Change Management Concept Card Template (Lewin, Kotter, ADKAR)
Force field, Lewin debate, Kotter eight stages, ADKAR barrier points, resistance, stakeholder priority map, adoption curve, change plan and budget
使い方: Use it once a change is decided and adoption, not installation, is the risk. Build the force field and stakeholder map first, then run an ADKAR pulse by group and act on each barrier point. The main pitfall is training people before they see why the change is needed, and tracking attendance instead of behaviour.
プレビュー
Change Management Concept Card: [Change initiative or course case]
A concept card for leading organisational change as it is taught in the leadership and organisational behaviour core of a leading MBA programme: Lewin's force-field analysis and the "unfreeze, move, refreeze" idea (Lewin 1947, with the attribution debate in Cummings, Bridgman and Brown 2016), Kotter's eight-stage process (Kotter 1995 and 1996), the ADKAR model of individual change (Hiatt 2006), resistance and readiness, stakeholder mapping and a complete change plan for a fictional technology rollout. It is for MBA students preparing a case or exam and for managers who must turn a decided change into adopted behaviour. Source basis: the original works cited below, written up in original words. ADKAR is a registered trademark of Prosci; this card describes the model for study and is not a Prosci product. Tallow Creek Medical Center, Northfield Outdoor Co. and every number are fictional and were computed in Python. Replace every [bracketed] value and every row marked Example.
Document control
| Field | Value |
|---|---|
| Change initiative | [Example: bedside barcode medication scanning on six inpatient units] |
| Sponsor | [Name, role] |
| Change lead | [Name, role] |
| Decision reference | [Board or executive decision, date] |
| Scope | [Units, sites, groups affected] |
| Go-live date | YYYY-MM-DD |
| Reviewed by | [Professor, coach or PMO] |
| Version | [0.1] |
| Last updated | YYYY-MM-DD |
Approvals
| Role | Name | Date | Decision |
|---|---|---|---|
| Sponsor | [Name] | YYYY-MM-DD | [Approved / changes requested] |
| Change lead | [Name] | YYYY-MM-DD | [Submitted] |
Contents
- When to use it
- The idea in plain language
- Formulas and notation
- The models in more depth
- Assumptions and limits
- How managers use it
- Worked example A (fully solved)
- Worked example B (half solved)
- Exercise C (unsolved)
- Connections to other cards
- Common mistakes and misconceptions
- Self-test questions
- My notes and next steps
- Sources and further reading
- Answer key
When to use it
One-sentence rule: use this card when a decision has been made that requires many people to stop doing something familiar and start doing something new, and success depends on them adopting it, not just on the system or policy going live.
| Use when | Use something else when |
|---|---|
| A new system, process, structure or policy changes daily work | The choice itself is still open (mba/mba-decision-trees-card, mba/mba-npv-irr-card) |
| Adoption, not installation, is the risk | The change is purely technical and invisible to users (project/cutover-plan) |
| People will lose status, skills, routines or control | The problem is one team's dynamics (mba/mba-team-dynamics-card) |
| A case asks why a rollout stalled or how to rescue it | The issue is a single person's motivation in a stable job (mba/mba-motivation-card) |
The idea in plain language
Organisational change is the movement of an organisation from a current state, through a transition, to a desired future state. The technical part (the system, the new structure) is usually the easier part. The hard part is that people must change behaviour, often while doing their normal job, and the benefits arrive later than the costs.
Lewin: forces and stability. Kurt Lewin (1947) treated a group's behaviour as a quasi-stationary equilibrium held in place by forces pushing for change and forces holding it back. To change behaviour you can add driving forces or reduce restraining forces; reducing restraint usually creates less tension. This is force-field analysis. Lewin's paper also mentioned, briefly, that a change may involve unfreezing the present level, moving to a new level and freezing group life at that level. Textbooks later turned this into the "three-step model". Cummings, Bridgman and Brown (2016) show that Lewin never presented it as a linear model and that the simplified version was largely built by later writers. Use the idea, but attribute it carefully and do not treat it as Lewin's main contribution.
