Facilitating Change in Healthcare Environment
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This document discusses recent changes impacting practice in the health sector, factors driving these changes, components of change management, and the impact of national strategic direction on local initiatives. It also includes a small-scale management plan. Subject: Healthcare, Course Code: N/A, Course Name: N/A, College/University: N/A
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FACILITATING CHANGE
IN HEALTHCARE
ENVIRONMENT
IN HEALTHCARE
ENVIRONMENT
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Table of Contents
INTRODUCTION...........................................................................................................................1
PART 1............................................................................................................................................1
LO 1.................................................................................................................................................1
P1. Discussion of recent changes impacting practice in health sector...................................1
P2. Factors that have driven these recent changes.................................................................2
PART 2............................................................................................................................................4
LO 2.................................................................................................................................................4
P3. Illustration in detail the components of change management..........................................4
P4. Discussion of impact of national strategic direction on local initiative to effect change in
health or care provision..........................................................................................................5
PART 3............................................................................................................................................6
LO 3.................................................................................................................................................6
P5. Preparation of a small-scale management plan................................................................6
P6. Presentation of strategies to address anticipated challenges to implementation of change
management plan....................................................................................................................8
P7. Usage of testing and analysis to implement change management plan.........................10
PART 4..........................................................................................................................................11
LO 4...............................................................................................................................................11
P8. Evaluation of impact of change management initiative staff.........................................11
P9. Presentation of analytical report on findings of change management initiative to relevant
stakeholders..........................................................................................................................13
CONCLUSION..............................................................................................................................14
REFERENCES..............................................................................................................................15
INTRODUCTION...........................................................................................................................1
PART 1............................................................................................................................................1
LO 1.................................................................................................................................................1
P1. Discussion of recent changes impacting practice in health sector...................................1
P2. Factors that have driven these recent changes.................................................................2
PART 2............................................................................................................................................4
LO 2.................................................................................................................................................4
P3. Illustration in detail the components of change management..........................................4
P4. Discussion of impact of national strategic direction on local initiative to effect change in
health or care provision..........................................................................................................5
PART 3............................................................................................................................................6
LO 3.................................................................................................................................................6
P5. Preparation of a small-scale management plan................................................................6
P6. Presentation of strategies to address anticipated challenges to implementation of change
management plan....................................................................................................................8
P7. Usage of testing and analysis to implement change management plan.........................10
PART 4..........................................................................................................................................11
LO 4...............................................................................................................................................11
P8. Evaluation of impact of change management initiative staff.........................................11
P9. Presentation of analytical report on findings of change management initiative to relevant
stakeholders..........................................................................................................................13
CONCLUSION..............................................................................................................................14
REFERENCES..............................................................................................................................15
INTRODUCTION
Change refers to appropriate shift within the existing status quo of an organisation. It is a
necessary and inevitable process which is subjected towards bringing considerable improvement
within the organisation. Moreover, it is necessary that positive changes are introduced within
healthcare facilities as this would be beneficial for the patients, as well as other stakeholders
associated with the organisation. In addition, as for their employees, it is necessary for these
organisations to ensure an appropriate and effective change management, so that the practices
and procedures related to healthcare could appropriately be enhanced (Zin, Chen and Knaggs,
2014).
Hence, in this context, the report below is based on National Health Services, which is one of the
most recognised healthcare organisations within the United Kingdom. The assignment is divided
into four parts, which covers discussion of factors that have driven recent changes in the
healthcare sector, along with discussion of components of change management within an
initiative in healthcare provision. In addition to this, further parts of the report includes
implementation of small scale change management plan, along with assessment of effectiveness
of change management plan.
PART 1
LO 1
P1. Discussion of recent changes impacting practice in health sector
It is necessary that several recent changes that is impacting the practice in health and social care
are tapped, in order to analyse the modifications and introductions within the sector which has
caused various shifts within the marketplace. Hence, some of these recent changes within health
sector are explained below: Re-organisation of NHS:
One of the major changes that have been witnessed recently and has impacted the practice of
health sector within the UK is re-organisation of NHS (Traynor, 2017). The Health and
Social Care Bill which was passed in 2010/11 proposed significant changes to be made
within the sector, such as abolishment of PCTs and SHAs, along with enhancing the
integration of local authorities with NHS which required a reframing of structure of this
1
Change refers to appropriate shift within the existing status quo of an organisation. It is a
necessary and inevitable process which is subjected towards bringing considerable improvement
within the organisation. Moreover, it is necessary that positive changes are introduced within
healthcare facilities as this would be beneficial for the patients, as well as other stakeholders
associated with the organisation. In addition, as for their employees, it is necessary for these
organisations to ensure an appropriate and effective change management, so that the practices
and procedures related to healthcare could appropriately be enhanced (Zin, Chen and Knaggs,
2014).
Hence, in this context, the report below is based on National Health Services, which is one of the
most recognised healthcare organisations within the United Kingdom. The assignment is divided
into four parts, which covers discussion of factors that have driven recent changes in the
healthcare sector, along with discussion of components of change management within an
initiative in healthcare provision. In addition to this, further parts of the report includes
implementation of small scale change management plan, along with assessment of effectiveness
of change management plan.
PART 1
LO 1
P1. Discussion of recent changes impacting practice in health sector
It is necessary that several recent changes that is impacting the practice in health and social care
are tapped, in order to analyse the modifications and introductions within the sector which has
caused various shifts within the marketplace. Hence, some of these recent changes within health
sector are explained below: Re-organisation of NHS:
One of the major changes that have been witnessed recently and has impacted the practice of
health sector within the UK is re-organisation of NHS (Traynor, 2017). The Health and
Social Care Bill which was passed in 2010/11 proposed significant changes to be made
within the sector, such as abolishment of PCTs and SHAs, along with enhancing the
integration of local authorities with NHS which required a reframing of structure of this
1
organisation. The impact it showcases on the health sector is associated with development of
a health specific regulator to monitor the practices effectively.
Funding Reforms:
Another recent change that is impacting practice within the healthcare sector is the funding
reforms that have been introduced by the government. The major benefit of this change has been
witnessed upon the individuals who are not financially strong as these reforms enhance the
protection that has been given to them in light of funding their health and social care. This is
hence a prominent change in relation to collaborative work practices that is yet another
prominent aspect and change within the sector recently (Waterson, 2014).
NHS Long Term Changes:
Another recent change which the organisation has witnessed is in regards with certain long term
perspectives which the organisation has ensured to take into account and implement towards
betterment of healthcare. Some of these changes include boosting the out of service care, in order
to eradicate the difference between primary and community health services. Moreover, another
change is associated with redesigning the emergency hospital services.
Hence, all these recent changes that are mentioned above has an appropriate impact on the
practices adopted by health and social care workers. The impact is subjected on a range of
different practices though, however, a collective impact is related to improving the services in an
appropriate and essential manner.
