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Healthcare: considerations for changing practice.

A Bushy1

  • 1College of Nursing, University of Utah, Salt Lake City.

Journal of Ambulatory Care Marketing
|December 10, 1990
PubMed
Summary
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Healthcare organizations must navigate constant changes by understanding change theory and applying diverse strategies. Effective leadership and anticipating staff responses are key to successful quality assurance program implementation.

Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Health Policy

Background:

  • Healthcare institutions face continuous economic, policy, and consumer-driven changes.
  • Monitoring quality and cost-effectiveness is crucial for healthcare organizations.
  • Implementing Quality Assurance (QA) programs requires significant organizational adaptation.

Purpose of the Study:

  • To define change theory concepts relevant to healthcare.
  • To review Lewin's and Rogers' change theories.
  • To provide strategies for implementing changes, particularly QA initiatives.

Main Methods:

  • Review of established change theories (Lewin, Rogers).
  • Application of change models to a practical innovation (microwave oven).

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  • Development of strategies for change implementation in healthcare settings.

    • Main Results:

    • Understanding change processes and potential responses is vital for healthcare professionals.
    • A variety of strategies are needed to address individual motivations during change.
    • Successful change implementation, especially for QA, requires adaptive leadership.

    Conclusions:

    • Healthcare leaders must be adept at managing change to ensure organizational quality and cost-effectiveness.
    • Anticipating and addressing staff responses to change is critical for successful implementation.
    • Theories of change provide a framework for developing effective strategies in healthcare settings.