Kotter: the organisational sequence. Kotter (1995) described eight errors he saw in transformation efforts and (1996) turned them into an eight-stage process: create a sense of urgency; build a guiding coalition with enough power; form a strategic vision; communicate it widely and repeatedly; remove obstacles and empower broad action; produce visible short-term wins; consolidate gains and keep going; and anchor the new approaches in the culture. The model is a leader's checklist for large changes. Its evidence base is mostly practitioner experience; it works best as a reminder of what is usually skipped (urgency, a coalition, short-term wins, anchoring).
ADKAR: the individual sequence. Hiatt (2006) described change at the level of each person as five elements in order: Awareness of the need for change, Desire to take part, Knowledge of how to change, Ability to do it in practice, and Reinforcement to sustain it. The first element that is weak is the barrier point; Prosci's guidance places it at the first element scored 3 or lower on a 1 to 5 scale. Work on later elements is wasted until the barrier is fixed: training (Knowledge) does not help people who do not see why the change is needed (Awareness).
Resistance is information. Kotter and Schlesinger (1979) listed common reasons people resist: self-interest, misunderstanding and low trust, a different assessment of the change, and low tolerance for change. They matched approaches to situations: education and communication, participation, facilitation and support, negotiation, manipulation and co-optation, and coercion, each with costs. Ford, Ford and D'Amelio (2008) argue that change agents contribute to resistance through broken agreements, poor communication and failure to legitimise the change, and that resistance can improve a change by surfacing real problems. Oreg (2003) measured dispositional resistance to change as an individual difference. Armenakis, Harris and Mossholder (1993) framed readiness: the beliefs that change is needed and that the organisation can carry it out.
Stakeholders. A stakeholder is anyone who can affect or is affected by the change. A power-interest grid (described in Eden and Ackermann 1998) sorts them into manage closely, keep satisfied, keep informed and monitor. Mitchell, Agle and Wood (1997) added urgency and legitimacy to power as attributes of stakeholder salience.
Formulas and notation
Force-field balance, with each force scored 1 (weak) to 5 (strong):
Stakeholder support gap and priority, with power and interest scored 1 to 5 and support from -2 (active opposition) to +2 (active support):
ADKAR barrier point for a person or group with element scores on a 1 to 5 scale:
Planned adoption as a logistic curve with ceiling , steepness and midpoint week :
| Symbol | Meaning | Scale |
|---|---|---|
| , | Strength of driving force d and restraining force r | 1 to 5 |
| , | Stakeholder power and interest | 1 to 5 |
| , | Current and needed support | -2 to +2 |
| Score on ADKAR element e (Awareness, Desire, Knowledge, Ability, Reinforcement) | 1 to 5 | |
| , , | Adoption ceiling, steepness, midpoint week | %, per week, week |
The models in more depth
How the models fit together
| Kotter stage (1996) | Purpose | ADKAR element it mainly builds | Lewin lens |
|---|---|---|---|
| 1. Urgency | Show why the status quo is not acceptable | Awareness | Add driving force |
| 2. Guiding coalition | Enough power, expertise and credibility to lead | Desire (through trusted messengers) | Add driving force |
| 3. Vision and strategy | Describe the future state simply | Awareness, Desire | Direction of the move |
| 4. Communicate the vision | Many channels, repeated, two-way | Awareness, Desire | Reduce misunderstanding |
| 5. Empower action, remove obstacles | Change systems, structures, tools that block | Knowledge, Ability | Reduce restraining force |
| 6. Short-term wins | Visible, unambiguous early results | Desire, Reinforcement | Shift the equilibrium |
| 7. Consolidate and keep going | Use credibility to change more | Ability, Reinforcement | Keep moving |
| 8. Anchor in the culture | Link results to new behaviour, hiring, succession | Reinforcement | Stabilise at the new level |
Transitions and emotions
Bridges (1991) separated the external change (the event) from the internal transition people go through: an ending (letting go of the old way and identity), a neutral zone (confusion, lower productivity, also creativity) and a new beginning. Leaders who manage only the event often under-estimate the neutral zone. In clinical settings, Edmondson, Bohmer and Pisano (2001) found that hospital teams adopting a new cardiac surgery technology learned faster when leaders framed the change as a team learning challenge, chose the team deliberately, and created psychological safety to speak up; the technology was the same, the adoption speed was not.
