Evidence-Based Practice Proposal Project: Framework or Model for Change Essay

A well-defined framework or model for change is important in facilitating successful and reliable evidence-based practice implementation (Duff et al., 2020). An appropriate framework or model for change provides practitioners with a clear understanding of how to implement the change. The purpose of this paper is to describe in detail the selected change model, its stages, and the model’s application in the proposed implementation.

Selected Model for Change

The Kurt Lewin unfreeze-change-refreeze model is a three-step process used in organizational change (Hussain et al., 2018). The Lewin unfreeze-change-refreeze model can be used in the current EBP project on nurse-led patient education for patients with cardiovascular diseases. The model is relevant to my project because it will help nurses and care professionals at the hospital understand why the change is needed and assist in implementing the necessary changes. The model will help guide normalizing changes in the hospital’s day-to-day operations.   According to Harrison et al. (2021), the model is beneficial because it provides nurses with the focus to contemplate the entire change process and how it progresses actively.  Evidence-Based Practice Proposal Project: Framework or Model for Change Essay

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Stages in the Change Model

The first step, unfreezing, is about getting people ready to change by understanding the need for change. As people get ready to move from the status quo or current comfort zone, the change agent o leaders should create a new environment where people are free to experiment and take risks. For example, unfreezing is when nurses and physicians feel that a change is necessary or urgent and are motivated to make it happen. Kurt Lewin proposed that successful implementation of change may require planning and getting the system unfrozen from its current status quo. The first stage l increases the target group’s behaviors and attitude toward the proposed change. Lewin postulated that unfreezing may increase the leaders’ or change agent’s pressure for change or create resistance and tension. Thus the leader would need to overcome resistance to facilitate successful implementation.

The second step in the process is ‘change,’ which is about implementing new policies and procedures. At this stage, stakeholders and significant others can implement new strategies and practices designed to improve care for patients or the target population. The third step, refreezing, is about establishing stability in the changes. At this stage, the change becomes a new norm as people maintain the new policies or procedures after implementation. Although refreezing may take time, the phase helps evaluate and modify the change made if necessary.

Applying Each Stage of the Model in Proposed Implementation

In the current EBP project, the first step, unfreezing, would involve creating the need for change. This would involve identifying areas of patient care that need improvement and developing a plan to address them. The project manager will initiate change by helping nurses working with patients suffering from cardiovascular diseases agree on the need for change. Nurses must also establish trust and collaboration between themselves to make changes successfully. The project manager will also create a safe and comfortable environment where nurses can experiment and learn new techniques proposed in the change project. Evidence-Based Practice Proposal Project: Framework or Model for Change Essay

The second step, change, would involve implementing new patient education policies and procedures. In the second stage, nurses will implement new strategies and practices designed to adopt nurses-led education care to improve knowledge levels for patients with cardiovascular diseases. The changes may include how patient education is conducted, how patients’ learning is evaluated, and how care is delivered. The second stage will also ensure that the change in patient health education delivery is safe and effective. According to Burnes (2020), the second stage, change, requires employee involvement to increase their input into the change project. Thus, the leader will consider the inputs of nurses, empower them to be active in the project, and share or provide information, knowledge, and skills. The change stage will also involve giving rewards and managing any resistance.

The third step, refreezing, would involve ensuring that the new policies and procedures are maintained after the change period. Nurses will integrate nurse-led education into day-to-day activities while using the knowledge and skills regarding the intervention as taught in the second stage. After the change has been successfully implemented, the leader will evaluate the results and make any necessary modifications.

References

Burnes, B. (2020). The Origins of Lewin’s Three-Step Model of Change. The Journal of Applied Behavioral Science, 56(1), 32–59. https://doi.org/10.1177/0021886319892685

Duff, J., Cullen, L., Hanrahan, K., & Steelman, V. (2020). Determinants of an evidence-based practice environment: an interpretive description. Implementation science communications, 1(1), 1-9. https://doi.org/10.1186/s43058-020-00070-0 Evidence-Based Practice Proposal Project: Framework or Model for Change Essay

Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare. Journal of healthcare leadership, 13, 85–108. https://doi.org/10.2147/JHL.S289176

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://sci-hub.mksa.top/10.1016/j.jik.2016.07.002

My evidence-based practice proposal question: In patients with cardiovascular disease (P), does nurse-led education (I), compared to standard patient education (C), affect clinical outcomes (O) within nine months (T)?

Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project.

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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.

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. Evidence-Based Practice Proposal Project: Framework or Model for Change Essay