Comparison Of Rogers And Lippitt's Change Theory

Change is an unavoidable part of life. According to Timmins (2011), very often people feel safe in their routine, they do not like changes, and they do not want to leave their comfort zones. Increasing knowledge and involving in decision making process can decrease fear, anger, and resistance to changes. People plan to changes can use different change theory and they can find one the best for them. They can chose from Levin’s, Rogers’, or Lippitt’s change process. Each change theory have a few elements of a success. The Rogers change theory can be implement in healthcare effective.

Change Theory According to Huber (2014), Rogers describes five phases of innovation-decision process: knowledge, persuasion, decision, implementation, and

One of updated police was: Acceptance and admission of dialysis patients to outpatient’s settings. These changes was recommended by Department of Health (DOH) and action had to be taken immediately. The Medical director and the senior director of hemodialysis, and infection control staff had 24 hours to develop new policies and update others policies. They researched The Centers for disease control and prevention (CDC) recommendations, hospital policies, and infection control DOH recommendations. When new procedures were developed, the manager and director of the hemodialysis units started to educate the nursing staff and nephrologist. In with two days all staff had to be informed about the new changes. Educators explained the importance of a new protocols, and why we have to fallow new rules immediately. One of the new protocol was gain knowledge of patients Hepatitis B status before dialysis treatment and to document with date and time of blood work results. The manager made a new binder with a special sheet for nurses to log all information about new patients. The nurse manager and director of hemodialysis frequently check, if staff is compliant with new

During the change process on my unit not all parts of that theory were fallow. First phase of process knowledge of problem was definitely recognize. The problem was pointed by DOH and research of topics were done. Next part – persuasion was not done due to very short period of time. The directors had only 24 hours to present a new polices to DOH and they did not have time to make any consultation or ask employees if change will be good. These changes had to be done. Third part of process - decision to adopt change into practice or reject. In that phase was no question if these changes can be reject. All these changes were recommended by DOH and had to be done immediately, so everything was adopted. Next phase implementation had to be done in two days, all staff involved with care of dialysis patients had to be educated in 48 hours. Last phase of process – confirmation to reinforce of innovation. Everybody understand how important was to follow up all new policies, first patient safety, second all changes was required by DOH, third - infection control. Nobody question necessity of these