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Unit 25, facilitating change in the healthcare environment, is a significant unit of the HND program for health and social care. The main emphasis of this unit is on managing and understanding the change within the settings of healthcare. Learners get equipped with the knowledge for multiple theories of change management and models. These theories and models include a change model by Lewin and an 8-step process by Kotter. It makes them able to identify the requirements of strategic Land development and change designed for the context of healthcare. It focuses on the leadership significance where the useful leaders articulate are vision with clarity, inspire the teams and provide the organisation with guidance through transitions. They also address the challenges and resistance that they face in the environment of healthcare environment.

This unit also sheds light on the significance of communication and engagement of stakeholders in facilitating the change with success. The students will learn to analyse the significant stakeholders, including patients, administrators and professionals of healthcare. Moreover, this unit also includes the people who actively reduce resistance and buy into the resistance. The practical skills that include resource allocation planning and training programs implementation are designed to ensure minimal disruption and a smooth transition for patient care. Continuous evaluation and monitoring are crucial for the learners to get teaching to utilise the feedback and indicators of performance to assess the influence of the change initiative. Moreover, it also drives the continuous improvement in operational efficiency and care quality.

The learners will also increase their skills with transferable knowledge of project management, reflective practice and staff leadership. It makes them prepared to support and lead the initiative of change efficiently in the organisations of healthcare organisations. This unit is a practical approach that is verified through real-world examples and case studies. These things make it possible to apply the concept of theories to the actual challenges of healthcare by providing an ongoing improvement culture and significant adaptability for the delivery of modern healthcare. This makes the unit 25 significant for the progression of career and professional development in the social and healthcare sectors.

Unit Goals

The main objectives of the Unit 25 Facilitating Change in Healthcare Environments in HND Health and Social Care are given here.

  • To generate a comprehensive recognition for the significant models and theories of change management. 8-step process by Kotter and the change model by Lewin`s Art of crucial Thinking, through which the learners will apply to the healthcare setting.
  • To critically identify the factors which drive change within the environment of healthcare. It includes identification of areas, policy, technology and organisational influence where the changes are mandatory for improvement of service delivery
  • To learn practical skills in implementing, managing and planning change initiatives efficiently. It includes the engagement, research allocation and communication of stakeholders to cope with the change resistance.
  • To acquire the ability to evaluate and monitor the influence of change initiatives utilising the feedback and key performance indicators. It also includes the mechanism feedback that certifies the continuous sustainability and improvement of optimistic outcomes in the services of healthcare.

Learning Outcomes

Here are the learning outcomes of the Unit 25 Facilitating Change in Healthcare Environments, which will explicit a clear picture in your mind of learning.

LO1: Discuss factors that have driven recent changes in the healthcare sector.

  • Political
    • Change direction or local or national policy content as a result, political party
    • Targets of healthcare
    • Ethical frameworks or existing legal
  • Funding or financial
    • Deficit and balance of finance
    • How can the service of health be financed
  • Population of patients
    • Population of the ageing
    • Increase the service expectations
    • Lifestyle changes
    • Developing or new diseases
    • Imbalanced care accessibility
  • Technology
    • Use and impact of social media
    • Medical equipment
  • Culture
    • Professionalism
    • Working procedures
    • Routines and structure
    • Discrimination and stereotyping within the workforce
    • Care priorities
    • Focus of secondary, primary and priority care
    • Process of needs and working for patients
    • Transformation of healthcare
    • Quality assurance and care quality
  • Factors of the workforce
    • For example, overseas staff or the process of change in staff while recruited
    • Higher apprenticeship or funding structures in education

LO2: Discuss the components of change management within a change management initiative in healthcare provision.

  • Recognise and define change management
  • Theories of the change process
  • Facilitation
  • Development practice
  • Transformation
  • Roles
  • Identification of change
  • Vision or idea
  • Concept analysis
  • Process
  • NHS or political issues
  • Directive of strategies, for example, transformation plans and sustainability
  • Environment
  • Finance
  • Change barriers
  • Workforce
  • Structure
  • Motivators for supporting the change
  • Readiness for change
  • Additional factors
  • Priorities
  • Resources
  • Influence
  • Management
  • Leadership

LO3: Implement own small-scale change management plan.

