Friday, June 20, 2008

Symptoms of Reluctance to Implement Culture Change

Many who hear about Culture Change are reluctant to embrace this journey to change. They find it more comfortable to continue in known patterns of interaction and care delivery that perpetuate the medical model and institutional life.

If you find yourself or others making any of the following statements, you may have discovered symptoms of resistance to change.
  • We tried that
  • Our nursing home is different
  • It costs too much
  • We are already doing that “stuff”
  • We’re all too busy for that
  • It’s too big a change
  • We don’t have time to do this
  • We’re short staffed
  • The employees will never go for it
  • We’ve never done it that way
  • We’ve always done it this way
  • Why make a change? Things are okay.
  • We don’t have the money
  • We don’t have the equipment
  • We have great surveys, so why should we change what we are doing?
  • We don’t have the staff
  • You’re years ahead of your time
  • It sounds like it will be too hard
  • It isn’t in the budget
  • We don’t need culture change; we are great clinically
  • You can’t teach an old dog new tricks
  • Let’s just think about it
  • The residents won’t like it
  • The staff will buck any changes we make
  • We have to get Board approval, and that will take too long
  • We believe in TQM, not culture change
  • Maybe that will work in your department, but not in mine
  • The Finance Director will never approve the start-up costs
  • Our management staff changes every 6 months, so how could we possibly do it?
  • We are too busy preparing for survey
  • Families won’t understand it
  • It can’t be done
  • It’s impossible
Culture Change can be creatively implemented for little additional cost, because it predominantly involves a change in how we think. The key to spreading the message and empowering employees to embrace Culture Change is training.

Create an environment of well-planned education for all departments and all levels of responsibility, and you will prepare your staff to understand and implement Culture Change for the benefit of all.

Allison Lantieri