Change management process chapter no 04 Change management process The change management process focuses on four stages: - Prepare - Design - Execute.

Slides:



Advertisements
Similar presentations
Good Grief How grieving is necessary in overcoming loss and tragedy.
Advertisements

Helping Children and Adolescents Improve Physical Activity Behaviors.
Preparing For ShipShape. Obesity and Health §Obesity is 20% over desirable body weight §An estimated 61% of American adults are either overweight and/or.
Presentation by Lorell Thoms – BA, BSW MRC Instructor / Program facilitator.
How do you define motivation?
Helping Children and Adolescents Improve Physical Activity Behaviors
Chapter 2 Between – doing a great job making decisions
Gallup Q12 Definitions Notes to Managers
It is: A style of talking with people constructively about reducing their health risks and changing their behavior.
LIFESTYLE MANAGEMENT BY: Jim Amadio
Chapter 2 Between – doing a great job making decisions
Stages of Readiness “Principles”
Behavioral Change Models. Theoretical Models of Behavior Change   Prochaska Stages of Change   Diffusion Process   Ecological Systems   Social.
Module 4 Motivational Interviewing (MI). 4-2 How Does Behavior Change? Behavior ABehavior B.
Lifestyle Coaching Skills Review. Lifestyle Coaches Our purpose is to support & facilitate lifestyle changes and goals participants have set for themselves.
Transtheoretical Model: Stages of Change Theory. Behavior Change Changing behavior is difficult Examples?
Chapter 2 Preview Bellringer Key Ideas What Are Life Skills?
“Breathe For Life” at Healthy Start Alise Gintner, LCSW Manager of Community Perinatal Programs Unity Health System & The Perinatal Network of Monroe County.
© 2011 McGraw-Hill Higher Education. All rights reserved. Introduction to Wellness, Fitness, and Lifestyle Management Chapter One.
Promoting Healthy Behavior Via Awareness of Others Change.
CHANGING BEHAVIOR CHERYL B. ASPY, PH.D. Motivational Interviewing.
Chapter 6 Consumer Behavior Chapter 6 slides for Marketing for Pharmacists, 2nd Edition.
Cognitivist Perspectives n Behaviour is determined by thought n Behaviour is governed by goals n Few (if any) instincts n Emotions, feelings, motives trace.
Elizabeth Eccles, MS, RN.  A primary role of nurse in health care is to help maximize health in patients across their lifespan  For those with chronic.
1 Behaviour change theory and motivational interviewing.
Nutritional Counseling Professor Salma Halai Badruddin Honorary Life President Pakistan Nutrition and Dietetic Society June 2009.
1 Health Psychology n Health Promotion Models 2 Today’s Question n Why do people behave in health- compromising ways?
Use communication skills to influence others..  Persuasion is an important part of communication  Want others to understand your message and agree with.
Health Chapter 2.
The Transtheoretical Model of Behavior Change Cynthia MH Bane, Ph.D. Professor of Psychology Wartburg College.
study of how and why humans act as they do Instead of studying how humans function in cultures or societies, psychology focuses on the individual, and.
Stages of Change. Pre-contemplation People in this stage are often described as “in denial” due to claims that their behavior is not a problem. If you.
Definition of Health “Health is a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity.” World.
One of the goals of STRESS Management is to change the behaviors that contribute to our stress.
Module IV Introduction to Screening and Assessment of Persons with Co- Occurring Disorders: Screening and Assessment, Step 8 though Step 12 and Case Study.
Copyright © by Holt, Rinehart and Winston. All rights reserved. Chapter 2: Skills for a Healthy Life 1.I review all of my choices before I make a decision.
10. Understanding Change 3 Copyright ©2013 John Wiley & Sons, Inc. Chapter Overview  Understanding and facilitating change is a major task in the leadership.
Copyright © 2014 American College of Sports Medicine Chapter 4 Building Motivation: How Ready Are You?
Adhering to Medical Advice Chap 4. Theories that Apply to Adherence Why do people fail to follow the advice of a health care provider? Several theoretical.
Stages of Change. Helping patients change behavior is an important role Change interventions are especially useful in addressing lifestyle modification.
INDIVIDUAL APPROACHES TO PHYSICAL ACTIVITY PROMOTION Week 4.
For Real Change that Really Works … Transtheoretical Model of Change.
1 Health Psychology Chapter 3: Seeking Health Care (Health Behavior Models) Mansfield University Dr. Craig, Instructor.
Road to Retirement.
Facilitating Behavior Change Applying Prochaska’s Transtheoretical Model Bev Schalk, R.N., M.Ed.
Copyright © by Holt, Rinehart and Winston. All rights reserved. Chapter 2: Skills for a Healthy Life 1.I review all of my choices before I make a decision.
Successful Behavior Change through Motivational Interviewing Brevard Health Alliance.
AMTA Schools Summit Taking the Message Forward David A. Kahn, MS, LPC, LPCS Implementing change in your professional life Power Point Presentation © 2011.
Making Wellness a Lifestyle Chapter 1. What is Wellness Wellness is defined as state of being in good health. Wellness is defined as state of being in.
Self-Esteem Health Miss Kilker. What is Self-Esteem? Self-Esteem: is a measure of how much you value, respect, and feel confident about yourself.
Health education relating to diabetes Ann MacLeod, RN, BScN, MPH.
BES-t Practices Training Phase 3 Counseling – Behavior Modification.
Copyright © 2012 The McGraw-Hill Companies. All Rights Reserved. Chapter 2 - Positive Choices/ Positive Changes.
© 2011 McGraw-Hill Higher Education. All rights reserved. Chapter 2 Changing Behavior A Wellness Way of Life Ninth Edition Robbins/Powers/Burgess.
Sustaining Behavior Change Stephen Horan, PhD Community Health Solutions August 3, 2005.
2.1 BEHAVIOUR MODIFICATION CAN IMPROVE NUTRITIONAL OUTCOMES Behaviour Modification to Improve Nutritional Outcomes.
Janet Buckworth chapter 22 Behavior Modification.
Stages of Change and Motivational Interviewing. Behavior Change  Behavior change is rarely a single event.  Many times we encounter patients who seem.
Motivational Interviewing for Health Behavior Change Anita R. Webb, PhD JPS Health Network Fort Worth, Texas.
Jump to first page 1 Models of Health Promotion n Stages of Change, Prochaska et al (1982) n Health Belief Model, Rosenstock (1974)
Fax to Assist On-line Training for Certification Sponsored by Maryland Department of Health and Mental Hygiene and University of Maryland Baltimore County.
Fundamentals of Case Management Practice: Skills for the Human Services, Third Edition Chapter Twenty Facilitating a Meaningful Change and Recovery By.
Transtheoritical Model of Change (TTM)
Objectives Describe the six dimensions of wellness.
Developing a Health Maintenance Schedule
Skills for a Healthy Life
Positive Choices / Positive Changes
Resilience and behaviour change
Transtheoritical Model of Change (TTM)
Presentation transcript:

