discussion post 367

Discussion: Leading Evidence–Based Change

Now, a handful of leading–edge global companies are breaking new ground and using evidence–based change to make critical talent management decisions, help their organizations achieve greater success and create a more engaging work environment for their people.

—Towers Watson

Successful leader–managers recognize the value of using models or theories, as well as relevant evidence, to guide a change effort. For this Discussion, you consider a problem within your organization and the strategies that you might use to orchestrate a change.

Jesuthasan, R., & Boudreau, J. (2011). Evidence–based change helping companies achieve greater success and competitive advantage, new Towers Watson book reveals. Retrieved from http://www.towerswatson.com/en/Press/2011/09/Evidence–Based–Change–Helping–Companies–Achieve–Greater–Success–and–Competitive–Advantage–New–Towe

To Prepare

  • Think about a problem in a specific unit or area of your organization or one with which you are familiar. What are the indications that there is a problem? What change may be needed? (Note: This problem should be different from the one you are addressing in the Week 2 Assignment.). A clinical problem works well; an example is that you note an increasing number of patients with deep vein thrombosis following orthopedic surgery.
  • Consider how you could locate evidence to examine the needed change. What literature would you review? Which professional organization standards or recommendations may be relevant? With whom would you communicate/network to ascertain community standards? Bear in mind that you may also look at evidence from fields other than nursing.
  • Review the information in the Learning Resources. Using your knowledge of contemporary theories of chaos and complexity, consider how you could adapt Lewin’s classic model for change and apply this to your selected problem.

By Day 3

Post a description of the problem, including relevant indicator(s). Provide a synopsis of how you would proceed in locating evidence, including research literature you would consult, which professional organization standards may be relevant, and with whom you would communicate or network to ascertain community standards. Then, identify how you would adapt Lewin’s classic model of change based on chaos and complexity theory to address this evidence–based change.

Learning Resources

Note: To access this weeks’s required library resources, please click on the link to the Course Readings List, found in the
Course Materials section of your Syllabus.

Required Readings

Marquis, B. L., & Huston, C. J. (2017).
Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

  • Chapter 8, “Planned Change”

    This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change.

Mclean, C. (2011). Change and transition: Navigating the journey.
British Journal of School Nursing,
6(3), 141–145.

Retrieved from the Walden Library databases.

Mitchell, G. (2013). Selecting the best theory to implement planned change.
Nursing Management–UK. 20(1), 32–37.

Retrieved from the Walden Library databases.

Radtke, K., (2013). Improving patient satisfaction with nursing communication using bedside shift report.
Clinical Nurse Specialist, 27(1), 19–25.

Retrieved from the Walden Library databases.

Salmela, S., Eriksson, K., & Fagerström, L. (2013). Nurse leaders’ perceptions of an approaching organizational change.
Qualitative Health Research, 23(5), 689–699.

Retrieved from the Walden Library databases.

Shirey, M. R. (2013). Lewin’s theory of planned change as a strategic resource.
The Journal of Nursing Administration 43(2), 69–72.

Retrieved from the Walden Library databases.

Optional Resources


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