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NR-534 Week 6 Discussion: Change Model for Restructuring (GRADED A)

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NR-534 Week 6 Discussion: Change Model for Restructuring 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 … 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? Show Less

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Planned Change: Leadership of Reduction in Workforce



XXXX

Chamberlain College of Nursing

NUR 534: Healthcare Systems Management




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https://www.coursehero.com/file/78783412/NUR534-week-6-planned-changedocx/

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Planned Change: Leadership of Reduction in Workforce

It has been decided that a reduction in force (RIF) is required at Roxboro Medical Center

(RMC) due to a substantial market share loss over the past 24 months. The alternative attempts

to adjust for the loss were not enough to ensure financial balance, and according to Palazzo

(2015), when other attempts have failed, RIF is the correct next strategy.

Approach to the Organizational Mandate

The purpose of this assignment is to apply leadership knowledge and skills to an

organizational change that will impact the entire system. As the CNO, I oversee 33 management

positions that include house supervisors (HS), unit managers (UM), and charge nurses (CN). Ten

positions must be eliminated to meet the expectations of the board, CEO, & CFO. This paper

will discuss the decision-making process involved with a RIF and the information used to make

the informed selection. It will address challenges and conflicts of a RIF, the reorganizational

plan, a proposed change model to aid in the restructuring, along with anticipated benefits and

conflicts of that model, and two strategies for addressing the system wide implications of morale

and motivation. It will conclude with a summary of what was learned. Making tough decisions

during tough economic times is a responsibility of senior leadership and the process of RIF must

be carefully planned and executed to avoid wrongful termination lawsuits (Siegal, 2020).

Involving the proper stakeholders is essential to ensure the most appropriate choices are made in

helping the organization meet their goals. I have six months to complete this process.

Reduction in Workforce-Section A

Human resources provided a table of the 16 employees with tenure under 15 years and

listed their performance ratings. Decisions must be made solely on this information. Ten

employees are to be dismissed to meet the expectation of my superiors. I would first reduce the




This study source was downloaded by 100000801755870 from CourseHero.com on 03-28-2022 15:52:14 GMT -05:00


https://www.coursehero.com/file/78783412/NUR534-week-6-planned-changedocx/

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