Change management process chapter no 04

Change management process The change management process focuses on four stages: - Prepare - Design - Execute - Sustain This model will allow the practitioner to understand what generic steps to take along the change management process.

Change management process

Prepare Phase This part of the process involves identifying issues, environmental factors which are causing the need to change and any other accompanying data. There should be a lot of searching and identifying exactly what the real root cause to the problems being faced. It must be clearly understood what is going on, and more importantly what is going wrong. Only then, once you have found these factors, you can work forward to create a vision with which will hopefully solve the current crisis

Change management process Factors to understand and address at this phase: Understand the problem and need to change Understanding environmental factor affecting the business

Change management process Design Phase The Design phase of the change management process is about adding the meat to the bones. It involves designing the way forward – planning the right path, using the correct change model and creating a robust process that leaves no stone unturned.

Change management process Factors to understand and address at this phase: Create the vision Identify resistance to change Understand change readiness Understand change mgt plan Create change path Create deployment plan

Change management process Execute phase The preparation has been completed? it is now time to execute the plan using an agreed change path from the Design phase. Once this is in place, the next task is to communicate, communicate and communicate!

Change management process Factors to understand and address at this stage Execute the deployment plan Using appropriate model Lead fundamental change

Change management process Sustain Remember, Humans are creatures of habit – If new ways and systems are not encouraged and constantly driven, then it is natural for people to resort to the old way of working.

