The word “hesitant” has been in thenews最近,以短语的形式“疫苗犹豫不决。“

The word “resistant” gets used quite often in organizations, in the context of the phrase “resistance to change.”

在这篇文章中,我会造成这种情况hesitantis the right word in both contexts. Your employees aren't “resistant to change” — they are “hesitant about change.” Recognizing and respecting that means we'll be more effective in leading change.

What's the dictionary definition of “resistance” (with a “resistant” person exhibiting resistance)? One definition is:

“The refusal to accept or comply with something; the attempt to prevent something by action or argument.”


“Indicate or show that one is not willing to do something”

That definitive language of “not willing” is often an oversimplification of a situation. Leaders often suggest (or assume) that “not willing” means “not at all willing” (or “I'll never do that”) and that might not be the case. Leaders too often label those who are “resistant to change” as bad people — and that's certainly not the case. They're not bad people. They're people.


“Having mixed feelings or contradictory ideas about something or someone.”

MIXED feelings. That's not the same as being 100% OPPOSED. Somebody who is ambivalent (or hesitant) can come around. Don't give up on them.


“Tentative, unsure, or slow in acting or speaking.”

励志面试还教导我们,矛盾是一个normal每个人的改变过程的一部分。改变不像翻转灯开关 - 它需要时间,它可能是一个过程。有些人比其他人更快地走过这个过程。它可以很慢(犹豫)和MI可以帮助人们说服自己采取行动(这不是告诉他们采取行动,而不是操纵,因为你有助于强化他们已经需要某种级别的动机)。

Maybe that employee (or that CEO) isn't “resistant to Lean” — maybe they are “Lean hesitant,” which could just mean they areslowly来到这个想法。



我的Reasons to Wear Masks 我的Reasons Not to Wear Masks
科学家说他们可能会保护我 They aren't always comfortable
科学家表示,他们可能会保护他人 没有帮助,很难把那个面具系在一起
我想避免进入covid 我的glasses sometimes fog up
It's important to me to help others

The science is more definitive now — that masks do block droplets that carry the virus and masks do prevent the spread to others. Thisjournal article reviews the data。顺便说一句,如果你看到有人在线说“面具不起作用”或“病毒太小无法被封锁”,那就误导了。我真的很困扰,看看最近在LinkedIn上展示了关于Masks的错误信息的自我标签的“精益先驱”。

BTW, thanks to my friend Karyn Ross for sending me a mask that she made… as seen in a photo from last April.

The mask that Karyn sent me required tying around the head. The masks I bought (and then wore) are ear loop masks, so that addressed the one reason why adopting that change was hard. I have found masks that don't fog my glasses as much.

我不是那个矛盾......或者我应该说我迅速通过矛盾行动。切割头发的女人最近说,在她的经历中,一整天都穿着面具,一开始是不舒服的 - 但像我一样,她已经习惯了(而且我没有整天穿一个)。

当我在地方选举中投票(Colleyville,德萨牌手表s) the other day, I was saddened to see about HALF of the voters (out of about 25) inside City Hall were NOT wearing masks. There wasn't even a sign at the door requesting that people choose to wear them or please wear them. I think that's awful.

As I'm demonstrating, it's a human tendency to be judgmental — I was certainly being judgmental of those who were not wearing masks at the polling place. Or I should say they were choosing to not wear them.


Had I accosted one of the maskless, would I have done anything to sway their views or change their behavior? Probably not. Are they being “ambivalent” or “resistant”? At this point, they've probably fully made up their minds, but their balance in the change equation might be different:

他们的Reasons to Wear Masks 他们的Reasons Not to Wear Masks
“Experts” are telling me to I don't like wearing them
I'm brave and I'm not scared of a virus
I don't trust experts / media / government


Covid Vaccines

Now, coming back to vaccines, there might be many reasons why somebody is hesitant or ambivalent about a vaccine. Again, I got through the change process pretty quickly and I got vaccinated at the first opportunity I had.

我也有家人犹豫不决的家庭成员 - 我绝不会认为将他们标记为“抗拒”。他们不仅仅是争论或反对,就像“你不能告诉我该怎么办”。他们很可能会来,所以我确定我没有推他们。

As we learn in the Motivational Interviewing approach, they had reasons TO change and they also had reasons NOT to change. MI would teach us that being more strident and trying to tell them they HAVE to get vaccinated (the “righting reflex”) might be well intended, but would likely be ineffective.



The other family member didn't have access to the J&J vaccine, but she came around to accepting the Pfizer or Moderna vaccines, given that the allergic reaction rate is EXTREMELY low and it's readily treatable at the vaccination location or with her EpiPen. In weighing the reasons TO get vaccinated and the reasons to WAIT… she decided that it was better to take the Moderna vaccine (and she had no reaction to that first shot).


当我们希望别人采取我们选择的行动(或者希望他们选择) - 戴着面具,戴上苍白的疫苗接种,或在工作场所做某事,告诉别人改变可能感觉良好,但它无效。

Being Effective or Being Right?


