NUR 590 Sustaining Change and Implementation Barriers Essay

NUR 590 Sustaining Change and Implementation Barriers Essay

NUR 590 Sustaining Change and Implementation Barriers Essay

Through change projects, progressive improvements in health care should be sustained to ensure that an organization benefits maximally. However, like other steps of a change project, success in change sustenance and embedding it as an organization norm depends on the strategies. Implementation barriers also affect change outcomes profoundly.

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Best Practices

An organization, through management, can adopt various best practices to sustain a change project. As Juvet et al. (2021) posited, organizations must support the employees affected by the change and empower them to adapt to the new normal. Support measures include continuous training and responding to emerging needs and challenges. Empowerment can be through helping employees to adopt new tools and systems as situations necessitate. Laur et al. (2018) further advised organizations to consider building intrinsic motivation and orienting new staff and management. Intrinsic motivation creates a natural desire to adopt new practices and enables employees to perceive change as critical to organizational transformation. Orientation ensures that the entire workforce is engaged in change adoption and resistance is as minimal as possible.

Change Implementation Barriers

Typical barriers include inadequate resources, resistance to change, and a bad culture shift. Resource problems imply that the support needed during the shift to new practices is not provided or is inadequate. Errida and Lotfi (2021) found resistance to change among the leading barriers for change implementation, usually stemming from the lack of employees or stakeholder engagement. It is vital to actively engage the people affected by the change to avoid resistance. Culture shift problems are a planning challenge when change leaders promote change and make decisions without considering the employees’ feelings and intuitions. This leads to deep resentments, further increasing resistance to change.

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A change project is successfully sustained through an excellent choice of sustenance strategies. Best practices include supporting employees to adapt effectively and orienting new staff and management as situations necessitate. Barriers to successful change include resistance and inadequate resources. Organizations should be aware of such barriers and intervene appropriately to achieve the desired outcomes of a change project.


Errida, A., & Lotfi, B. (2021). The determinants of organizational change management success: Literature review and case study. International Journal of Engineering Business Management13, 1-15.

Juvet, T. M., Corbaz-Kurth, S., Roos, P., Benzakour, L., Cereghetti, S., Moullec, G., … & Weissbrodt, R. (2021). Adapting to the unexpected: Problematic work situations and resilience strategies in healthcare institutions during the COVID-19 pandemic’s first wave. Safety Science139, 105277.

Laur, C., Bell, J., Valaitis, R., Ray, S., & Keller, H. (2018). The sustain and spread framework: Strategies for sustaining and spreading nutrition care improvements in acute care based on thematic analysis from the More-2-Eat study. BMC Health Services Research18(1), 1-11.


Discuss the best practices for sustaining a change project. What might be barriers to success for a change implementation? Provide specific examples. Use a minimum of two references to support your claims.

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