P2. Factors that have driven these recent changes
There are several factors that have driven different changes within the practices of healthcare
organisations and are necessary to be explained and analysed. Hence, for this purpose, below is
an appropriate analysis of all the aspects that have caused these recent changes within the sector:
Government Policies:
There are several government policies that had led to the changes related to technology within
the healthcare sector. For instance, Integration and Better Care Fund Policy Framework was
introduced by the UK government in 2017, which provided the overall sector with appropriate
and effective access to technology and other advanced outcomes that could make the work easier
for its players like NHS. Moreover, organisations like Dilnot Commission also had a bigger role
towards influencing the funding policy of government in 2011.
Communal Integration:
2
a health specific regulator to monitor the practices effectively.
Funding Reforms:
Another recent change that is impacting practice within the healthcare sector is the funding
reforms that have been introduced by the government. The major benefit of this change has been
witnessed upon the individuals who are not financially strong as these reforms enhance the
protection that has been given to them in light of funding their health and social care. This is
hence a prominent change in relation to collaborative work practices that is yet another
prominent aspect and change within the sector recently (Waterson, 2014).
NHS Long Term Changes:
Another recent change which the organisation has witnessed is in regards with certain long term
perspectives which the organisation has ensured to take into account and implement towards
betterment of healthcare. Some of these changes include boosting the out of service care, in order
to eradicate the difference between primary and community health services. Moreover, another
change is associated with redesigning the emergency hospital services.
Hence, all these recent changes that are mentioned above has an appropriate impact on the
practices adopted by health and social care workers. The impact is subjected on a range of
different practices though, however, a collective impact is related to improving the services in an
appropriate and essential manner.
P2. Factors that have driven these recent changes
There are several factors that have driven different changes within the practices of healthcare
organisations and are necessary to be explained and analysed. Hence, for this purpose, below is
an appropriate analysis of all the aspects that have caused these recent changes within the sector:
Government Policies:
There are several government policies that had led to the changes related to technology within
the healthcare sector. For instance, Integration and Better Care Fund Policy Framework was
introduced by the UK government in 2017, which provided the overall sector with appropriate
and effective access to technology and other advanced outcomes that could make the work easier
for its players like NHS. Moreover, organisations like Dilnot Commission also had a bigger role
towards influencing the funding policy of government in 2011.
Communal Integration:
2
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There is a strong integration of community that is witnessed within the health and social care
sector quite recently. Hence, this has engaged the companies into providing a care that is
collaborative and ensures an appropriate inclusion of the peers, family members and other
essential individuals of the community that could assist the professionals into providing best care
to the patients within the care facility (Blake and Lloyd, 2020).
High Cost:
There have usually been high costs involved for individuals for individuals who wish to perform
from the organisation. Hence, this factor paved way for patient centric care within the healthcare
possibilities. This allows the organisations to focus on the patient's needs and limitations and
provide an overall effective care to them in an appropriate manner.
Brexit:
One of the biggest factors that have led to several changes in the health sector of the UK is
Brexit. The reason for this is because the changes in regulation and the transition period has
caused a major slowdown in terms of economy within the country, requiring organisations like
NHS to take further initiatives to ease the access of healthcare in the country, which would
further be enhancing their application of the long term plans, which includes effective integration
of healthcare resources, as well as arrangement of funds for people of the country for better and
more effective acquisition of healthcare.
Competition:
Healthcare is one of the most diverse sectors within the United Kingdom, with a range of private,
as well as public level organisations within the nation. Hence, there are various private level
healthcare organisations that were gaining much preferences due to their state of art techniques
and better access to facilities, which is one of the crucial determinants towards the reorganisation
of the NHS.
It is necessary to analyse the impact of these factors on the individuals accessing the services
within the organisation. In relation to the government policies, they positively influence the
patients in context of acquiring high end technologically sound services. In relation to communal
integration, it allows the individuals to build a care network to support them through their
illnesses. However, a negative factor that has been imposed on the individuals is related to high
cost, which used to refrain the individuals from adopting for best medical healthcare within the
organisation.
3
sector quite recently. Hence, this has engaged the companies into providing a care that is
collaborative and ensures an appropriate inclusion of the peers, family members and other
essential individuals of the community that could assist the professionals into providing best care
to the patients within the care facility (Blake and Lloyd, 2020).
High Cost:
There have usually been high costs involved for individuals for individuals who wish to perform
from the organisation. Hence, this factor paved way for patient centric care within the healthcare
possibilities. This allows the organisations to focus on the patient's needs and limitations and
provide an overall effective care to them in an appropriate manner.
Brexit:
One of the biggest factors that have led to several changes in the health sector of the UK is
Brexit. The reason for this is because the changes in regulation and the transition period has
caused a major slowdown in terms of economy within the country, requiring organisations like
NHS to take further initiatives to ease the access of healthcare in the country, which would
further be enhancing their application of the long term plans, which includes effective integration
of healthcare resources, as well as arrangement of funds for people of the country for better and
more effective acquisition of healthcare.
Competition:
Healthcare is one of the most diverse sectors within the United Kingdom, with a range of private,
as well as public level organisations within the nation. Hence, there are various private level
healthcare organisations that were gaining much preferences due to their state of art techniques
and better access to facilities, which is one of the crucial determinants towards the reorganisation
of the NHS.
It is necessary to analyse the impact of these factors on the individuals accessing the services
within the organisation. In relation to the government policies, they positively influence the
patients in context of acquiring high end technologically sound services. In relation to communal
integration, it allows the individuals to build a care network to support them through their
illnesses. However, a negative factor that has been imposed on the individuals is related to high
cost, which used to refrain the individuals from adopting for best medical healthcare within the
organisation.
3
Moreover, these factors have also influenced a recent UK health policy. For instance, the Health
Policy UK has been very much influenced by these factors and have indulged into providing the
patients with primary care services, improvement of acute care, as well as provision of financial
protection to ensure improvement within the same.
PART 2
LO 2
P3. Illustration in detail the components of change management
Change management is a process for appropriate and essential planning and execution of change
within the overall organisation. Moreover, it is very crucial to determine several components of
change management, which has an impact of the change within the organisation (Walker and et.
al., 2014). Hence, an initiative for which the change management is being applied upon is
associated with the Sutton Homes Care Vanguard, which are planning towards transforming their
care model with better services and care facilities for the old age individuals. Therefore, below
are several components of change management that are explained in this context, through the
application of Kotter’s 8 Step Model: Creation of Urgency: The very first component in relation to change management in
relation to creation of urgency. For this purpose, Sutton Homes could identify the current
problems in their care services, such as limited accessibility of care facilities and
resources, which would allow them to create urgency towards creating change. Guiding Coalition: One of the most appropriate components within the organisation is
related to change management is resistance. It is necessary for the organisation to
determine if there are any resistance with respect to change within the organisation that
would be ensuring appropriate and effective change management. Development of Shared Vision: Development of a shared vision is a very crucial for
change management to ensure that each care worker and other staff members have one
collective vision to work upon. In this case, the company determine the core values for
which Sutton Homes was found and which it follows. Communication of the Vision: One crucial component of change is communication,
which is usually required for sharing of information, along with persuading and
negotiating with subordinates in order to enhancing the scope of success within the
4
Policy UK has been very much influenced by these factors and have indulged into providing the
patients with primary care services, improvement of acute care, as well as provision of financial
protection to ensure improvement within the same.