Change management process Factors to understand and address at this phase: Regular review Feed back Envisioning Leading and support change

Change management process Habits are a normal part of every person’s lives, but it is often counterproductive when dealing with change. As humans we are not very good at changing. We see changes as a negative thing, something that creates instability and insecurity. A normal change management process often evolves number of mental phases Change Management Handbook – English Edition – May 2006

Change management process 01 Denial 02 Frustration and anger: 03 Negotiation and bargaining 04 Depression 05 Acceptance 06 Experimentation 07 Discovery and Delight 08 integration

Change management process 01 Denial: Where we fight the change and protect status quo. 02 Frustration and anger: When we realize that we cannot avoid the change and we become insecure because of lack of awareness. 03 Negotiation and bargaining: Where we try to save what we can. 04 Depression: When we realize that none of the old ways can be incorporated into the new.

Change management process 05 Acceptance When we accept the change, and start to mentally prepare ourselves. 06 Experimentation Where we try to find new ways, and gradually remove the old barriers. 07 Discovery and Delight When we realize that the change will improve our future possibilities. 08 integration Where we implement the change.

Transtheoretical Model James O. Prochaska of the University of Rhode Island and colleagues developed the Transtheoretical Model beginning in 1977 James O. ProchaskaUniversity of Rhode Island Developed for health risk behaviors (especially smoking) Individuals go through 5 stages before new behavior is adopted

Stages of Change Model Precontemplation ActionDecision MaintenanceContemplation

Stages of change model Stage 1: Precontemplation – Unaware that a problem exists Stage 2: Contemplation – Aware that a problem exists and thinking about making a behavioral change in the future Stage 3: Preparation – Feeling confident that making a change is possible and planning to make such a change in the immediate future Stage 4: Action – Making a change Stage 5: Maintenance – Continuing to engage in the new, desirable behavior and avoiding relapse

Stages of change model Precontemplation Stage (not ready) People at this stage do not intend to start the healthy behavior in the near future (within 6 months), and may be unaware of the need to change Precontemplators typically underestimate the pros of changing, overestimate the cons, and often are not aware of making such mistakes

Stages of change model One of the most effective steps that others can help with at this stage is to encourage them to become more mindful of their decision making and more conscious of the multiple benefits of changing an unhealthy behavior

Stages of change model Example 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. Obese patients may have tried unsuccessfully so many times to lose weight that they have simply given up.

Stages of change model Contemplation Stage (getting ready) At this stage, participants are intending to start the healthy behavior within the next 6 months They are usually now more aware of the pros of changing, their cons are about equal to their Pros People here learn about the kind of person they could be if they changed their behavior and learn more from people who behave in healthy ways Others can influence and help effectively at this stage by encouraging them to work at reducing the cons of changing their behavior

Stages of change model Example During the contemplation stage, patients are ambivalent(undecided) about changing. During this stage, patients compare cost (e.g., time, expense etc) as well as the benefits

Stages of change model Preparation Stage (Ready) People at this stage are ready to start taking action within the next 30 days They take small steps that they believe can help them make the healthy behavior a part of their lives For example, they tell their friends and family that they want to change their behavior People in this stage should be encouraged to seek support from friends they trust

Stages of change model Example During the preparation stage, patients prepare to make a specific change. They may experiment with small changes as their determination to change increases. For example, sampling low-fat foods may be an experimentation with or a move toward greater dietary modification. Switching to a different brand of cigarettes or decreasing their drinking signals that they have decided a change is needed

Action Stage People at this stage have changed their behavior within the last 6 months and need to work hard to keep moving ahead People in this stage progress by being taught techniques for keeping up their commitments such as substituting activities related to the unhealthy behavior with positive ones rewarding themselves for taking steps toward changing, and avoiding people and situations that tempt them to behave in unhealthy ways.

Stages of change model Example The action stage is the one that most physicians are eager to see their patients reach. Any action taken by patients should be praised because it demonstrates the desire for lifestyle change. Most people find themselves "recycling" through the stages of change several times ("relapsing") before the change becomes truly established.

Maintenance People at this stage changed their behavior more than 6 months ago. It is important for people in this stage to be aware of situations that may tempt them to slip back into doing the unhealthy behavior— particularly stressful situations

Stages of change model It is recommended that people in this stage seek support from and talk with people whom they trust, spend time with people who behave in healthy ways, and remember to engage in healthy activities to cope with stress instead of relying on unhealthy behavior

Stages of change model