Page 71 - Play to Learn -- In the New Nursing Home Environment

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CourseofObstac es
PURPOSE
To identify the obstacles to change, how serious they are and how to get over them.
DESCRIPTION
Participants brainstorm obstacles to change and together decide the level of threat they pose to the change process.
PARTICIPANTS Team
TIME 45 minutes
SUPPLIES
flip chart and markers, pens and paper
Steps:
• Ask participants to brainstorm obstacles to change and share them with the group – the facilitator listing them on a flip chart. In this exercise “change” can mean change in general, change in nursing home culture or a specific change such as moving to open breakfast.
• When you have a good-sized list, ask the group to look at each obstacle and rate it according to
the following scale:
1-rumored
2-imagined
3-easy to overcome
4-hard to overcome, but possible with time, effort and resources 5-nearly impossible to overcome
Look for group consensus on the rating and ask for reasons when there is difference of opinion about how an obstacle should be rated.
• Start the discussion by looking at the obstacles that were rated a 1 or 2. Ask, “How can we combat this misinformation to eliminate these obstacles?”
• Next, look at those that scored a 5. Are there many? Ask, “Why are these nearly impossible to overcome?” After this discussion, you may need to move the obstacle to a different category or, just acknowledge its existence and work around it. (cont.)
Obstacles that threaten change
CULTURE CHANGE GAMES