Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.5281/zenodo.4610269
Iberoamerican Journal of Medicine
Review

Change Management in Medical Institutions: Implementation View

Said Said Elshama

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Abstract

Change is a learning process modeling the attitudes and values of the involved staff to adapt and show the change in daily work life. Leading the change in medical schools or in the health care system is considered one of the assignments of successful leadership that can achieve an effective organizational change under complex conditions. This review aims to show an implementation view about how to manage the change in medical institutions and how to overcome obstacles, and how to face the challenges. The resistance to change represents a major obstacle to the change process in any medical school or health care system. Thus, it should address this resistance by creating a suitable climate for carrying out the change based on a flexible strategy that may be translated into practical steps during the implementation. Moreover, the change should be institutionalized wherein new behaviors are persisting and generalizing in the medical school or the health care system as a result of the change application. In addition, the successful management of change in any medical school or system requires a well-functioning and efficient management system for achieving the intended results. Therefore, many benefits may be gained as a result of the success of a change process in any organization wherein it improves the effectiveness and efficiency of organizational and staff performance besides creating an opportunity for getting the best practices.

Keywords

Change; Management; Implementation; Medical institutions

References

1. Armenakis AA, Bernerth JB, Pitts JP, Walker HJ. Organizational Change Recipients’ Beliefs Scale: Development of an Assessment Instrument. J Appl Behav Sci. 2007;43(4):481-505. doi: 10.1177/0021886307303654.
2. Bell J, Breslin JM. Healthcare provider moral distress as a leadership challenge. JONAS Healthc Law Ethics Regul. 2008;10(4):94-7. doi: 10.1097/NHL.0b013e31818ede46.
3. Galer JB, Vriesendorp S, Ellis A. Leading Change for Better Health. In: Galer JB, Vriesendorp S, Ellis A, editors. Managers Who Lead: A Handbook for Improving Health Services. Cambridge (Massachusetts): Management Sciences for Health; 2005:149-71.
4. Cole M, Harris SG, Bernerth JB. Exploring the implications of vision, appropriateness, and execution of organizational change. Leadersh Organ Dev J. 2006;27(5):352-67. doi: 10.1108/01437730610677963.
5. Self DR, Armenakis AA, Schraeder M. Organizational Change Content, Process, and Context: A Simultaneous Analysis of Employee Reactions. J Chang Manag. 2007;7:211-29. doi: 10.1080/14697010701461129.
6. Christensen CM, Baumann H, Ruggles R, Sadtler TM. Disruptive innovation for social change. Harv Bus Rev. 2006;84(12):94-101, 163.
7. Bhattacherjee A, Hikmet N. Physicians’ resistance toward healthcare information technology: a theoretical model and empirical test. Eur J Inf Syst. 2007;16(6):725-37. doi: 10.1057/palgrave.ejis.3000717.
8. Elshama SS. How to Develop Medical Education (Implementation View). 1st ed. Scholars' Press Germany; 2016.
9. Landaeta RE, Mun JH, Rabadi G, Levin D. Identifying sources of resistance to change in healthcare. Int J Healthc Technol Manag. 2008;9(1):74-96. doi: 10.1504/IJHTM.2008.016849.
10. Kellogg KC, Breen E, Ferzoco SJ, Zinner MJ, Ashley SW. Resistance to change in surgical residency: an ethnographic study of work hours reform. J Am Coll Surg. 2006;202(4):630-6. doi: 10.1016/j.jamcollsurg.2005.11.024.
11. Walker HJ, Armenakis AA, Bernerth JB. Factors influencing organizational change efforts: An integrative investigation of change content, context, process and individual differences. J Organ Chang Manag. 2007;20(6):761-73. doi: 10.1108/09534810710831000.
12. Øygarden O, Mikkelsen A. Readiness for Change and Good Translations. J Organ Chang Manag. 2020; 20(3):220-46. doi: 10.1080/14697017.2020.1720775.
13. Andersson T. The medical leadership challenge in healthcare is an identity challenge. Leadersh Health Serv (Bradf Engl). 2015;28(2):83-99. doi: 10.1108/LHS-04-2014-0032.
14. Holt DT, Armenakis AA, Field HS, Harris SG. Readiness for Organizational Change: The Systematic Development of a Scale. J Appl Behav Sci. 2007;43(2):232-42. doi: 10.1177/0021886306295295.
