Date of Award

Spring 5-29-2024

Degree Type

Dissertation

Degree Name

PhD Health Sciences

Department

Health and Medical Sciences

Advisor

Genevieve Pinto-Zipp, EdD

Committee Member

Genevieve Pinto-Zipp, EdD

Committee Member

Michelle L. D'Abundo, PhD

Committee Member

Thomas A. Koc, PhD

Keywords

Successful Change management initiatives, Essence, Epoche, Bracketing, Reflexivity.

Abstract

ABSTRACT

A phenomenological study of the lived experiences of hospital-based physical therapy department leaders’ most successful change management initiative

Problem: Change management initiatives are consistently employed in healthcare to promote quality care. Of concern is that not all initiatives are successful. Individuals involved in successful change management can offer insight to those approaching initiatives.

Purpose: The purpose of this phenomenological study is to describe the lived experiences of hospital-based physical therapy department leaders’ most successful change management initiative.

Methods: The research design was a qualitative approach. A phenomenological research design was employed, using the voice of a group that has lived through the phenomenon of a successful change management initiative (SCMI) as part of their work history (Creswell & Creswell, 2018).

The phenomenon of interest was SCMI, which was explored using hospital-based. Physical Therapy management leaders who participated in positive change management initiatives were recruited from the RWJBH Rehabilitation Directors Council, The CHPTD Council of hospital PT Directors, and the APTA NJ Board Members.

Results: In summary, this study surveyed the experiences of hospital-based physical therapy leaders with their most successful change management initiatives. It found that successful physical therapy leaders had acquired knowledge, importance, confidence, and perceived readiness.

Something else that emerged from the participants' voices was that they had to be successful because this was their job; they had to do it for their work. The essence here is that necessity drove success.

Conclusion: By exploring the perceived readiness of physical therapy leaders and their teams, hospitals can acquire valuable awareness to help them integrate change management initiatives into their annual change strategies. We live in today's ever-changing healthcare system; over 70 % of change management initiatives fail. The findings from this study suggest that hospitals should focus on getting employees ready for the new change initiatives before they launch them to increase their chances of a successful rollout. Something else that emerged from the participants' voices was that they had to be successful because this was their job; they had to do it for their work. The essence here is that necessity drove success.

Keywords: Successful Change management initiatives, Essence, Epoche, Bracketing, Reflexivity.

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