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how change agent helps to choose appropriate treatment interventions in human service field

by Justice Glover Published 3 years ago Updated 2 years ago
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Do you need change agents to implement change?

A change agent's main strength is a comprehensive knowledge of human behavior, supported by a number of intervention techniques. power behind effective change management are those …

Are you picking the right change agents?

Build Agents' belief in the outcome of the project. Identify and align rewards for Agents. Invest in Agents' skill development through quality Change Agent training. Plan for Agent succession. …

Why do you need a transition agent?

Mar 30, 2020 · Transactional analysis. Transactional analysis is one of the most important techniques that a change agent can use. This is because success in being a change agent …

What is the role of an agent in an implementation?

present with the attitude and desire to change for the better. Herein lies the Role of the Change Agent. The term Change Agent has many meanings. In the EPIC project the term Change …

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What is the main role of the change agent in the change process?

A change agent, also known as an advocate of change, is a person who acts as a catalyst for the change management process. They help an organization, or part of an organization, transform how it operates by inspiring and influencing others.Dec 15, 2021

What responsibility does a change agent has for the organization?

The individual or group that undertakes the task of initiating and managing change in an organization is known as a change agent. Change agents can be internal, such as managers or employees who are appointed to oversee the change process.

Who are change agents as a change agent what are the functions and responsibilities of a HR manager?

As a change agent, you'll help the workforce prepare for, and better adapt to, any potential changes your organization may experience. You may even initiate changes for a more cohesive company culture and greater productivity.May 8, 2017

How can a change agent be more effective?

An effective change agent will:
  1. Know the benefits the changes will bring. ...
  2. Stay in touch with the human side of change. ...
  3. Balance this emotional intelligence with a relentless focus on the bottom line. ...
  4. Embody the change. ...
  5. Open up the process. ...
  6. Remember what's great about the business already.

What can a change agent change?

Change agents focus on the people in the organization, their interactions and the implication of changes in structures, tasks, and technology on organizational members and their interactions.Aug 31, 2021

What is a change agent in healthcare?

Change agents tie business goals with operational and cultural priorities, streamlining and standardizing the decision-making process. Change agents bring an entrepreneurial attitude and a clear focus on accountability; they want to move forward and inspire others to move forward, as well.Oct 15, 2019

How change agents can effectively manage and implement change in organization?

Change agents manage conflict by helping different parties see the situation from the other's point of view, and by finding common goals. They work to improve understanding and reduce friction between multiple parties so they can collaborate to implement change. Change agents are peacemakers.Jan 6, 2011

How change agents can effectively manage and implement change in Organisation?

Change agents can support change management initiatives in three ways: consulting, training, and research (Stephen, 2010): In the role of consultant, the change agent can connect employees with critical data external to the organization or can involve employees in data collection from within the organization.

What is a positive change agent?

09 November 2020. A change agent is someone who enables individuals, teams and organizations to make positive change; a skillset that has never been more needed than right now. Anyone can learn this skillset; change agents are not defined by a title, but by the outcomes they support others to achieve.Nov 9, 2020

Why do we need change agents?

In other words, you need Change Agents to implement change. The Change Agent role is essential for a successful implementation of any project whether it is a minor procedural or a major transformational change. Making certain you have the right number of Change Agents, with the necessary skills, in the proper places, ...

How does a change agent work?

The Change Agent job begins in the initial planning stages through the execution of the change. But remember, too, it's a reality in today's organization that Change Agents will come and go over the course of a project, particularly a multi-year transformational change.

Why do organizations wait too long to train their change agents?

There is much work to be done early on to build change readiness, manage resistance, and secure the required Sponsorship for the change. If you wait too close to project launch, you will likely already have significant resistance. This is true especially if your organization is implementing a transformational change with lots of disruption. The Change Agent job begins in the initial planning stages through the execution of the change.

What is the role of change agent in aim?

Their role is defined as follows: AGENTS: Agents have responsibility from planning through execution of the change. At least part of their performance evaluation is based on the success of this implementation.

What are the 5 W's of change management?

The 5 W’s. Who, what, where, when, why and how. These are the questions journalists ask when they are researching their next story. But in the Change Management and implementation worlds, asking these same questions can be just as important. An excellent example of this is in gaining clarity around roles and responsibilities during an organizational change. Yes, this seems basic, but it is a critical step for implementation success.

What is the purpose of WIIFM?

