process.
•   Resistance to Change.
•   Forces that influence change.
•   Managing the Change.
Objectives:
Introduction
There  are some rules for effective
  management of change. Managing
 organizational change will be more
 successful if you apply some simple
 principles. Achieving personal change
 will be more successful too if you use the
 same approach where relevant.
Change management entails thoughtful
planning and sensitive implementation, and
above all, consultation with, and
involvement of, the people affected by the
changes. If you force change on people
normally problems arise. Change must be
realistic, achievable and measurable.
These aspects are especially relevant to
managing personal change. Before starting
organizational change, ask yourself: What do
we want to achieve with this change, why, and
how will we know that the change has been
achieved? Who is affected by this change, and
how will they react to it?
How much of this change can we
achieve ourselves, and what parts of the
change do we need help with? These
aspects also relate strongly to the
management of personal as well as
organizational change.
Change Management Definitions

 Change   management is an approach to
 shifting/transitioning individuals, teams,
 and organizations from a current state to a
 desired future state.
Change Management
 Kotter defines change management as the
 utilization of basic structures and tools to
 control any organizational change effort.
 Change management's goal is to maximize
 an organization's benefits and minimize the
 change impacts on workers and avoid
 distractions (resistance to change).
Change Management
 The    systematic approach and application of
    knowledge, tools and resources to deal with
    change.        Change management means
    defining and adopting corporate strategies,
    structures, procedures and technologies to
    deal with changes in external conditions
    and the work environment.

Change Management


– Coetsee (1999) states "management's ability to achieve

  maximum benefits from change depends in part on
  how effectively they create and maintain a climate that
  minimizes resistant behavior and encourages
  acceptance and support“.
Change Agents

  Persons who act as catalysts and assume the
  responsibility for managing change
  activities.
 OR/a person skilled in the theory &
  implementation of planned change to deal
  appropriately with these very real human
  emotions & to connect & balance all
  aspects of the organization that will be
  affected by that change.
There are two types of
         change agents:
1- The first is a person who is called as a
  consultant to the group to assist them
  during the change process because this
  type of agent comes from outside the
  organization; he or she is called an
  external change agent.
2- The second type of change
                agent
is one who comes from within the organization
   or group who will be affected by the change.
   This type is called an internal change agent.
These two types of change agents are formal
   change agents that is they were officially
   appointed to be in charge of change & they
   have been given the authority to plan,
   implement & probably evaluate the change.
   Just as these can be an informal leader there
   can also be an informal change agent.
Becoming an effective
             change agent
Create a healthy work environment.
Develop a vision for change and have total in-depth
  view.
Performance     Management: Ability to
reward/confront. And differentiates a successful
  change effort from an un successful one .
Power: to legitimize change.
 Have  the control over own attitude and the way
  manage the change.
 Effective Communications methods.
 Devise an effective education, training and/or skills
  upgrading scheme for the organization.
 Counter resistance from the employees and align
  them to overall strategic direction of the
  organization.
 Provide personal counseling (if required) to alleviate
  any change-related fears.
 Monitoring of the implementation and fine-tuning as
  required.
There are two types of change
      in an organization:
  planned change and “emergent” change .
Planned change: refers to initiatives that
are driven “top-down” in an organization.
 “emergent” change
refers to a situation in which change can
originate from any level in the organization.
Change management aims
            and targets.
The aims:
Helping organizations become exciting places to
 work, where people work collaboratively, feel
 valued, and committed to organizational
 success.
Developing teams which are energetic, and where
 everyone consistently achieves standards of
 excellence.
Helping managers become transformational leaders,
 skilled at developing, motivating and empowering
 their people.
Designing and running learning events which are
 participative, experiential and engaging, and which
 lead to genuine, long term, change back at work.
Change in order to solve a problem, change to make
 work procedures more efficient , and change to
 reduce unnecessary work.
Helping people at all levels to grow, develop their
 self esteem, become more confident, and
 increase their self awareness.
There are three possible targets
(the person's knowledge, the person's attitude,
  the person's behavior)