15. Shanley C. Management of change for nurses: lessons from the discipline of organizational studies. J Nurs Manag. 2007;15(5):538-46. doi: 10.1111/j.1365-2834.2007.00722.x.
16. Armenakis AA, Harris SG .Reflections: our Journey in Organizational Change Research and Practice. J Chang Manag. 2009;9(2):127-42. doi: 10.1080/14697010902879079.
17. Wyszewianski L, Green LA. Strategies for changing clinicians' practice patterns. A new perspective. J Fam Pract. 2000;49(5):461-4.
18. Martin G, Currie G, Weaver S, Finn R, McDonald R. Institutional Complexity and Individual Responses: Delineating the Boundaries of Partial Autonomy. Organ Stud. 2017;38(1):103-27. doi: 10.1177/0170840616663241.
19. Gregory BT, Armenakis AA, Moates KN, Albritton MD, Harris SG. Achieving scientific rigor in organizational diagnosis: An application of the diagnostic funnel. Consult Psychol J: Pract Res. 2007;59(2):79-90. doi: 10.1037/1065-9293.59.2.79.
20. By RT, Diefenbach T, Klarner P. Getting Organizational Change Right in Public Services: The Case of European Higher Education. J Change Manag. 2008;8(1):2 1-35. doi: 10.1080/14697010801937457.
21. Al-Kadri HM, Al Alwan IA, Al-Moamary MS, Al Eissa YA, Al Knawy BA. From Clinical Center to Academic Institution: An Example of How to Bring About Educational Change. Health Prof Educ. 2015;1(1):4-11. doi: 10.1016/j.hpe.2015.11.001.
22. Bernerth JB, Armenakis AA, Feild HS, Walker J. Justice, Cynicism, and Commitment: A Study of Important Organizational Change. J Appl Behav Sci. 2007;43(3):303-26. doi: 10.1177/0021886306296602.
23. Bernstrøm VH, Kjekshus LE. Effect of organisational change type and frequency on long-term sickness absence in hospitals. J Nurs Manag. 2015;23(6):813-22. doi: 10.1111/jonm.12218.
24. Souba WW. The 3 essential responsibilities: a leadership story. Arch Surg. 2010;145(6):540-3. doi: 10.1001/archsurg.2010.82.
25. Harris SG, Cole MS. A stages of change perspective on managers' motivation to learn in a leadership development context. J Organ Change Manag. 2007;20:774-93. doi: 10.1108/09534810710831019.
26. Øygarden O, Olsen E, Mikkelsen A. Changing to improve? Organizational change and change-oriented leadership in hospitals. J Health Organ Manag. 2020:687–706. doi: 10.1108/JHOM-09-2019-0280.
27. Frame J, Watson J, Thomson K. Deploying a culture change programme management approach in support of information and communication technology developments in Greater Glasgow NHS Board. Health Informatics J. 2008;14(2):125-39. doi: 10.1177/1081180X08089320.
28. Gunderman R, Kanter SL. Perspective: Educating physicians to lead hospitals. Acad Med. 2009;84(10):1348-51. doi: 10.1097/ACM.0b013e3181b6eb42.
29. Oreg S, Bayazit M, Vakola M, Arciniega L, Armenakis A, Barkauskiene R, et al. Dispositional resistance to change: measurement equivalence and the link to personal values across 17 nations. J Appl Psychol. 2008;93(4):935-44. doi: 10.1037/0021-9010.93.4.935.
30. Darzi A. A time for revolutions--the role of clinicians in health care reform. N Engl J Med. 2009;361(6):e8. doi: 10.1056/NEJMp0905707.
31. Nilsen P, Schildmeijer K, Ericsson C, Seing I, Birken S. Implementation of change in health care in Sweden: a qualitative study of professionals' change responses. Implement Sci. 2019;14(1):51. doi: 10.1186/s13012-019-0902-6.
32. Spurgeon P, Mazelan PM, Barwell F. Medical engagement: a crucial underpinning to organizational performance. Health Serv Manage Res. 2011;24(3):114-20. doi: 10.1258/hsmr.2011.011006.
33. Moates KN, Armenakis AA, Gregory BT, Albritton MD, Feild HS. Achieving content representativeness in organizational diagnosis: Use of action groups for successful organizational change. Action Res. 2005;3(4):399-412. doi: 10.1177/1476750305058489.
34. Armenakis AA, Harris SG, Cole MS, Fillmer JL, Self DR. A Top Management Team's Reactions to Organizational Transformation: The Diagnostic Benefits of Five Key Change Sentiments. J Chang Manag. 2007;7(3):273-90. doi: 10.1080/14697010701771014.
35. Northouse PG. Leadership: Theory and Practice. 7th ed. SAGE Publications; 2015.
36. Gershengorn HB, Kocher R, Factor P. Management strategies to effect change in intensive care units: lessons from the world of business. Part III. Effectively effecting and sustaining change. Ann Am Thorac Soc. 2014;11(3):454-7. doi: 10.1513/AnnalsATS.201311-393AS.


Submitted date:
03/01/2021

Reviewed date:
03/09/2021

Accepted date:
03/16/2021

Publication date:
03/17/2021

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