al-quds university

1. CHANGE
presented by SAMAR ELYAN

2. •my objectives:
1.Define strategies for change.
2.strategies for effecting change:
3.Know types of change.
4.UnDerstanD the actions that what
can
managers change.
5.effective manageD change leaDs
to
2

3. Change:
Change is constant in today's health care
organization.
-An alteration, haphazard or planned to make
something different.
Any alteration, regardless how slight or how major
, or how large or small the object of change.
-Change agent - an outside helper used to plan
and implement the process of change.

4. 4
Change can be:
a. Planned :
actively involves predetermined goals,
participative management , mutual goal setting ,
equal power ratio , deliberativeness ,a change
agent and a target date .
b. Unplanned : a reactive process where change
either occurs without personal involvement or is
introduced from outside.

5. 5
Strategies for effecting
change:
1.Emperical rationale
strategies:
2.-Normative re educative
strategies:
3.Power coercive strategies:

6. 6
Types of change:
1.Coercive change : non mutual goal setting , imbalanced power
ratio , one side deliberative .
2.Imulative change : change is fostered through identification
with & emulation of power figures.
3.Indoctrination : mutual goal setting , imbalance power ratio &
deliberative .
4.Interactional : mutual goal setting ,fairly equal power ,but no
deliberativeness .
5.Natural : includes accident or acts of God , they involve no
goal setting or deliberativeness.
6.Socialization change :One conforms to the needs of social
group.
7.Technocratic :collecting& interpreting data , report for
analysis to bring change.

7. 7
Resistance to change :
Today ,resistance is recognized as a natural and
expected response to change.
People hate change ?
Change can be a threat to managers ?
Why people resist change ?
Uncertainty.
Concern over personal loss (fear).
Belief that change isn’t best organizational
interest (goals).
Habits, values, self esteem.
Stress.
Increase energy.

8. 8
What can managers change :
• People: attitude , skills expectation
• Structure: authority , degree of centralization,
coordination.
• Technology :work process , equipment used .

9. 9
Effective managed change leads to:
-improvement in patient services
-raised morale
-increased productivity
-meets patient and staff needs

10. 10
References:
1. Tomey,AnnMarriner,(2000) Guide to nursing management
and leadership.6th
ed.262-285.
2. Swansburg,Russel C.(1996). Management and leadership
for nurse managers.2nd ed. p.p. 287-320.
3. Marquis Bessie L and Huston,Carol . Leadership Roles
and Management Functions in Nursing . 6th
ed. Organizing
pt. care .p.p.166-180.