1-A change in knowledge is the result of
  successful learning which can be
  accomplished through the teaching – learning
  process.
2- A change in attitude
may result from a change in knowledge when
 previous beliefs are found to be false or
 incomplete, in addition may result from a
 conscious effort to alter an attitude through
 value clarification or various types of
 therapy. This change in attitude often
 follows a behavior change because the
 person's attitude & behavior must be
 consistent .
3- A change in behavior
may result from increased knowledge or from
 an improvement in skill acquired during the
 teaching – learning process. A change in
 behavior follow a change in attitude or a
 change expectations whether self or other
 imposed or may be the result of the normal
 growth & development process.
Change management
               principles
At all times involve and agree support from people
   within system (system = environment, processes,
   culture, relationships, behaviors, etc., whether
   personal or organizational).
Understand where you/the organization is at the
   moment.
Understand where you want to be, when, why, and
   what the measures will be for having got there.
Plan development towards above No.3 in
  appropriate achievable measurable stages.
Communicate, involve, enable and facilitate
  involvement from people, as early and openly
  and as fully as is possible.
Resistance is recognized as a natural and
  expected response to change.
John P Kotter's 'eight steps
     to successful change'
Increase urgency - inspire people to move, make
  objectives real and relevant.
Build the guiding team - get the right people in
  place with the right emotional commitment, and
  the right mix of skills and levels.
Get the vision right - get the team to establish a
  simple vision and strategy, focus on emotional and
  creative aspects necessary to drive service and
  efficiency.
Communicate for buy-in - Involve as many people
 as possible, communicate the essentials, simply, and
 to appeal and respond to people's needs.
Empower action - Remove obstacles, enable
 constructive feedback and lots of support from
 leaders - reward and recognize progress and
 achievements.
Create short-term wins - Set aims that are easy to
 achieve. Manageable numbers of initiatives. Finish
 current stages before starting new ones.
Don't let up - Foster and encourage determination and
 persistence - ongoing change - encourage ongoing
 progress reporting - highlight achieved and future
 milestones.
Make change stick - Reinforce the value of
  successful change via recruitment, promotion, new
  change leaders. Weave change into culture.
 'The Heart Of Change' (2002)
Change theories
1.   Lewin’s force-filed Change Model
     theory (1951).
2.   Lippitt`s phase model theory (1958).
3.   Havelock`s model theory(1973).
4.   Rogers`s theory(1983).
Lewin’s force-filed Change
      Model theory (1951).
 Lewin   provides a social-psychological view of
  the change process. He sees behavior as a
  dynamic balance of forces working in opposing
  directions .
 Driving forces facilitate change because they
  push persons in the desired direction .
 Restraining forces impede change because they
  push persons in the opposite direction.
 Status quo level is the person balanced state or
  state of equilibrium between 2 forces.
Process of change (phases)
Lewin’s theory
  Three-Step Change
  Model
Unfreezing the Status Quo
Unfreeze
 The  existing equilibrium. Motivated persons by
  getting them ready for change and increase willing
  to change .
 Build trust and recognition for the need to change.
 Active participate in identifying problems and
  generate alternative solutions.
 Is the development through problem awareness of a
  need for change.
Moving
Working toward change by identifying the
 problem or the need for change, exploring the
 alternatives, defining goals & objectivities
 planning how to accomplish the goal &
 implementing the plan for change.
Get persons to agree that the status quo is not
 beneficial to them.
Refreezing
Are the integration of the change into ones
  personality & the consequent stabilization of
  change then reinforce the new patterns of
  behavior.(positive change)
New level of equilibrium .
Frequently personal return to old behavior after
  change effort case .(negative change)
Lippitt`s phase model theory
                (1958).
 This theory extended lewin`s theory , focused
  more on what the change agent must do than on
  the evolution of change itself.
 Communication skills ,rapport building ,and
  problem solving strategies underlie this theory
  seven phases.
Lippitt`s phase model theory
                   (1958).
 Diagnose  the problem : involve key persons in
 data collection and problem solving.

 Assessment  of the motivation and capacity for
 change : what are the financial and human
 resources and constrains? Are the structure and
 function of the organization conducive to change?
 What are the suitable solutions and which are
 preferred?
 Assessment   of the change agent `s motivation and
  resources : this assessment is important .
  Consider the change agent`s own commitment to
  change ,energy level ,future ambitions , and
  power bases.

