Implementing team huddles in small rural hospitals: How does the Kotter model of change apply?

Jure Baloh; Xi Zhu; Marcia M Ward

doi:10.1111/jonm.12584

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Implementing team huddles in small rural hospitals: How does the Kotter model of change apply?

Journal article

Open access

Peer reviewed

Implementing team huddles in small rural hospitals: How does the Kotter model of change apply?

Jure Baloh, Xi Zhu and Marcia M Ward

Journal of nursing management, Vol.26(5), pp.571-578

07/2018

DOI: 10.1111/jonm.12584

PMCID: PMC6900979

PMID: 29250892

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Abstract

To examine how the process of change prescribed in Kotter's change model applies in implementing team huddles, and to assess the impact of the execution of early change phases on change success in later phases. Kotter's model can help to guide hospital leaders to implement change and potentially to improve success rates. However, the model is under studied, particularly in health care. We followed eight hospitals implementing team huddles for 2 years, interviewing the change teams quarterly to inquire about implementation progress. We assessed how the hospitals performed in the three overarching phases of the Kotter model, and examined whether performance in the initial phase influenced subsequent performance. In half of the hospitals, change processes were congruent with Kotter's model, where performance in the initial phase influenced their success in subsequent phases. In other hospitals, change processes were incongruent with the model, and their success depended on implementation scope and the strategies employed. We found mixed support for the Kotter model. It better fits implementation that aims to spread to multiple hospital units. When the scope is limited, changes can be successful even when steps are skipped. Kotter's model can be a useful guide for nurse managers implementing changes.

Communication

Cooperative Behavior

Hospitals, Rural - organization & administration

Hospitals, Rural - trends

Humans

Iowa

Leadership

Longitudinal Studies

Organizational Innovation

Patient Care Team - standards

Patient Care Team - trends

Qualitative Research

Details

Title: Subtitle: Implementing team huddles in small rural hospitals: How does the Kotter model of change apply?
Creators: Jure Baloh - Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Xi Zhu - Department of Health Management and Policy, University of Iowa, Iowa City, IA, USA
Marcia M Ward - Department of Health Management and Policy, University of Iowa, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Journal of nursing management, Vol.26(5), pp.571-578
DOI: 10.1111/jonm.12584
PMID: 29250892
PMCID: PMC6900979
NLM abbreviation: J Nurs Manag
ISSN: 0966-0429
eISSN: 1365-2834
Grant note: R18 HS018396 / AHRQ HHS R03 HS024112 / AHRQ HHS
Language: English
Date published: 07/2018
Academic Unit: Health Management and Policy; Internal Medicine
Record Identifier: 9984214692602771

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