Sua equipe de saúde diversificada é resistente à mudança. Como você vai navegar por esse desafio?
Navegar pela resistência à mudança dentro de uma equipe de saúde pode ser uma tarefa assustadora. A mudança, especialmente em ambientes de saúde, pode ser encarada com ceticismo devido aos altos riscos envolvidos no cuidado ao paciente. Como gestor de saúde, você entende a importância da evolução das práticas para melhorar os resultados dos pacientes, mas sua equipe pode não ver imediatamente os benefícios. Eles vêm de diversas origens, com diferentes níveis de experiência e conforto com a mudança, tornando a tarefa ainda mais complexa. O desafio é guiá-los por essa resistência de uma forma que respeite seus conhecimentos e preocupações, ao mesmo tempo em que avança com as inovações necessárias.
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Dhirja SharmaVice President- Medical Quality and Performance Improvement at Max Healthcare
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Dr. Julio César HenkHealthcare Manager | Director | Educator | Dentist | Mentor | Healthcare Marketing Specialist | Corporate Strategist |…
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Felix Liao, DDS, MAGD, ABGDHolistic Mouth Doctor • Best Selling Author • Healthcare Innovator training dentists to become Airway Mouth Doctors
Antes que você possa efetivamente lidar com a resistência, é crucial entender as razões por trás dela. A hesitação de sua equipe pode decorrer do medo do desconhecido, da falta de confiança em novos processos ou de preocupações com a carga de trabalho adicional. Envolva-se em um diálogo aberto para descobrir essas razões. Ouça ativamente suas preocupações e valide seus sentimentos. Esta etapa não apenas fornecerá insights valiosos sobre suas apreensões, mas também criará confiança, mostrando que você valoriza suas contribuições e não desdenha de suas perspectivas.
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It is important to understand the reason behind the apparent resistance to uptake of the new idea. I would hold an open discussion with the team first outlining why the basic need for change arose, why we chose those particular interventions. Then I would invite the team members to ideate how they would tackle the challenge . I would through this identify the fears and hesitancy in the group regarding the change. At a later stage , would try and build a consensus around how this change will be brought about , discussing the pros and cons of the steps involved. I have often found this approach reaps rich dividends as the team starts to "own the change process" as opposed to "following the change process"
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In my experience, effectively managing resistance begins with genuinely understanding the concerns of your team. You will find out that resistance often hides deeper issues, such as anxiety about new roles or doubts about the benefits of change. By initiating open, empathetic conversations, you will be able to gather insights into individual and collective apprehensions.
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For instance, a healthcare team may resist adopting new electronic health records (EHRs) due to concerns about data privacy, technical difficulties, or increased workload. By engaging in open dialogue, you can address these concerns and provide reassurance. Ask specific questions like 'What are your concerns about implementing EHRs?' or 'How do you think EHRs will impact your workload?' Listen attentively to their responses and validate their feelings by acknowledging the challenges they've faced in the past. For example, 'I understand that transitioning to EHRs can be daunting, but I assure you that our IT team will provide comprehensive training and support.'
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Los factores que contribuyen a la resistencia al cambio en la atención sanitaria incluyen el miedo a lo desconocido, la falta de comprensión de los beneficios del cambio y la percepción de amenazas a la autonomía profesional. Además, la sobrecarga de trabajo y la falta de recursos adecuados para la implementación de nuevas prácticas son factores que tienen un impacto. El liderazgo y la cultura organizacional también son importantes; la resistencia puede aumentar si el liderazgo no comunica efectivamente la visión o no involucra a los equipos en el proceso de cambio.
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Most people are resistant to change out of fear, uncertainty, or deviating from a feeling of comfort. This is no less true when it comes to healthcare teams. While additional reasons might be present (i.e., consistently executing processes over years of work), it's important to dig deeper into the psyche of those team members to get to the root cause of that particular sense of resistance. Be an active listener, provide reassurance that they're sure to benefit, and generate a sense of being an ally. The end goal is to ensure productivity, as well as provider and patient well-being. Listen, build trust, answer questions, and reassure. Those are the initial steps to handling resistance.
Uma comunicação clara é vital ao introduzir mudanças. Explique a lógica por trás da mudança, como ela beneficiará a equipe e os pacientes e as etapas que você tomará para implementá-la. Certifique-se de que sua mensagem seja consistente e chegue a todos. Evite jargões e seja transparente sobre os potenciais desafios futuros. Isso pode ajudar a reduzir a incerteza e fazer com que a equipe se sinta mais segura sobre o que esperar, reduzindo assim a resistência.