 Selecting  progressive change objective:
 Develop the action plan, evaluation criteria , and
  specify strategies.
 Choosing the appropriate role of the change agent:
 Act as cheerleader, experts , consultant, or group
  facilitator.
 Maintenance    of the change :
 communication, feedback, revisions and
  coordination are essential component of this
  phase.
 Termination of the helping relationship:
 The change agent withdraws from the selected
  role gradually as the change become
  institutionalized and stabilized.
Havelock`s model
                 theory(1973).
 This theory is also modification of lewin`s , Havelock
  describes an active change agent as one who uses a
  participative approach.
 Six steps: Building a relationship .
 Diagnosis the problem.
 Acquiring the relevant resources.
 choosing the solution.
 gaining acceptance.
 Stabilization and self renewal.
Rogers`s theory(1983).
 Rogers   takes a border approach than previous
  theories . His 5 steps innovation-decision process
  details.
 Making unit passes from first knowledge of an
  innovation to confirmation of the decision to adopt
  or reject a new idea.
Rogers`s theory(1983).
  knowledge : the decision making unit is
  introduced to the innovation and begins to
  understanding. Establish the persons awareness.
 Persuasion: a favorable or unfavorable attitude
  toward the innovation forms.
 Decision Evaluation : activities lead to a decision
  to adopt or reject the innovation.
 Implementation: the innovation is put to use .
 Conformation and Adoption: reinforcement that
  the decision was correct.
Change management
process
 The  change management process is the
  sequence of steps or activities that a change
  management team or project leader would
  follow to apply change management to a
  project or change.
 change management processes contain the
  following three phases:
 Phase  1 - Preparing for change (Preparation,
  assessment and strategy development).
 Phase 2 - Managing change (Detailed planning
  and change management implementation).
 Phase 3 - Reinforcing change (Data gathering,
  corrective action and recognition).
Change management
               processAssessment)
– 1) - Preparing for change(
– Identifying the problem : opportunity that
  necessitates change(symptoms)
– Data collection and : gathering structural,
  technological, and people information and
  effects of these elements on the process
– Data analysis : summarizing the data ( adv.,
  dis adv., risks, and consequences)
– Strategic determination: identifying possible
  solutions, barriers, strategies
con
-Decide if the change is necessary.
-Make others aware of the need for the change.
Swat analysis and basic 4 forces models:
  (environmental forces ,organizational forces ,
  task demand , personal need.)
2) Managing change (Planning and
 implementation)
– State goal and specific measurable objectives
  and also the time allotted.
– Establishing the who, how, what, and when of
  change.
– Allocating resources, budget and evaluation
  methods.
– Plan for resistance management.
Identify areas of support & resistance.
-Include every one in the planning that will be
  affected.
-Establish target dates for implementation.
-Develop appropriate strategy for alteration.
-Be available to support others through the
  process.
Evaluate the change then modify if necessary.
3) Reinforcing change (Evaluation)
- Determining effectiveness of change.
- Achieved objectives and benefits ---- qualitative
  as well as financial and the documented evidences
  of being achieved.
- Stabilize the change: - taking measures to
  reinforce and maintain the change.
Change strategies
Empirical-Rational
– Assumes that people are rational (guided by
  reason) and receptive to change when given
  adequate facts, and will follow their self-
  interest .
–     Successful change is based on the
  communication of information and the
  suggestions of incentives.
– Knowledge is the major source of power.
– E.g ---- Teaching a smoking group … its
  danger and consequences ….. Not follow
  …..giving up.
Normative-Re educative
 People are social beings and will adhere to cultural
  norms and values.
 Change strategy here focuses squarely on culture –
  what people believe about their world, their work
  and themselves and the ways in which people
  behave so as to be consistent with these beliefs.