Two archetypes of change
Beer and Nohria (2000) contrasted change driven by economic value (Theory E: top-down, structural, incentives, consultants) with change that builds organisational capability (Theory O: participative, culture, learning). They argued that combining the two, with care about sequence, works better than either alone.
Resistance: reading it correctly
| Signal (Example) | Possible meaning | Response |
|---|---|---|
| "We tried this in 2019 and it failed" | Low trust, history of broken promises | Acknowledge, show what is different, keep promises visibly |
| Workarounds that keep the old way | Ability problem or a flawed workflow | Observe the work, fix the design, do not just retrain |
| Silence in meetings, complaints in corridors | Low psychological safety | Anonymous input, small-group listening sessions, act on what you hear |
| Senior experts object on substance | Different assessment, possibly right | Involve them in the design, test their concern in the pilot |
| Union or council requests consultation | Legitimate voice and agreements | Engage early, agree principles in writing |
Assumptions and limits
| Assumption | Why it matters | When it fails and what to do |
|---|---|---|
| Change is episodic with a stable end state | Lewin and Kotter assume a move from one state to another | In continuous change, build routines for ongoing adaptation, not one campaign |
| Steps run in order | Kotter and ADKAR present sequences | Real changes loop back; re-survey and revisit earlier steps |
| Scores are comparable across groups | Force and stakeholder scores are judgements | Score in a group, record reasons, revisit monthly |
| Group means represent individuals | ADKAR is designed for individuals | Look at the spread; small groups and key individuals need one-to-one work |
| Resistance is a problem to overcome | It may contain valid objections | Test objections in the pilot before dismissing them |
| Evidence base | Many change models rest on practitioner experience rather than controlled studies | Treat them as structured checklists, measure adoption, adapt |
How managers use it
- Case for change on one page. The problem in data, the cost of standing still, the future state, what changes for whom and what does not change.
- Stakeholder map and engagement plan. Score power, interest and support; plan one action per high-priority stakeholder; see project/stakeholder-register.
- Force-field workshop. List forces with the people affected, score them together and choose two restraining forces to reduce before go-live.
- ADKAR pulse. A five-question anonymous pulse by group before go-live and every few weeks after; target the barrier point for each group.
- Pilot and short-term wins. Choose a pilot unit likely to succeed, publish its results and let its staff tell the story.
- Adoption tracking. Measure behaviour (scan rate, log-ins, use of the new process), not attendance at training.
- Anchoring. Update policies, job descriptions, onboarding and performance reviews; switch off the old way.
Worked example A (fully solved): bedside barcode medication scanning
Situation (fictional). Tallow Creek Medical Center decided to introduce bedside barcode scanning of patient wristbands and medication packages on six inpatient units (about 420 nurses). The aim is fewer medication administration errors. The system was installed and tested; the risk is adoption: nurses must scan every dose, at the bedside, even during the busiest medication rounds. The Chief Nursing Officer is the sponsor.
Part 1. Force-field analysis (scored in a workshop with nurses, pharmacists and IT).
| Driving force (Example) | Score | Restraining force (Example) | Score |
|---|---|---|---|
| Fewer medication administration errors | 5 | Scanning slows the busiest medication rounds | 4 |
| Board quality goal and external reviews | 4 | Fear that scan data will be used to blame individuals | 4 |
| Nurse leaders who asked for the system | 3 | Wristband and label print failures | 3 |
| Less manual double-checking later | 2 | Habit of workarounds (scan later, scan copies) | 3 |
| Training time away from the unit | 2 | ||
| Total | 14 | Total | 16 |
Net force = 14 - 16 = -2 (=SUM(B2:B5)-SUM(D2:D6)): as things stand, the restraining side is stronger. Adding more
pressure (a stronger mandate) would raise tension. Instead the team targets two restraining forces: a written policy,
agreed with the nurses' staff council, that scan data are used for system learning and not individual discipline
except for reckless conduct (fear of blame from 4 to 2), and replacement wristband printers with a daily check (print
failures from 3 to 1). Restraining total falls to 12 and the net force becomes +2.