PART 2
LO 2
P3. Illustration in detail the components of change management
Change management is a process for appropriate and essential planning and execution of change
within the overall organisation. Moreover, it is very crucial to determine several components of
change management, which has an impact of the change within the organisation (Walker and et.
al., 2014). Hence, an initiative for which the change management is being applied upon is
associated with the Sutton Homes Care Vanguard, which are planning towards transforming their
care model with better services and care facilities for the old age individuals. Therefore, below
are several components of change management that are explained in this context, through the
application of Kotter’s 8 Step Model: Creation of Urgency: The very first component in relation to change management in
relation to creation of urgency. For this purpose, Sutton Homes could identify the current
problems in their care services, such as limited accessibility of care facilities and
resources, which would allow them to create urgency towards creating change. Guiding Coalition: One of the most appropriate components within the organisation is
related to change management is resistance. It is necessary for the organisation to
determine if there are any resistance with respect to change within the organisation that
would be ensuring appropriate and effective change management. Development of Shared Vision: Development of a shared vision is a very crucial for
change management to ensure that each care worker and other staff members have one
collective vision to work upon. In this case, the company determine the core values for
which Sutton Homes was found and which it follows. Communication of the Vision: One crucial component of change is communication,
which is usually required for sharing of information, along with persuading and
negotiating with subordinates in order to enhancing the scope of success within the
4
company. In relation to Sutton Homes, the company has its internal communication
channels that are appropriately used by the care home to ensure that each and every
subordinate is consulted and informed about any proposed or potential change that could
be introduced by the firm (Delgadillo and et. al., 2014). Empowering people to act on Vision: In this step, leadership acts as a component for
change management which reflects the extent up to which the leadership of the company
is beneficial for introducing change within its structure. Within Sutton Homes, barriers
must be removed by the organisation to ensure that individuals are empowered towards
creation of change. Creation of Short Term Wins: These are short term targets which act as stepping stones
and are strong components towards change management. This could be done through a
thorough analysis of the situation and development of strategy towards creation of these
wins. Consolidation: This component is related to building up on the change, which must work
on continuous improvement which means consistency in modifications which ensure
improvisation in the current processes and resources. Hence, for Sutton Homes, the
commitment of the organisation is related to appropriate and enhanced quality of
healthcare provided to the care facility. Institutionalising the Change::This is the final component of change management which
requires Sutton Homes to embed a culture of change within the firm for which, consistent
feedbacks and strategic plans must be developed by the firm effectively.
P4. Discussion of impact of national strategic direction on local initiative to effect change in
health or care provision
It is necessary to evaluate the impact of national strategic direction on local initiatives in order to
ensure how best they are being aligned, which would further ensure the organisations with
national and government support in an appropriate manner.
Hence, one local initiative that will further be analysed within this part is that the new care model
by Sutton Homes, with a view of enhancing the take up amongst individuals who are suffering
from either complex needs or mental ill health within old age. In relation to this, one appropriate
national strategic direction which the UK has been implementing to support this sector is related
to development of NHS Long Term Plan directed towards integration of funding and enhanced
5
channels that are appropriately used by the care home to ensure that each and every
subordinate is consulted and informed about any proposed or potential change that could
be introduced by the firm (Delgadillo and et. al., 2014). Empowering people to act on Vision: In this step, leadership acts as a component for
change management which reflects the extent up to which the leadership of the company
is beneficial for introducing change within its structure. Within Sutton Homes, barriers
must be removed by the organisation to ensure that individuals are empowered towards
creation of change. Creation of Short Term Wins: These are short term targets which act as stepping stones
and are strong components towards change management. This could be done through a
thorough analysis of the situation and development of strategy towards creation of these
wins. Consolidation: This component is related to building up on the change, which must work
on continuous improvement which means consistency in modifications which ensure
improvisation in the current processes and resources. Hence, for Sutton Homes, the
commitment of the organisation is related to appropriate and enhanced quality of
healthcare provided to the care facility. Institutionalising the Change::This is the final component of change management which
requires Sutton Homes to embed a culture of change within the firm for which, consistent
feedbacks and strategic plans must be developed by the firm effectively.
P4. Discussion of impact of national strategic direction on local initiative to effect change in
health or care provision
It is necessary to evaluate the impact of national strategic direction on local initiatives in order to
ensure how best they are being aligned, which would further ensure the organisations with
national and government support in an appropriate manner.
Hence, one local initiative that will further be analysed within this part is that the new care model
by Sutton Homes, with a view of enhancing the take up amongst individuals who are suffering
from either complex needs or mental ill health within old age. In relation to this, one appropriate
national strategic direction which the UK has been implementing to support this sector is related
to development of NHS Long Term Plan directed towards integration of funding and enhanced
5
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services. The aim of this strategic direction is to develop appropriate tool kits in order to support
and provide new and effective payment models for individuals to access healthcare services in a
more appropriate and effective manner (NHS England, 2016).
The impact of the same within the local initiative is that it would be supporting the new care
model of Sutton Homes in terms of increasing the number of individuals that would be acquiring
services by providing them better and more convenient tools for payment within the overall
sector. Hence, the strategic direction of the country would further be supporting this initiative
appropriately that would allow these groups to assist and guide individuals towards a better
healthcare quite effectively.
The initiative has been directed over the complex and mental needs of aged individuals.
However, it is quite appropriate in relation to handling other healthcare issues within the overall
country in an essential way. For instance, personal health budgets could be given to individuals
for their personal check-ups and treatments related to a range of problems such as Alzheimer's.
Moreover, it could also be used in order to ensure appropriate assistance to individuals for global
crisis such as Coronavirus that has emerged as one of the most dangerous issues globally.
The current strategic climate of the country is supportive towards handling different issues and
extending its support to the local communities and groups. Given the current national strategic
climate, the factors affecting readiness to change in healthcare practices are required to be
assessed. For instance, one factor that is related to affect the readiness of change is associated
with the scope of change. If the change is big, there are currently higher resistance. However, if
the changes are small, then there might be enhanced cooperation (Gates and et. al., 2018).
PART 3
LO 3
P5. Preparation of a small-scale management plan
It is necessary that a small scale change management plan is developed in context of
implementing a positive change within the organisation. As per the guidelines of five year plan
of NHS, the change that is required to be introduced is related to infrastructure of Meadow Care
Home, in terms of installation of recording systems within the centre, which would be inclusive
of high end technologies, such as AI and VR. Moreover, in regards to this, there are five wonders
of change which are required to be taken into consideration and are explored as under:
6
and provide new and effective payment models for individuals to access healthcare services in a
more appropriate and effective manner (NHS England, 2016).
