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Change Processes
Processes are different from techniques. In fact, techniques make up processes and are highly individualistic. The main processes for change offered by Prochaska are:
• Consciousness-raising • Social liberation
• Emotional arousal
• Self-reevaluation
• Commitment
• Countering
• Environmental control • Rewards
• Helping Relationships
Consciousness-raising: Here you raise your awareness about yourself and the change you are about to undertake. The smoker might read up on the dangers of smoking, collect literature on different quitting techniques and talk to her doctor about her particular risks.
You read up on the Household Model and deep culture change or maybe see a presentation. You start to get in touch with your feelings about how things are run in your facility, what you would like to change about it and what you might change about yourself. You see where you have internal resistance and where you have motivation within yourself.
Social liberation: Social liberation deals with finding outlets in your external environment to help you change. If you were trying to quit smoking, you might sit in non-smoking sections at restaurants or spend time where smoking is not allowed.
If you wish to change long-term care, you might visit a culture change facility for inspiration to see that yes, it can be done. It might mean getting rid of the nursing station to break the habit of it being the center of attention for staff and residents as an indicator of deeper change to come.
Emotional arousal: This process is about getting your emotional self behind the change and finding inspiration in it. An example is when someone is moved to quit smoking after a loved one has died of lung cancer. In a culture change situation you may take time to really see residents and think, “This could be my mom or my grandfather. Or, what if this was me?”
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