Change Leadership
OVERVIEW
Change leadership is required for effective introduction of innovations, growth, new technologies and change of culture
- 70% of all major change efforts within organisations fail
- John Kotter describes an eight-step approach to change management success
KOTTER’S EIGHT STEP APPROACH
Step 1: Establishing a Sense of Urgency
- Help others see the need for change and they will be convinced of the importance of acting immediately.
Step 2: Creating the Guiding Coalition
- Assemble a group with enough power to lead the change effort, and encourage the group to work as a team.
Step 3: Developing a Change Vision
- Create a vision to help direct the change effort, and develop strategies for achieving that vision.
Step 4: Communicating the Vision for Buy-in
- Make sure as many as possible understand and accept the vision and the strategy.
Step 5: Empowering Broad-based Action
- Remove obstacles to change, change systems or structures that seriously undermine the vision, and encourage risk-taking and nontraditional ideas, activities, and actions.
Step 6: Generating Short-term Wins
- Plan for achievements that can easily be made visible, follow-through with those achievements and recognize and reward employees who were involved.
Step 7: Never Letting Up
- Use increased credibility to change systems, structures, and policies that don’t fit the vision, also hire, promote, and develop employees who can implement the vision, and finally reinvigorate the process with new projects, themes, and change agents.
Step 8: Incorporating Changes into the Culture
- Articulate the connections between the new behaviours and organizational success, and develop the means to ensure leadership development and succession.
References and links
Journal articles and books
- Kotter J, Rathgeber H. Our Iceberg Is Melting: Changing and Succeeding Under Any Conditions. St. Martin’s Press, 2016.
- Noble DJ, Lemer C, Stanton E. What has change management in industry got to do with improving patient safety? Postgrad Med J. 2011 May;87(1027):345-8. doi: 10.1136/pgmj.2010.097923. Epub 2011 Mar 25. PMID: 21441166.
- Scott T, Mannion R, Davies HT, Marshall MN. Implementing culture change in health care: theory and practice. Int J Qual Health Care. 2003 Apr;15(2):111-8. Review. PMID: 12705704. [Free Full Text]
- Stoller JK. Implementing change in respiratory care. Respir Care. 2010 Jun;55(6):749-57. Review. PMID: 20507659. [Free Full Text]
FOAM and web resources
- Kotter International — The 8 Step Approach for Leading Change
- Kotter International — Our Iceberg Is Melting
SMILE
squared
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
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