Part 2. Stakeholder map.
| Stakeholder (Example) | Power | Interest | Support now | Support needed | Gap | Priority | Grid position |
|---|---|---|---|---|---|---|---|
| Chief Nursing Officer | 5 | 5 | +2 | +2 | 0 | 0 | Manage closely |
| Inpatient nurse managers (6) | 4 | 5 | +1 | +2 | 1 | 4 | Manage closely |
| Bedside nurses, day shift | 3 | 5 | -1 | +1 | 2 | 6 | Keep informed |
| Bedside nurses, night shift | 3 | 4 | -1 | +1 | 2 | 6 | Keep informed |
| Pharmacy | 4 | 4 | +1 | +2 | 1 | 4 | Manage closely |
| Hospitalist physicians | 4 | 2 | 0 | +1 | 1 | 4 | Keep satisfied |
| IT clinical applications | 3 | 4 | +2 | +2 | 0 | 0 | Keep informed |
| Nurses' staff council | 3 | 5 | -1 | +1 | 2 | 6 | Keep informed |
| Finance | 4 | 2 | 0 | 0 | 0 | 0 | Keep satisfied |
Excel (row 2, power in B, interest in C, support now in D, needed in E): gap =E2-D2, priority =B2*F2, grid
=IF(AND(B2>=4,C2>=4),"Manage closely",IF(B2>=4,"Keep satisfied",IF(C2>=4,"Keep informed","Monitor"))).
The grid alone would put bedside nurses in "keep informed", but the priority score ranks them highest, with the staff council. This is the classic trap of power-interest grids: each nurse has limited formal power, but as a group the nurses decide whether the change happens at all. Treat them as "manage closely" through the council and the unit super-users.
Part 3. ADKAR diagnosis by group (anonymous pulse, means on 1 to 5, four weeks before go-live).
| Group (Example) | Awareness | Desire | Knowledge | Ability | Reinforcement | Barrier point | Action |
|---|---|---|---|---|---|---|---|
| Day-shift nurses | 4.2 | 2.8 | 3.6 | 2.9 | 2.5 | Desire | Blame-free data policy; nurse-led pilot stories |
| Night-shift nurses | 3.0 | 2.6 | 3.1 | 2.7 | 2.4 | Awareness | Night-time briefings by the CNO; error data from their own units |
| Pharmacists | 4.6 | 4.1 | 3.4 | 3.0 | 2.8 | Ability | Fix barcode labelling for repackaged doses; practice sessions |
| Hospitalists | 3.8 | 3.2 | 3.5 | 4.2 | 3.0 | Reinforcement | Show scan data in physician quality meetings |
| Nurse managers | 4.8 | 4.4 | 3.9 | 3.6 | 3.4 | None | Use as coaches and messengers |
Excel (scores in B2:F2, element names in B1:F1): =IFERROR(INDEX($B$1:$F$1,MATCH(TRUE,INDEX(B2:F2<=3,0),0)),"None").
Note the night shift: the plan's communication ran in daytime meetings, so night nurses never heard the case for
change. Training them now (Knowledge) would be wasted effort.