WIIFM stands for ‘What’s in it for me?’. This is one of the most valuable techniques for any change agent. The idea is that the change agent thinks from the perspective of the person that they want to influence. The change agent has to think about what the effect of the transformation will be on that particular person, including positive and negative effects. To do this the change agent has to consider the personality, needs, and role of the person as well as what tangible effect the transformation will have on them. The change agent must be able to answer the question ‘What’s in it for me?’ before they develop their influencing approach as if the person had asked them directly. This technique helps to prepare a strategy and approach that is more likely to lead to success than adopting the same method for everybody. As well as using it during preparation, a change agent can also use it during one-to-one conversations to formulate appropriate answers to questions.

What is stakeholder analysis?

Stakeholder analysis is a project management technique that analyzes and categorizes all types of stakeholder involved in or likely to be affected by the transformation. A change agent can use the analysis to assess how they can ensure that they address the interests of the stakeholders, keeping them on-board with the transformation and avoiding any disruption by them. The change agent or another OCM practitioner should create a matrix of all stakeholders, and assess and record their expected attitudes to the transformation.

How can a change agent influence a change?

This includes what is known as ‘active listening’, where the body language and words used by the change agent make it clear to the other person that the change agent is not just listening to what someone else is saying but is also understanding and considering the contents . A change agent must also mentally record the conversation, supported by notes, but use listening skills supported by visual signals to understand the true meaning of what is being said. People who are affected by a transformation often say one thing to a change agent but mean something different.

Why is transactional analysis important?

This is because success in being a change agent requires a full understanding of human behaviors, and why people say and do things. The technique is derived from a combination of concepts from psychology and psychotherapy.

How to use jargon in an organization?

Use jargon appropriately. The change agent must always use terms that the person will understand. If there is any specific jargon in common use within the organization, then the change agent should use it as this will help to demonstrate that they understand the organization. Care must be taken by the change agent to use it in context, otherwise, it can come across that they are only using the jargon to impress.

What do change agents need to know?

Change agents need to use a variety of techniques from organizational change management. These alone will not give any guarantee of success, as a change agent’s personality, common sense, skills and experience are more important than using techniques robotically. A good change agent will have developed experience using several of these, and use them in combination to suit particular circumstances.

How to support a counter argument?

Use facts and evidence to support the reasoning. Ideally, the facts should mean something to the person being persuaded. It is more difficult for people to build a counter-argument if appropriate facts are used. The change agent must be careful to use facts that are relevant to and support their argument, and omit any that don’t.

Why is it important to have a vision in change management?

However, it is more effective to have leadership and other influencers collaboratively working with you to craft your desired end-state. The vision needs to be a co-creation with everyone feeling like they contributed and own the end result . Your vision needs to be easily understandable, to inspire action and to focus attention.

What is the purpose of change management?

The purpose of change management is to implement strategies for effecting change, controlling change and helping people to adapt to change. A change agent is a person or group that facilitates the change process in an organization. The change agent is viewed as that entity that motivates, inspires, catalyzes and potentially leads ...

Why is change important?

However, change is necessary for growth and, when harnessed properly, leads us to being more efficient and maximizing our potential. That’s why it’s important to learn how to be a change agent.

What is the source of most of the angst when it comes to change management?

The source of most of the angst when it comes to change management is people. People will be resistant. Know this. Appreciate this. Be comfortable with this. Then determine ways that you can slowly chip away at this resistance. The first step is to identify your allies.

What is a useful lever to ensure continuous improvement?

For example, when doing efficiency evaluations of your human resources team, a useful lever to ensure continuous improvement would be to have a mandatory step that forces the HR team to do a re-examination of current policies and procedures in order to determine current relevancy and potential optimizations.

How to overcome resistance to vision?

Frequent and consistent communication of the vision is one of the key strategies that will help you further erode the resistance that you will face. You and your allies can never talk about the vision too much.

What is the best approach to change agent?

If you are change agent with a long track record within an organization and a good reputation, recognize that steady and deliberate progress towards the end goal is the approach that will likely yield the most successful outcome.

How effective is motivational interviewing?

Miller and colleagues 21 replicated studies with “problem drinkers,” demonstrating that an empathetic therapist style was predictive of decreased drinking while a confrontational style predicted increased drinking. Motivational interviewing incorporates empathy and reflective listening with key questions so that physicians are simultaneously patient-centered and directive. Controlled studies have shown motivational interviewing techniques to be at least as effective as cognitive-behavioral techniques and 12-step facilitation interventions, and they are easily adaptable for use by family physicians. 22 – 27

What is the precontemplation stage?

PRECONTEMPLATION STAGE. During the precontemplation stage, patients do not even consider changing. Smokers who are “in denial” may not see that the advice applies to them personally. Patients with high cholesterol levels may feel “immune” to the health problems that strike others.

Why do physicians need referrals?

