DQ 1 :How have you seen or experienced organizational change within an organization? Did it go well or not?
An anecdote will not carry this. The last sentence asks whether stakeholder handling or the use of a change model correlated with the outcome — which means diagnosing your own story against a named model.
Editorial process
Last reviewed · August 18, 2026
One change you lived through, examined against a model
Choose a change you were close enough to describe in detail and far enough from to judge. An electronic health record migration, a unit merger, a shift to a new staffing matrix, an ownership change from non-profit to for-profit — any of these gives you the material the third question needs. Then say plainly whether it went well, and define what you mean, because well is doing a lot of work in this prompt. Adoption, turnover, patient outcomes and staff sentiment can move in opposite directions during the same change, and a post that says the rollout went badly because staff hated it, without noting that documentation time fell, has reported one variable and called it the result. Pick two indicators and let them disagree if that is what happened. Choose the change first and the indicators second, because indicators picked to flatter the story are the failure this prompt exists to expose.
The last sentence is the graded one. Name a change model and hold your story against it. Lewin gives you unfreeze, change, refreeze and immediately exposes the commonest failure, which is a change never refrozen because the next initiative arrived first. Kotter's eight steps are useful if the failure was upstream, in urgency or coalition. The ADKAR model is the one to reach for if individuals rather than the organisation were the sticking point. On stakeholders, the question is whether the people who would have to live with the change were consulted before the decision or informed after it, and what that predicted. A frontline nurse on the selection committee is a different organisation from one where the first anyone heard was a go-live date. Say which yours was, and the correlation the prompt asks for writes itself. Apply the model to the events rather than summarising it, since a summary of Lewin is available to every other post on the board.
Likely learning objectives
- Define success for a change using more than one indicator.
- Diagnose a lived change against a named change model.
- Distinguish consulting stakeholders from informing them.
- Draw a correlation between process and outcome rather than asserting one.
Assignment instructions
Read the full question
Review every instruction before using the planning guidance that follows.
NUR 514 Topic 3 DQ 1 DQ 1 :How have you seen or experienced organizational change within an organization? Did it go well or not? How have you seen or experienced organizational change within an organization? Did it go well or not? Was there any correlation in how the organizations used stakeholders or change models?
Turn the brief into deliverables
- 01A specific change, described with enough detail to analyse.
- 02A verdict on how it went, with the indicators you used.
- 03A named change model applied to your story.
- 04An account of how stakeholders were treated.
- 05A stated correlation between process and outcome.
The change, the verdict, then the stakeholder and model reading
The change, described
Give the setting, the scale and what actually changed for the people in it.
What the assessor is likely looking for
Detail sufficient for someone else to diagnose the case.
Did it go well? Two indicators
Judge the outcome on more than sentiment.
What the assessor is likely looking for
Two measures, allowed to disagree.
The model, applied
Hold the events against Lewin, Kotter or ADKAR.
What the assessor is likely looking for
A stage of the model located in the actual events.
Stakeholders: consulted or informed?
Establish when the affected people entered the process.
What the assessor is likely looking for
A point in the timeline, not a description of communication volume.
The correlation
Connect the process choice to the outcome you reported.
What the assessor is likely looking for
A causal claim scoped honestly to one case.
Which change models fit a hospital reorganisation
Recommended databases
- PubMed Central
- CINAHL Complete
- Implementation Science
- American Organization for Nursing Leadership
Search sequence
- 1.Read a summary of one change model in full before applying it.
- 2.Find an implementation study in health care that names its strategies explicitly.
- 3.Look for evidence on stakeholder engagement and adoption in hospital change.
- 4.Choose the indicators for your verdict before you write the story.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project
Implementation Science (via PubMed Central) · 2015
A compiled taxonomy of implementation strategies — a precise vocabulary for what your organisation did or omitted.
Implementation strategies for large scale quality improvement initiatives in primary care settings: a qualitative assessment
BMC Primary Care · 2023
Implementation strategies for large-scale quality improvement, for the stakeholder half of the question.
Healthcare Top Management's Transformational Leadership Behaviors and Nurses' Occupational and Organizational Outcomes
Journal of Nursing Management · 2024
Transformational leadership in healthcare top management and its effect on nurses during change.
AONL Nurse Leader Core Competencies
American Organization for Nursing Leadership · 2024
The change-leadership expectations placed on nurse leaders, as a benchmark for what should have happened.
Nurses' roles in changing practice through implementing best practices: A systematic review
Health SA Gesondheid · 2022
A systematic review of nurses changing practice — useful for the adoption indicator.
Review before submission
Common mistakes
- Telling the story and stopping before the model.
- Judging the change on staff sentiment alone.
- Naming Lewin without applying any of the three stages to the events.
- Treating a communication email as stakeholder engagement.
Submission checklist
- Have you used at least two indicators to judge the outcome?
- Is a change model named and actually applied?
- Have you said when stakeholders were involved relative to the decision?
- Does your correlation connect a specific process choice to a specific result?
- Would the post still work if the change had gone well rather than badly?
Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.
Written by
Maren Caldwell
MSN, RN, CNE
Medical-surgical nursing, pharmacology and NCLEX preparation
Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by
Dr. Tessa Redmond
DNP, RN, CNE
Evidence-based practice and clinical education
Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.