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Remain open and honest while overly-communicating with your team members. Keep them informed of what’s going on across the enterprise, while maintaining a safe space for questions and general inquiry. Emphasize your openness and willingness to change as testament to your belief in the direction and vision of the organization. Creating buy-in is essential to change. The earlier you start to build buy-in on plans, the more conducive your colleagues will be to change.
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Es fundamental explicar el "por qué" detrás de los cambios, enfatizando los beneficios y cómo tendrán un impacto positivo en todos. La confianza se desarrolla escuchando preocupaciones y respondiendo con empatía. Ayuda a evitar malentendidos usar múltiples canales de comunicación y ser consistente en el mensaje. Incluir a los equipos en la planificación y ejecución del cambio también aumenta el sentido de pertenencia y reduce la resistencia, lo que hace que la transición sea más fácil.
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Communicate Clearly: Overcoming Resistance to Change in Your Diverse Healthcare Team Navigating resistance to change in a diverse healthcare team begins with clear communication. Acknowledge varying perspectives and concerns openly, fostering an inclusive dialogue. Tailor messages to resonate with each group, highlighting how changes align with their values and goals. Utilize multiple channels, such as town halls, one-on-ones, and digital platforms, to ensure information reaches everyone effectively. Encourage questions and feedback, creating a safe space for diverse voices to be heard and valued. By demonstrating empathy and transparency, you build trust and collaboration, paving the way for successful change adoption.
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Clear communication is the foundation of managing change effectively, especially in diverse healthcare settings. You could just try to make it a priority to explain not just the 'what' and the 'how' of changes, but also the 'why.' That is outlining the benefits for your team and your patients explicitly and addressing any potential challenges transparently. This will ensure that all team members have the opportunity to voice concerns and receive clarification.
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When facing resistance, it's absolutely paramount to communicate clearly the intentions and objectives of whatever change is in process of taking place. With effective rhetoric, a moral obligation to the patients and staff, in addition to the provision of hard data, your clear communication is set to win. Avoid being ambiguous, know your stuff before talking with your healthcare team, and be honest and sincere. If your staff trusts and knows you, they have no other option than to take your word and hope for the best. More than likely, with a solid plan and you as their leader, adoption is bound to happen, as is belief. You must speak clearly. Non-negotiable.
O envolvimento leva à apropriação. Envolva sua equipe de saúde no processo de mudança desde o início. Solicite suas ideias sobre a melhor forma de implementar a mudança e incorpore seu feedback em seus planos. Essa abordagem colaborativa pode diminuir a resistência, pois os membros da equipe sentem que têm uma participação no sucesso da mudança. Além disso, eles podem fornecer insights valiosos que podem melhorar o processo com base em sua experiência no local.
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For example, when implementing a new patient flow process, involve frontline staff in the design and testing phase. Ask nurses and physicians for their input on how to optimize room turnover, streamline patient registration, and enhance communication between departments. By incorporating their feedback, you can create a more efficient and effective process that resonates with the team. This ownership mentality can lead to increased accountability and a sense of pride in the new process. Additionally, involve team members in training and coaching their peers, fostering a sense of responsibility and empowering them to become change champions.
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Esto implica que los miembros participen en la planificación y toma de decisiones, lo que les permite expresar sus preocupaciones y sugerencias. Los talleres y las sesiones de retroalimentación activa fomentan la sensación de pertenencia y responsabilidad. El compromiso se fortalece al reconocer y valorar las contribuciones individuales. Al fortalecer al equipo y promover un entorno de trabajo cooperativo, se facilita la adopción de cambios y se mejora la cohesión del grupo.
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Navigating resistance to change in a diverse healthcare team requires inclusive leadership. Start by involving the team in the change process from the beginning. Facilitate open forums and workshops where everyone can voice concerns and ideas. Highlight the benefits of change, showing how it enhances patient care and job satisfaction. Empower team members by assigning them roles in the implementation process, fostering ownership and accountability. By valuing their input and creating a collaborative environment, you transform resistance into engagement, ensuring a smoother transition and stronger team unity.
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Actively involving the team in the change process is pivotal in overcoming resistance. For instance, during a significant workflow transition within your department, you could try to establish a series of brainstorming sessions that include staff from every level. By soliciting their input on the changes and discussing potential impacts, you will be able to foster a sense of ownership and collaboration.
A falta de habilidades ou conhecimento pode ser uma barreira significativa para a mudança. Forneça treinamento abrangente adaptado às diversas necessidades de sua equipe. Certifique-se de que todos tenham os recursos e o suporte necessários para se adaptar a novos sistemas ou procedimentos. A educação contínua e a segurança podem capacitar os membros da sua equipe, aliviar a ansiedade e promover uma atitude mais positiva em relação à mudança.