The impact of the same within the local initiative is that it would be supporting the new care
model of Sutton Homes in terms of increasing the number of individuals that would be acquiring
services by providing them better and more convenient tools for payment within the overall
sector. Hence, the strategic direction of the country would further be supporting this initiative
appropriately that would allow these groups to assist and guide individuals towards a better
healthcare quite effectively.
The initiative has been directed over the complex and mental needs of aged individuals.
However, it is quite appropriate in relation to handling other healthcare issues within the overall
country in an essential way. For instance, personal health budgets could be given to individuals
for their personal check-ups and treatments related to a range of problems such as Alzheimer's.
Moreover, it could also be used in order to ensure appropriate assistance to individuals for global
crisis such as Coronavirus that has emerged as one of the most dangerous issues globally.
The current strategic climate of the country is supportive towards handling different issues and
extending its support to the local communities and groups. Given the current national strategic
climate, the factors affecting readiness to change in healthcare practices are required to be
assessed. For instance, one factor that is related to affect the readiness of change is associated
with the scope of change. If the change is big, there are currently higher resistance. However, if
the changes are small, then there might be enhanced cooperation (Gates and et. al., 2018).
PART 3
LO 3
P5. Preparation of a small-scale management plan
It is necessary that a small scale change management plan is developed in context of
implementing a positive change within the organisation. As per the guidelines of five year plan
of NHS, the change that is required to be introduced is related to infrastructure of Meadow Care
Home, in terms of installation of recording systems within the centre, which would be inclusive
of high end technologies, such as AI and VR. Moreover, in regards to this, there are five wonders
of change which are required to be taken into consideration and are explored as under:
6
Why: This requires the care home to demonstrate the reasons for change. This could be
performed through demonstration of the need to align the systems of the company with
national guidelines issued by NHS.
What: This needs the organisation to determine the outcomes of this change. An
enhanced recording system would allow better acquisition, segregation and organisation
of crucial data which is associated with patients and their medical treatments.
Who: There are several stakeholders which are required to be involved within this
process. For instance, the directors of the care home, head staff, NHS officials, as well as
care communities.
How: This section mentioned the essentials and reassurances towards implementation of
the change. For instance, the success criteria of the change would be effective record
keeping and high convenience towards finding and using data. Along with this, the key
milestones would be enhanced flow of patient information. In relation to detailed
activities, this would require appropriate setting up of certified suppliers, installation,
performance testing, training and then usage. Moreover, the roles and responsibilities
would be handed over to the administration and R&D department for its installation and
implementation. In addition, almost 3 months could be given towards acquisition and
installation of the overall systems. Furthermore, the resources which would be required
for this change are financial, human and technical resources.
What If: However, each change has effective barriers that are required to be denoted in
order to implement strategies related to the same beforehand. Hence, for the recording
systems, the potential barrier could be resistance of employees, inappropriate
technological and training capacities, along with insufficient funds.
In context of the above modelled consideration, below is a detailed change management plan
for Meadow Care Home is as follows:
Step Description
Phase 1:
Prepare for
change:
The very first part of this product is related to anticipation of the resistance, as
well as well as prepare to introduce change within the care home. For this aspect,
first it is necessary to communicate the change to the individuals. Moreover, this
step also includes preparation of change management team who would be leading
this change in the organisation. In addition to this, resistance must be found out
7
performed through demonstration of the need to align the systems of the company with
national guidelines issued by NHS.
What: This needs the organisation to determine the outcomes of this change. An
enhanced recording system would allow better acquisition, segregation and organisation
of crucial data which is associated with patients and their medical treatments.
Who: There are several stakeholders which are required to be involved within this
process. For instance, the directors of the care home, head staff, NHS officials, as well as
care communities.
How: This section mentioned the essentials and reassurances towards implementation of
the change. For instance, the success criteria of the change would be effective record
keeping and high convenience towards finding and using data. Along with this, the key
milestones would be enhanced flow of patient information. In relation to detailed
activities, this would require appropriate setting up of certified suppliers, installation,
performance testing, training and then usage. Moreover, the roles and responsibilities
would be handed over to the administration and R&D department for its installation and
implementation. In addition, almost 3 months could be given towards acquisition and
installation of the overall systems. Furthermore, the resources which would be required
for this change are financial, human and technical resources.
What If: However, each change has effective barriers that are required to be denoted in
order to implement strategies related to the same beforehand. Hence, for the recording
systems, the potential barrier could be resistance of employees, inappropriate
technological and training capacities, along with insufficient funds.
In context of the above modelled consideration, below is a detailed change management plan
for Meadow Care Home is as follows:
Step Description
Phase 1:
Prepare for
change:
The very first part of this product is related to anticipation of the resistance, as
well as well as prepare to introduce change within the care home. For this aspect,
first it is necessary to communicate the change to the individuals. Moreover, this
step also includes preparation of change management team who would be leading
this change in the organisation. In addition to this, resistance must be found out
7
with the readiness assessments for which, sponsorship model must be introduced
(Stocks and et. al., 2015). Proper planning has to be done by managers in order to
introduce and implement change at this phase. With proper planning, managers
would be able to determine and allocate the resources required to implement
transformation at workplace.
Phase 2:
Managing
Change:
The second step of the model is related to managing the change within the
company. Hence, plans would be developed for creating a new infrastructure,
along with taking action for its execution. This would be requiring Meadow Care
Home to allot tasks to individuals and explaining them the expectations and roles
they are required to play in management of this change. Effective communication
is essential in this phase as every individual would be very confused about their
new roles and expectations. So proper communication should be there among
every individual who is a part of change so company can easily implement the
change and can get benefits of the new change introduced in the company.
Phase 3:
Reinforcing
Change:
The last step is associated with reinforcing the change. This is perhaps the most
crucial step of the overall plan as its implementation is dependent upon the
success of the firm at this stage. The activities which this involves for the
organisation is related to feedback acquisition, audit compliance, diagnosing,
along with addressing gaps, as well as analysing any scope of resistance. In order
to get all the benefits associated with change it is essential for management to
effectively deal with employee’s resistance so they can work properly and can
help company in get the advantage of new change.
P6. Presentation of strategies to address anticipated challenges to implementation of change
management plan
There are certain challenges that were faced by the organisation in context of their strategic
management plan such as employee resistance, economic scenario, along with motivation in the
later stages. All of these challenges have been quite disadvantageous for the organisation. Hence,
there were several strategies that were used to address the change management plan (Anders and
Cassidy, 2014). Hence, these are reflected below:
8
(Stocks and et. al., 2015). Proper planning has to be done by managers in order to
introduce and implement change at this phase. With proper planning, managers
would be able to determine and allocate the resources required to implement
transformation at workplace.
