Change and leading change in healthcare

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Download references. The authors would like to thank all the participating physicians, registered nurses and assistant nurses who participated in the interviews. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

You can also search for this author in PubMed Google Scholar. All analysed the data. PN drafted the manuscript, but it was reviewed and critically revised for important intellectual content by all authors. All authors read and gave final approval of the version of the manuscript submitted for publication. Correspondence to Per Nilsen. All the participants gave their written and oral consent to participate in the interviews. The study was performed according to World Medical Association Declaration of Helsinki ethical principles for medical research involving human subjects.

To maintain the principle of non-maleficence, the participants were guaranteed confidentiality, which was taken into account when reporting the findings through abstracted findings presented at the group level.

In the interviews, the researchers were aware of power issues, in that an interview is not a conversation between two equal individuals. The interview time was taken into careful consideration. The participants were given opportunity to reflect on what they said in the interviews, and time was also available for the participants to ask questions.

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Reprints and Permissions. Nilsen, P. Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. Download citation. Received : 19 November Accepted : 14 February Published : 27 February Anyone you share the following link with will be able to read this content:.

Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Research article Open Access Published: 27 February Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses Per Nilsen 1 , Ida Seing 2 , Carin Ericsson 1 , 3 , Sarah A.

Abstract Background Health care organizations are constantly changing as a result of technological advancements, ageing populations, changing disease patterns, new discoveries for the treatment of diseases and political reforms and policy initiatives.

Methods The study was based on semi-structured interviews with 30 health care professionals: 11 physicians, 12 registered nurses and seven assistant nurses employed in the Swedish health care system. Results The analysis yielded three categories concerning characteristics of successful changes: having the opportunity to influence the change; being prepared for the change; valuing the change. Conclusions Organizational changes in health care are more likely to succeed when health care professionals have the opportunity to influence the change, feel prepared for the change and recognize the value of the change, including perceiving the benefit of the change for patients.

Background The only constant in health care organizations, as the saying goes, is change. Methods Study setting, design and participants Study data come from interviews with Swedish health care professionals physicians, registered nurses, assistant nurses. Table 1 Participant characteristics Full size table. Having the opportunity to influence the change The health care professionals emphasized the importance of having the opportunity to influence organizational changes that are implemented.

Discussion Change is pervasive in modern health care. Conclusions In conclusion, organizational changes in health care are more likely to succeed when health care professionals have the opportunity to influence the change, feel prepared for the change and recognize the value of the change, including perceiving the benefit of the change for patients.

Availability of data and materials All interview data analysed during the current study are available from the corresponding author on reasonable request. Birken US: United States. Google Scholar SKL. Google Scholar Gray M. Google Scholar Gadolin C. Google Scholar Hogan R. Article Google Scholar Ead H. Article Google Scholar Miller D. Google Scholar Hill LA. Article Google Scholar Bouckenooghe D. Article Google Scholar Stensmyren H. Participants identified that clear communications and providing education associated with the change process as important leadership activities.

Conclusion Credible trusted leadership, encouraged positive emotions and reduced negative emotions to changes. Change management in healthcare organisation should not only guide leaders in traditional leadership functions but also prepare and equip them to support staff and build relationships to successfully adopt change and drive organizational success while ensuring the quality of care and patient safety are improved. You will be able to get a quick price and instant permission to reuse the content in many different ways.

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