REPLY1
Broadly used nursing theories embrace Lewin’s three stage mannequin and Lippits section idea. The Lewin’s change idea include three phases together with unfreezing, shifting and refreezing phases. Unfreezing stage is once you acknowledge a change is required, then you definitely transfer to the section when the change happens and refreezing stage occurs after equilibrium is established resulting in passable outcomes and the cycles goes on and on. A definite characteristic of Lewin idea is that it incorporates each driving forces and resisting forces and for the idea to achieve success then the driving should overcome resistant forces. Lippits, Watson and Westley seven section idea, first section entails diagnosing the issue, assessing motivation, and capability for change, evaluating change agent’s motivation and useful resource, selecting the suitable position of the change agent, sustaining distinction and final section is termination of the Helpance relationship (Tappen, 2016).
Lippits idea expands on Lewin’s mannequin of become the seven steps talked about above as effectively it’s extra similar to nursing course of therefore there isn’t any significance distinction between the 2 (Alageel, Gulliford, McDermott & Wright, 2018). Nonetheless, Lewin’s is constructed on three basic steps thereby dealing with plenty of criticism since nursing is extra difficult than the three ranges. Equally, each theories are extensively utilized in nursing and each requires nurses who’re keen and need to make change. The mentor has utilized Lewin’s change idea as a result of she has efficiently launched a brand new paper work regardless of the hospital having a number of rounds each hour. Within the unfreezing interval she has describe to nurses of the significance of the sheet and tips on how to signal, within the shifting stage she let the nurses give their opinions on the system and lastly within the refreezing stage she went spherical and made positive nurses make this a every day behavior. In my very own opinion, I consider that Lewin’s idea is extra applicable for my undertaking since most nurses’ push for change receiving much less resist from individuals.
Reference
Tappen, R. M. (2016). Superior nursing analysis: From idea to follow. Jones & Bartlett
Publishers.
Alageel, S., Gulliford, M. C., McDermott, L., & Wright, A. J. (2018). Implementing a number of well being behaviour change interventions for cardiovascular danger discount in main care: a qualitative examine. BMC household follow, 19(1), 171.
REPLY2
There are a number of change theories that may be good to make use of for the implementation of my capstone change undertaking. After discussing these theories with my preceptor and listening to her tales of success in addition to failures, we determined Lewin’s change idea will work greatest in implementing my change undertaking on the acute care hospital, as a result of there’ll should be a powerful push for this to be accepted into follow. She had efficiently used this idea within the hospital when implementing modifications prior to now, however she helps the concept that relying on the idea or method, the result could be very completely different. Combining theories may also be very profitable for reaching supposed outcomes.
Lewin’s change idea includes three steps: freezing, shifting and refreezing. Freezing includes utilizing proof to point out why the change is important, shifting is the energetic technique of the change because it begins to happen within the group and normally the place most friction is met, and refreezing occurs after the change is put in place and establishes momentum (Manyibe, et al,.2015). Success depends on the driving pressure dominating the resistant pressure.
Lippet’s idea builds on Lewin’s idea, however consists of seven phases as an alternative of simply three. On this idea, management or administration acts because the agent for change. The phases embrace figuring out the issue, assessing willingness and driving pressure for change, evaluating administration’s motivation and sources to use modifications, sustaining the change, management entering into the change agent position with designated obligations and lastly when the change agent is accepted as a part of the organizational tradition (Udod, & Wagner, n.d.).
Manyibe, E. O., Aref, F., Hunter, T., Moore, C. L., & Washington, A. L. (2015). An rising conceptual framework for conducting incapacity, well being, unbiased residing, and rehabilitation analysis mentorship and coaching at minority serving establishments. The journal of rehabilitation, four, 25. Retrieved from https://eds-a-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=10&sid=023f49db-8dd6-4cc0-9e7d-ef58670advert40d%40sessionmgr4008
Udod, S., & Wagner, J. (n.d.) Frequent change theories and utility to completely different nursing conditions. Retrieved from https://leadershipandinfluencingchangeinnursing.pressbooks.com/chapter/chapter-9-common-change-theories-and-application-to-different-nursing-situations/
