Question

Case Study

You are a county public health coordinator. You have grown concerned about the behavior of one of the new RN's assigned to work in the agency. This new nurse is a recent graduate of a local BSN program. She came to work for the agency immediately after her graduation six months ago and for the first few months appeared to be extremely hard working, knowledgeable, well liked, and highly motivated. Recently, though, several small incidents involved this new nurse. The agency's medical director became very angry with her over a medication error that she had made. The new nurse was already feeling badly about the careless error. Soon after, a patient's husband began disliking this new nurse for no discernible reason and refused the new nurses entrance to his home to care for his wife. Then, two weeks ago, a diabetic patient died fairly suddenly from renal failure, and although no one was to blame, the new nurse thought that if she had been more observant and skilled in assessment, she would have detected subtle changes in the patient's condition sooner.

Although you have been supportive of the new nurse, you recognize that she is in danger of becoming demotivated. Her once-flawless personal appearance now borders on being unkempt, she frequently is absent from work, and her once-pleasant personality has been exchanged for withdrawal from her coworkers.

Questions

1. Research Lewin's Change Theory and the Stages of Change Model.

2. Review the Case Study below and answer the following questions.

3 Using the three stages of Lewin's Change Theory identify a change that you would want to make to help protect this new nurse. What actions you would take in the unfreezing, movement, and refreezing phases.

4. Identify the restraining and driving forces in this situation in regards to your planned change.

5. What are three things you would do to improve the climate so that this new nurse remains motivated or becomes remotivated?

6. What are two things that are the responsibility of the new nurse to remain motivated or become remotivated?

Answer 1

1. Lewin's change theory is defines about making changes in a individual in a better way or to the previous way they present.

To make that changes driving force is needed.Driving force is the force which gives a motivation to the individual to adapt to that change.It is essential for the change to occur.

Restraining force is the force which stops the individual to change.

Equilibrium is the state where both the driving and restraining forces present so no change occur.

These are the states the individual can cross.

Stages of change model:

There are three stages of change model.

Unfreezing,Changing,Refreezing are the stages of change model.

unfreezing:

Here the individual has to find changes for betterment and accept the changes and get ready to make those changes.

Changes or movement:

Here the individual fully accept the changes and make it as regular one.

Refreezing:

Here the individual finds himself comfortable with the changes made.

3. First things is make her face challenges because she is escaping herself from the situations.So regular attending of work is essential here.Then make her to full involvement in the work hence the careless errors can be avoided.Then develop boldness to voice for herself in negative situations or to explain about what happens in the situation.So in unfreezing state she must make changes in her behavior like avoiding absenteeism,motivation and boldness.These are the changes she need to make to get back to the previous behavior.

Then in the movement phase, she needs to perform these changes in the daily activity and work.

then in refreezing state she must fully adapt to that changes and find it comfortable.So that the positive behavior develops for her.

4.Restraining forces are a guilty feel from the previous errors and demotivation given by superior or co-workers.

Driving forces are internal forces build up by herself readiness to work and self motivation .

5.Provide same amount of work as other nurses have.Don't show partiality in providing work distribution.It gives her a feel of equality and promote involvement.

Give her appreciation for her work so it encourages her .

Encourage her ask for doubts so that the errors can be avoided.

6.Developing knowledge and skills and self -motivation is the important two things she must have to be motivated.