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Nursing questions
Discussion postOrganizational change

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

01

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?

02

Turn the brief into deliverables

  1. 01A specific change, described with enough detail to analyse.
  2. 02A verdict on how it went, with the indicators you used.
  3. 03A named change model applied to your story.
  4. 04An account of how stakeholders were treated.
  5. 05A stated correlation between process and outcome.
03

The change, the verdict, then the stakeholder and model reading

01

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.

02

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.

03

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.

04

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.

05

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.

04

Which change models fit a hospital reorganisation

Recommended databases

  • PubMed Central
  • CINAHL Complete
  • Implementation Science
  • American Organization for Nursing Leadership

Search sequence

  1. 1.Read a summary of one change model in full before applying it.
  2. 2.Find an implementation study in health care that names its strategies explicitly.
  3. 3.Look for evidence on stakeholder engagement and adoption in hospital change.
  4. 4.Choose the indicators for your verdict before you write the story.
05

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.

AONL Nurse Leader Core Competencies

American Organization for Nursing Leadership · 2024

Review before citing

The change-leadership expectations placed on nurse leaders, as a benchmark for what should have happened.

06

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.

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