  • Plan content
    • Clarity
    • Context
    • Objectives
    • Ethical concentrations
    • Aims
    • Narrative
  • Change structure
    • Infrastructure
    • Structures for local decision making
    • Span of control
    • Workload
    • Timelines
  • People
    • Participation
    • Patient influence
    • Value
    • Learning
    • Staff impact
    • Promotion reflection for workforce planning diversity
    • Recognising organisation
  • Communication at the time of change
    • Networking
    • Negotiation
    • Categories
    • Behaviour
    • Flow
    • Imagery
    • Feedback or response
  • Assurance of quality
    • Composition
    • Definition
    • Accountability
    • Ethics
  • Change readiness
    • Informing
    • Resources
  • Plan implementation
    • Flexibility
    • Sustainability
    • Consistency
    • Safety
  • Influence
    • Teamwork or team
    • Internal dynamics of politics
    • Stakeholder
    • Self
    • Issues considerations for inclusion, diversity and equality
  • Conflict dealing
    • Respect and recognition
    • Encouragement
    • Explanation
    • Social emotional support
    • Motivation
    • Behaviour with dysfunction
  • Change emergence
    • Adapt
    • Threat
    • Review progress
    • Opportunity

LO4: Assess the effectiveness of a change management plan.

  • The plan
    • Pre-existing change management or own plan for relevance
  • Review after action
    • Issue resolved
    • Question
    • Intervention
    • Leadership
  • Reflection
    • Negative and positive change management aspects
    • Comparison
    • Evaluation
    • Models
  • Views of staff
    • Survey question answers
    • Measuring success
    • Understanding level
    • Milestones
  • Consequences examination
    • New attributes
    • Influence on service, others and self
    • Transition
    • Perception
  • Standard maintenance
    • Sharing of information
    • Continuous improvement
    • Measurement of performance
    • Future innovation
    • Embed

Assessment Criteria

The learning outcomes of the Unit 25 Facilitating Change in Healthcare Environments have further assessment criteria, which are demonstrated below.

LO1: Discuss factors that have driven recent changes in the healthcare sector.

  • 1.1 Discuss recent changes that impact practice in the health sector.
  • 1.2 Present a report on the factors that have driven these recent changes.
  • 1.3 Assess the impact of these factors on care for individuals accessing healthcare services.
  • 1.4 Evaluate how factors that drive change and impact on patient care have influenced the development of a recent policy.

LO2: Discuss the components of change management within a change management initiative in healthcare provision.

  • 2.1 Illustrate in detail the components of change management within a health or care service context.
  • 2.2 Discuss the impact of a national strategic direction on a local initiative to effect change in health or care provision.
  • 2.3 Justify the initiative in relation to wider healthcare issues.
  • 2.4 Assess the factors that affect readiness to change in healthcare practice settings, given the current national strategic climate.

LO3: Implement own small-scale change management plan.

  • 3.1 Prepare a small-scale change management plan.
  • 3.2 Present strategies to address anticipated challenges to the implementation of the change management plan.
  • 3.3 Use testing and analysis to implement the change management plan.
  • 3.4 Assess emerging themes, areas for development and communication strategies used in the change management plan.
  • 3.5 Evaluate the impact of own change management initiative on key stakeholders, making comparisons to other healthcare change initiatives.

LO4: Assess the effectiveness of a change management plan.

  • 4.1 Evaluate the impact of a change management initiative on staff.
  • 4.2 Present the analytical report on the findings of a change management initiative to relevant stakeholders.
  • 4.3 Justify outcomes of the change management initiative to staff in a healthcare setting.
  • 4.4 Critically assess the need for future work on the basis of the evaluation of the change management initiative.

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