1. When looking at change theories, is it possible to take a non-nursing theory and apply it to a nursing evidence-based practice project? Why or why not
2. Two important change theories prevalent in nursing practice include Lewin’s change theory and transtheoretical model of change. Lewin’s change model is a three stage model that includes unfreezing, change, and refreezing (Schein, 1999). The core concepts of this model are driving forces, restraining forces, and equilibrium. Lewin stated for this model that it is important to understand the “refreezing” process as without this, changes revert back to previous ways (Schein, 1999). In the transtheoretical model of change, the focus is intentional change. Specifically, this model helps to explain differences in success during treatment for a range of psychological and physical health problems. Some of the core concepts are: the process of change, decisional balance, self-efficacy, decisional balance, and temptation. The stages of change for this model include precontemplation, contemplation, preparation, action, maintenance, and relapse (Wilson, 2016).
These two models of change are similar in that both pertain specifically to human systems and focus on important steps of change to bring in new habits for better outcomes. However, they are very different in that the transtheoretical model pertains specifically to health care and health problems. The stages for this model are also more in-depth than those of Lewin’s model of change. My mentor stated that he most often utilizes the transtheoretical model in practice as a nurse. He stated that the stages of change, such as contemplation, allow him to understand the perspectives of patients and how he can tailor his care and education to their specific needs to allow for successful change.
Schein, E. H. (1999). Kurt Lewin’s Change Theory in the Field and in the Classroom: Notes Toward a Model of Managed Learning. Reflections, 1(1), 59-74. doi:10.1162/152417399570287
Wilson, B. A. (2016). Transtheoretical model of behavior change. Salem Press Encyclopedia Of Health,
3. Muddiest Point
Last week you have started the process of your literature search for articles supporting your Evidence-based Practice (EBP) Change Proposal. You have also analyzed two different methods of evaluating evidence as well as comparing and contrasting them. These two components of your Change Proposal are very vital in the beginning of framing and structuring your proposal.
It is important to analyze the information from the selected articles of your Literature Search. You must identify important themes as well as the regularities and inconsistencies in the information (Polit