Effective Change Management in Healthcare: An NHS Research Proposal

This research proposal investigates the significance of managing change within healthcare organizations, specifically focusing on the National Health Service (NHS). The study explores the need for change, its impact on service quality, and the importance of effective change management models. It outlines the aims and objectives, including understanding the importance of change, identifying effective strategies, evaluating the impact on quality, and recommending solutions for successful implementation. The literature review covers key concepts, including the challenges of change, the role of leadership, and the use of models like Kotter's. The research methodology, including an inductive approach and a descriptive research design, is detailed. The proposal also addresses population definition, sampling methods, and data collection techniques. The overall goal is to provide insights into overcoming barriers and implementing strategies that improve service delivery within the NHS, emphasizing the need for transparency, communication, and employee training to facilitate successful change adoption.

Contents
EXECUTIVE SUMMARY...................................................................................................................
BACKGROUND OF THE STUDY/ SETTING THE STAGE.....................................................................
AIMS AND OBJECTIVES...................................................................................................................
LITERATURE REVIEW......................................................................................................................
RESEARCH METHODOLOGY...........................................................................................................
RESEARCH SCHEDULE.....................................................................................................................
REFERENCE.....................................................................................................................................

EXECUTIVE SUMMARY
In the present research, investigator sheds light on the need for change and way to
manage the change within the healthcare organisation effectively. There are different
reasons due to which it is become important for management to implement the changes in
the organisation. Due to old methods of working it becomes difficult to deliver quality
services then firm need to implement new methods and technology with the help of which
it becomes easy to satisfy patients and gain competitive advantage. Further with the use of
change management model, it becomes easy for the management to implement and
manage the changes effectively within the organizations. While implementation it is
important to be transparent and communicate effectively with service provider regarding
the changes. There are some barriers which company face while managing the changes.
Hence leader in this regard needs to use its effective skills and help firm in managing the
changes. The present result is based on developing the understanding related to the
changes and the way to manage it so that service user can receive quality services. It is
important to provide training and development facilities to employees so that they can
easily adopt the changes. Along with this sharing value and leading all effectively help
employees to motivate for adopting changes instead of resist

BACKGROUND OF THE STUDY/ SETTING THE STAGE
Overview of the topic
In the modern era, healthcare organisation faced extremely challenging position in
order to survive in the competitive market. There are rapid changes occur in the healthcare
organisation as strive to adopt new technology that is electronic healthcare record or
implementing quality improvement initiatives. In respect to deal with these changes, it is
important to encourage and support employees so that they can adopt the changes without
any problem (Ginter, Duncan and Swayne, 2018). National health organisation (NHS) is facing
some issues due to the existing method of working. As there was lack of advanced
technology due to which it becomes difficult for them in delivering the quality services to
patients. Along with this, the change can be managed in the context of the new policy which
can be a critical issue for the healthcare professional. Further, it is not easy for the
organization to manage the change as because employees resist the changes. Not only
manager but also professional required to develop and implement the new services which
are designed to bring the patients in the centre for healthcare delivery. The present
research is based on exploring the significance of managing changes in healthcare
organisation in order to deliver quality services. It is essential for NHS to manage the
changes within the organisation for this purpose it needs to be transparent, frequent with
communication and time so that changes can be implemented successfully (Chartier, 2014). It
is noticed that communication is the foundation of a successful change management
strategy and it is essential to communicate the right content at the right time. Along with
this while implementing new technology it is important to provide training facility so that
they can easily get adjust to it instead of resist.
Significance of the research
The present report is based on exploring the significance of managing changes in
healthcare organisation in order to deliver quality services. Therefore, present research will
help in developing the understanding related to the change management and its
effectiveness. Further different issues which organisation faced while managing the changes
are also discussed. Hence this report will help in developing an understanding of different
firms in related to the way of managing changes effectively and systematically. If the quality

of services get hamper then it is important for the healthcare organisation to implement the
changes, so that improvement can be done on the same area.
AIMS AND OBJECTIVES
Research problems
In order to manage the changes successfully within the healthcare organisation, it is
important for researcher focus on change management model. Through implementing
advanced technology, it becomes easy for the firm to deliver quality services to customers
(Wager, Lee and Glaser, 2017). The present research will help in developing understanding
related the effective ways through which changes can be managed within the firm. The aim
of this research is to fill the gap left by in the previous studies on the selected topic.
Aim: To explore the significance of managing changes in healthcare organisation in order to
deliver quality services – A study of NHS.
All the objectives of the research as based on the aim which help in accomplishing
the research in an effective manner. Here below are the objectives:
Objectives:
 To understand the importance of managing changes in healthcare organisation.
 To identify the effectiveness of managing changes in healthcare organisation to
deliver the quality services
 To evaluate the impact of managing changes in healthcare organisation on quality
services.
 To identify different types of barrier which healthcare organisation face while
managing changes
 To recommend different ways for managing changes successfully within the NHS for
delivering quality services.
Research questions
 What is the importance of managing changes in healthcare organisation.
 What are the effectiveness of managing changes in healthcare organisation to
deliver the quality services

