change management in the nursing leadership

Leadership in nursing is a challenge, just like in other disciplines, and it also applies a lot of conceptual and practical management of change. Nursing, being a dynamic profession that needs to keep at par with technological advancement and the other changes in the millennium, requires that nurse managers manage and implement change. However, change implementation is not without barriers. It is never a smooth process. The nurse managers have to apply their skills to overcome the barriers. This paper looks at the process of implementing change in regard to a new rostering system by a nurse manager. The process has adopted the change management theory by Lewis. The likely barriers posed by the characteristics of the organizational culture, worker’s attitudes and behavior, as well as, practices have been pointed out. Additionally, it is important to evaluate the change after the implementation, through the consideration of the SWOT analysis. McGregor’s theory X and Y have also been found useful in the process of implementing change.


In the practice of nursing, theories have been very useful in providing some guiding principles on how to go about the process. Many theories and models have been devised to explain the process of change. The paper adopts Levin’s change management theory. Levin’s theory of change has been applied in many situations in the nursing profession, and it has been found to bear fruits in regard to change management (Daly, Speedy & Jackson, 2003). In expounding about the change process, Levin appreciated the concepts of driving forces, the restraining forces and the equilibrium (Ziegler, 2005). He observed that a change is necessitated by some factors, and also reiterated that there are some factors that prevent change from occurring. For a change to occur, the manager has to manage the restraining forces since they have a tendency to preventing change from occurring.

Levin’s theory of change consists of three important and different stages. The stages are unfreeze-change-refreeze (Daly, Speedy & Jackson, 2003, p. 187). The unfreezing stage occurs in the early stages, and it is a process involving encouraging the stakeholders to see the need to leave the old ways and adopt new ways. It is characterized by resistance to change, which comes through group conformity, as well as individual resistance. Due to such, there is a need for the management to reinforce the driving forces and apply methods that will lead to a decrease in the restraining forces. The second stage, the change stage, involves a process of transformation in thoughts, feelings, and behavior that is more productive and liberating (Daly, Speedy & Jackson, 2003, p. 188). The third stage of refreezing involves reinforcing the realized change, and aligning it with the organizational culture, to prevent a situation of getting back to the old ways of doing things.

In the setting of a hospital environment where the nurse manager is expected to apply the change through changing the rostering system, Levin’s theory is applicable. Some studies have proved its applicability in the nursing practice settings, and this explains the rationale for picking this theory in the change management of the current case. According to Ziegler (2005, P. 220), Levin’s theory offers nurses a very good platform for managing real nursing problems through change implementation.

Resistance to change:

Introducing a new rostering system requires a systematic process, lest it will fail terribly. The unfreezing stage of the process will not be without challenges. Challenges are multifactorial, and as Daly, Speedy & Jackson(2003Such undertaking may be disastrous to them, rendering their perception of change to be negative. Similarly, a worker who had suffered negative consequences of change might be very resistant to the change.

An organization’s culture is a key element for the resistance to change. According to Harvey and Broyles (2010, p. 42), some individuals in the organization can prevent change just because they do not feel the ownership of the change. Interestingly, the management itself can be resistant to the change because they fear it will fail, whereas they do not want to appear as failures. For example, implementing a new rostering system will come with new responsibilities and tasks for the nurse manager. The manager may fail to initiate the change process because of fear of responsibility and failure. Lack of knowledge and awareness also act as barriers to change (Harvey & Broyles 2010, P, 78). The change manager may be a poor communicator; thus it may be that one has not communicated the change well, during the unfreezing stage. Since the members of the organization need to see the need for change, they cannot embrace a change they do not understand how it will benefit them. Suspicion and ambiguity have also been identified as barriers to the implementation of change. Many workers fail to support change initiatives because of the ambiguity of the explanations, which raises the levels of suspicion (Harvey & Broyles 2010, P, 90).

