Chapter

Achieving change without power

R.J. DUNLOP and J.M. HOCKLEY

in Hospital-based Palliative Care Teams

Second edition

Published in print October 1998 | ISBN: 9780192629807
Published online November 2011 | e-ISBN: 9780191730061 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192629807.003.0004
Achieving change without power

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This chapter addresses the issue of achieving change without power and direct authority. It draws parallels between palliative care teams and modern organizations that have to earn the loyalty of employees, rather than expect it by right. The discussion describes managing without power in the business world, systems thinking, personal mastery, understanding the process of influence, the principles of influence, tactics for influencing change, and how one can become more influential in the advisory role. Palliative care teams have a difficult role in acute hospitals. The team must improve the care of terminally ill patients by giving advice and support. Team members need to see the process of change as a slow gradual one, punctuated by frustrations and delays.

Keywords: systems thinking; influencing change; palliative care; management issues; personal mastery

Chapter.  3815 words. 

Subjects: Palliative Medicine

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