Factors Affecting Resistance to Change among Hospital Staff using a Structural Equation Modeling Technique

Zahra Ghanavatinejad, Mehrdad Askarian, Charles John Palenik, Nahid Hatam, Payam Farhadi, Haleh Ghaem


Introduction: Hospitals are complex organizations faced with continuous fundamental
changes complicated by expertise diversity. The aim of this study was to investigate the factors influencing hospital employees’ resistance to change.

Methods: This cross-sectional study included 510 employees working in hospitals affiliated to
Shiraz University of Medical Sciences; they were selected using stratified random sampling.
Data were collected through a questionnaire. A structural equation modeling technique using
LISREL Version 8.8 tested the hypotheses and conceptual model.

Results: Results indicated that dispositional resistance to change and involvement with
change directly affected the employees’ resistance to change. Perceived benefits of change
to involvement in change were significant (T-values >1.96) and the hypotheses related to
these paths were accepted. Perceived benefits of change indirectly affected the employees’
resistance to change by influencing involvement. Dispositional resistance to change and
involvement in change (mediator variables) were estimated 0.89, 0.03, and 0.47, respectively.

Conclusion: The study results indicated that hospital managers should encourage the
employees to actively participate in their change program by strengthening perception of the
benefits. This could help reduce the employees’ resistance.

Keywords: Change, Resistance, Benefits, Involvement, Hospitals, Employees, Management

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