    Successful change is based on redefining and
    reinterpreting existing norms and values, and
    developing commitments to new ones .
Power-Coercive
 This  strategy assumes that persons with less power
  will always comply with the plans and directions.
 Result of an individuals need to please a
  supervisor, or fear of losing their job.
 and generally do what they are told or can be made
  to do.
 Successful change is based on the exercise of
  authority and the imposition of sanctions.
Environmental-Adaptive
 People  oppose loss and disruption but they adapt
  readily to new circumstances.
 Successful Change is based on building a new
  organization and gradually transferring people from
  the old one to the new one.
 This strategy seeks to shift the burden of change from
  management and the organization to the people. It
  exploits their natural adaptive nature and avoids the
  many complications associated with trying to change
  people or their culture.
Strategy Selection
            Considerations
 Degree of Change. Radical change or
 transformation argues for an environmental-
 adaptive strategy (i.e., “wall off” the existing
 organization and build a new one instead of
 trying to transform the old one).

 Population.  Large populations argue for a mix of
 all four strategies.
 Degree of Resistance. Strong resistance argues
 for a coupling of power-coercive and en-
 vironmental-adaptive strategies. Weak resistance
 or concurrence argues for a combination of
 rational-empirical and normative-re-educative
 strategies
 Time Frame. Short time frames argue for a
 power-coercive strategy. Longer time frames
 argue for a mix of rational-empirical, normative-
 re-educative, and environmental-adaptive
 strategies.



Expertise. Having available adequate expertise at
 making change argues for some mix of the
 strategies .
Forces that influence change
internal                External
Originate from inside   Health care.
operation. That may     economics
result from external    Technology.
 changes &include       restructuring
Changing priorities.    Changing.
Need for increase.       demographics
.productivity
.opportunities.
Cont’d
Internal                    External


Staffing pattern changes.
 .Shifts in philosophy.
Need for cost.
containment
Work process changes.
Need for quality of work.
.life
Cont’d
Internal                   External


.feed back.
.motivational biases.
 value.
Resistance to Change.
 Resistance to Change is consider one from factors in
  Organizational Change:

  – Efforts by employees to block the intended
    change is referred to as Resistance to Change.
  – Resistance to Change has been defined as:
     ”...behavior which is intended to protect an

      individual from the effects of real or imagined
      change" - Alvin Sander, 1950
 Values, educational level, cultural and social
  backgrounds, as well as past experience with change
  will have an impact on the degree of resistance.
Resistance to Change

– Resistance is a natural and inevitable reaction in
  an organization. You can expect it.
– Resistance is sometimes hidden, so it may be
  necessary to take active steps to find it.
– There are many reasons for resistance; it is
  important to understand it.
– We manage resistance by working with people,
  and helping them deal with their concerns.
– There are many ways to build acceptance. It is
  important to be flexible. But persist!
Resistance to Change

 The key to successful management
 of organizational change lies in
 the people.
 They are the agents for successful
 transformation of the organization.

So let’s have a look at where
Resistance to Change comes from and how to best
 manage it
Resistance to change
 lack  of trust.
 perception that change is not necessary.
 perception that change is not possible.
 relatively high cost.
 fear of personal failure.
 loss of status or power.
 threats to values and ideas .
 social, cultural or organizational disagreements.
 resentment of interference.
– Why people resist change:
  Resistance to change can be a defense
   mechanism caused by frustration and anxiety
  Individuals may not be resisting the change as

   much as they are resisting a potential loss of
   status, pay, comfort, or power that arises from
   expertise
  In many case there is not a disagreement with the

   benefits of the new process, but rather a fear of
   the unknown future and about their ability to
   adapt to it, e.g. fear that one will not be able to
   develop new skills and behaviors that are
   required in a new work setting.
Change Management
 Howcan I best accomplish Organization-wide
 Change? The high-level view:
  – Get senior management agreement (i.e. conflicting goals can kill
      the project!).
  –   Identify a champion who can articulate the reasons for and
      advantages of the change.
  –   Translate the vision for change into a realistic plan and then carry
      out the plan.
  –   Involve people from every area of the organization.
  –   Communicate. Communicate. Educate. Educate.
  –   Get organizational buy-in to the change.
  –   Modify organizational structures so that they will sustain the
      change.
Change Management

 Summary

  – Organizational Change Management is “all of the
    actions required for an organization to understand,
    prepare for, implement and take full advantage of
    significant change”.

