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通过应用新设计的变革管理模型对实时预注册医疗保健课程的管理方式进行评估:一项定性案例研究。

Evaluation of how a real time pre-registration health care curricula was managed through the application of a newly designed Change Management Model: A qualitative case study.

作者信息

Chowthi-Williams Annette

机构信息

London South Bank University, Harold Wood, RM3 OBE, United Kingdom.

出版信息

Nurse Educ Today. 2018 Feb;61:242-248. doi: 10.1016/j.nedt.2017.12.004. Epub 2017 Dec 12.

Abstract

BACKGROUND

Curricula change in nurse education is of international importance. The pace of such change has been continuous and has triggered criticisms of inadequate preparation of practitioners. There are no change formulae for managing curricula change and despite a raft of change methods, globally change success remains low. A lack of a unified voice, undue focus on cognition, and arguably no existing models for academia and a literature gap contribute to change challenge. A new Change Management Model designed from research with emotion as its underpinning philosophy is evaluated.

OBJECTIVE

Evaluation of a newly designed Change Management Model through a real time pre-registration health care curricula change.

DESIGN

A qualitative case study was adopted. The single case study was the new pre-registration health care curricula.

SETTING

This study took place in a Faculty of Health and Social care in one HEI in the UK.

PARTICIPANTS

Four senior academics and fifteen academics across professions and specialisms involved in the curricula change took part in the study.

RESULTS

The findings suggested that leadership operated differently throughout the organisation. Distributive and collective leadership created a critical mass of people to help deliver the new curricula but academics felt excluded at the strategic level. Emotion at the strategic level inhibited innovation but boosted engagement, emotional relationships and creativity at the operational level. Face to face communication was favoured for its emotional connection. A top down approach created an emotional disconnect and impacted inclusiveness, engagement, empowerment, vision and readiness for change.

CONCLUSION

Testing the new model widely not only in organisations, practice and team changes but personal change in improving health and wellbeing could be beneficial. The continuing gap in knowledge on the link between emotion and curricula change, practice and organisational change and therapeutic value of the model also warrants further research.

摘要

背景

护理教育课程的变革具有国际重要性。这种变革的步伐持续不断,引发了对从业者准备不足的批评。目前尚无管理课程变革的公式,尽管有大量变革方法,但全球范围内变革的成功率仍然很低。缺乏统一的声音、对认知的过度关注、学术界可能不存在现有模型以及文献空白,这些都构成了变革的挑战。本文对一种以情感为支撑理念、基于研究设计的新型变革管理模型进行了评估。

目的

通过实时预注册医疗保健课程变革对新设计的变革管理模型进行评估。

设计

采用定性案例研究。单一案例研究对象为新的预注册医疗保健课程。

背景

本研究在英国一所高等教育机构的健康与社会关怀学院进行。

参与者

参与课程变革的四名资深学者以及来自不同专业和领域的十五名学者参与了该研究。

结果

研究结果表明,领导力在整个组织中的运作方式不同。分布式和集体式领导创造了大量人员来帮助实施新课程,但学者们感到在战略层面被排除在外。战略层面的情感抑制了创新,但在操作层面增强了参与度、情感关系和创造力。面对面沟通因其情感联系而受到青睐。自上而下的方法造成了情感脱节,影响了包容性、参与度、赋权、愿景和变革准备度。

结论

不仅在组织、实践和团队变革中,而且在改善健康和福祉的个人变革中广泛测试新模型可能会有益处。情感与课程变革、实践和组织变革之间联系的知识持续存在差距,以及该模型的治疗价值,也值得进一步研究。

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