Transitions Exam 2 questions with
100% correct answers
2 ways change can occur - correct answer ✔✔ drift - occurs by accident, indoctrination,
socialization, reactive process
planning - better outcome, more organized, smoother transition
name some factors that drive change in healthcare (specific examples, not categories) - correct
answer ✔✔ Decreased reimbursement in Medicare, cost of healthcare, pace of technology,
changes in knowledge, increasing or changing the population makeup (elderly and immigration)
Change should always have a clear purpose - what are the 5 categories of reasons to introduce
change? - correct answer ✔✔ •To Improve Efficiency
•To Improve safety
•To improve effectiveness
•To reduce Unnecessary workload
•To improve equity
What is the basis of Lewin's Change Theory? What are the three steps? - correct answer ✔✔
Basis: driving forces must outweigh / overcome restraining forces in order to accomplish change
unfreeze, move, refreeze
what occurs in the "unfreeze" phase of change - correct answer ✔✔ gather data to ID issues
that need to be addressed - accurately Dx the problem and then decide if change is needed.
,If change is needed, make others aware / increase understanding of the problem (have a
meeting and introduce EBP, put up flyers, etc.)
where might data come from in the unfreeze phase - correct answer ✔✔ audits, EBP, bulletins
what happens in the movement phase of change - correct answer ✔✔ develop plan w set
goals /objectives (base goals on improving data; ex: ^ HCAP score)
Include all affected by the change in plan. ID support & resistance
Set dates to begin and to evaluate
what is generally a good time frame from start to evaluation of a project - correct answer ✔✔ 6
months (at least)
During what phase do you implement change? What phase do you evaluate? - correct answer
✔✔ It's ALL movement. In movement, you should decide how you will measure outcomes,
implement the plan, and at the end of the time frame, evaluate the results. If something is not
working in this time frame, you can make changes to the plan throughout.
what occurs in the "refreezing" phase of change - correct answer ✔✔ make plan to sustain
change - support those who adopted new practices so the change stays in place
Have a contact to answer q's about the change and support it.
implement new rules / policies and continue to evaluate
what are the 5 components of Rogers change theory? - correct answer ✔✔ Knowledge
, Persuasion
Decision
Implementation
Confirmation
what does "knowledge" consist of in Rogers change theory - correct answer ✔✔ Change is
described to / discussed with the decision making unit (individual, organization)
what does "persuasion" consist of in Rogers change theory - correct answer ✔✔ Change agent
works to develop a favorable attitude toward change Trial begins (leave behind pamphlets, send
info via email)
what does "decision" consist of in Rogers change theory - correct answer ✔✔ a decision is
made to adopt or reject the plan of change
what does "implementation" consist of in Rogers change theory - correct answer ✔✔ The plan
of change is now accepted as practice and alterations can be made
what does "confirmation" consist of in Rogers change theory - correct answer ✔✔ evaluate the
results of an innovation - decision already made
What are the six (6) groups of response to how change may flow? when do they join in
accepting change?Early ma - correct answer ✔✔ 1. Innovators - spark change
2. Early Adopters - open to change, willing to go along
3. Early Majority - may need extra info / time to think before going along
100% correct answers
2 ways change can occur - correct answer ✔✔ drift - occurs by accident, indoctrination,
socialization, reactive process
planning - better outcome, more organized, smoother transition
name some factors that drive change in healthcare (specific examples, not categories) - correct
answer ✔✔ Decreased reimbursement in Medicare, cost of healthcare, pace of technology,
changes in knowledge, increasing or changing the population makeup (elderly and immigration)
Change should always have a clear purpose - what are the 5 categories of reasons to introduce
change? - correct answer ✔✔ •To Improve Efficiency
•To Improve safety
•To improve effectiveness
•To reduce Unnecessary workload
•To improve equity
What is the basis of Lewin's Change Theory? What are the three steps? - correct answer ✔✔
Basis: driving forces must outweigh / overcome restraining forces in order to accomplish change
unfreeze, move, refreeze
what occurs in the "unfreeze" phase of change - correct answer ✔✔ gather data to ID issues
that need to be addressed - accurately Dx the problem and then decide if change is needed.
,If change is needed, make others aware / increase understanding of the problem (have a
meeting and introduce EBP, put up flyers, etc.)
where might data come from in the unfreeze phase - correct answer ✔✔ audits, EBP, bulletins
what happens in the movement phase of change - correct answer ✔✔ develop plan w set
goals /objectives (base goals on improving data; ex: ^ HCAP score)
Include all affected by the change in plan. ID support & resistance
Set dates to begin and to evaluate
what is generally a good time frame from start to evaluation of a project - correct answer ✔✔ 6
months (at least)
During what phase do you implement change? What phase do you evaluate? - correct answer
✔✔ It's ALL movement. In movement, you should decide how you will measure outcomes,
implement the plan, and at the end of the time frame, evaluate the results. If something is not
working in this time frame, you can make changes to the plan throughout.
what occurs in the "refreezing" phase of change - correct answer ✔✔ make plan to sustain
change - support those who adopted new practices so the change stays in place
Have a contact to answer q's about the change and support it.
implement new rules / policies and continue to evaluate
what are the 5 components of Rogers change theory? - correct answer ✔✔ Knowledge
, Persuasion
Decision
Implementation
Confirmation
what does "knowledge" consist of in Rogers change theory - correct answer ✔✔ Change is
described to / discussed with the decision making unit (individual, organization)
what does "persuasion" consist of in Rogers change theory - correct answer ✔✔ Change agent
works to develop a favorable attitude toward change Trial begins (leave behind pamphlets, send
info via email)
what does "decision" consist of in Rogers change theory - correct answer ✔✔ a decision is
made to adopt or reject the plan of change
what does "implementation" consist of in Rogers change theory - correct answer ✔✔ The plan
of change is now accepted as practice and alterations can be made
what does "confirmation" consist of in Rogers change theory - correct answer ✔✔ evaluate the
results of an innovation - decision already made
What are the six (6) groups of response to how change may flow? when do they join in
accepting change?Early ma - correct answer ✔✔ 1. Innovators - spark change
2. Early Adopters - open to change, willing to go along
3. Early Majority - may need extra info / time to think before going along