  – The goals of Change Management are:
        The successful design, implementation, measurement and
         maintenance of an organization’s change initiative
        Enhancement of their on-going capacity for managing change
Situation
 You   are a new head nurse in ICU unit , when you
  assessed the unite work ,you were finding that all
  nurse in the unit used to follow the function method
  when giving patient care. However staff nurses are
  enough for the numbers of patients, so you found
  that must be change this method to improve the
  quality of care but large number of nurses disagree
  for this suggestion.
 How can you manage? Which strategies do you
  use?
?
Questions?

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Change managment

  • 1. Change Management Under supervision: Dr , prof : Eglal . Cairo University . prepared by Wesam Ahmed Thabet. Wafaa Rashwan Ahmed.
  • 2. Presentation Outline • Introduction. • Define the change management. • The change agents. • Types of change . • Change management aims and targets. • Change management principles. • Kotter's 'eight steps to successful change. • Change process and change theory. • Change management process. • Resistance to Change. • Forces that influence change. • Managing the Change.
  • 4. Introduction There are some rules for effective management of change. Managing organizational change will be more successful if you apply some simple principles. Achieving personal change will be more successful too if you use the same approach where relevant.
  • 5. Change management entails thoughtful planning and sensitive implementation, and above all, consultation with, and involvement of, the people affected by the changes. If you force change on people normally problems arise. Change must be realistic, achievable and measurable.
  • 6. These aspects are especially relevant to managing personal change. Before starting organizational change, ask yourself: What do we want to achieve with this change, why, and how will we know that the change has been achieved? Who is affected by this change, and how will they react to it?
  • 7. How much of this change can we achieve ourselves, and what parts of the change do we need help with? These aspects also relate strongly to the management of personal as well as organizational change.
  • 8. Change Management Definitions  Change management is an approach to shifting/transitioning individuals, teams, and organizations from a current state to a desired future state.
  • 9. Change Management  Kotter defines change management as the utilization of basic structures and tools to control any organizational change effort. Change management's goal is to maximize an organization's benefits and minimize the change impacts on workers and avoid distractions (resistance to change).
  • 10. Change Management  The systematic approach and application of knowledge, tools and resources to deal with change. Change management means defining and adopting corporate strategies, structures, procedures and technologies to deal with changes in external conditions and the work environment. 
  • 11. Change Management – Coetsee (1999) states "management's ability to achieve maximum benefits from change depends in part on how effectively they create and maintain a climate that minimizes resistant behavior and encourages acceptance and support“.
  • 12. Change Agents  Persons who act as catalysts and assume the responsibility for managing change activities.  OR/a person skilled in the theory & implementation of planned change to deal appropriately with these very real human emotions & to connect & balance all aspects of the organization that will be affected by that change.
  • 13. There are two types of change agents: 1- The first is a person who is called as a consultant to the group to assist them during the change process because this type of agent comes from outside the organization; he or she is called an external change agent.
  • 14. 2- The second type of change agent is one who comes from within the organization or group who will be affected by the change. This type is called an internal change agent. These two types of change agents are formal change agents that is they were officially appointed to be in charge of change & they have been given the authority to plan, implement & probably evaluate the change. Just as these can be an informal leader there can also be an informal change agent.
  • 15. Becoming an effective change agent Create a healthy work environment. Develop a vision for change and have total in-depth view. Performance Management: Ability to reward/confront. And differentiates a successful change effort from an un successful one . Power: to legitimize change.
  • 16.  Have the control over own attitude and the way manage the change.  Effective Communications methods.  Devise an effective education, training and/or skills upgrading scheme for the organization.  Counter resistance from the employees and align them to overall strategic direction of the organization.  Provide personal counseling (if required) to alleviate any change-related fears.  Monitoring of the implementation and fine-tuning as required.
  • 17. There are two types of change in an organization: planned change and “emergent” change . Planned change: refers to initiatives that are driven “top-down” in an organization. “emergent” change refers to a situation in which change can originate from any level in the organization.