Part 4. Adoption tracking. The plan follows a logistic curve with ceiling 98%, steepness 0.75 and midpoint week 4,
=98/(1+EXP(-0.75*(A2-4))). Actual is the share of doses scanned at the bedside.
| Week | Plan | Actual | Gap | Week | Plan | Actual | Gap |
|---|---|---|---|---|---|---|---|
| 1 | 9.3% | 18% | +8.7 | 7 | 88.7% | 71% | -17.7 |
| 2 | 17.9% | 31% | +13.1 | 8 | 93.4% | 80% | -13.4 |
| 3 | 31.4% | 44% | +12.6 | 9 | 95.7% | 86% | -9.7 |
| 4 | 49.0% | 52% | +3.0 | 10 | 96.9% | 90% | -6.9 |
| 5 | 66.6% | 58% | -8.6 | 11 | 97.5% | 93% | -4.5 |
| 6 | 80.1% | 63% | -17.1 | 12 | 97.8% | 95% | -2.8 |
Reading the result. Early adoption ran ahead of plan because the pilot units went first and super-users were on every shift. From week 5 the gap turned negative and reached its worst in weeks 6 to 8 (more than 10 points below plan), when the remaining units, including night shifts, went live. This is the barrier the ADKAR pulse predicted. The blame-free policy was in place before go-live, but night nurses had heard of it only second hand. Night-shift briefings by the CNO, which reached most night staff by week 6, and super-users moved to the lagging units coincide with recovery; the rate reached 95% in week 12, close to the plan.
Part 5. Change plan and budget.
| Kotter stage | Action (Example) | Owner | When |
|---|---|---|---|
| 1 Urgency | Unit-level medication error data shared by the CNO at every shift briefing | CNO | T-10 to T-6 weeks |
| 2 Coalition | Six nurse managers, two pharmacists, staff council chair, 36 super-users | Change lead | T-10 weeks |
| 3 Vision | "Right patient, right dose, every time, without extra steps at the end of the shift" | CNO and council | T-8 weeks |
| 4 Communicate | Day and night briefings, two-minute video from a pilot nurse, weekly update | Communications | T-8 weeks onwards |
| 5 Remove obstacles | Blame-free data policy; new printers; fix pharmacy labels; scanners on every cart | CNO, IT, pharmacy | T-6 to T-1 weeks |
| 6 Short-term wins | Pilot units publish near-misses caught by scanning in week 2 | Nurse managers | Weeks 1 to 4 |
| 7 Consolidate | Roll out unit by unit; super-users rotate to lagging units | Change lead | Weeks 4 to 12 |
| 8 Anchor | Scanning in onboarding, competency checks and unit quality boards | Education, HR | From week 12 |
| Budget line | Excel formula | Result |
|---|---|---|
| Nurse training hours (420 nurses x 4 hours) | =420*4 | 1,680 hours |
| Nurse training cost at USD 52 per loaded hour | =420*4*52 | USD 87,360 |
| Super-user hours (36 x 12 hours) | =36*12 | 432 hours |
| Super-user cost | =36*12*52 | USD 22,464 |
| Total people cost of the change effort | =420*4*52+36*12*52 | USD 109,824 |
Recommendation sentence. "Adoption is on track to 95% by week 12. The two decisions that mattered were reducing restraining forces (the blame-free data policy and reliable printers) rather than adding pressure, and treating the night shift's barrier as Awareness, not Knowledge. Keep super-users in place until every unit holds 95% for four weeks, then anchor scanning in onboarding and competency checks."
Worked example B (half solved): extending the rollout
The rollout extends to support groups. The ADKAR pulse gives these group means.
| Group (Example) | Awareness | Desire | Knowledge | Ability | Reinforcement | Barrier point | First action |
|---|---|---|---|---|---|---|---|
| Transport staff | 3.4 | 3.1 | 2.6 | 2.2 | 2.0 | Knowledge | [ ] |
| Unit clerks | 2.7 | 3.5 | 3.8 | 3.9 | 3.0 | [ ] | [ ] |
| Respiratory therapists | 4.4 | 3.9 | 4.1 | 3.6 | 3.3 | [ ] | [ ] |
Three more stakeholders are added to the map.