 What are the impact of managing changes in healthcare organisation on quality
services.
 What are the different ways for managing changes successfully within the NHS for
delivering quality services.
LITERATURE REVIEW
According to the view of Ory and Lorig (2013), it is important to manage change within
the healthcare organisation. It is one of the key concern for the management to manage the
changes so that services can be improved and satisfaction level of patients can be enhanced.
Through implement change, it becomes easy for the services provider to deliver quality
services to the patient. To implement the changes is one of the important factors as it helps
the company in making improvement its services and way of working. Managing changes
within the healthcare organisation are one of the complex processes. It is because in this
manager need to evaluate, plan and implement the operations, strategies and to ensure
that changes are worthwhile. Hence it is one of the challenging processes and not the choice
between technological, or people oriented solution but a combination of all. Walshe and
Smith (2011) state that effective change can be characterized as an unfreezing old behavior,
presenting new ones and refreezing them. There is some time required for predictable
changes while for unpredictable changes is difficult to respond by employees in an effective
manner. One of the sustainability competitive advantage in present time further it provides
ability to firm so that they can make changes and accomplish success. Dahlgaard-Park, (2011)
argued that if healthcare organisation wants to experience a greater level of success in their
development efforts then management required to have a better framework to think about
the changes and understand the key issues which required change management. At the
time when changes are endorsed, employees need to understand the reason for changes
and the way they will affect. Sallis, (2014) state that changes is important but it leads to
bringing confusion, insecurities, anger, and stress in employees under the auspices of
changes. To promote changes within the firm is both demanding and fatiguing as to bring
changes for management is one of the challenges. Employees within the organisation work
in a comforting environment as they become the addict of that, However changes take
place it breaks their comfort zone due to which they resist adopting the changes.

As per the view of Manns and Tonelli (2012), with the use of change management model,
it is easy for the management to implement the changes within the healthcare organisation
successfully. Through implementing change, it becomes easy for the firm to deal with day to
day challenges and make improvement in its quality services. It helps in gaining competitive
position in the competitive market. Through implementing changes, it becomes easy for the
firm to understand the needs and wants of services users easily, along with this company
can easily respond to the patient quickly and deliver them quality services. In the
healthcare, organisation leader plays the significant role in managing changes, as there are
many models which can be adopted by the leader such as Kotler’s change management
model which help in managing the changes within the organisation successfully. According
to the Kotter’s change management model, it believes that organisation change can be
easily managed with the use of dynamic, non-linear 8 step approaches. Here Kotter organise
each of its eight components in 3 different phases as, its phase one is recognised was
developing a climate for changes”, which consider increase importance, get the vision right,
and building guiding teams. Further in the 2nd stage in which employees are involved and
provide the firm to communicates for action in order to create a short vision. In last stage
implementation of the plan is done where which encompasses, and it do not leave sustain
the changes. Author state that it is important to create a sense of urgency within the
healthcare organisation buys the manager. For instance, to develop the sense of urgency it
is important to prepare the way to implement an EHR as because healthcare manager has
several options. One of the effective options is to show the video of an angry patient whose
son is died in the hospital due to medical error. Hence it patient information is prevented
electronically instead of paper. If employees understand the reason for the implementation
of changes then it becomes easy for them to accept the changes. While there are some roles
and responsibilities of management such as they should communicate regarding the
changes with employees and be transparent with them. Hence, with the use of change
management model, it becomes easy for the healthcare organization to manage the
changes successfully.
RESEARCH METHODOLOGY
Introduction

