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Module 4: Theories >> Content Discussion
Section A
Foundations of Health Promotion

  Module 1
  Definitions and Concepts

--Module 2
--Milestones
--Module 3
--Models of Health
--& Health Promotion
--Module 4
--Theories
   ---Learning Outcomes
   ---Reflective Exercise
   ---Content Discussion
   ---Reflective Exercise
   ---Content Discussion
   ---Reflective Exercise
   ---Readings and Resources

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Section B
Health Promotion in Action
--Module 5
--Strategies
--Module 6
--Features
--Module 7
--Values
Section C
Building your Health Promotion Practice
--Module 8
--Current Practice
--Module 9
--Future Considerations
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Content Discussion

Theories Explaining Change in Organizations

A Closer Look at One Model

Stage 1: Awareness Raising – This stage is intended to raise interest and create support for organizational change at a senior level by clarifying health-related problems in the organizational environment and identifying potential solutions. For example, raising awareness of the problem of school bullying may involve senior bureaucrats and trustees at a school board becoming concerned about the negative impacts of bullying on their students and the potential role in preventing bullying that can be played by the educational system.

Stage 2: Adoption – This stage involves planning for and adopting a policy, program or other innovation addressing the problem described in Stage 1. This stage also involves the identification of resources needed for implementation. Ideally, this stage will involve negotiation and the possible modification of the innovation to make it more compatible with the unique features and culture of an organization. The organizational ‘gatekeepers’ who are most closely involved in the day-to-day running of an organization are also the most directly involved in this stage. For example, school principals will play a lead role in adopting and implementing an anti-bullying policy at their particular school

Stage 3: Implementation – This stage is concerned with the technical aspects of program delivery, including the provision of training and material support needed for the introduction of change. The capacity building that occurs during this stage is essential for the successful introduction and maintenance of change in organizations. Those who play a direct role in implementing the solution are most closely involved in this stage. For example, the successful implementation of an anti-bullying policy may require training sessions to increase the capacity of teachers to effectively respond to incidents of bullying.

Stage 4: Institutionalization - This stage is concerned with the long-term maintenance of an innovation. Senior administrators again become the leading players by establishing systems for monitoring and quality control, including the continued investment in resources and training.

This theory of organizational change is particularly helpful for illustrating:

the ways in which organizations function at different levels;
how the achievement of organizational change may be achieved through a staged process; and
how each stage requires the involvement of different levels within an organization.

This theory is most useful in situations where an organization is a potential adopter of a previously developed program or policy. It is not as helpful when an organization is developing in a more holistic way, such as creating supportive environments for employees.

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