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For instance, when introducing a new electronic medical record (EMR) system, provide step-by-step training sessions, workshops, and online resources to ensure a smooth transition. Offer specialized training for different roles, such as physicians, nurses, and administrative staff, to address their unique needs and concerns. Additionally, provide ongoing support through superusers, mentorship programs, and regular feedback mechanisms. This comprehensive approach can help build confidence and competence, allowing team members to effectively navigate the new system and focus on delivering high-quality patient care.
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Addressing the skills gap through targeted training is fundamental in managing resistance to change within healthcare teams. For instance, if you introduce a new electronic health record system, the initial resistance may be high due to unfamiliarity with the technology. You could now implement a customized training program that caters to various skill levels within the team, this will enhance their proficiency and also their confidence in using the new system.
A mudança não acontece da noite para o dia, e é importante monitorar o progresso e ajustar sua abordagem conforme necessário. Estabeleça marcos claros e alcançáveis e comemore pequenas vitórias para manter a moral elevada. Seja paciente e persistente, fornecendo apoio e encorajamento durante toda a transição. Os check-ins regulares também permitirão avaliar a adaptação da equipe às mudanças e identificar qualquer resistência contínua que possa precisar ser resolvida.
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Realizar seguimientos regulares y establecer indicadores claros de éxito permite identificar obstáculos y ajustar estrategias a tiempo. Las herramientas de gestión de proyectos hacen que se vea el progreso. Además, es fundamental mantener una comunicación continua, celebrar pequeños logros y ofrecer comentarios útiles. Al involucrar al equipo en la revisión del progreso, se garantiza la transparencia y se fomenta la responsabilidad colectiva, lo que promueve una transición más eficiente y cohesionada.
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For example, when implementing a new care coordination program, set milestones such as '100% of patients with assigned care managers within 6 weeks' or '25% reduction in readmissions within 3 months.' Celebrate each milestone achieved, no matter how small, to reinforce the team's efforts and motivation. Regularly review progress, gather feedback, and make adjustments to address any challenges or concerns. This iterative approach allows for continuous refinement and improvement, ensuring the change is sustainable and effective. By acknowledging and addressing the team's struggles, you can foster a culture of resilience and adaptability, ultimately driving successful change management in healthcare settings.
Por fim, reconheça que a mudança pode ser estressante. Ofereça suporte aos membros da sua equipe durante toda a transição. Isso pode ser na forma de pessoal adicional durante a fase de implementação, reuniões individuais para tratar de preocupações individuais ou simplesmente estar disponível para perguntas e discussões. Ao mostrar empatia e compreensão, você ajuda a criar um ambiente de apoio que pode aliviar a resistência à mudança.
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For instance, during the implementation of a new electronic health record (EHR) system, consider providing temporary staffing support to help with data entry and training. Hold regular 'office hours' for team members to drop in with questions or concerns, and encourage open communication through anonymous feedback channels. Additionally, recognize and reward team members who are adapting to the change and demonstrating leadership, such as 'EHR Champions' or 'Change Ambassadors.' By acknowledging the emotional impact of change and offering support, you can foster a culture of empathy and understanding, ultimately reducing resistance and driving successful change management in healthcare settings.
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It is crucial to involve your team members in the decision-making process. Only your team can tell you what they need, and you must be willing to provide the necessary support and resources they identify. From crafting the solution to providing post-implementation support, maintaining an empathetic, understanding, and team-oriented atmosphere will be key to guiding your healthcare professionals through this transition successfully.
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There was once a story about a small company that got really big after an investment (takeover) by a new CEO and the change management that happened after. I was excited to read it and find out some secrets of taking a 30-year old company to new heights and explosive growth. Turns out, the entirety of the "change management" was literally management making changes :) They basically fired the entire first team, moved the headquarters to a cool new place, hired all new people, and took off from there. In the "here's what else to consider", unfortunately, sometimes you have to consider if you have the right people on the team. The most important takeaway from the movie Moneyball for me was the fact they never won it all.
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Importantly, even after providing support, it is vital to consider ongoing pulse checks - regular, short surveys to gauge team sentiment. Continuous collaboration and checking in with your team are qualities of a good leader. By asking specific questions about change resistance and concerns, and using the results to inform your ongoing communication and support strategies, you can quickly identify and address specific issues. This allows you to build trust and demonstrate your commitment to supporting the team through the transition. Ultimately, this ensures your approach remains adaptable, empathetic and responsive to the evolving needs of your diverse healthcare team.
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