Why is change inevitable? What would happen if no changes occurred in health care? Explain, using an example from your clinical area.
Paper , Order, or Assignment Requirements

1. Select a particular change in health care that you would like to see occur. Describe how you would work through the four phases of planned change as explained in the chapter to show how they would bring about your selected change.

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death. How did you react to the change? Would you have reacted differently if you had had more information? Using Lewin�s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.
3. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this. Will you have to leave earlier to be in class on time? Will you meet different people on your way to class? See different sights? Would you change your route to class on the day of the final exam? Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a �minor� change.

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