| Stakeholder (Example) | Power | Interest | Support now | Support needed | Gap | Priority | Grid position |
|---|---|---|---|---|---|---|---|
| Chief Medical Officer | 5 | 3 | 0 | +2 | 2 | [ ] | [ ] |
| Patient and family advisory council | 2 | 4 | +1 | +1 | [ ] | [ ] | Keep informed |
| Biomedical engineering | 3 | 3 | +1 | +2 | 1 | 3 | [ ] |
- Fill the gaps in both tables. [ ]
- Unit clerks score 3.9 on Ability but 2.7 on Awareness. Why is the high Ability score not reassuring? [ ]
- Which new stakeholder has the highest priority, and what is one engagement action? [ ]
Exercise C (unsolved): a store scheduling app
Northfield Outdoor Co. will replace paper rotas in 24 stores with a scheduling app that lets associates swap shifts and set availability. Store managers lose some control over who works when; associates gain flexibility but must use their own phones.
Driving forces: associates want shift swaps (4), fewer scheduling errors and overtime (3), head office wants labour cost data by hour (3), managers save time on rotas (2). Restraining forces: managers fear losing control of staffing quality (4), associates without data plans or with older phones (3), privacy concerns about location features (3), long-serving associates comfortable with paper (2), two earlier apps that were dropped (2).
- Compute the force-field totals and the net force. Which two restraining forces would you reduce first, and how?
- Build a stakeholder map with at least six stakeholders, scoring power, interest and support, and compute priorities.
- An ADKAR pulse gives store managers A 4.0, D 2.7, K 3.2, A 3.0, R 2.6. Find the barrier point and propose an action.
- Write a Kotter-stage plan with one action per stage and a 12-week adoption curve with a stated ceiling and midpoint.
- Name one ethical issue in this change and how the plan should handle it (see mba/mba-ethics-guide).
Connections to other cards
| Card or template | Connection |
|---|---|
| mba/mba-leadership-guide | Course map; transformational leadership and culture (Schein) frame large changes |
| mba/mba-motivation-card | ADKAR Desire is an expectancy and valence question; fairness drives resistance |
| mba/mba-team-dynamics-card | The guiding coalition is a team; psychological safety drives adoption in clinical teams |
| mba/mba-stakeholder-esg-card | Stakeholder salience and mapping beyond the change project |
| mba/mba-ai-for-managers-guide | AI adoption is a change-management problem as much as a technical one |
| project/stakeholder-register and project/communication-plan | Project documents that hold the map and the communication plan |
| project/go-live-readiness-review and ops/hypercare-plan | Go-live criteria and post-launch support |
Common mistakes and misconceptions
- Quoting "70% of changes fail" as fact. Hughes (2011) found no valid empirical basis for the figure.
- Calling unfreeze, move, refreeze "Lewin's model" without qualification. The linear model was built by later writers (Cummings, Bridgman and Brown 2016).
- Measuring training attendance instead of behaviour. Adoption is what people do on a normal day.
- Training before Awareness and Desire. Find the barrier point first.
- Adding pressure instead of removing restraining forces. Pressure raises tension and workarounds.
- Using a power-interest grid for individuals only. Groups with low individual power can block a change together.
- Declaring victory too early. Kotter's warning: anchor the change before removing support.
- Treating all resistance as irrational. Some objections reveal design flaws; test them in the pilot.
- Reading group means as individual readiness. Look at the spread and at key individuals.
- One-way communication. People need to ask questions and see their input change the plan.
Self-test questions
- Describe force-field analysis and explain why reducing restraining forces is often better than adding driving forces.
- What do Cummings, Bridgman and Brown (2016) argue about Lewin's "three-step model"?
- List Kotter's eight stages in order.
- What does each letter of ADKAR stand for, and what is the barrier point?
- A group scores A 4.1, D 3.3, K 2.9, A 3.5, R 2.2. Find the barrier point and the first action.
- Name four reasons for resistance and four approaches from Kotter and Schlesinger (1979).
- What did Ford, Ford and D'Amelio (2008) add to the understanding of resistance?