Phase 2:
Managing
Change:
The second step of the model is related to managing the change within the
company. Hence, plans would be developed for creating a new infrastructure,
along with taking action for its execution. This would be requiring Meadow Care
Home to allot tasks to individuals and explaining them the expectations and roles
they are required to play in management of this change. Effective communication
is essential in this phase as every individual would be very confused about their
new roles and expectations. So proper communication should be there among
every individual who is a part of change so company can easily implement the
change and can get benefits of the new change introduced in the company.
Phase 3:
Reinforcing
Change:
The last step is associated with reinforcing the change. This is perhaps the most
crucial step of the overall plan as its implementation is dependent upon the
success of the firm at this stage. The activities which this involves for the
organisation is related to feedback acquisition, audit compliance, diagnosing,
along with addressing gaps, as well as analysing any scope of resistance. In order
to get all the benefits associated with change it is essential for management to
effectively deal with employee’s resistance so they can work properly and can
help company in get the advantage of new change.
P6. Presentation of strategies to address anticipated challenges to implementation of change
management plan
There are certain challenges that were faced by the organisation in context of their strategic
management plan such as employee resistance, economic scenario, along with motivation in the
later stages. All of these challenges have been quite disadvantageous for the organisation. Hence,
there were several strategies that were used to address the change management plan (Anders and
Cassidy, 2014). Hence, these are reflected below:
8
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Communication:
One of the most prominent strategies to address the issues related to Resistance was
communication. This was adopted by the management of the company to persuade and negotiate
the change to the organisation's subordinates. Moreover, assertive skills were implemented
within interviews and conferences that explained the organisation that are related to highlighting
the scope of improvement in context of acceptability of change (Morton and et. al., 2016).
Contracts:
Due to Brexit, the entire healthcare sector is having a negative impact in relation to ensuring
appropriate suppliers for their services and new equipments. Hence, in relation Meadow Care
Home above, an effective strategy would be to bind the suppliers on contractual basis for better
acquisition of supplies and effective overcoming from the current conditions within the
marketplace.
Leadership:
In regards to the problem of Motivation which was associated with later stages of the change
management plan, Meadow Care Home indulged in modification of leadership through adopting
Democratic Style in order to acquire feedbacks from employees and taking corrective actions
thereafter. Employee involvement:
The major challenge that may be faced by the Meadow Care Home while implementing the
change management plan is low employee morale, as employees not always want changes in
their working environment when they are comfortable with existing one. This in turn reduce
motive to work over change implementation and hence, the plan may lack in its actual outcome
due to inappropriate working. To deal with this issue, strategy that could be adopt by Meadow
Care Home is employee engagement. By involve workers in decision making process company
can make them aware about the main reasons behind introducing change and can also make them
aware about the benefits of new change. With these workers will be able to perform their
responsibilities with more dedication. Training and development:
As The Meadow Care Home is planning to bring management change for improving its
infrastructure by integrating the operations with high technologies like AR and VR which is nit
yet used within the organisation. So this may act as a major challenge for the employees working
9
One of the most prominent strategies to address the issues related to Resistance was
communication. This was adopted by the management of the company to persuade and negotiate
the change to the organisation's subordinates. Moreover, assertive skills were implemented
within interviews and conferences that explained the organisation that are related to highlighting
the scope of improvement in context of acceptability of change (Morton and et. al., 2016).
Contracts:
Due to Brexit, the entire healthcare sector is having a negative impact in relation to ensuring
appropriate suppliers for their services and new equipments. Hence, in relation Meadow Care
Home above, an effective strategy would be to bind the suppliers on contractual basis for better
acquisition of supplies and effective overcoming from the current conditions within the
marketplace.
Leadership:
In regards to the problem of Motivation which was associated with later stages of the change
management plan, Meadow Care Home indulged in modification of leadership through adopting
Democratic Style in order to acquire feedbacks from employees and taking corrective actions
thereafter. Employee involvement:
The major challenge that may be faced by the Meadow Care Home while implementing the
change management plan is low employee morale, as employees not always want changes in
their working environment when they are comfortable with existing one. This in turn reduce
motive to work over change implementation and hence, the plan may lack in its actual outcome
due to inappropriate working. To deal with this issue, strategy that could be adopt by Meadow
Care Home is employee engagement. By involve workers in decision making process company
can make them aware about the main reasons behind introducing change and can also make them
aware about the benefits of new change. With these workers will be able to perform their
responsibilities with more dedication. Training and development:
As The Meadow Care Home is planning to bring management change for improving its
infrastructure by integrating the operations with high technologies like AR and VR which is nit
yet used within the organisation. So this may act as a major challenge for the employees working
9
within the organisation as they found difficulty in managing and operating those technologies
effectively which may affect its operations or services quality. To deal with this, Meadow Care
Home require to offer training to its employees so they can easily learn to work with new
technology.
P7. Usage of testing and analysis to implement change management plan
Another aspect that is very much appropriate and effective in relation to the change
management plan is related to testing, as well as analysing the implementation of this plan in an
appropriate manner (Gardner and et. al., 2016). Thus, below is the implementation of PDSA
Model for testing and analysis of this change management plan within the organisation:
Plan: The very first step which Meadow Care Home is required to adopt is associated
with effective planning within the organisation. This needs the organisation to set up the
resources, allot responsibilities, plan out objectives and acquire crucial data related to
installation of recording systems and so forth. In order to execute change in infrastructure
of Meadow care home, the organisation requires to recruit skilled and competent
workforce and assign them with roles and responsibilities, setting timelines and develop a
meeting schedule. Here, the main questions which required to consider by the
management includes what is trying to achieve? What changes the organisation can make
which will outcome in improvement etc. Apart from this, the current process is examined
thoroughly and then ask the basic questions from the team including who is involved,
what is done well, when the project will finish etc.
Objectives: The main objective of this testing and analysis is to ensure successful
installation of recording systems in the organisation.
Predictions: It would be predicted that the change will execute successfully and positive
responses on the change will be gain.
Who, what, where, when: During executing change, team members and stakeholders
will involve, the change will execute in organisation within 3 months.
Plan for collecting data: In order to collect the data, questionnaire is used to get
responses from the respondents on the change which will bring in the organisation.
Do: This section requires the care home to implement the set plan into execution. For
instance, the care home would search the market for certified suppliers and companies for
the recording systems, furthermore, formulating contracts for the acquisition of products.
10
effectively which may affect its operations or services quality. To deal with this, Meadow Care
Home require to offer training to its employees so they can easily learn to work with new
technology.