Physicians can enlist the help of other health care professionals (e.g., nutritionists, nurses, mental health personnel) to reinforce the message that a change in behavior is needed and to provide additional education and skill information to the patient. Referral can also reduce some patient care burden for physicians.

What is the goal of precontemplation?

The task for physicians is to empathetically engage patients in contemplating change ( Table 2). 6 During this stage, patients appear argumentative, hopeless or in “denial,” and the natural tendency is for physicians to try to “convince” them, which usually engenders resistance.

How can physicians help patients change?

Recommendations for physicians helping patients to change have ranged from the “just do it” approach to suggesting extended office visits, often incorporating behavior modification, record-keeping suggestions and follow-up telephone calls. 1 – 3 Repeatedly educating the patient is not always successful and can become frustrating for the physician and patient. Furthermore, promising patients an improved outcome does not guarantee their motivation for long-term change. Patients may view physicians who use a confrontational approach as being critical rather than supportive. Relapse during any treatment program is sometimes viewed as a failure by the patient and the physician. A feeling of failure, especially when repeated, may cause patients to give up and avoid contact with their physician or avoid treatment altogether. After physicians invest time and energy in promoting change, patients who fail are often labeled “noncompliant” or “unmotivated.” Labeling a patient in this way places responsibility for failure on the patient's character and ignores the complexity of the behavior change process.

What is the role of a family physician?

One role of family physicians is to assist patients in understanding their health and to help them make the changes necessary for health improvement. Exercise programs, stress management techniques and dietary restrictions represent some common interventions that require patient motivation.

What is maintenance and relapse prevention?

Maintenance and relapse prevention involve incorporating the new behavior “over the long haul.” Discouragement over occasional “slips” may halt the change process and result in the patient giving up. However, most patients find themselves “recycling” through the stages of change several times before the change becomes truly established.

What is advocacy in health care?

The World Health Organisation defines advocacy within the health care arena as “ A combination of individual and social actions designed to gain political commitment, policy support, social acceptance and systems support for a particular goal or programme. ”.

What is the first step in advocacy?

The first step in advocacy is to make the decision to act. This could be you alone or a group who all feel strongly about the problem. The particular issue must be defined and framed as one for which there is a potential solution, within the framework of available support and resources.

What is the largest group in health care?

Nurses are by far the largest group in health care. With their education and exposure to the needs of patients and the community, as well as being recognised as the most trusted and ethical profession, they should be a major force for social change.

What is the role of a nurse advocate?

The nurse advocates for equity and social justice in resource allocation, access to health care and other social and economic services.

Why is fast action important?

With fast action, the campaign message can become newsworthy when linked to relevant breaking news. For example, if the danger of childhood obesity makes the news after a government report is released, it can support the campaign for healthier foods in the school canteen.

What should be the key message of a call to action?

There should be a strong key message with a call to action which should preferably be supported by a visual such as a logo or a “face” on the issue. Specific information packages can then be developed to target different audiences such as the stakeholders and the public; the media; and decision makers.

How to address community issues?

Where the campaign addresses a community issue, communication through the media will be essential. Win the media over as a partner in the campaign by building a relationship with journalists in the print media, radio and television. Identify a spokesperson for the campaign who will come over well in interviews. Stakeholders who can be talked about their personal experiences can add a compelling human interest angle. Internet-based and social media campaigns are cost-effective and can reach large audiences very quickly but should not be used on their own. Lobbying influential leaders and policy makers, meeting with them and presenting the facts and figures and possible solutions must also be included in the plan.

What are the organizations that human services professionals work with?

Human services professionals often work with nonprofit youth development organizations like Big Brothers Big Sisters and the Boys & Girls Clubs of America. These organizations, along with other youth-enrichment programs, connect kids with positive role models and educational opportunities.

What do human services do for homeless people?

Human services professionals provide the homeless with help finding housing. They also work to connect them with government services and nonprofit organizations, like local soup kitchens. Steady sources of food and shelter are the foundation for getting back on track to a “normal” life—and the compassionate folks in human services help them build that foundation.

How often do natural disasters happen?

Natural disasters of all kinds occur every year, and it’s certainly not easy for the people whose lives are turned upside down by them. Navigating agency bureaucracy isn’t always easy in the best of times, let alone when you’re faced with being put out of your home for weeks or even months on end. Human services professionals may work with direct-relief organizations, like the American Red Cross, or as a liaison, who helps guide disaster victims through the paperwork needed to receive support.

What do human services professionals do?

2. They help the elderly age comfortably. America’s seniors have earned the right ...

Can veterans transition to civilian life?

The transition to civilian life can be a substantial challenge for military veterans who’ve grown accustomed to the heavily regimented military lifestyle. Couple that with veterans’ potential exposure to traumatic events, and you have a population in need of support.

