Читать книгу The Quality Improvement Challenge - Richard J. Banchs - Страница 25

A QI project is always a change project. Change rolled out “top down” often fails because it is rarely embraced, and results in doubt, pushback, and even open resistance. To be embraced, change must be socially constructed (Hamel 2016). Successful change requires an engaged front line. Engagement

 happens when the front line is given the opportunity to be involved in the improvement process, and;

 requires participation in the search for causes and the creation of possible solutions. Quotable quote: “In times of change the learners will inherit the earth, while the knowers will find themselves beautifully equipped to deal with a world that no longer exists.” Eric Hoffer

Frontline professionals must share responsibility for change needs. All successful projects need a change space, or framework, that engages frontline professionals in a shared vision of the problem and the co‐creation of solutions. The role of the improvement team is not to find solutions and implement changes but to create the conditions and provide the tools that enable the front line to find solutions.