Role of Nurse: Change Agent

Change
-process of making something different from what it was
-Everyone affected by change
-Option 1: gaining new knowledge and skills
-Option 2: adapting what is currently known in light of new information

change agents
-Individuals who initiate, motivate and implement change
-Have excellent communication and interpersonal skills
-Have knowledge of available resources and how to use them
-Skilled in problem-solving
-Skilled in teaching
-Respected
-Ability to encourage and nurture
-Self-confident, able to take risks
-Able to make decisions
-Broad base of knowledge
-Good sense of timing

Types of change
-planned
-covert
-overt
-unplanned

planned change
Intended , purposeful attempt to influence

covert change
-Hidden, without awareness
-Example: gradual, subtle increase in severity of illness

overt change
-Aware, create anxiety
-Example: new medication

unplanned change
-Alteration (reaction) imposed by external events or persons:
Usually haphazard
Results might be unpredictable or positive
Situational (death)
Natural (flood)
-Drift..change occurs without effort on anyone’s part

Levin’s Model of Change
1. unfreezing
2. moving
3. refreezing

Levin’s Model of Change: Unfreezing
-Need for change recognized
-Driving and restraining forces identified –> Likelihood of acceptance of change –> If involved, more accepting; Small scale/pilot
-Deal with resistance
-Alternate solutions are identified
-Participants are motivated to change

Levin’s Model of Change: Moving
-Participants agree the status quo is undesirable
-Actual change is planned in detail
-Implemented

Levin’s Model of Change: Refreezing
Change is integrated and stabilized

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