Topic 6: Dealing with Change Dynamics


Topic 6: Dealing with Change Dynamics


Ethical and Professional Dilemmas

Change processes are common in different organizations. In the healthcare settings, changes are always carried out to ensure quality improvement processes. Changes are always initiated based on the research outcomes. Changes are essential in the healthcare system because they lead to the transformation of healthcare processes which in turn lead to the delivery of quality treatment and general care. Health institutions involved in the continuous change processes often ensure effective patient outcomes and improvement in the quality of care. There are different problems associated with healthcare delivery processes (Mancini et al., 2017). These problems can be solved through introducing changes in different departments. Change processes require effective, experienced, and skilled change leaders who ought to adhere to the required standards of operation.

During the change process, there are ethical and professional dilemmas often faced by the change leaders. These dilemmas should always be solved to ensure effective outcomes in the change process. One of the ethical dilemma that can be faced by nurse leaders is the consideration of patient’s values and at the same time initiating the transformations processes. In most cases,

healthcare professionals are required to maintain high level of ethics, they are required to be part of the treatment processes. Therefore, during the change processes, there is the need to involve patients, the community, as well as other stakeholders associated with the organization. However, nurse leaders may sometimes finds it very difficult to incorporate patients.



Challenges That Affect Implementation of Change

One of the challenges that may impact the implementation of the change process is the lack of resources as well as failure of the change agents to adhere to the stated standards. Lack of effective communication system is another problem that m

Topic 6 Dealing with Change Dynamics

ay impact change implementation processes. Another challenge that may impact implementation of change is the lack of effective organization structure capable of overseeing different activities involved in the change processes.

Strategies for Increasing Motivation and Acceptance among Stakeholders

Incorporation of stakeholder’s ideas in the change process is one of the strategies for increasing motivation and acceptance among the stakeholders during the change processes. Sharing the details and framework for the change process is another approach for increasing motivation and acceptance among the stakeholders involved in the change process.

Topic 6 DQ 1

Changes can range from the incorporation of evidence-based practices in the treatment processes to the implementation of technological practices to facilitate the efficiency of diagnosis and treatment processes. Most healthcare institutions operate throughout the day, as a result nurses and other healthcare professionals need to work in shifts to ensure that there is continuity in service delivery to the patients. There are different types of obstacles or objections that leaders always face from stakeholders when initiating and implementing change within an organization. One type of the obstacles are based on the lack of employee involvement. Lack of Effective Corporation from employees as well as the organizational management is the most common barrier that interfere with the change processes. Another type of obstacle or barrier is ineffective communication. Communication is an essential aspect of the change process, it ensures that there is integration of the workforce and sharing of ideas while conducting different activities. Finally, bad culture and shifting planning processes may interfere with the change processes. Organizations that undertake effective change processes have strong and elaborate cultures that enhance the achievement of different aspects of the change process.

Overcoming these challenges is a critical factor in the success of an organization. Stakeholder should develop effective communication framework that will ensure that everyone is integrated into the change process. The stakeholder should also ensure effective corporation with among the stakeholders to ensure effective change processes. Finally, there is the need for the organization to ensure employee involvement through delegating responsibilities and duties, ensuring that everyone is involved in the process of change.

Topic 6 DQ 2


In the change processes, there is always the need for leaders to adhere to the standards of practices in order to ensure effective outcomes. These processes requires the implementation of important changes. In my place of work, there is always a challenge in the management of patient’s data, a scenario that often leads to the increased confusion and medication errors. The change process should therefore involves the incorporation of effective documentation system to reduce clerical errors, enhance the storage of patient information and enhance the delivery of quality care (Kurniawandari & Listiyanawati, 2019). However, in some cases, there are ethical issues that may be experienced by the change leaders. There are always different ethical dilemmas associated with the change leaders. While undertaking organizational changes, I have witnessed change leaders take credit for other people’s contributions or work. The contribution of everyone in the change processes is always significant and the credit should be given to everyone. However, in some cases, only leaders take the credit for everyone’s contribution. Even through leaders coordinate different change processes, they may be entitled to different privileges, however, this does not mean that they are supposed to take credit of the contribution made by everyone. The ethical dilemma was solved through the enhancement of group work. In the change process, the credit was given as a group. In other words, all members of the group received credit for the success of the project.

Change leaders can utilize the standards or guidelines for the change processes when faced with the ethical dilemma. The above approach would ensure that every step is performed or undertaken in line with the required standards.
















Kurniawandari, E., Fatimah, F. S., & Listiyanawati, M. D. (2019). Implementation of Documentation of Nursing Care in Wates Hospital. Jurnal Ners dan Kebidanan Indonesia6(2), 68-75. Retrieved from:

Mancini, M. E., Diekema, D. S., Hoadley, T. A., Kadlec, K. D., Leveille, M. H., McGowan, J. E., … & Sinz, E. H. (2017). Part 3: ethical issues: 2017 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation132(18_suppl_2), S383-S396.

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I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource