➊ Reducing Resistance To Change Summary
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Managing Resistance to Change
The challenge of doing something new. Fear of the unknown. The goal of resistance management is to mitigate the impact of resistance, not necessarily to try to eliminate it. Not all resistance can be avoided or eliminated, and some resistance is important for informing the team about aspects of the change itself i. Following two avenues of resistance management will help mitigate the negative impacts and reduce the duration of resistance:. This is the primary avenue of resistance management, which involves planning for, addressing or eliminating resistance by effectively applying change management. Resistance prevention is in large part about anticipating and identifying likely resistance early on.
We should consider where resistance is likely to come from and the objections or concerns that drive resistance root causes and then act on them before they occur. Resistance response involves developing effective responses when resistance becomes enduring or persistent. This requires taking adaptive actions as appropriate. People managers and sponsors have significant employee-facing roles in this work. Developing an intentional approach for managing resistance to change is built into the Prosci Methodology and 3-Phase Process.
Resistance prevention begins when creating the Change Management Strategy deliverable during Phase 1 — Prepare Approach. These actions focus on early identification and anticipated points of resistance, so special tactics can be developed early in the change process. These tactics are informed by an understanding of what the change means to people. This takes place during the Define Impact stage. Specific risks are also surfaced when completing the Risk Assessments.
Specific elements of resistance management activities are also often integrated with the Sponsor Plan and People Manager Plan. Depending on the size of your project or initiative and the level of resistance you anticipate, you may wish to develop a separate Resistance Management Plan for your project or initiative. The Resistance Management Plan is an optional plan you can develop during this phase to extend the impact of your resistance management efforts. During Phase 3 — Sustain Outcomes, we review performance to understand the initiative progress, ADKAR outcomes, and status of change management activities.
Resistance management during Phase 3 — Sustain Outcomes consists of assessing performance of resistance management activities and documenting lessons learned for the future. Managing resistance to organizational change involves effectively anticipating resistance, integrating resistance management actions and activities into change management plans, and then activating the people-facing roles within the organization who will conduct the resistance management activities.
During Phase 1 — Prepare Approach, we define the overall change management approach, which includes developing special tactics to address anticipated resistance. Suitable tactics could take many forms, depending on the people and roles impacted, the nature of the change, your unique organization, and other relevant issues such as budget and resources. Top 10 Tactics for Managing Resistance. Prosci identified the following tactics over 25 years of collective, hands-on experience with resistance management: 1. Listen and understand objections 2. Focus on the "what" and let go of the "how" 3. Remove barriers 4. Provide simple, clear choices and consequences 5.
Create hope 6. Show the benefits in a real and tangible way 7. Make a personal appeal 8. Convert the strongest dissenters 9. Demonstrate consequences Provide incentives. Eliminating avoidable resistance is a significant area of opportunity for change practitioners. Much like preventative healthcare, anticipating and addressing resistance before it starts can lead to a much healthier, less costly experience with change with better outcomes for the entire organization.
Effectively anticipating resistance to change in your organization requires assessing it from three perspectives:. The way various impacted groups will respond to change varies depending on the nature of the change and degree of impact. You should also assess unique group considerations. For example, will the finance team lose a favorite functionality when the new and improved accounting system goes live?
The outcome informs the tactics you will use to prevent avoidable resistance and manage resistance in each group. Why individuals resist change varies at different levels of the organization. Executives tend to resist change due to a disconnect with their strategy, financial objectives, or compensation. People managers typically resist change due to lack of awareness, loss of power or control, and overload of current responsibilities. This information informs development of special tactics to address resistance at each level throughout the change management process.
Examples include change capacity, history with past changes, organizational reinforcement, and change management competencies. As a project or change initiative moves from the initial phases of design toward implementation, the project team should consider how resistance will be identified throughout the project lifecycle, such as by implementing specific mechanisms measurement tools and soft measurements to identify resistance. This activity would be considered a component of resistance response. Examples include:. Change practitioners bring a structured approach to change management, which includes taking steps to build awareness about why the change is happening, why it is happening now, and the risks of not changing.
Through these actions, change practitioners address the number one reason for resistance to change: lack of awareness of the reason for change. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. This professional resource outlines the importance of infection prevention and control and how it can contribute to reducing antimicrobial resistance. Preventing infections from occurring in the first place is one of the best ways to reduce the need to prescribe antibiotics and prevent antimicrobial resistance AMR.
AMR can be developed in bacteria, viruses, fungi and parasites that cause infection, making them resistant to treatment. Every infection prevented reduces the need for and use of antimicrobials, which in turn lessens the potential for development of resistance. Antibiotics are by far the most widely prescribed antimicrobial agents. Unlike many other drugs used in medicine, the more we use antibiotics the less effective they become against their target organisms. With antibiotics, overuse or inappropriate use allows bacteria to develop resistance which can lead to infections that are increasingly difficult to treat.
The latest English surveillance programme for antimicrobial utilisation and resistance ESPAUR report found that total consumption of antibiotics in England has declined by 5. However, the burden of infections caused by antibiotic-resistant continues to rise, highlighting the necessity for effective prevention. Currently in the UK, the greatest and increasing threat from drug resistant organisms is from Gram-negative bacteria, named so because the cell envelope that surrounds them does not retain a staining dye.
