Applying Kotter’s Model of Change: Case Study “ABC” Seniors Care Home

 

 

“ABC Senior Care Home” has 50 employees and according to WorkSafeBC, 25% of the
organization’s workplace injuries in 2014 and 2015 were due to acts of violence or aggression from residents. In the long-term care sector, acts of violence or aggression account for 11% of all injuries reported to WorkSafeBC. ABC Senior Care Home is above the provincial average for injuries related to these types of incidents.

A coloured dot system to identify residents who are potentially aggressive or violent exists at ABC, however an audit revealed that staff were updating the dots only after a staff member had been injured as a result of aggression or violence, not when they had observed change in behaviour. 65% of the nursing staff had undergone point-of-care risk assessments training in 2012, however this left some shifts without any staff trained to assess residents at point-of- care. This created a larger volume of point-of-care assessments to be done on shifts with trained staff.

The last violence prevention training for all staff was in 2012 and since then a large number of trained staff retired and replaced with staff who have not had recent violence prevention training. Hires since 2012 were provided ABC’s policies and procedures on workplace violence in written form at point of hire.

Policies and procedures for point-of-care risk assessments and updating the coloured dot system exist but are often not used and mostly followed only when an incident is reported

 

Sample Solution

Although Catherine Earnshaw is raised with Heathcliff and develops feelings of affection for him, she still cannot deny Heathcliff’s true, savage nature. When Isabella declares her love for Heathcliff, Catherine warns her about his malicious and unkind character. Catherine says “Tell her what Heathcliff is: an unreclaimed creature, without refinement, without cultivation; an arid wilderness of furze and whinstone… Pray, don’t imagine that he conceals depths of benevolence and affection beneath a stern exterior.. he’s a fierce, pitiless, wolfish man.” From Catherines statement the reader understands that Catherine believes Heathcliff to be an evil man and she tries to stop Isabella from pursuing him so that she does not get hurt by his actions.

It is clear that Heathcliff is a vengeful man. He seeks vengeance on Hindley Earnshaw for Hindley’s treatment of him when he inherited Wuthering Heights. Hindley is cruel towards Heathcliff because his father had always preferred Heathcliff to Hindley. After Hindley inherits Wuthering Heights he makes Heathcliff work on the land like a slave, causing Heathcliff to seek revenge on him. Although Hindley dies, this is not satisfactory enough for Heathcliff and he plans to treat Hindley’s son just as Hindley treated Heathcliff. Heathcliff says to the boy “Now, my bonny lad, you are mine! And we’ll see if one tree won’t grow as crooked as another, with the same wind to twist it!” The fact that Heathcliff would intend to treat an innocent child so harshly speaks volumes about his evil nature and shows that he would mistreat Hindley’s son, just to get vengeance.

Heathcliff is an extremely selfish character, only concerned with his own needs and desires. This is displayed after the death of Heathcliff’s one true love. When he is told that Catherine has died in child birth, he is only interested in his own grief. He proclaims “…Catherine Earnshaw, may you not rest as long as I am living…” Heathcliff would rather Catherine come back from the grave to haunt him as a ghost than allow her to rest peacefully. He would deny her knowing the peace of death just to satisfy his needs. Heathcliff also shows no concern for the wellbeing of Catherine’s new born daughter or her husband because he does not even mention them while he is grieving catherine, highlighting his selfish attitude.

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