  • 我想再次看到我的孙子
  • 我想在工作中更安全(或在房子外的任何地方)
  • I want to help end the pandemic


Some people have already fallen victim to hearing (and believing) misinformation about the vaccines. I'm often reminded of thisallegedMark Twain quote (and hopefully I wasn't瞎了对这个):


即使他didn't say it,re's truth there. People get anchored on something they have learned, and then we tend to look for (or more readily accept) information that reinforces what we were already taught.


So, back to vaccine hesitancy… methods that would likely not work include:

  • Just giving information and education (what's to say people will be open to that info?)
  • 告诉人们必须接种疫苗(包括提供奖励)
  • Telling them that they're bad for not getting vaccinated (that will trigger even more defensiveness)


“Can you tell me what you know about Covid vaccination? Can we have a conversation about this?”


If they say “ZERO” or “Hell no, I'm not ever doing that,” then they probably aren't open to a discussion (and your time and effort not lead anywhere).

如果他们说“四”,那么你可以问,“你为什么说四个而不是两个?”他们的答案将开始唤起“改变谈话”和“原因” - 他们表示他们有一些动机来做它......所以这是使用MI方法的良好基础。



If they are ambivalent (with reasons to get vaccinated and with reasons not to), you want to ask questions that evoke reasons why (or what MI calls “change talk”). The other person articulating these out loud strengthens their commitment to change. We don't want to ask questions that evoke the “why not” reasons (or “sustain talk” in the MI framework). Motivational interviewing: A powerful tool to address vaccine hesitancy


Those are some of my thoughts, ideas, suggestions, and cautions that might be helpful if you're hoping more people will get vaccinated in your family, workplace, community, etc.

Workplace Considerations

如果有人在工作中被认为是“抗拒变化”,如果您将其视为“改变犹豫不决”或“关于变革的矛盾”,您的方法将如何变化?我们需要做的事情不仅仅是改变我们的话 - 如果我们通过改变过程改变我们的方法,我们会改变我们的方法。


Communication Skills for Talking About COVID-19 Vaccines

“…these skills are designed to address people who are indeterminate, or not sure, or deciding–for this group, openness, empathy, and offering information after they give permission or show interest can build trust and your credibility as a messenger.”

他们的approach at a high level:

  1. Start with Open-Ended Questions that Do Not Assume Vaccine Acceptance
  2. 没有判断,确认病人的担忧
  3. 避免批评患者的信息来源;引用您的经验和/或将它们指向高质量的来源。
  4. Show Awareness of Your Status as a Messenger, Especially for People of Color and Members of Other Underserved Groups
  5. 将疫苗接受患者的希望和目标链接

Note that I admit to not always being good about Point 2 — the thoughts I have or some of the things I tweet. I am working to be better.


动机性访谈:addr的强有力的工具ess vaccine hesitancy

CDC's Strategy to Reinforce Confidence in COVID-19 Vaccines


疫苗接种s are plateauing. Don't blame it on ‘resistance'

“Individuals who aren't seeking a Covid-19 vaccine right now are not necessarily the same people as those who are truly anti-vaccine. Instead of talking up hesitancy, it's time to talk aboutwhat motivates people接种疫苗并确定接种疫苗的持续障碍。“

“First, retire the term “vaccine hesitancy.” As any crisis communications expert will point out, it's not a good idea to say things you don't want people to be thinking. Repeating the term over and over again unwittingly communicates that there may be something to be hesitant about. The more people说说它,more it becomes一个自我实现的预言”。


You can view all blog posts (including podcasts) on the topic):


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新利18网址Mark 新利18网址Graban.是一个国际公认的顾问,作者, 和专业扬声器who has worked in healthcare, manufacturing, and startups. His latest book isMeasures of Success: React Less, Lead Better, Improve More。He is author of the Shingo Award-winning books精益医院医疗保健Kaizen., as well asThe Executive Guide to Healthcare Kaizen。He also published the anthology练习精益that benefits theLouise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also aSenior Advisor到科技公司Kainexus.

  1. 好主题...单击推文中的日期以读取整个线程。或者点击这里

  2. 这是一个很好的倾听到达犹豫不决的人:

  3. Somebody I talked to from a health system today used the phrase “vaccine apathy.” It’s more a matter of “indifference” she said.

    They aren’t saying “hell no,” but they also aren’t taking action to get it.

  4. 我认为这样的头条新闻是不准确的。人们并不总是“跳过”尽可能多的“尚未获得第二剂” - 以及一些原因,为什么没有人的第一剂的人的错。

    Vaccine hesitancy; are people skipping their second COVID-19 vaccine doses?

    1. 在纽约时报的类似新闻:

      Millions Are Skipping Their Second Doses of Covid Vaccines


  5. I love this public health campaign that says it’s OK to have questions… that’s the way to not drive people away.

    “It’s okay to have questions.



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网络研讨会:创新的“患者第一”疫苗接种诊所设计 现在看!
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