- A stakeholder has power 4, support now -1 and support needed +1. Compute the priority score and give the Excel formula.
- Using the plan curve in Worked example A, compute the planned adoption at week 6 with the Excel formula.
- Distinguish Theory E and Theory O change (Beer and Nohria 2000).
- What did Edmondson, Bohmer and Pisano (2001) find about technology adoption in hospital teams?
- Why is "number of people trained" a weak success measure, and what would you track instead?
My notes and next steps
| Date | Note or action (Example rows) |
|---|---|
| YYYY-MM-DD | Example: Built a force-field and stakeholder map for my field project; shared with the client sponsor |
| YYYY-MM-DD | Example: Ran a five-question ADKAR pulse; barrier point for managers is Desire |
| YYYY-MM-DD | [Next: read the guide's mini-case and connect it to the change plan] |
Sources and further reading
- Lewin, K. (1947). Frontiers in group dynamics: concept, method and reality in social science; social equilibria and social change. Human Relations, 1(1), 5-41.
- Cummings, S., Bridgman, T., and Brown, K. G. (2016). Unfreezing change as three steps: rethinking Kurt Lewin's legacy for change management. Human Relations, 69(1), 33-60.
- Kotter, J. P. (1995). Leading change: why transformation efforts fail. Harvard Business Review, March-April 1995.
- Kotter, J. P. (1996). Leading Change. Harvard Business School Press.
- Hiatt, J. M. (2006). ADKAR: A Model for Change in Business, Government and Our Community. Prosci Learning Center Publications.
- Prosci. ADKAR model pages and individual barrier point guidance, https://www.prosci.com/methodology/adkar (checked October 2026).
- Kotter, J. P., and Schlesinger, L. A. (1979). Choosing strategies for change. Harvard Business Review, March-April 1979.
- Armenakis, A. A., Harris, S. G., and Mossholder, K. W. (1993). Creating readiness for organizational change. Human Relations, 46(6), 681-703.
- Oreg, S. (2003). Resistance to change: developing an individual differences measure. Journal of Applied Psychology, 88(4), 680-693.
- Ford, J. D., Ford, L. W., and D'Amelio, A. (2008). Resistance to change: the rest of the story. Academy of Management Review, 33(2), 362-377.
- Mitchell, R. K., Agle, B. R., and Wood, D. J. (1997). Toward a theory of stakeholder identification and salience: defining the principle of who and what really counts. Academy of Management Review, 22(4), 853-886.
- Eden, C., and Ackermann, F. (1998). Making Strategy: The Journey of Strategic Management. Sage.
- Bridges, W. (1991). Managing Transitions: Making the Most of Change. Addison-Wesley.
- Beer, M., and Nohria, N. (2000). Cracking the code of change. Harvard Business Review, May-June 2000.
- Edmondson, A. C., Bohmer, R. M., and Pisano, G. P. (2001). Disrupted routines: team learning and new technology implementation in hospitals. Administrative Science Quarterly, 46(4), 685-716.
- Hughes, M. (2011). Do 70 per cent of all organizational change initiatives really fail? Journal of Change Management, 11(4), 451-464.
- Textbooks, by name only: Cameron, E., and Green, M., Making Sense of Change Management (Kogan Page); Robbins, S. P., and Judge, T. A., Organizational Behavior (Pearson).
- Open resource: OpenStax, Organizational Behavior (CC BY-NC-SA 4.0), https://openstax.org/details/books/organizational-behavior, chapter on organizational change.
Answer key
Worked example B.
- ADKAR: transport staff, first action: hands-on training with job aids for scanning during patient transfers
(Knowledge); unit clerks, barrier Awareness (2.7), first action: explain why wristband accuracy at admission drives
every later scan; respiratory therapists, no barrier (all above 3), first action: recruit them as peer champions.
Stakeholders: Chief Medical Officer priority 10 (
=5*2), grid "Keep satisfied" (power 5, interest 3); patient and family advisory council gap 0 (=1-1), priority 0 (=2*0); biomedical engineering grid "Monitor" (power 3, interest 3). - ADKAR is sequential: clerks are able to do the task but do not see why it matters, so they may skip or rush it under pressure. Ability without Awareness and Desire does not produce sustained adoption.
