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From Theory to Practice: A Qualitative Study Exploring Change Managers' Experiences Applying Change Management
Sagda Osman1, Ashfaq Chauhan1, Corey Adams1
1Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW, Australia.
Journal of Healthcare Leadership
|August 5, 2026
Summary
Effective hospital redevelopment requires robust change management. Key strategies include early executive sponsorship, stakeholder engagement, and aligning change with project processes to overcome implementation challenges.
Area of Science:
- Healthcare Management
- Organizational Change
- Health Infrastructure Development
Background:
- Hospital redevelopment projects are large, costly, and complex health system changes.
- Existing change management methodologies often fall short in practical application for large-scale projects.
- A gap exists between theoretical change management frameworks and their effective implementation in hospital settings.
Purpose of the Study:
- To explore change managers' experiences leading change in hospital redevelopment projects.
- To understand change management approaches, their perceived value, and limitations.
- To identify necessary change manager capabilities, barriers, and enablers throughout the change cycle.
Main Methods:
- Qualitative study involving semi-structured interviews with 28 change managers.
- Data analysis using the Framework method.
- Inductive subtheme development mapped deductively onto a statewide change management framework.
Main Results:
- Four themes emerged: Planning, Implementing, Sustaining Change, and Change Managers' Capabilities/Support.
- Effective approaches included progress tracking, prototypes, site visits, and stakeholder consultations.
- Key challenges involved securing sustained executive sponsorship, aligning change with project processes, and transitioning to business as usual.
Conclusions:
- Change management frameworks provide guidance, especially for less experienced managers.
- Challenges persist in stakeholder engagement, long-term change sustainability, and process alignment.
- Recommendations include structured training, early/sustained engagement, planned transitions, and better integration of change management with project delivery.
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