ArticleJournal of nursing management2018
Implementing team huddles in small rural hospitals: How does the Kotter model of change apply?
Article in Journal of nursing management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Change management for services redesign in healthcare: a conceptual framework.Journal of preventive medicine and hygiene · 2024Article
- Implementing evidence-based practices in rural settings: a scoping review of theories, models, and frameworks.Frontiers in health services · 2024Article
- Innovation in Rural Health Services Requires Local Actors and Local Action.Public health reviews · 2022Review
- Change Management and Digital Innovations in Hospitals of Five European Countries.Healthcare (Basel, Switzerland) · 2021Article
- Huddles and their effectiveness at the frontlines of clinical care: a scoping review.Journal of general internal medicine · 2021Article
- Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare.Journal of healthcare leadership · 2021Review
- Are Huddles the Missing PEACE of the Puzzle in Implementing Clinical Innovation for the Eating Disorder and Autism Comorbidity?Frontiers in psychiatry · 2020Article
- Influencing factors in the implementation of postgraduate medical e-learning: a thematic analysis.BMC medical education · 2019Article
- A 9-Step Theory- and Evidence-Based Postgraduate Medical Digital Education Development Model: Empirical Development and Validation.JMIR medical education · 2019Article
- What models of change can be used to implement change in postgraduate medical education?Advances in medical education and practice · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
aimsTo 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.
backgroundKotter'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.
methodsWe 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.
resultsIn 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.
conclusionsWe 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. IMPLICATIONS FOR NURSING MANAGEMENT: Kotter's model can be a useful guide for nurse managers implementing changes.
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