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Managing Resistance to Change

The Quality Academy Tutorial 16

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Learning Objectives: You Will Learn About…

• Reasons people resist change

• Approaches that support change management

• Strategies to address resistance to change

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Tips for Viewing This Presentation

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"Think of managing change as an adventure. It tests your

skills and abilities. It brings forth talent that may have been dormant."

Charles E. Rice

Why People Resist

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Key Question

How can we help our organization make change, even in the face of resistance to

it?

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What is Resistance?

Resistance is the push-back one experiences when trying to change or improve a process or system.

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What Does it Look/Feel/Sound Like?

• Refusals

• Passive: “We didn’t have time to meet, test, measure”

• Aggressive: “Absolutely not!” “You can’t tell me what to do”

• Sabotage

• Two steps forward; one step backward

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• “My patients are sicker…”

• “That’s fine for them, but it won’t work here – we’re different”

• We don’t have the (you name it)

• Others?

Why People Resist

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What Causes It?

• Fear • The unknown • Change • Being overwhelmed • Distrust • Administration

• Opinion Leader/Change Agent

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What Causes It? (Cont.)

• Lack of information

• “Not proven”

• Not enough education

• Complacency

• Can’t see the benefit of change

• Not enough tension for change: the current situation is tolerable

• Lack of incentive

• Other (what do you think?)

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“The best way to deal with resistance to change is to ignore the resistors and work around them.”

Test Question

Why People Resist A) True B) False

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What is the Core Issue Causing These

Emotional Reactions?

Change

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Reaction to Change

• Denial – “No, it can’t be true”

• Anger - Why me?

• Bargaining – “Yes, me, …but…”

• Depression – “Yes me, poor me”

• Acceptance – “It’s OK. What will I do?”

Source: Kubler-Ross 5 Stages of Grief Addressing Resistance

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Ideas to Manage Resistance

Communicate

• Train/educate about the process, strategies

• Provide information about the need for change

• Change the message

• Change the messenger

Addressing Resistance

Listen

• 1:1, and in groups

• Active listening

• Discuss hopes and fears

• Provide opportunities to vent

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How to Manage Resistance

• Revel in the pushback

• Confront the resistance

• Respect the resistors; don’t label them negatively

• Embrace and use their knowledge

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Change vs. Transition

• Change is altering the external environment leading to….

• “Transition” is an internal psychological

reorganization people go through in coming to terms with change

Wm Bridges, “Transition Management” Addressing Resistance

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Stages of Transition

• Not accepting transition – denial • Endings – depression • Neutral – anxiety • Beginnings – stress • Finish – relief Addressing Resistance

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Change and Information

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Identifying Words in Transition

• Not yet there – denial

• “They don’t know about us – we’re different” • “It’s just another fad”

• “It will never work”

• Endings – depression

• “I don’t care anymore” • “Just tell me what to do” • “They’ll be sorry”

• “It doesn’t make sense” Addressing Resistance

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Identifying Words in Transition (Cont.)

Neutral

• “We don’t have any clear direction” • “What’s my job?”

• “I can’t get all this new work done”

• “We’re making 2 steps forward and one back”

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Identifying Words in Transition

• Beginnings

• “We had a good meeting” • “We’re not done yet”

• “I’m exhausted”

• “Some of these new things are working”

• Finish

• “It took a while to get there, but it’s OK” • “Boy, it was harder than I thought”

• “What can we do next?”

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Which of the following behaviors would not be expected of someone going through transition?

Test Question

Addressing Resistance

A) Complaining to co-workers about the need to make a change

B) Withdrawing from the change effort as much as possible

C) Saying at a team meeting, "OK, we've gotten this far, but I think this is about as far as we can go."

D) Documenting everything he or she did with the goal of protecting him/herself if something goes wrong

E) Accepting the change and actively supporting it from the very beginning

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Managing Complex Change

Vision Skills Incentives Resources Action Plan Change

Skills Incentives Resources Action Plan Confusion Vision Incentives Resources Action Plan Anxiety

Vision Skills Resources Action Plan Gradual Change Vision Skills Incentives Action Plan Frustration

Vision Skills Incentives Resources False Starts

Source: Villa, R.A. & Thousand, J.S. (eds.) (1995). Creating an Inclusive School. Alexandria, Va: Association for Supervision and Curriculum Development.

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Managing Complex Change

Change Vision Skills Incentives Resources Action Plan

Confusion Skills Incentives Resources Action Plan

Anxiety Vision Incentives Resources Action Plan

Gradual Change Vision Skills Resources Action Plan

Frustration Vision Skills Incentives Action Plan

False Starts Vision Skills Incentives Resources

Source: Villa, R.A. & Thousand, J.S. (eds.) (1995). Creating an Inclusive School. Alexandria, Va: Association for Supervision and Curriculum Development.

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Achieving Change

See-Feel-Change

• Help people see:

Dramatic, compelling stories

• Hit emotions: Hit at deeper level

• Emotionally charged ideas change behavior

Analysis-Think-Change

• Give people analysis: Information from reports

• Data and analysis influences how we think: Information changes thinking

• New thoughts change behavior

Source: “The Heart of Change”by John P. Kotter

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Questions of Change for Leaders

• What changes are necessary?

• What do they mean to everybody?

• How do I feel about those changes?

-Tom Nolan

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Not providing people with the skills they need to make a change results in:

Test Question

Supporting Change Management A) Confusion

B) Depression C) Anxiety D) False starts

E) Gradual change F) None of the above

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Key Points

• People resist change out of fear, lack of understanding or lack of trust

• People experiencing change go through a process of transition, with identifiable stages and needs

• In general, these needs can be met with facts, support and encouragement

• Specific strategies for managing resistance include communicating, listening, and understanding the

inevitability of resistance (and how to use it to support the change)

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Resources

• Kotter, John P., Leading Change. Boston: Harvard Business School Press, 1996

• Scholtes, Peter R., The Team Handbook. For more information, see: www.orielinc.com

• NationalQualityCenter.org

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Related Tutorials

• To learn more about

leadership, study Tutorial 17

• To learn more about selecting changes, study Tutorial 15

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Please Rate This Tutorial By Indicating How Your Response To The Following Statements.

Was this Tutorial helpful to you?

Did this Tutorial meet your expectations and goals?

Was the Tutorial clearly organized and easy to use?

Would you recommend this Tutorial to colleagues of yours?

Yes, a lot

Yes, a little

NeutralNo, not very muchNo, not a t all

Submit

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The Quality Academy

For further information, contact: National Quality Center

New York State Dept. of Health 90 Church Street, 13th floor

New York, NY 10007-2919 Work: 212.417.4730 Fax: 212.417.4684 Email: [email protected] Or visit us online at NationalQualityCenter.org In Closing

References

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