The complex chemical structure of this envelope makes it difficult for large molecules to get into bacterial cell. This makes it harder to find new antibiotics that will work against these bacteria. Gram-negative organisms are most commonly found in healthy individuals but can also cause significant illness and death in some instances. They can cause infections in many organ systems but are particularly dangerous when they infect the blood and cause sepsis, a potentially catastrophic systemic infection. Infections caused by Gram-negative organisms are increasing. The key bacteria causing increasing numbers of infections are:.
A total of 40, cases of E. This is an increase of 6. To achieve these ambitions, we need to have effective wide-reaching infection prevention and control measures but must also target the most problematic resistant organisms, focusing resources and expertise. For to 18 the plan is to maintain that progress and have the additional ambition of reducing healthcare-associated E. Comprehensive infection prevention and control measures are the cornerstone of any approach to reduce the development and spread of antimicrobial-resistant infections.
To ensure all opportunities to inhibit spread of infection are addressed it is useful to model the process required for a microorganism to cause an infection. There are certain conditions that need to be met for a microorganism to spread and potentially lead to an infection. In most instances, there is an interaction between the microorganism, host and environment that leads to the organism multiplying and causing harm in the form of an infection in an area of the body in which it is not normally present. The microorganism leaves the colony in which it normally resides, the reservoir, through a way out, the portal of exit, for example in faeces. It is transferred via a mode of transmission, for example hands, and enters through a portal of entry, such as the urethra, to form a new colony.
Once established, this new colony may become a new focus of infection and another reservoir. This cyclical process is known as the chain of infection. During this process, the organism can pass from one host to cause infection in another host, referred to as exogenous origin, or can transfer within the host to cause an infection elsewhere in the body, referred to as endogenous infection. A large proportion of Gram-negative infections are caused by endogenous organisms where the bacteria are moving within the same host from the reservoir, such as the gut, where it may normally reside, to cause an infection elsewhere, for instance in the urinary tract.
These organisms can then travel on potentially causing blood stream infections. Each step represents a link in this chain and if all the links in the chain are present, an infection develops. If one or more links are broken, the infection will be prevented. Infection prevention and control IPC programmes often use this model and apply it to specific organisms or environments so that targeted measures can be introduced and the spread of infection halted. All core components should be considered equally important and crucial for the establishment and effective functioning of IPC programmes and practices.
In England, the Health and Social Care Act Code of Practice on the prevention and control of infections and related guidance applies to all registered providers of healthcare and adult social care in England. The Code of Practice sets out the 10 criteria against which the Care Quality Commission CQC will assess a registered provider on whether it complies with the requirements which are set out in these regulations. There are also a number of evidence based guidelines to assist providers of healthcare in their delivery of good IPC programmes.
The NHS Improvement hub , co-produced with PHE and health care workers across the system provides further resources to support those working in health and social care deliver the ambition to reduce Gram-negative BSIs. Health and social care workers play a vital role in breaking the chain of infection. They are in contact with individuals receiving health and social care throughout the day and have the opportunity to prevent infections at every contact and intervention.
Infectious agents include a wide variety of causative organisms including viruses, such as influenza and bacteria, such as MRSA , E. Understanding the biological properties of the organisms, for instance the conditions in which they reproduce, ensures that the measures aimed at prevent their spread are targeted and effective. This is the place where the microorganism normally lives, grows and multiplies. The reservoir harbours the infectious microorganism and serves as a source of infection. This could be in humans, animals, food, water, or the environment including environmental surfaces. Under normal circumstances they do not cause us harm and are a natural part of our gut microbiome. When people take antibiotics, this contributes to the colonisation of resistant organisms in the gut biome by eliminating susceptible competitive organisms, reducing diversity and allowing the proliferation of the resistant organisms.
In theory, identifying patients who carry reservoirs of dangerous organisms, such as E. However in most cases that would do more harm than good in the damage it would cause to the natural biome and may worsen bacterial resistance. Healthcare workers are expected to be up to date with all recommended vaccinations. For example, ensuring healthcare workers are vaccinated against the influenza virus is important for protecting vulnerable patients against influenza and the complications associated with secondary bacterial infections that then may require antibiotics.So Reducing Resistance To Change Summary research data Reducing Resistance To Change Summary Coch and French tend to confirm the conclusion that the nature and size of the technical aspect of the change does not Reducing Resistance To Change Summary the presence Segregation And Jim Crow Laws: An Analysis absence of resistance nearly so much as does the Reducing Resistance To Change Summary aspect of the change. To ensure all opportunities to inhibit spread of infection Reducing Resistance To Change Summary addressed it is useful to model the process required for a Reducing Resistance To Change Summary to cause an infection. It was simply a continuation of the way they Reducing Resistance To Change Summary ordinarily dealt with in the course of their regular work. Mounir Sobhy Nakhla. Nearly all bacteria Reducing Resistance To Change Summary humans at a mucous membrane Reducing Resistance To Change Summary, such Reducing Resistance To Change Summary the upper and lower My Lei Massacre tract or the intestines. But Reducing Resistance To Change Summary marker of success may not correlate with the extent to which the drug killed and Reducing Resistance To Change Summary the pathogen.