EPISODE · Jun 15, 2026 · 26 MIN
71: Want Your Change Project to Stick- Do this
from Nursing the System · host Claire Phillips, DNP RN
🎙 Episode OverviewYou put in all the effort to design a change project. You launch it, you train the team, you celebrate. And then a few months later, you look back and realize nobody's doing it anymore. The momentum quietly died, and now you're back at square one.This episode is about that exact problem—and what I actually do about it on my team at work. I'll walk you through my "Teddy and Judy" framing (visionaries vs. executors), why most sustainment failures are not actually people failures, and the concrete system I built with my team for Q2 of this year—which I lovingly themed "The Sea of Sustainment." You'll get the four-question monitoring plan and the three-tier triage system I use to keep change initiatives alive once the launch buzz fades.If you're someone who's great at getting the plane off the ground but loses interest once it's airborne, this one's for you.🔑 In This Episode, You'll LearnWhy most change projects don't fail at launch—they fail in the months afterThe Teddy/Judy framework (visionary vs. executor) and why you probably need to be bothWhy "people didn't follow through" is almost never the real explanationThe four questions every change initiative needs answered before you call it completeHow to distribute monitoring responsibility across a team without creating surveillance cultureHow to triage findings into three tiers—and why this distinction is everything for team trustWhy the #1 instinct in healthcare ("they need more training") is usually the wrong answer🧠 Key Ideas to Take With YouMaintenance is cheap, remediation is expensive—but maintenance requires a system, not good intentionsThe real failure point of most change projects is the absence of any system designed to catch backsliding earlyPeople are always going to people; you have to plan for thatTrack behaviors, not just outcomes—behaviors are the leading indicatorCadence should earn its way down based on team performance, not just timeWhen multiple people make the same mistake, the first assumption is not multiple people failing—it's that something about the system, training, or tool is brokenTeams take their cues about what matters from what their leader pays attention toA triage system that treats widespread errors as individual failures will destroy trust; one that treats them as system signals builds psychological safety AND better diagnoses📣 Special AnnouncementsThis episode is the part two to the holding period episode from a few weeks back. The holding period was about being deliberate before saying yes; this is about being deliberate after saying yes—long-term.If you've taken Change Maker Essentials and want structured support sustaining the leadership practice you built there, Nurse Leader HQ opens for enrollment at the end of June. The waitlist is where the application dates, the opportunity to book a discovery call, and all the details will be shared first.👉 Resources MentionedChange Maker EssentialsNurse Leader HQ (waitlist)Instagram: @nursing.the.system
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71: Want Your Change Project to Stick- Do this
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