Is Gaining Affective Commitment the Missing Strategy for Successful Change Management in Healthcare?

Despite the requirement for continual change and development, change failure is omnipresent in health care, ranging from small technical errors within new systems, processes or technologies, through to breakdowns and large-scale disaster. Despite decades of research investment, consultancy and initiatives, creating a healthcare context that promotes clinician engagement with change remains elusive, with limited demonstrated progress. Affective commitment to change refers to commitment that is driven by a desire to support change based on its perceived benefits or value, as opposed to commitment that is based on a sense of obligation or the minimization of costs. Recent evidence from health-care contexts indicates that affective commitment to change drives change readiness more so than the individual’s self-efficacy for dealing with the change. Considering evidence regarding the effect of affective commitment to change on individual and collective change readiness among health-care staff, we may need to reorient our current strategies for managing change. We explore the opportunities to enhance affective commitment to change and, in turn, change readiness through adopting values-based approaches to designing and executing change proposals with clinicians and service users

Achieving change readiness for health service innovations

Continual innovation to address emerging population needs necessitates health service ongoing redesign and transformation worldwide. Recent examples include service transformations in response to Covid-19, many of which were led and managed by nurses. Ensuring change readiness is central to delivering these transformative changes yet has been identified as a central challenge impacting nurse leaders and managers. Recent evidence indicates that affective commitment to change among healthcare staff may be an important contributor to gaining support for change implementation but understudied in healthcare. A cross-sectional survey study was used to examine the association between affective commitment to change and change readiness among 30 healthcare staff across four projects in one state-wide health system in Australia. Our findings indicate that affective commitment to change; healthcare worker's emotional and personal perception of the value of the proposed change is independently associated with individual and collective change readiness. Given that achieving change readiness is a central goal of change management strategies, this pilot work provides valuable insight to inform the change management practices of nurse leaders and managers

How Situational Cues and Mindset Dynamics Shape Personality Effects on Career Outcomes

The substantial literature on dispositional antecedents of career success (e.g., extraversion and conscientiousness) implies that being low in career facilitating traits may hamper people’s careers. We develop a cognitive affective personality system (CAPS) theory about the role of situational cues, personality, and mindsets regarding the plasticity of one’s attributes in determining when this will occur and how the related dysfunctional dynamics may be mitigated. We draw on trait activation theory to describe how the interaction of situational cues, personality, and mindsets may trigger an array of cognitive-affective units (CAUs) within a CAPS that influence subjective and objective career outcomes. The contributions of this paper are to offer the largely between-person careers literature a within-person account of when and why people experience subjective and objective career success as a function of their personality, situational cues, prevailing mindset, and career context. A theoretical account of the relatively stronger prediction by personality of subjective than objective career outcomes is thereby provided. The scope to extend TAT by considering the cognitive and affective dynamics whereby personality traits and situational cues have their effects is illustrated. The conditions under which mindsets are likely to shape career outcomes are outlined. Finally, implications for mindsets, personality, and career theory, research, and practice are discussed