Applying a model or framework for change ensures that a process is in place to guide the efforts for change.
ASSIGNMENT INSTRUCTIONS
In 500-750 words paper, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
Include the following:
- Identify the selected model or framework for change and discuss its relevance to your project.
- Discuss each of the stages in the change model/framework.
- Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
- Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite minimum of four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.
Prepare this assignment according to the guidelines 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.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
1.2 Apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.
SAMPLE STUDENT ANSWER
Evidence-Based Practice Proposal Project: Framework or Model for Change
Change is a common thread running through all organizations regardless of industry, size, or age. Healthcare institutions are among the organizations that change. An effective change model should be applied for my evidence-based practice (EBP) proposal project to be successfully implemented in the target healthcare facility. The purpose of this assignment is to discuss a change management framework that will be applied to guide the implementation of my EBP proposal project.
The Selected Framework
The selected framework is Lewin’s change management model. This change model was developed by Kurt Lewin in the 1940s and is still an effective framework in the modern era. The model has three stages, including Unfreeze, Change, and Refreeze. This model will be vital to my project because it has been used to successfully implement various nursing projects. For instance, Abd El-Shafy et al. (2019) applied Lewin’s model to apply a collaborative care model to improve the quality of care in a trauma unit.
The authors noted that the implementation of Lewin’s 3-Step model led to a decrease in admission rates by 10%. The model also facilitated culture change during the implementation of the collaborative care model. Saleem et al. (2019) also found that Lewin’s change model effectively implements nursing interventions.
Stages of Lewin’s Change Management Level
The first stage of the change model is “unfreeze.” This stage involves preparing the healthcare facility ready for the change. In this stage, the initial behavior of the target population will be eliminated, and the new one developed (Hussain et al., 2018). A compelling message is developed in this stage to persuade the target population to embrace the change. The reasons why the change is needed should be explained in this stage. The second stage is “change.” After the change is introduced, the change is implemented.
The project manager should communicate with the people affected by the change to ensure that they understand why the intervention is needed (Hussain et al., 2018). Not every person will embrace the change; therefore, constant communication will help support the change. The last stage is “refreeze.” The organization should be ready to refreeze after embracing the new change (Hussain et al., 2018). The project manager should help institutionalize and internalize the change in this stage. The change manager should ensure that the change is practiced all the time.
Application of Each Stage
Each stage of Lewin’s change model will be vital in my project. I will apply the first stage by educating the target population on the need for the change. The patients have obesity. I will educate them by showing them the risk factors of obesity and how walking for 30 minutes a day will improve their overall health. I will also listen to the concerns of the target population and address them. I will create compelling messages that will influence the target population to embrace the proposed intervention. I will apply the second stage by providing resources and support to the target population as they walk for 30 minutes daily. I will dispel any rumors in this stage by communicating clearly.
Lastly, I will apply the third stage by ensuring leadership support, identifying barriers to change, providing change support, and reinforcing it by creating reward systems and establishing feedback systems. I will also celebrate the success of the change with the target population if they achieve the assigned goals. Information is key in this stage. I will also ensure that the target population and any other stakeholders are supported and informed.
Conclusion
The selected change management model that will be used in implementing the proposed intervention is Lewin’s change management model. This change model was developed by Kurt Lewin in the 1940s and is still an effective framework in the modern era. The model has three stages, including Unfreeze, Change, and Refreeze. The “unfreeze” stage involves preparing the healthcare facility for the change. The change manager should empower and motivate people to embrace the new change. The third stage is “change.” This step is the implementation stage.
The change manager should communicate and promote the change. The last stage is “refreeze.” The change manager should create a healthy environment to implement the change efficiently.
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References
Abd El-Shafy, I., Zapke, J., Sargeant, D., Prince, J. M., & Christopherson, N. A. (2019). Decreased pediatric trauma length of stay and improved disposition with implementation of Lewin’s change model. Journal of Trauma Nursing| JTN, 26(2), 84-88. doi: 10.1097/JTN.0000000000000426
Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge, 3(3), 123-127. https://doi.org/10.1016/j.jik.2016.07.002
Saleem, S., Sehar, S., Afzal, M., Jamil, A., & Gilani, S. A. (2019). Accreditation: application of Kurt Lewin’s Theory on private health care organizational change. Saudi Journal of Nursing and Health Care, 2, 12. https://saudijournals.com/media/articles/SJNHC_212_412-415.pdf
Appendix
Conceptual framework
Appendix: APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☒ The title page is present. APA format is applied correctly. There are no errors.
☒ The introduction is present. APA format is applied correctly. There are no errors.
☒ Topic is well defined.
☒ Strong thesis statement is included in the introduction of the paper.
☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☒ All sources are cited. APA style and format are correctly applied and are free from error.
☒ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
☒ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.
Jermaine Byrant
Nicole Johnson
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