Lewin’s Theory consists of three stages – Unfreezing, change, and refreeze. The initial stage of unfreezing involves finding a process which is no longer productive and needs to be changed. The second stage in Lewin’s Theory is the change. This is the step most people would find difficult. It actually involves a change which is not always easy. The last step in the process is the refreeze. This stage is when the new process becomes a standard of practice (Currentnursing.com, 2011).

The Adaptation Model of Nursing, developed by Sister Callista Roy in 1976, involves asking three questions: Who is the focus of nursing care? What is the target of nursing care? When is nursing care indicated (Nursing-theory.org, n.d.)? By asking these three question Sister Roy is taking on the patient in a holistic manner. She recognizes the basic needs of the human while also taking into consideration their social integrity. She also understands that the roles change often throughout one’s lifetime and that the nursing care provided needs to adapt or change along with it. She recognizes that nursing should not be rigid but instead we are nurses should remain fluid, continually changing and adapting to our patient’s needs holistically.

For my evidence-based practice (EBP) I would choose to use Lewin’s Theory. This change recognizes that something is needing change which would be the lack of education regarding lead prevention, changing how the parents and families are being educated, and then refreezing this change to make it standard practice. But I also would like to combine these two practices and recognize the fact that nursing is fluid. While the changed practice may work initially, it is always important to take a step back and revisit the practice in question later. Healthcare practices and interventions change daily and because of this, we need to be open to change.

When I was talking with my mentor, she said she did not use a specific nursing practice. She said she was a “go with the flow” kind of person and just adapted to things as they needed it (V. Mouser, personal communication, 2019). She said when she realized a patient was not understanding her or needed to be told things in a different way, she would change her tactic and try to figure out what worked best for her and her patients. If I were to analyze this statement, it would seem to me she was using the Adaptation Model of Nursing but just did not know it.

Currentnursing.com. (2011, Sept.). Change theory. Retrieved from           http://currentnursing.com/nursing_theory/change_theory.html

Nursing-theory.org. (n.d.). Sister Callista Roy – nursing theorist. Retrieved from http://nursing-          theory.org/nursing-theorists/Sister-Callista-Roy.php

 I need 3-4 powerpoint slides on these two subtopics – 1. Consider the nurse’s role in caring for people of this culture (Chinese Culture). 2.Consider what issues the patient or family might encounter in our health system because of their beliefs. How can your health promotion topic best be communicated to this group? What changes or adaptations might you have to consider?  with slide for apa citation?

Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.
2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
3. With what people or agencies would you work in facilitating the proposed interventions and why?

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.