Can a child pick their parents?

No one can pick their parents. While it’s easy enough to deal with little things like Dad embarrassing you at the school drop-off, thousands of children are forced to live in much more serious and dangerous situations. Human services professionals help keep these children out of harm’s way and help them find stable living environments by working with foster home agencies and temporary shelters.

What are the applications of the Kotter model?

Applications of the Kotter model were primarily identified in nurse-led, local level, single unit or site quality improvement projects. 29, 43, 45, 47, 67 One US and one UK study applied the model to the full project lifecycle in emergency departments to increase the number of risk assessments undertaken by nurses for falls and to enhance the triage system, respectively. 29, 45 Both projects reported success in creating change, with a significant increase in fall assessments reported following the project 45 and the adoption of the triage system into routine practice. 29 Two further US-based projects utilised the model to bring about change to bedside handoffs in an intensive care unit and a surgical orthopaedic trauma unit, noting significant improvements reported by the nurses on those units following project completion. 43, 47 Young’s Nine Stage Framework was also used in a nurse-led local-level quality improvement project in an acute paediatric setting to introduce a competency assessment tool. 65 The authors described in detail the models, issues and actions arising through the stages of pre-change, stimulus, consideration, validate need, preparation, commit, do-check-act, results and into the new normal. 65 The application of the model enabled a considered change process which analysed organisational and systems influences impacting the change proposed, leading to full uptake of the assessment tool at 18–24 months. 65

What is Lewin's model of change?

Lewin’s Model of Change was similarly applied in two nurse-led change projects to enhance bedside handover in four Australian hospitals across multiple wards. 50, 51 The application of the model was as a way to describe the process of change rather than to guide the activities to be undertaken during the change effort, with model descriptively aligned by the authors to reflect the periods of data collection at baseline (unfreezing stage), changes being made to the handover process and policies and the post-intervention data collection regarding the handover process (refreezing). 50, 51 In a further nurse-led change project regarding the implementation of an electronic patient caseload tool in a community setting, Lewin’s Model was employed as a structured change process through a series of steps, yet the primary stages reported were unfreezing and moving. 49 A key benefit of the application of this model was the focus it provided to the nurse leader to actively contemplate the change process and its progression. 49 Lewin’s Model was also drawn upon to frame the steps taken in implementing and evaluating a bedside reporting intervention in the US that sought to enhance nursing communication. 54 As such, patient satisfaction with nursing communication increased from 75% to 87.6% over a six-month period. 54

What is the impetus for change?

The impetus for change for the majority of studies came from within the organisation (34 studies). Of these, changes in 17 studies were part of quality improvement programs/projects, 13 were due to changes required as a result of changes in organisational policies or demands and four were as part of the implementation of an organisational strategy. In two further studies, change was due to a directive from the state or national health department. In the final two studies, both conducted in non-OECD countries, the impetus for change was from healthcare professional associations.

What is the 8 step of Kotter's 8 step?

Kotter’s 8-step. To optimise the use of antimicrobial medications. Immediate and sustained reduction in the use of cefuroxime, and an increase in the use of ertapenem, piperacillin/tazobactam and beta-lactamase sensitive penicillin, Although the consumption remained unaffected.

What is narrative empirical synthesis?

A narrative empirical synthesis was undertaken in stages, based on the review objectives. 24 A quantitative analytic approach was not appropriate due to the heterogeneity of study designs, contexts, and types of literature included. Initial descriptions of eligible studies and results were tabulated ( Table 1 ). Common concepts were discussed between the review team members and patterns in the data explored to identify consistent findings in relation to the study objectives. In this process, interrogation of the findings explored relationships between study characteristics and their findings; the findings of different studies; and the influence of the use of different outcome measures, methods and settings on the resulting data. The literature was then subjected to a quality appraisal process before a narrative synthesis of the findings was produced.

What is supplementary file 1?

A search strategy ( supplementary file 1) was developed and applied to the following electronic databases in June 2019, updated in August 2020: MEDLINE, PubMed, Scopus, and Web of Science. Results were merged using reference-management software (Endnote X9.2), duplicates were removed. The review process utilised the Covidence systematic review software (Veritas Health Innovation, Melbourne, Australia) for screening and extraction.

What are non primary sources excluded from the IHI?

Additionally, non-primary sources such as editorials, opinion pieces or letters were excluded. Review articles were excluded but their reference lists searched to identify additional relevant material. The expansive literature utilising the Model for Improvement was not included in this review given the definition by the IHI as a model to accelerate improvement models rather than as a change model in itself. Furthermore, an aim of this review was to explore how change management models may support the use of improvement models such as the Model for Improvement.

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