Planned change in modern hierarchical organizations: A three-step model

J Prof Nurs. 2023 May-Jun:46:1-6. doi: 10.1016/j.profnurs.2023.02.002. Epub 2023 Feb 23.

Abstract

Change is often uncomfortable and it is challenging when the need for substantive change emerges in a hierarchical organization. It is critical to consider both processes and people when planned change becomes necessary. Members of the organization may look to existing theories and models that would be helpful to navigate planned change. The authors present the Proposed Model of Planned Change, which is a synthesis of three well-known change theories/models into one cohesive three-step model. This model integrates process, change agent(s), and collaboration with other group members. The authors highlight the model's strengths and limitations in the context of a hierarchical nursing school's curriculum revision as an example. This model could prove useful for similar organizations seeking similar changes, as well as for a variety of organizations in any circumstance where change is desired. The authors will provide a progress report of implementation of this three-step model with lessons learned in a subsequent manuscript.

Keywords: Change model; Curriculum revision; Essentials; Planned change model; Roadmap.