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Managing Resistance to Change The Quality Academy Tutorial 16

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Page 1: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

Managing Resistance to Change

The Quality AcademyTutorial 16

Page 2: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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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

Learning Objectives

Page 3: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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Tips for Viewing This Presentation

Skip to other slides in the presentation

Read along with the narrator

Search for keywords in the presentation

Play, rewind and fast forward

Review current slide

View full screen

Tips for Viewing

Page 4: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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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

Managing Change

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Key Question

How can we help our organization make change,

even in the face of resistance to it?

Why People Resist

Page 6: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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What is Resistance?

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

Why People Resist

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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

Why People Resist

Page 8: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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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

What Does it Look/Feel/Sound Like?

Page 9: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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What Causes It?

Fear•

The unknown

Change•

Being overwhelmed

Distrust•

Administration

Opinion Leader/Change Agent

Why People Resist

Page 10: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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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?)

Why People Resist

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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

Page 12: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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What is the Core Issue Causing These Emotional Reactions?

Change

Why People Resist

Page 13: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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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

Page 14: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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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

Page 15: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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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

Addressing Resistance

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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

“CHANGE IS GOOD: YOU GO FIRST”

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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

Addressing Resistance

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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

Page 20: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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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”

Addressing Resistance

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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?”

Addressing Resistance

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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 changeB) Withdrawing from the change effort as much as possibleC) 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 wrongE) Accepting the change and actively supporting it from the very beginning

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Managing Complex Change

Vision Skills Incentives Resources Action Plan ChangeSkills 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.

Supporting Change Management

Page 24: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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Managing Complex Change

Change Vision Skills Incentives Resources Action PlanConfusion Skills Incentives Resources Action PlanAnxiety Vision Incentives Resources Action PlanGradual Change Vision Skills Resources Action PlanFrustration Vision Skills Incentives Action PlanFalse 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.

Supporting Change Management

Page 25: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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Achieving ChangeSee-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

Supporting Change Management

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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

Supporting Change Management

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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)

Key Points

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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

Resources

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Related Tutorials

To learn more about leadership, study Tutorial 17

To learn more about selecting changes, study Tutorial 15

Related Tutorials

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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

lotYes,

a litt

leNeu

tral

No, not

very

muc

h

No, not

at all

Submit

Evaluation

Page 32: Managing Resistance to Change - TargetHIV · Managing Change. 5 Key Question How can we help our organization make change, even in the face of resistance to it? Why People Resist

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The Quality Academy

For further information, contact:

National Quality CenterNew York State Dept. of Health90 Church Street, 13th

floorNew York, NY 10007-2919Work: 212.417.4730Fax: 212.417.4684

Email: [email protected]

Or visit us online at NationalQualityCenter.org

In Closing