Discussion

You are the CNO of your current healthcare organization and have been told that the current organizational structure of the nursing department is “top heavy,” resulting in financial loss for the institution in the last fiscal year. You’ve been instructed to restructure the department to flatten the line to reduce expenses. You must decide how you will do it and how you will implement the change.

Describe the decision-making framework or model you will choose and the rationale for choosing it.

Of the three change models—PDSA, Kotter, or Rogers—which would you choose to use and why? What makes the other two less useful? What influence did your leadership profile have on your choices? Link to other resource

Solution:

The model that I would utilize to restructure the department to flatten lines and reduce expenses is the Kotter model.  This framework comprises 8 steps that guide change implementation. The first step is creating the urgency for the change which involves creating the need for change which may spark motivation.  The urgency of change can be created by bringing into the stakeholder awareness of the financial loss. The second step is building a guiding coalition which involves the identification of a team that supports change to ensure restructuring is supported and accepted (Miles et al., 2023). This is followed by creating the vision for change which will involve developing a clear vision. The next step is communicating the vision and then removing obstacles. The next step involves ……click to purchase full solution