  • 18. Change management aims and targets. The aims: Helping organizations become exciting places to work, where people work collaboratively, feel valued, and committed to organizational success. Developing teams which are energetic, and where everyone consistently achieves standards of excellence.
  • 19. Helping managers become transformational leaders, skilled at developing, motivating and empowering their people. Designing and running learning events which are participative, experiential and engaging, and which lead to genuine, long term, change back at work. Change in order to solve a problem, change to make work procedures more efficient , and change to reduce unnecessary work.
  • 20. Helping people at all levels to grow, develop their self esteem, become more confident, and increase their self awareness.
  • 21. There are three possible targets (the person's knowledge, the person's attitude, the person's behavior) 1-A change in knowledge is the result of successful learning which can be accomplished through the teaching – learning process.
  • 22. 2- A change in attitude may result from a change in knowledge when previous beliefs are found to be false or incomplete, in addition may result from a conscious effort to alter an attitude through value clarification or various types of therapy. This change in attitude often follows a behavior change because the person's attitude & behavior must be consistent .
  • 23. 3- A change in behavior may result from increased knowledge or from an improvement in skill acquired during the teaching – learning process. A change in behavior follow a change in attitude or a change expectations whether self or other imposed or may be the result of the normal growth & development process.
  • 24. Change management principles At all times involve and agree support from people within system (system = environment, processes, culture, relationships, behaviors, etc., whether personal or organizational). Understand where you/the organization is at the moment. Understand where you want to be, when, why, and what the measures will be for having got there.
  • 25. Plan development towards above No.3 in appropriate achievable measurable stages. Communicate, involve, enable and facilitate involvement from people, as early and openly and as fully as is possible. Resistance is recognized as a natural and expected response to change.
  • 26. John P Kotter's 'eight steps to successful change' Increase urgency - inspire people to move, make objectives real and relevant. Build the guiding team - get the right people in place with the right emotional commitment, and the right mix of skills and levels. Get the vision right - get the team to establish a simple vision and strategy, focus on emotional and creative aspects necessary to drive service and efficiency.
  • 27. Communicate for buy-in - Involve as many people as possible, communicate the essentials, simply, and to appeal and respond to people's needs. Empower action - Remove obstacles, enable constructive feedback and lots of support from leaders - reward and recognize progress and achievements.
  • 28. Create short-term wins - Set aims that are easy to achieve. Manageable numbers of initiatives. Finish current stages before starting new ones. Don't let up - Foster and encourage determination and persistence - ongoing change - encourage ongoing progress reporting - highlight achieved and future milestones.
  • 29. Make change stick - Reinforce the value of successful change via recruitment, promotion, new change leaders. Weave change into culture.  'The Heart Of Change' (2002)
  • 30. Change theories 1. Lewin’s force-filed Change Model theory (1951). 2. Lippitt`s phase model theory (1958). 3. Havelock`s model theory(1973). 4. Rogers`s theory(1983).
  • 31. Lewin’s force-filed Change Model theory (1951).  Lewin provides a social-psychological view of the change process. He sees behavior as a dynamic balance of forces working in opposing directions .  Driving forces facilitate change because they push persons in the desired direction .  Restraining forces impede change because they push persons in the opposite direction.  Status quo level is the person balanced state or state of equilibrium between 2 forces.
  • 32. Process of change (phases) Lewin’s theory Three-Step Change Model
  • 34. Unfreeze  The existing equilibrium. Motivated persons by getting them ready for change and increase willing to change .  Build trust and recognition for the need to change.  Active participate in identifying problems and generate alternative solutions.  Is the development through problem awareness of a need for change.
  • 35. Moving Working toward change by identifying the problem or the need for change, exploring the alternatives, defining goals & objectivities planning how to accomplish the goal & implementing the plan for change. Get persons to agree that the status quo is not beneficial to them.
  • 36. Refreezing Are the integration of the change into ones personality & the consequent stabilization of change then reinforce the new patterns of behavior.(positive change) New level of equilibrium . Frequently personal return to old behavior after change effort case .(negative change)
  • 37. Lippitt`s phase model theory (1958).  This theory extended lewin`s theory , focused more on what the change agent must do than on the evolution of change itself.  Communication skills ,rapport building ,and problem solving strategies underlie this theory seven phases.