P7. Usage of testing and analysis to implement change management plan
Another aspect that is very much appropriate and effective in relation to the change
management plan is related to testing, as well as analysing the implementation of this plan in an
appropriate manner (Gardner and et. al., 2016). Thus, below is the implementation of PDSA
Model for testing and analysis of this change management plan within the organisation:
Plan: The very first step which Meadow Care Home is required to adopt is associated
with effective planning within the organisation. This needs the organisation to set up the
resources, allot responsibilities, plan out objectives and acquire crucial data related to
installation of recording systems and so forth. In order to execute change in infrastructure
of Meadow care home, the organisation requires to recruit skilled and competent
workforce and assign them with roles and responsibilities, setting timelines and develop a
meeting schedule. Here, the main questions which required to consider by the
management includes what is trying to achieve? What changes the organisation can make
which will outcome in improvement etc. Apart from this, the current process is examined
thoroughly and then ask the basic questions from the team including who is involved,
what is done well, when the project will finish etc.
Objectives: The main objective of this testing and analysis is to ensure successful
installation of recording systems in the organisation.
Predictions: It would be predicted that the change will execute successfully and positive
responses on the change will be gain.
Who, what, where, when: During executing change, team members and stakeholders
will involve, the change will execute in organisation within 3 months.
Plan for collecting data: In order to collect the data, questionnaire is used to get
responses from the respondents on the change which will bring in the organisation.
Do: This section requires the care home to implement the set plan into execution. For
instance, the care home would search the market for certified suppliers and companies for
the recording systems, furthermore, formulating contracts for the acquisition of products.
10
Furthermore, they would be guiding and training their staff towards installation and usage
of those recording systems and ultimately testing their performance and getting them
installed. The data is collected about the change which will bring in the organisation in
future by implementing recording systems. The observations made by collecting the data
includes the responses of respondents towards the change. Most of the respondents
provide positive response. However, some among them have negative response towards
it.
Study: This is a very crucial step of the overall plan which is associated with testing the
performance of the overall execution of the plan. This would be done through analysis of
the data of performance, along with comparison of the actual standards from the
deviations. By the analysis, it has been found that the actual results are very much similar
to the predicted one. Most of the respondents provide positive response towards that
change which assist in bringing the change effectively within the Meadow care home by
installing recording system effectively in the organisation and improving the care
services.
Act: The last step in this model requires the care home to act upon the set plan, which
needs them to finally embed the change in the firm and acquire feedbacks from staff for
further modification. Based on the learning from testing and analysis, the developed plan
will execute effectively by the management so as to ensure successful installation of
recording system and improve the care services.
This is the model that can be used to effectively testing and analysing the implementation of
change management plan to determine whether it remain successful in Meadow Care Home.
Under this after implementation of change management plan their remains a regular testing and
analysis where objectives are set to work along with implemented new infrastructure where
planning is performed regarding the actions to be done then it is done accordingly. After
executing the plan, it regularly analysed or studied by matching the planned with actually
executed actions. At last the action plan to improve the variation found through study will be
done and then implemented to improve work. This cycle moves until the plan get implemented
appropriately.
In addition, there were several emerging themes, areas of development and communication
strategies put in place for the change management plan. For instance, the themes that were taken
11
of those recording systems and ultimately testing their performance and getting them
installed. The data is collected about the change which will bring in the organisation in
future by implementing recording systems. The observations made by collecting the data
includes the responses of respondents towards the change. Most of the respondents
provide positive response. However, some among them have negative response towards
it.
Study: This is a very crucial step of the overall plan which is associated with testing the
performance of the overall execution of the plan. This would be done through analysis of
the data of performance, along with comparison of the actual standards from the
deviations. By the analysis, it has been found that the actual results are very much similar
to the predicted one. Most of the respondents provide positive response towards that
change which assist in bringing the change effectively within the Meadow care home by
installing recording system effectively in the organisation and improving the care
services.
Act: The last step in this model requires the care home to act upon the set plan, which
needs them to finally embed the change in the firm and acquire feedbacks from staff for
further modification. Based on the learning from testing and analysis, the developed plan
will execute effectively by the management so as to ensure successful installation of
recording system and improve the care services.
This is the model that can be used to effectively testing and analysing the implementation of
change management plan to determine whether it remain successful in Meadow Care Home.
Under this after implementation of change management plan their remains a regular testing and
analysis where objectives are set to work along with implemented new infrastructure where
planning is performed regarding the actions to be done then it is done accordingly. After
executing the plan, it regularly analysed or studied by matching the planned with actually
executed actions. At last the action plan to improve the variation found through study will be
done and then implemented to improve work. This cycle moves until the plan get implemented
appropriately.
In addition, there were several emerging themes, areas of development and communication
strategies put in place for the change management plan. For instance, the themes that were taken
11
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into use were the patient centred care and collaborative approach. Moreover, technological
advancement and usage were considered as area for improvement, which was necessary in order
to embed change in a desirable manner. In addition to this, assertiveness, persuasion an
negotiation were some communication strategies that enhanced the scope of involvement of
employees within the same (Greenhalgh and et. al., 2016).
In context of evaluation of own change management initiative in comparison to others, the one
adopted by the company was associated with the collaborative approach, along with patient
centred care, that is supposed to be delivered by implementing better technologies. It would be
having a great impact in comparison to others as individuals seek better quality services that are
accurate and convenient, which would be satisfied with the use of AI and VR within the new
recording systems.
PART 4
LO 4
P8. Evaluation of impact of change management initiative staff
The biggest challenge in an organisation is change that translates and modify the level of
change as it describe the execution of new enterprise and resources in terms of planning and
application (Renedo and et. al., 2015). Change management is considered as the structured
approach in order to make sure the prominent changes for the smooth implementation and long
term benefits of change. At the time of implementing change, staff and workforce at those
factors who drastically influences as most of them resist to adopt changes. In terms of Meadow
Care Home, on the grounds of their change management objectives, their employees gets
influenced or affected. For this, considerable there are several methods which the firm would be
using to denote the impact: Questionnaires: One of the most prominent methods through which the organisation
would be denoting the impact of the new initiative upon the staff (Davis and et. al.,
2015). For instance, this would be having a range of questions, starting from their
viewpoints upon the change, as well as how convenient and effective their performance is
in light of these new changes. This would be objective in nature and hence, limited yet
useful information could be gathered quickly.
12
advancement and usage were considered as area for improvement, which was necessary in order
to embed change in a desirable manner. In addition to this, assertiveness, persuasion an
negotiation were some communication strategies that enhanced the scope of involvement of
employees within the same (Greenhalgh and et. al., 2016).
In context of evaluation of own change management initiative in comparison to others, the one
adopted by the company was associated with the collaborative approach, along with patient
centred care, that is supposed to be delivered by implementing better technologies. It would be
having a great impact in comparison to others as individuals seek better quality services that are
accurate and convenient, which would be satisfied with the use of AI and VR within the new
recording systems.
