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Change Strategies
Ian Grigor
School of Healthcare Studies
Aim of session
To examine and to begin to
understand how to apply
strategies for effecting
“Change”, in order to
influence best practice in
your work place
School of Healthcare Studies
Objectives of session
To explore, understand and apply
the following strategies:пЃ¬ Normative re-educative
пЃ¬ Empirical rational
пЃ¬ Power-coercive
пЃ¬ To consider the circumstances
for applying the above strategies
пЃ¬ To plan assignment structures
School of Healthcare Studies
Normative re-educative strategy
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This applies when intellectual groups
inherently require the need for satisfaction
The emphasis is on attitudes, values and
sociocultural norms
Ideas for change come from within the
organisation
Bottom-up (problem-solving) approach
e.g.. To care delivery
Research-driven in healthcare (EBP)
School of Healthcare Studies
Empirical rational strategy
People are guided by reason,
especially self-interest i.e. if the list of
potential options offers a degree of
risk, people will choose the least
risky option
пЃ¬ The assumption is based on
knowledgeable people leading the
way e.g. smoking
пЃ¬
School of Healthcare Studies
Power coercive strategy
Based on political and/or economic
sanctions
пЃ¬ Drive for change is top-down
пЃ¬ Assumes that subordinates will always
comply with supraordinates’
commands
пЃ¬ Easiest to implement in a hierarchical
structure
пЃ¬ Such changes may not last
пЃ¬
School of Healthcare Studies
The role of motivation
All change strategies are based
on motivation i.e. change is
driven by the need for best
practice, self-interest or fear
School of Healthcare Studies
Based on practice…
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How does team-centred change
compare to advice-giving, in terms of
strategies?
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How would you go about influencing
change in different groups e.g.
professionals versus support staff?
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How does poor levels of groupcompliance relate to strategies for
change
School of Healthcare Studies
Poor compliance
Do you sense from the outset that
some groups cannot/will not change
their approaches?
пЃ¬ What tends to be the mood of
interactions with such groups?
пЃ¬ How do you feel in these
circumstances?
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School of Healthcare Studies
How do you approach this type of
problem?
It’s best if you can understand their
perspective and try to solve the
change from their angle
пЃ¬ What stage are they at now?
пЃ¬ What would radical change involve?
пЃ¬ What would successful change mean
to them?
School of Healthcare Studies
Who is the expert?
пЃ¬
Manager or “shop-floor” worker?
Express empathy with the group
пЃ¬ Avoid arguing and change tack but
know when to back off altogether
пЃ¬ Support independence with praise
but be careful not to patronise
пЃ¬ Try to let the group see how the
future will be rosier if they change
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School of Healthcare Studies
Assignment report writing
пЃ¬ Analysis
пЃ¬ Relate
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theory to practice
Assignment report writing
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Executive summary
Current situation and, for example, if your chosen
topic is going to be impacted upon by new…
What needs to change – how do you know (EBP)?
What theory, strategy etc will be employed
Results
Discussion
Recommendations
References
Appendices
School of Healthcare Studies
Objectives
To explore, understand and apply the
following strategies:пЃ¬ Normative re-educative
пЃ¬ Empirical rational
пЃ¬ Power-coercive
пЃ¬ To consider the circumstances for
applying the above strategies
пЃ¬ To plan assignment structures
School of Healthcare Studies
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