  • 38. Lippitt`s phase model theory (1958).  Diagnose the problem : involve key persons in data collection and problem solving.  Assessment of the motivation and capacity for change : what are the financial and human resources and constrains? Are the structure and function of the organization conducive to change? What are the suitable solutions and which are preferred?
  • 39.  Assessment of the change agent `s motivation and resources : this assessment is important . Consider the change agent`s own commitment to change ,energy level ,future ambitions , and power bases.  Selecting progressive change objective:  Develop the action plan, evaluation criteria , and specify strategies.  Choosing the appropriate role of the change agent:  Act as cheerleader, experts , consultant, or group facilitator.
  • 40.  Maintenance of the change :  communication, feedback, revisions and coordination are essential component of this phase.  Termination of the helping relationship:  The change agent withdraws from the selected role gradually as the change become institutionalized and stabilized.
  • 41. Havelock`s model theory(1973).  This theory is also modification of lewin`s , Havelock describes an active change agent as one who uses a participative approach.  Six steps: Building a relationship .  Diagnosis the problem.  Acquiring the relevant resources.  choosing the solution.  gaining acceptance.  Stabilization and self renewal.
  • 42. Rogers`s theory(1983).  Rogers takes a border approach than previous theories . His 5 steps innovation-decision process details.  Making unit passes from first knowledge of an innovation to confirmation of the decision to adopt or reject a new idea.
  • 43. Rogers`s theory(1983).  knowledge : the decision making unit is introduced to the innovation and begins to understanding. Establish the persons awareness.  Persuasion: a favorable or unfavorable attitude toward the innovation forms.  Decision Evaluation : activities lead to a decision to adopt or reject the innovation.  Implementation: the innovation is put to use .  Conformation and Adoption: reinforcement that the decision was correct.
  • 44. Change management process  The change management process is the sequence of steps or activities that a change management team or project leader would follow to apply change management to a project or change.  change management processes contain the following three phases:
  • 45.  Phase 1 - Preparing for change (Preparation, assessment and strategy development).  Phase 2 - Managing change (Detailed planning and change management implementation).  Phase 3 - Reinforcing change (Data gathering, corrective action and recognition).
  • 46. Change management processAssessment) – 1) - Preparing for change( – Identifying the problem : opportunity that necessitates change(symptoms) – Data collection and : gathering structural, technological, and people information and effects of these elements on the process – Data analysis : summarizing the data ( adv., dis adv., risks, and consequences) – Strategic determination: identifying possible solutions, barriers, strategies
  • 47. con -Decide if the change is necessary. -Make others aware of the need for the change. Swat analysis and basic 4 forces models: (environmental forces ,organizational forces , task demand , personal need.)
  • 48. 2) Managing change (Planning and implementation) – State goal and specific measurable objectives and also the time allotted. – Establishing the who, how, what, and when of change. – Allocating resources, budget and evaluation methods. – Plan for resistance management.
  • 49. Identify areas of support & resistance. -Include every one in the planning that will be affected. -Establish target dates for implementation. -Develop appropriate strategy for alteration. -Be available to support others through the process. Evaluate the change then modify if necessary.
  • 50. 3) Reinforcing change (Evaluation) - Determining effectiveness of change. - Achieved objectives and benefits ---- qualitative as well as financial and the documented evidences of being achieved. - Stabilize the change: - taking measures to reinforce and maintain the change.
  • 51.
  • 53. Empirical-Rational – Assumes that people are rational (guided by reason) and receptive to change when given adequate facts, and will follow their self- interest . – Successful change is based on the communication of information and the suggestions of incentives. – Knowledge is the major source of power. – E.g ---- Teaching a smoking group … its danger and consequences ….. Not follow …..giving up.
  • 54. Normative-Re educative  People are social beings and will adhere to cultural norms and values.  Change strategy here focuses squarely on culture – what people believe about their world, their work and themselves and the ways in which people behave so as to be consistent with these beliefs.  Successful change is based on redefining and reinterpreting existing norms and values, and developing commitments to new ones .
  • 55. Power-Coercive  This strategy assumes that persons with less power will always comply with the plans and directions.  Result of an individuals need to please a supervisor, or fear of losing their job.  and generally do what they are told or can be made to do.  Successful change is based on the exercise of authority and the imposition of sanctions.