In relation to the organizational structure and culture, incongruent group dynamics do affect change negatively (Harvey & Broyles 2010, P, 69). When people live together as a group, they adopt some established norms, which they do not feel to leave. In line with the needed change, the group members may feel that their norms do not conform to the proposed changes. Due to such conflicts, the members are highly likely to resist the proposed changes. For example, introducing a new rostering system may mean separating some workers who had paired, and have been working together. Since the new change is a threat to their relationship, they are likely to do their best to reject the change.

Overcoming Resistance and Managing change:

Managing change requires knowledge, skills, experience, dedication, determination, and responsibility. One also requires to have strong critical and leadership skills. In terms of knowledge, one needs to know why the change is necessary, and how well to articulate the same to the workers, as well as, other relevant stakeholders. In terms of skills, one needs to be in full possession of change management skills, for example, how to handle resistance. Experience counts as additional strength. There is, thus, the need to do SWOT analyses to know the probability of succeeding in the implementation.  In addition, one as to be determined to achieve, and dedicated to sacrifice for the benefit of the organization (Harvey & Broyles 2010).

Daly, Speedy & Jackson, 2003, p. 188).

and having the psyche to work (Schermerhorn 2010, P. 38). On the contrary, the nurse manager can apply McGregor’s theory Y on the employees who do not seem to like work, and who will be very resistant to change.

Education and communication too are very essential tools for managing resistance to change. In the current case, the nurse manager ought to communicate the intention of the change clearly. The message should be directed towards the need for change, the expected results, and how the organization, as well as, individuals will benefit. In addition, the message needs to be articulated with a clear language that everyone will understand (Griffin 2011). Further, the management needs to make sure that the process of change is facilitated. The facilitation comes in the change and the refreezing steps. The purpose is to ensure that the introduced change is sustained and do away with the possibility of getting back to the old situation.

An analysis of strengths, opportunities, weaknesses and threats is also necessary to manage change implementation. In the current case, the nurse manager needs to consider whether there are enough resources for introducing the new roster system, the advantages, the abilities and the cost implications. Similarly, the nurse manager considers the disadvantages, timelines and the likely negative effects of the new rostering system (Schermerhorn 2010). The nurse manager will also consider how the introduction of the new rostering system will impact on technological innovation, and the outside market in general, as well as, the legislative, environmental and political pressures that may affect the implementation of the new rostering process.

A good consideration of all the factors necessary while introducing change leads to a bit easier process of implementing the change. According to (Daly, Speedy & Jackson, 2003 p. 190), planning is the basis of management, and planned change is likely to succeed. The nurse manager, in the current case study, needs to consider the particular areas, as well as, the realities of the implementation challenge. In addition, the manager needs to follow up after the implementation, to make sure the employees adapt to the new rostering system.


In sum, change management is a process which is carried out through steps. The current paper has adopted the Levin’s change management theory, which presents change management as a process of three steps, inclusive of unfreezing-change-refreezing.





Daly, J., Speedy, S.,& Jackson, D. 2003. Nursing management. Chatswood, Australia: Elsevier Australia.

Griffin, R. 2011. Fundamentals of management. Bedford Row, London: Cengage Learning.

Harvey, R. T., & Broyles, A. E. 2010. Resistance to change: a guide to harnessing its positive power. Lanham, MA: R & L Education Publishers.

Kotter, J. P. 1996. Leading change. Boston, MA: Harvard Business Press.

Schermerhorn, R. J. 2010. Management. Hoboken, NJ: John Wiley & Sons.Ziegler, M. S. (2005). Theory-directed nursing practice (2nded). New York, NY: Springer Publishing Company.




Get Professional Assignment Help Cheaply

Buy Custom Essay

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently

Online Academic Help With Different Subjects


Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.


Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!


While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.


Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.


In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.


Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.


We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!


We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.


Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

  • When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
  • We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

  • The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
  • We will have a different writer write the paper from scratch.
  • Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment  Help Service Works

1.      Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2.      Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3.      Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4.      Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essaysmile and order essay PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

order custom essay paper