Adapting to Change and Selected Theories
Those who expect moments of change to be comfortable
and free of conflict have not learned their history.
- Joan Wallach Scott
Some make it happen, some watch it happen,
and some say, "What happened?
- - Anonymous
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Overview
Change requires a great deal of flexibility and the ability to adapt. Nurses act both as change agents and as supporters/advocates who assist people to adapt to the myriad of changes that affect their lives. They also participate in influencing social and organizational change on many levels. Entire nursing theories have been based on this adaptation, for instance the Roy Model created by Sister Callistra Roy. The entire theory of evolution is based on this premise as well.
It is important for nurses to recognize why some people and sectors of society adapt very well to change, even chaos, while others do not adapt at all. Organizations, societal groups, including families that accept adaptation and change as a normal, ongoing part of life offer an environment where health, leadership, and excellence can flourish. In a society where change takes place very rapidly and unceasedly, nurses need to ensure that they do not abandon practices that should be preserved. It takes insight, skill, and collaboration to decide on the best adaptive response to any proposed change. Since stress is a natural outcome of any situation that requires adaptation or change, nurses also serve as buffers, agents, teachers, and guides in moving through times of change in a healthy way.
Ends In View
This learning activity is intended to provide learners with the opportunity to:
1. Analyze the Adaptation components within various change models and apply to nursing issues and situations.
2. Examine how individual assumptions, perceptions, behaviour patterns, and supporting structures facilitate and/or hinder adapting to change.
3. Explore ways that nurses facilitate the adaptation to change process in individuals, families, groups, organizations, communities and society at large.
In Preparation
1. READ: Collerette, P., Schneider, R. & Legris, P. (2003). Managing organizational change Adapting to change, Pt. 4. ISO Management Systems, Jan Feb.
2. READ: Quade, IK. & Brown, R. Practicing Active Change. The Conscious Consultant: Mastering Change from the Inside Out. San Francisco, CA: Pfeiffer. Chapter One.
3. READ: Emery, D. H. (1998). Managing Yourself through Change.
4. READ: Kaminski, J. (2000). Leadership and Change Management: Navigating the Turbulent Frontier.
In Practice
1. Participate in class discussion related to the adaptation to change within individuals, groups, organizations and society at large.
2. In small groups, brainstorm a nursing scenerio that applies the Satir Chaos Change Model, paying particular attention to the process of adapting to change throughout the five stages (see Table 1 at end of learning activity).
3. In pairs, discuss how Adapting to Change is demonstrated in the Awakening Phase described in the Collerette, Schneider and Legris paper AND in the Active Change Model described by Quade and Brown. Are these models useful to nursing?
4. In small groups, draw a model (using any components you like!) to illustrate your view of nurses role in facilitating adaptation to change (this can be at any capacity, whether in individual clients, families, organizations, communities or society at large).
In Reflection
1 Assess your own level of adaptability to change. Are you flexible? Adaptable? Resilient?
2. How can you apply the theories studied this week to your change project in NRSG 4141? To your practice?
References
Collerette, P., Schneider, R. & Legris, P. (2001). Managing organizational change Changing in turbulent times, Pt. 1. ISO Management Systems, Oct.
Collerette, P., Schneider, R. & Legris, P. (2002). Managing organizational change Choosing a strategy for change, Pt. 2. ISO Management Systems, Mar-Apr.
Collerette, P., Schneider, R. & Legris, P. (2002). Managing organizational change Implementing of information technology: from the laboratory to practice, Pt. 3. ISO Management Systems, Sep - Oct.
Collerette, P., Schneider, R. & Legris, P. (2003). Managing organizational change Adapting to change, Pt. 4. ISO Management Systems, Jan Feb.
Collerette, P., Schneider, R. & Legris, P. (2003). Managing organizational change Communication and Change, Pt. 5. ISO Management Systems, May - June.
Collerette, P., Schneider, R. & Legris, P. (2003). Managing organizational change Managing the transition, Pt. 6. ISO Management Systems, Nov - Dec.
Emery, D. H. (1998). Managing Yourself through Change.
Kaminski, J. (2000). Leadership and Change Management: Navigating the Turbulent Frontier. Nursing Informatics.com
Quade, IK. & Brown, R. Practicing Active Change. The Conscious Consultant: Mastering Change from the Inside Out. San Francisco, CA: Pfeiffer. Chapter One.
Satir, V., Banmen, J., Gerber, J. & Gomori, M. (1991). The Satir Model: Family Therapy and Beyond. Palo Alto, CA: Science and Behavior Books.
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Satir Model
POWERPOINT
POWERPOINT IN PDF
LOCAL ISSUES
Shaping the system for Sustainable Energy in BC (2007 videos)
Through the Green Glass: Climate Change Symposium for Education Leaders (2008 videos)
BUILDING ON THE EVIDENCE: Putting Health Care Innovations to Work (2007 videos)
Acts of Transformation: War Toys to Peace Art (2007 video)
Needless Injury (2005 video)
VIRAL FLASH
Genetically Krafted (flash)
Conflict Diamonds (flash)
Conflict Diamonds (action kit)
Child Soldiers in the Democratic Republic of the Congo (flash)
Business and Human Rights Sharepower Campaign (flash)
STUDENT WORK
Changing Teen's Negative View of Men in Nursing (Satir Model)
Obesity in Adults (Active Change)
CASE SCENERIOS
SATIR MODEL(PDF) OR (Word)
ACTIVE MODEL(PDF) OR (Word)
COLLERETTE MODEL(PDF) OR (Word)
BAINBRIDGE MODEL(PDF) OR (Word)
Welcome to NRSG 4111!
You are encouraged to begin to think about the type of nursing contexts and change model(s) you wish to address as the context for your major assignments in this course. We will build up to this practical application of the content early in the course. Try to make it a meaningful environment that you can actually use in your current or future practice.
Downloading Files
Most files are in PDF or RTF format. If you have trouble viewing them online,
try right-clicking on the link, and select "Save Target as". Remember which folder you saved the file in.
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