RN Nursing · Leadership and Management in Nursing · Practice question
Which is a common reason for resistance to change?
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Increased understanding
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✓
Threat to self
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Desire for innovation
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Clear Communication
Answer & explanation
Correct: Threat to self
A threat to self is one of the most common and well-documented reasons individuals resist change in healthcare and organizational settings. Change often challenges existing roles, routines, competencies, or professional identity, leading people to feel that their security, status, or sense of competence is at risk. When staff perceive that a change could diminish their authority, alter their workload unfavorably, or render their current skills obsolete, resistance is a natural protective response. Increased understanding, in contrast, is actually a strategy for overcoming resistance rather than a cause of it; when people understand the rationale and benefits of a change, they are more likely to embrace it. A desire for innovation reflects openness and motivation to improve, which is the opposite of resistance. Clear communication similarly reduces resistance by decreasing uncertainty and addressing misconceptions. Change management theories, such as Lewin's three-stage model of unfreezing, moving, and refreezing, specifically identify self-threat, fear of the unknown, and loss of control as primary barriers to successful change implementation. Nurses in leadership roles must recognize these psychological drivers of resistance and address them proactively through education, involvement, and transparent communication.
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