Leadership and Change Management:
Overcoming the Barriers to Change in Healthcare System By add comment Research has shown that 95 percent of diets fail over the long term. Oddly enough, various studies show that 60 to 80 percent of major change initiatives also fail.
In both cases, it is certainly not for lack of good intentions. For a person who has been on a successful diet, it is frustrating to see those pounds sneak back on.
And it is just as frustrating for an organization which has implemented a major improvement initiative to have costs, errors or inefficiencies creep in again.
This is the short-term-gain, long-term-wane syndrome. Why are both kinds of change not more successful? Often, the failures can be traced to a few missing ingredients: A fundamental acceptance or realignment in thinking Appropriate guidance or knowledge Clear strategies and tactics for maintaining long-term results The upside to past failures is that they usually provide some valuable lessons for the future.
For instance, healthcare organizations currently contemplating Six Sigma or Lean as one aspect of transformation can learn from the experiences of others, both inside and outside the industry.
An Industry in Need of Change Though debate over specific solutions may continue, there seems to be widespread consensus for changes in healthcare in the United States to address inconsistencies in quality and efficiency. Some of the primary market forces serving as catalysts for change include the following: Demographic Changes — Shifting demographics and an aging population will continue to impact healthcare in the United States, particularly for specialties such as cardiovascular services.
Workforce Issues — Workforce shortages — especially acute in certain regions and specialties — continue to strain the system. Financial Challenges — Healthcare providers continue to feel financial pressures as they deal with rising demand and uncertainty in reimbursement and revenue collection.
Projects that address revenue and cost management strategies will be crucial to maintaining quality services. Unfortunately, the speed and spread of change in healthcare have been hampered by a number of factors. A few of these barriers and potential solutions are in the table below, which is based on input gathered from healthcare practitioners during the last few years:BackgroundObesity causes frailty in older adults; however, weight loss might accelerate age-related loss of muscle and bone mass and resultant sarcopenia and osteopenia.
MethodsIn this clinical. The first Nursing Times Workforce Summit and Awards took place in October, highlighting the challenges for the profession but also recognising the great contribution of the nursing workforce. Jobs. Visit Nursing Times Jobs; Managing change by empowering staff.
14 August, Nursing in the United Kingdom has a long history. The current form of nursing is often considered as beginning with Florence Nightingale who pioneered 'modern nursing'.
Florence Nightingale initiated formal schools of nursing in the United Kingdom in the late 19th and early 20th centuries. Resistance is a leading implication of any change that can take the form of either foot-dragging or sabotage.
Change management strategies constitute of interdependent processes and variables, therefore it could be a bit complex. An Look At Nursing: Nurses And Nursing Editor's Note: The following extract is taken verbatim from the book Ambulance Work And Nursing A Handbook On First Aid To The Injured With A Section On Nursing, Etc.
Using Kotter’s Change Management Theory and Innovation Diffusion Theory In Implementing an Electronic Medical Record.