PART 4
LO 4
P8. Evaluation of impact of change management initiative staff
The biggest challenge in an organisation is change that translates and modify the level of
change as it describe the execution of new enterprise and resources in terms of planning and
application (Renedo and et. al., 2015). Change management is considered as the structured
approach in order to make sure the prominent changes for the smooth implementation and long
term benefits of change. At the time of implementing change, staff and workforce at those
factors who drastically influences as most of them resist to adopt changes. In terms of Meadow
Care Home, on the grounds of their change management objectives, their employees gets
influenced or affected. For this, considerable there are several methods which the firm would be
using to denote the impact: Questionnaires: One of the most prominent methods through which the organisation
would be denoting the impact of the new initiative upon the staff (Davis and et. al.,
2015). For instance, this would be having a range of questions, starting from their
viewpoints upon the change, as well as how convenient and effective their performance is
in light of these new changes. This would be objective in nature and hence, limited yet
useful information could be gathered quickly.
12
Interviews: Another prominent manner which the firm is willing to use is associated with
interviews (Watts and et. al., 2018). This is a method of one to one conversation with
individuals of the care home in relation to acquiring their viewpoints on the new
recording systems. This would be done by setting up a panel of experts and senior
medical staff in relation to interviewing the subordinates of how effective the new
systems actually are and what is the prominent modifications which could be done in this
regard (Kwasnicka and et. al., 2016)..
Observation: This method is rather subtle in nature, which requires the senior individuals
within the organisation towards just observing the performance and attitude of
individuals through random conversations and denotes the embedment of change in the
care home.
The change management in the Meadow Care Home will bring a significant change
over the employees working over it. The impact on employees are mentioned below:
Change related stress: The change management brings chronic work stress over employees as
their regular process of performing work get changes and they have to adopt new method of
performing work with the change in infrastructure of Meadow Care Home. This in turn create
anxiety about performing work effectively or cooperating with the changes etc.
Effect on attitude: With the change management implementation of Meadow Care Home brings
up both positive and negative change over the attitude of employees. In this if the change results
into difficult tasks then their remains a job dissatisfaction among employees and it reduces their
performance. On other side if change improve their working practices then it result into the
employee engagement in work that enhance the quality of work.
Implementation of change at Meadow Care Home affect employees and their work in many
ways. In starting, employees shown their resistance but after that they learn and accept the new
ways of working. Mainly new change affects some employees in positive manner while other in
negative manner. Some workers feel stressed due to use of technology and new working patterns.
Every employee learns something new, learn about how they can work more efficiently with
updated tools and methods that not only enhance their performance but also help in offer more
effective services to patients.
By installing the recording system and bringing change in the infrastructure of organisation,
the employees can help business in developing new opportunities. It assists in improving the
13
interviews (Watts and et. al., 2018). This is a method of one to one conversation with
individuals of the care home in relation to acquiring their viewpoints on the new
recording systems. This would be done by setting up a panel of experts and senior
medical staff in relation to interviewing the subordinates of how effective the new
systems actually are and what is the prominent modifications which could be done in this
regard (Kwasnicka and et. al., 2016)..
Observation: This method is rather subtle in nature, which requires the senior individuals
within the organisation towards just observing the performance and attitude of
individuals through random conversations and denotes the embedment of change in the
care home.
The change management in the Meadow Care Home will bring a significant change
over the employees working over it. The impact on employees are mentioned below:
Change related stress: The change management brings chronic work stress over employees as
their regular process of performing work get changes and they have to adopt new method of
performing work with the change in infrastructure of Meadow Care Home. This in turn create
anxiety about performing work effectively or cooperating with the changes etc.
Effect on attitude: With the change management implementation of Meadow Care Home brings
up both positive and negative change over the attitude of employees. In this if the change results
into difficult tasks then their remains a job dissatisfaction among employees and it reduces their
performance. On other side if change improve their working practices then it result into the
employee engagement in work that enhance the quality of work.
Implementation of change at Meadow Care Home affect employees and their work in many
ways. In starting, employees shown their resistance but after that they learn and accept the new
ways of working. Mainly new change affects some employees in positive manner while other in
negative manner. Some workers feel stressed due to use of technology and new working patterns.
Every employee learns something new, learn about how they can work more efficiently with
updated tools and methods that not only enhance their performance but also help in offer more
effective services to patients.
By installing the recording system and bringing change in the infrastructure of organisation,
the employees can help business in developing new opportunities. It assists in improving the
13
productivity of employees and allow them to provide effective and high quality services to
patients. Implementation of new technology also provide them with opportunities to grow and
develop their skills and competencies in technological area which will assist in their future career
growth. However, there are some negative impacts also of change on employees including
increased turnover due to increase in stress level. Sometimes, change will increase the stress of
the employees which adversely impacts on their motivation level.
P9. Presentation of analytical report on findings of change management initiative to relevant
stakeholders
To,
The Manager of Meadow Care Home, Manager of NHS, Certified Recorders
Meadow Care Home
Project name: Implementation electronic medical record.
Subject: Analytical report on the findings of a change management initiative to relevant
stakeholders
1. Executive Summary
The report analysed the findings of a change management initiative. The report is
prepared based on the analysis of three important metrics. The report also highlighted the issues
need to be improved in future.
2. Following are the findings of the metrics:
Aims and objectives metric: The objective of the above activity was to install new
medical record system within the care home as per the guidelines and requirements of the NHS
new Five Year Plan. For this purpose, Benchmarks and KPI were used as metrics. By the
installation of recording system, the organisation will be able to provide effective as well as high
quality care services to the patients which further assist in gaining improved outcomes.
Implementation performance metric: In this relation, the performance standards of
employees were set as KPI, along with the effectiveness of record keeping as per the
stakeholders’ feedbacks. In order to measure the performance of employees, the key performance
metric execute including 360-degree feedback, management by objectives and number of errors.
Management by objectives emphasize on enhancing the organisational performance by
translating its goals into individual goals. In 360-degree feedback, the performance is measured
14
patients. Implementation of new technology also provide them with opportunities to grow and
develop their skills and competencies in technological area which will assist in their future career
growth. However, there are some negative impacts also of change on employees including
increased turnover due to increase in stress level. Sometimes, change will increase the stress of
the employees which adversely impacts on their motivation level.
P9. Presentation of analytical report on findings of change management initiative to relevant
stakeholders
To,
The Manager of Meadow Care Home, Manager of NHS, Certified Recorders
Meadow Care Home
Project name: Implementation electronic medical record.
Subject: Analytical report on the findings of a change management initiative to relevant
stakeholders
1. Executive Summary
The report analysed the findings of a change management initiative. The report is
prepared based on the analysis of three important metrics. The report also highlighted the issues
need to be improved in future.
2. Following are the findings of the metrics:
Aims and objectives metric: The objective of the above activity was to install new
medical record system within the care home as per the guidelines and requirements of the NHS
new Five Year Plan. For this purpose, Benchmarks and KPI were used as metrics. By the
installation of recording system, the organisation will be able to provide effective as well as high
quality care services to the patients which further assist in gaining improved outcomes.