- The Chief Medical Officer (priority 10). Action: a one-to-one briefing by the CNO with the pilot error data, and a request to present the scanning results at the physician quality meeting.
Exercise C. (1) Driving 4 + 3 + 3 + 2 = 12; restraining 4 + 3 + 3 + 2 + 2 = 14; net -2 (=12-14). Reduce the
managers' fear of losing control (keep manager approval of swaps and minimum skill rules in the app) and the privacy
concern (switch off location features and publish a data-use statement); a device stipend or store tablets address the
phone issue. (2) Answers vary; check that store associates as a group get a high priority despite low individual
power, and that the scores have stated reasons. (3) Barrier Desire (2.7): involve managers in configuring approval
rules, show the time saved in a pilot store, and make clear what they keep control of. (4) Answers vary; the curve
should have a realistic ceiling below 100% and a midpoint after the pilot. (5) Example: using app data to monitor
associates beyond scheduling, or requiring personal phones without compensation; the plan should limit data use to
scheduling, state it in writing and provide an alternative device.
Self-test.
- Behaviour is held in balance by forces for and against change; list and score them, then change the balance. Reducing restraining forces moves the balance with less tension and less resistance than adding pressure.
- That Lewin mentioned unfreezing, moving and freezing only briefly, did not present a linear three-step model, and that the simplified model was constructed by later writers, so it misrepresents his broader work.
- Urgency; guiding coalition; vision and strategy; communicate the vision; empower action and remove obstacles; short-term wins; consolidate gains and produce more change; anchor new approaches in the culture.
- Awareness, Desire, Knowledge, Ability, Reinforcement. The barrier point is the first element in that order that scores 3 or lower.
- Knowledge (2.9) is the first score of 3 or lower. First action: targeted training and job aids. Reinforcement (2.2) also needs work later.
- Reasons: self-interest, misunderstanding and lack of trust, different assessments, low tolerance for change. Approaches: education and communication, participation and involvement, facilitation and support, negotiation and agreement, manipulation and co-optation, explicit and implicit coercion (any four).
- That change agents contribute to resistance (broken agreements, poor communication, failing to legitimise the change), and that resistance can be a resource that improves the change.
- Gap = 1 - (-1) = 2; priority = 4 x 2 = 8 (
=4*(1-(-1))). - 80.1% (
=98/(1+EXP(-0.75*(6-4)))). - Theory E aims at economic value through top-down structural moves and incentives; Theory O builds organisational capability through participation and culture. Beer and Nohria argue for combining them with care.
- Teams that learned faster had leaders who framed adoption as a team learning challenge, selected and prepared the team, and made it psychologically safe to speak up; the same technology was adopted at very different speeds.
- Training measures input, not behaviour. Track the target behaviour itself (share of doses scanned, use of the new process), quality outcomes and workarounds.
Revision history
| Version | Date | Author | Change summary |
|---|---|---|---|
| 0.1 | YYYY-MM-DD | [Your name] | First draft from the template |
| 0.2 | YYYY-MM-DD | [Your name] | Example: Added week 6 pulse results and night-shift actions |
Standard and licence note
Based on the change-management literature cited above (Lewin 1947; Kotter 1995 and 1996; Hiatt 2006; Kotter and Schlesinger 1979; Cummings, Bridgman and Brown 2016) and the Prosci description of the ADKAR barrier point checked in October 2026. ADKAR is a registered trademark of Prosci, named here for study only. The text, worked examples, exercises and questions are original; no published case, survey instrument or textbook text is reproduced, and Tallow Creek Medical Center and Northfield Outdoor Co. are fictional. This card is independent and not affiliated with or endorsed by any business school, publisher, consultancy or professional body. Check your course's readings and the current Prosci material before you rely on it. Template licence: MIT.
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