Reflecting on Change Processes in Healthcare Leadership

Posted on | by Linus

Journal Question:

Drawing upon your readings, research, and life experiences, consider the change processes you have been involved in. Provide an example of the change required and what the response from the team you were working with was, positive or negative. What barriers were encountered, and what would you have done differently as the leader of this change project? How did this impact the ability to create change? Was the change sustained?

Each short-answer Journal response will be a minimum of 300 words.
No citation, reference, or APA style is necessary.

Required Resources:
Borkowski, N. & Meese, K.A. (2021). Organizational behavior in healthcare (4th ed.). Jones & Bartlett Learning. Read chapters 18, 19 & 20.

Weberg, D. & Davidson, S. (2019). Leadership for evidence-based innovation in nursing and health professions (2nd ed.). Jones & Bartlett Learning. ISBN: 9781284171365. Read chapters 6, 7, 8 & 9.

 

Struggling with where to start this journal? Follow this guide to tackle your response easily!

Step-by-Step Guide for Writing Your Change Process Journal

Step 1: Identify a Change Process You’ve Experienced
Think of a professional or personal situation where change was required. Examples could include:

  • Implementation of a new policy or protocol

  • Adoption of a new electronic health record system

  • Restructuring of a team or department

  • Introduction of evidence-based practice changes

Step 2: Describe the Change Clearly

  • What exactly was the change?

  • Why was the change necessary?

  • How did it affect the team or organization?

  • Keep this section concise but clear.

Step 3: Reflect on Team Response

  • Explain whether the team responded positively, negatively, or mixed.

  • Identify specific behaviors or attitudes that reflected the response (resistance, enthusiasm, confusion, collaboration).

Step 4: Identify Barriers Encountered

  • Think about what slowed or blocked the change. Examples include:

    • Lack of resources or training

    • Poor communication

    • Resistance to new practices

    • Cultural or hierarchical issues

Step 5: Analyze Your Leadership Approach

  • Reflect on what you did as the leader (or team member) to support the change.

  • Consider what you would have done differently to improve outcomes:

    • Better communication strategies

    • More stakeholder involvement

    • Stepwise implementation or training sessions

Step 6: Discuss the Impact of the Change

  • How did team responses and barriers affect the ability to implement the change?

  • Was the change ultimately sustained over time? Why or why not?

Step 7: Write a 300+ Word Journal Response

  • Use a clear introduction, body, and conclusion.

  • Integrate personal experience, reflections, and lessons learned.

  • No need for APA citations; focus on your reflective narrative.

Step 8: Proofread and Ensure Clarity

  • Check for grammar, spelling, and sentence flow.

  • Make sure your reflection clearly addresses all parts of the prompt.

Example Framework for Your Response (Optional Outline)

  1. Introduction (50–70 words)

    • Briefly introduce the change you were involved in.

    • State why it was necessary.

  2. Body Paragraph 1 – Change and Team Response (100–120 words)

    • Describe the change in detail.

    • Explain the team’s response.

    • Include positive or negative examples.

  3. Body Paragraph 2 – Barriers and Leadership Reflection (100–120 words)

    • Identify barriers encountered.

    • Reflect on your leadership actions and what you would do differently.

  4. Conclusion (50–70 words)

    • Discuss the impact of the change.

    • State whether the change was sustained.

    • Reflect on lessons learned for future leadership experiences.

Helpful Resources

 

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