Implementation performance metric: In this relation, the performance standards of
employees were set as KPI, along with the effectiveness of record keeping as per the
stakeholders’ feedbacks. In order to measure the performance of employees, the key performance
metric execute including 360-degree feedback, management by objectives and number of errors.
Management by objectives emphasize on enhancing the organisational performance by
translating its goals into individual goals. In 360-degree feedback, the performance is measured
14
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through the feedbacks provided by patients, peers, manager etc. which helps in improving the
performance.
Adoptions metric: In context of adoption, interviews were used to identify the
acceptance level of the new systems by the employees. Moreover, their performance metrics
were used to determine their performance against the new metrics. By the help of interview, the
management will be able to know about the views and perspectives of employees regarding the
installation of nee recording system.
Future improvement: However, there is still a scope of future improvement, which could
especially be subjected towards the area of expertise amongst the staff for which it is imperative
to implement better and more robust techniques.
By considering the overall performance of their staff, it is determined that change is initiate with
their stakeholders as they are the prominent members to implement and execute change within an
organisation. For this, they need to determine the suitable measures for the betterment of
working conditions and enhancement of the performance of employees in effective manner. In
order to justify the impact of this change management program on the staff, it could be stated
that using of high end technologies would allow these individuals to enhance more productivity,
due to better speed and assistance. Moreover, VR could also be used appropriately to guide
subordinates while they indulge into complex medical procedures without being physically
present, that would contribute to patient-centred care.
CONCLUSION
Thus, it is concluded from the report above that facilitation of change within the organisation is
very crucial in order to ensure positive and more appropriate elements that could ensure the
alignment of the practices of an organisation as per the guidelines set up by the industry and
government. It is necessary to discuss recent changes which impact practice in healthcare sector,
along with the factors that drove these changes. In addition to this, it is necessary that
components of change management are discussed to gain a better understanding towards this
aspect. Along with this, discussion of impact of national strategic direction on local initiative is
crucial to identify the influence of national policies on the healthcare sector. Moreover, A small
scale management plan is crucial to embed change, alongside strategies to address anticipated
challenges for its implementation, as well as using testing to implement change management
15
performance.
Adoptions metric: In context of adoption, interviews were used to identify the
acceptance level of the new systems by the employees. Moreover, their performance metrics
were used to determine their performance against the new metrics. By the help of interview, the
management will be able to know about the views and perspectives of employees regarding the
installation of nee recording system.
Future improvement: However, there is still a scope of future improvement, which could
especially be subjected towards the area of expertise amongst the staff for which it is imperative
to implement better and more robust techniques.
By considering the overall performance of their staff, it is determined that change is initiate with
their stakeholders as they are the prominent members to implement and execute change within an
organisation. For this, they need to determine the suitable measures for the betterment of
working conditions and enhancement of the performance of employees in effective manner. In
order to justify the impact of this change management program on the staff, it could be stated
that using of high end technologies would allow these individuals to enhance more productivity,
due to better speed and assistance. Moreover, VR could also be used appropriately to guide
subordinates while they indulge into complex medical procedures without being physically
present, that would contribute to patient-centred care.
CONCLUSION
Thus, it is concluded from the report above that facilitation of change within the organisation is
very crucial in order to ensure positive and more appropriate elements that could ensure the
alignment of the practices of an organisation as per the guidelines set up by the industry and
government. It is necessary to discuss recent changes which impact practice in healthcare sector,
along with the factors that drove these changes. In addition to this, it is necessary that
components of change management are discussed to gain a better understanding towards this
aspect. Along with this, discussion of impact of national strategic direction on local initiative is
crucial to identify the influence of national policies on the healthcare sector. Moreover, A small
scale management plan is crucial to embed change, alongside strategies to address anticipated
challenges for its implementation, as well as using testing to implement change management
15
initiative. Lastly, evaluation of impact of change management must also be considered to
determine the influence of this aspect in a prominent manner.
16
determine the influence of this aspect in a prominent manner.
16
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how organizations can help patients and professionals to collaborate. Public
Management Review. 17(1). pp.17-34.
Kwasnicka, D., and et. al., 2016. Theoretical explanations for maintenance of behaviour change:
a systematic review of behaviour theories. Health psychology review. 10(3). pp.277-
296.
Watts, N., and et. al., 2018. The Lancet Countdown on health and climate change: from 25 years
of inaction to a global transformation for public health. The Lancet. 391(10120).
pp.581-630.
Davis, R., and et. al., 2015. Theories of behaviour and behaviour change across the social and
behavioural sciences: a scoping review. Health psychology review. 9(3). pp.323-344.
Greenhalgh, T., and et. al., 2016. Achieving research impact through co‐creation in community‐
based health services: literature review and case study. The Milbank Quarterly. 94(2).
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Gardner, B., and et. al., 2016. How to reduce sitting time? A review of behaviour change
strategies used in sedentary behaviour reduction interventions among adults. Health
psychology review. 10(1). pp.89-112.
Morton, K.L., and et. al., 2016. The school environment and adolescent physical activity and
sedentary behaviour: a mixed‐studies systematic review. Obesity reviews. 17(2). pp.142-
158.
Anders, C. and Cassidy, A., 2014. Effective organizational change in healthcare: Exploring the
contribution of empowered users and workers. International Journal of Healthcare
Management. 7(2). pp.132-151.
Stocks, S.J., and et. al., 2015. The impact of national‐level interventions to improve hygiene on
the incidence of irritant contact dermatitis in healthcare workers: changes in incidence
from 1996 to 2012 and interrupted times series analysis. British Journal of
Dermatology. 173(1). pp.165-171.
Gates, A.B., and et. al., 2018. Leadership in physical activity: is this the currency of change in
the student healthcare curriculum?.
NHS England, 2016. Leading change, adding value. British Journal of Healthcare
Assistants. 10(6). pp.302-303.
Delgadillo, J., and et. al., 2014. Early changes, attrition, and dose–response in low intensity
psychological interventions. British Journal of Clinical Psychology. 53(1). pp.114-130.
Walker, J., and et. al., 2014. Changes in mental state associated with prison environments: a
systematic review. Acta Psychiatrica Scandinavica. 129(6). pp.427-436.
Blake, H. and Lloyd, S., 2020. Influencing organisational change in the NHS: lessons learned
from workplace wellness initiatives in practice.
Waterson, P., 2014. Health information technology and sociotechnical systems: A progress
report on recent developments within the UK National Health Service (NHS). Applied
ergonomics. 45(2). pp.150-161.
Zin, C.S., Chen, L.C. and Knaggs, R.D., 2014. Changes in trends and pattern of strong opioid
prescribing in primary care. European Journal of Pain. 18(9). pp.1343-1351.
17
Books and Journals
Renedo, A., and et. al., 2015. Patient and public involvement in healthcare quality improvement:
how organizations can help patients and professionals to collaborate. Public
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Kwasnicka, D., and et. al., 2016. Theoretical explanations for maintenance of behaviour change:
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