Previously, I am a Staff Nurse at a 60-bed Neonatal Intensive Care Unit at Maternity and Children’s Hospital in Saudi Arabia. The management conveyed a solution to resolve the unit’s understaff problem through altering the roster from 8hours of duty to 12hours. At that time, NICU’s patient census has an average of 75 critical and non-critical neonates and preemies with only 10-12 staff per shift.
For the period of this change process, the seven stages of transition by Adams, Hayes, & Hopson (1976) is discussed as follows:
Shock, anxiety and immobilization is the response of the individual who primarily encounters change. In this initial point, diminished confidence among the affected individuals is the impact of facing the innovative situation. To illustrate, when the memorandum was received that the schedule will be modified, most of the NICU staff were shocked. Because of …show more content…
At this stage, the NICU staff were able to accept the reality of the need to change and agreed to try the 12 hours roster.
Testing. Practicing new expertise and methodologies. Confidence is gradually increased. The staff tested the 12 hours shift and formulated new strategies and approaches on handle fatigue and stress thus elevating their confidence.
Acquiring the new knowledge from their accomplishment and failure aids people to start to search for meaning in their current position. The NICU staff were able to apply the successful methods that they have learned from the testing phase and disregard those that were not.
Integration is people taking ownership of their newly learned behaviours resultantly elevating their confidence and proficiency to a point higher than before. After a month, the NICU staff demonstrated that they have embraced the changes, adjusted to the new schedule and quality care were given to the
For the period of this change process, the seven stages of transition by Adams, Hayes, & Hopson (1976) is discussed as follows:
Shock, anxiety and immobilization is the response of the individual who primarily encounters change. In this initial point, diminished confidence among the affected individuals is the impact of facing the innovative situation. To illustrate, when the memorandum was received that the schedule will be modified, most of the NICU staff were shocked. Because of …show more content…
At this stage, the NICU staff were able to accept the reality of the need to change and agreed to try the 12 hours roster.
Testing. Practicing new expertise and methodologies. Confidence is gradually increased. The staff tested the 12 hours shift and formulated new strategies and approaches on handle fatigue and stress thus elevating their confidence.
Acquiring the new knowledge from their accomplishment and failure aids people to start to search for meaning in their current position. The NICU staff were able to apply the successful methods that they have learned from the testing phase and disregard those that were not.
Integration is people taking ownership of their newly learned behaviours resultantly elevating their confidence and proficiency to a point higher than before. After a month, the NICU staff demonstrated that they have embraced the changes, adjusted to the new schedule and quality care were given to the