This section will be focused on the methodological perspective and different
research design. It also provides the different definition or population and collaborating it
with the sampling method. Apart from this, it will provide detail information related to the
data collection method and methods to analyse it.
Research approach:
It is a technique of research design which clearly shows the clear scenario related to
the study and the way it can be completed successfully. There are two kinds of research
approach that is the inductive and deductive approach. In the present research, the
investigator will use inductive approach as it helps in first collecting the specific information
and then generalisation of the same will be done (Crowther and Lancaster, 2012). The reason
behind using this technique is that it help in accomplishing the study in a systematics
manners
Research design:
The research design is defined as a systematic method and scientific procedure
which assist in carrying out the different activities. There is three main type of research
design that is explanatory, exploratory and descriptive. In exploratory research design, it
leads to focus on uncovering the issues while in explanatory it includes different models and
theories. On the other side in descriptive research design, it covers the description of the
study and analysis of the selected topic that is to explore the significance of managing
changes in healthcare organization in order to deliver quality services (Daniel and Sam, 2011).
In the present research, descriptive research design will be used in which investigator will
study the topic in depth and linked it with the various theories and factors.
Population definition
The population is known as the total number of people which are available in the
research process and are invited to take join in the investigation procedures. Hence, in this
section, a exact area has been focused in respect to collect the data related to the research.
For the present research categories, the sample will be health care professionals who work
in NHS and provide services to patients.

Sampling method:
Sampling is known as the specific principle which is used for selecting the population
for the present study. Further, there are two important methods for sampling that is
probabilistic and non- probabilistic. The current investigation is based on the to explore the
significance of managing changes in healthcare organisation in order to deliver quality
services, therefore non-probability method will be used under which random sampling
method will be used (Hannabuss, 2009). Here 12 health care consultant will be selected for
collecting the information with the use of purposive sampling method. Role of health care
consultant is to identify the problem which they wish to fixed. The healthcare consultant then
does some preliminary research and examines the existing data available related to the
problem.
Reason behind selecting them is that they can provide depth and specific information
related to the changes and the way they manage them within the NHS.
Data collection method
Collection of the information is one of the important methods in the entire research
and in research methodology. In this researcher will emphasis on various sources with
respect to gathering the information related to the subject matters. While all the collecting
information will be used in the present research in respect to increasing the validity and
reliability of the selected topic that is to explore the significance of managing changes in
healthcare organisation in order to deliver quality services (Johnson and Christensen, 2010).
For collecting the secondary that there has accessed journals, different books, and articles.
It is effective in term of collecting the specific information related to the subject matter.
Hence it can be stated that past studies are also used so that their view and opinion can be
gathered in the present research. In the present studies, primary and secondary both
method will be use for collecting the data. In the main research, the survey will be
conducted that questions will be asked from the healthcare professionals. On the other
hand, in the secondary research books, journals and CERNER will be focused.
Data analysis:

After collecting the information, it is important to analyse it so that all the raw
material can be converted into a meaningful information. Two important methods for
analysing collected data that is quantitative and qualitative. In the quantitate different
statistical tools are used such as SPSS, chi-square test etc for analysing the gathered
information. In the other side in qualitative themes and charts are prepared on the basis of
results (Jonker and Pennink, 2010). The present research is based on to explore the
significance of managing changes in healthcare organization in order to deliver quality
services, therefore, qualitative techniques will be used for analysing the collected data.
Many different charts and themes will be prepared based on which interpretation will be
done.
Research ethics: At the time of carrying out the research it is important to undertake ethical
consideration so that entire investigation can e carried out in effective manner. Further it is
important to keep all the personal information of respondent securely so that no one can
misused it. Aims of the survey should be made clear in the front of respondent and they
should not be forced to take participant (Khotri, 2008). On the other side all the data
informations that is collected from the other sources is cited properly and collected from
authentic sources.
Expected outcome
From the above research it is concluded that in the NHS it is important to manage
quality services as it play significant roles. After implementing changes, it becomes easy for
the firm to understand the needs and wants of services users easily, along with this NHS can
easily respond to the patient problem quickly and deliver them quality services on time.
RESEARCH SCHEDULE
Gantt chart
Task Name Duration Start Finish Predecessors
Research proposal 20 days 01/01/2018 21/01/2018
framing aims and
objectives of research 8 days 21/01/18 31/01/18 1
Conducting literature 9 days 01/02/2018 13/02/2018 2

review
Designing methodology 16 days 01/01/2018 2/22/2018 1,2
Primary data collection 15 days 01/02/2018 21/02/2018 2
Analysis of collected data
and interpretation 11 days 14/02/2018 28/02/2018 3
Conclusion 3 days 01/03/2018 05/03/2018 3,6
Recommendations 4 days 06/02/2018 09/03/2018 7
Submission to tutor 7 days 12/03/2018 20/03/2018 8
Changes make on basis of
feedback 5 days 06/03/2018 12/03/2018 7
Final Submission 7 days 22/03/2018 30/03/2018 10