2023 Comment1 Planned change in nursing practice is necessary when focusing on evidence based practice Using a change theory improves

Comment1

Planned change in nursing practice is necessary when focusing on evidence based practice.  Using a change theory improves likelihood of success. When using a change theory the effort looks purposeful, calculated and collaborated (Roussel, 2006). But even with a good implementation, theory, and idea, executing change is more challenging than perceived. For example it is alleged that two thirds of organizational change projects fail (Szabla 2007), others suggest the figure is higher.

In 1951 Kurt Lewin identified 3 stages for change: 1) unfreezing (when change is needed), 2) Moving (when change is initiated), 3) Refreezing (when equilibrium is established). This changed theory is simply written, easy to understand and easy to implement into a personal or organizational change strategy. Lewin discusses forces (his word) or barriers to change, examples (i.e, culture, money, structure, even attitudes).

Lippit’s theory uses nurses jargon, assessment, planning, implementation, and evaluation. Lippit’s theory gives more detailed instruction, allowing for detailed explanation with trying to implement change. Using the nursing jargon will help to deliver the change idea to staff nurses if the change occurs at the bed side.  Lippit’s change theory can also be used with stakeholders, with variation with words.

The idea of using a change theory to introduce needed improvements using EBP whether education, management or organizational appears more organized, strategic, and professional. 

Lippit’s theory will work best for my change project because I will be instructing nursing and secuity staff on how to recognize mental health decompensation.

comment2

C hange   theories  define a social problem and identifies a long-term outcome that would signify the problem has been fixed and build a roadmap that will guide for the realization of the long-term goal.  The two change theories I will  be  focusing on are  Rogers change theory  and  Lippitt ’s  change theory .  Rodger’s theory of change has five steps which include: awareness, interest, evaluation,  implementation, and adoption. Rodger’s theory provides for the awareness and participant interest part which will incorporate all the multidisciplinary team in a healthcare facility before the implementation of the HIT similar to Lippitt’s theory of change which comprises of four elements: assessment, planning, implementation and evaluation (Mitchell,