Effective design, implementation and management of change in healthcare
Belinda Allen Honorary fellow, The University of Melbourne, Melbourne, Australia
Changes in healthcare organisations are common, and their implementation is often complex and challenging. Change is often implemented suboptimally, and can have several negative effects on staff turnover, patient care and budget targets. To minimise and avoid negative outcomes, a systematic three-stage change process that comprises preparing for change, implementing change, and evaluating and sustaining change can be followed. In the first stage, before commencing any change activities, time and attention should be given to conducting detailed analyses and preparatory work to establish the foundation for the implementation phase. In the second stage, a clear set of multiple implementation tactics are used to ensure the change process is effective. In the final stage, an evaluation of the success of the change is undertaken and measures are put in place to ensure it is sustained over time. It is only by following a methodical change process such as this that changes can be implemented effectively in healthcare organisations.
Nursing Standard. 31, 3, 58-71. doi: 10.7748/ns.2016.e10375Correspondence
All articles are subject to external double-blind peer review and checked for plagiarism using automated softwareConflict of interest
Received: 30 November 2015
Accepted: 11 May 2016