  • 56. Environmental-Adaptive  People oppose loss and disruption but they adapt readily to new circumstances.  Successful Change is based on building a new organization and gradually transferring people from the old one to the new one.  This strategy seeks to shift the burden of change from management and the organization to the people. It exploits their natural adaptive nature and avoids the many complications associated with trying to change people or their culture.
  • 57. Strategy Selection Considerations  Degree of Change. Radical change or transformation argues for an environmental- adaptive strategy (i.e., “wall off” the existing organization and build a new one instead of trying to transform the old one).  Population. Large populations argue for a mix of all four strategies.
  • 58.  Degree of Resistance. Strong resistance argues for a coupling of power-coercive and en- vironmental-adaptive strategies. Weak resistance or concurrence argues for a combination of rational-empirical and normative-re-educative strategies
  • 59.  Time Frame. Short time frames argue for a power-coercive strategy. Longer time frames argue for a mix of rational-empirical, normative- re-educative, and environmental-adaptive strategies. Expertise. Having available adequate expertise at making change argues for some mix of the strategies .
  • 60. Forces that influence change internal External Originate from inside Health care. operation. That may economics result from external Technology. changes &include restructuring Changing priorities. Changing. Need for increase. demographics .productivity .opportunities.
  • 61. Cont’d Internal External Staffing pattern changes. .Shifts in philosophy. Need for cost. containment Work process changes. Need for quality of work. .life
  • 62. Cont’d Internal External .feed back. .motivational biases. value.
  • 63. Resistance to Change.  Resistance to Change is consider one from factors in Organizational Change: – Efforts by employees to block the intended change is referred to as Resistance to Change. – Resistance to Change has been defined as: ”...behavior which is intended to protect an individual from the effects of real or imagined change" - Alvin Sander, 1950  Values, educational level, cultural and social backgrounds, as well as past experience with change will have an impact on the degree of resistance.
  • 64. Resistance to Change – Resistance is a natural and inevitable reaction in an organization. You can expect it. – Resistance is sometimes hidden, so it may be necessary to take active steps to find it. – There are many reasons for resistance; it is important to understand it. – We manage resistance by working with people, and helping them deal with their concerns. – There are many ways to build acceptance. It is important to be flexible. But persist!
  • 65. Resistance to Change  The key to successful management of organizational change lies in the people.  They are the agents for successful transformation of the organization. So let’s have a look at where Resistance to Change comes from and how to best manage it
  • 66. Resistance to change  lack of trust.  perception that change is not necessary.  perception that change is not possible.  relatively high cost.  fear of personal failure.  loss of status or power.  threats to values and ideas .  social, cultural or organizational disagreements.  resentment of interference.
  • 67. – Why people resist change: Resistance to change can be a defense mechanism caused by frustration and anxiety Individuals may not be resisting the change as much as they are resisting a potential loss of status, pay, comfort, or power that arises from expertise In many case there is not a disagreement with the benefits of the new process, but rather a fear of the unknown future and about their ability to adapt to it, e.g. fear that one will not be able to develop new skills and behaviors that are required in a new work setting.
  • 68. Change Management  Howcan I best accomplish Organization-wide Change? The high-level view: – Get senior management agreement (i.e. conflicting goals can kill the project!). – Identify a champion who can articulate the reasons for and advantages of the change. – Translate the vision for change into a realistic plan and then carry out the plan. – Involve people from every area of the organization. – Communicate. Communicate. Educate. Educate. – Get organizational buy-in to the change. – Modify organizational structures so that they will sustain the change.
  • 69. Change Management  Summary – Organizational Change Management is “all of the actions required for an organization to understand, prepare for, implement and take full advantage of significant change”. – The goals of Change Management are:  The successful design, implementation, measurement and maintenance of an organization’s change initiative  Enhancement of their on-going capacity for managing change
  • 70. Situation  You are a new head nurse in ICU unit , when you assessed the unite work ,you were finding that all nurse in the unit used to follow the function method when giving patient care. However staff nurses are enough for the numbers of patients, so you found that must be change this method to improve the quality of care but large number of nurses disagree for this suggestion.  How can you manage? Which strategies do you use?