Discussion: Change Theories Discussion

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Discussion: Change Theories Discussion

Discussion: Change Theories Discussion

Discussion: Change Theories Discussion

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Question Description
Step 1 Post your response to the discussion board.

Describe a change you have encountered in your nursing experience and answer the following questions:

What change theory was used to implement the change?
How were staff prepared for the change?
Was there resistance to the change and how was this overcome?
Was the change successfully implemented?
What other change theory could have been used in the situation? Explain why this theory would also be appropriate for this situation.
Step 2 Read other students’ posts and respond to at least two of them by Friday at 11:59pm Mountain Time.

Use your personal experience, if it’s relevant, to help support or debate other students’ posts. In your responses, provide your peers with one additional strategy from the change theory that could facilitate the change for staff members. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.

Peer Discussion 1 (Kristen)

We recently had a change with the process of PPE and how we care for patients who possibly have COVID. The theory that best describes this change is the Lippitt’s Model of Change. “Communication skills, rapport building, and problem-solving strategies are the basis for the phases” (Pearson, n.d.). The problem was identified. Then, resources were considered to bring on this change. Everyone had a responsibility to being involved with this change and also maintaining the change. Much of the staff were prepared for this change but, there was much resistance to the change. Many of the nurses did not agree that after 4 months of caring for possible COVID patients and using certain PPE why all of a sudden, we were now required to wear more PPE at all times. After having a discussion with the director, it became clear to the nurses who were first resistant on this change. Now, the change is successfully implemented and everyone abides by the change. Another theory that could have been used in this situation is Havelock’s Model. “Havelock describes an active change agent as one who uses a participative approach” (Pearson, n.d.).


Pearson. (n.d.). TOPIC 01: Change Theories. Retrieved July 20, 2020, from https://media.pearsoncmg.com/pls/us/edaff/13236026…

Peer Discussion 2 (Sarah)

Change is good and change is inevitable. The way health care is provided, organized, funded, and delivered is constantly changing as well; new ideas, continued research, and advancing technology offer new, more efficient, and improved ways of providing the best care to the patients we hope to serve. As nurses we need to embrace and accept change. Although there are many, one experience that comes to mind where I experienced a big change occurred was when I was a new nurse; the hospital I was working for was transitioning from paper charting to electronic medical records and charting. Prior to electronic medical records and computerized charting, I was only familiar with charting on paper. This was a big change for not only myself, but for everyone in the hospital.

The change theory used for this change was probably the Lewin’s Process of Change theory. In this theory, Lewin uses a force-field model where change is facilitated by a driving force that is navigating participant’s in a desired direction. Planning and implementing change utilizing this theory requires the driving forces of the proposed change and the participants to go through a three- step change process: unfreezing, moving, and refreezing (“The change,” 2020). Historically, this has been a reliable and successful change model used in healthcare settings. Furthermore, “the image of people’s attitudes thawing and then refreezing is conceptually useful in keeping both the theory of change and the reality of the change process in mind” (“The change,” 2020, p. 6).

Although there was some resistance, and probably fear of the unknown, the staff was prepared as much as possible before the initial “Go Live”. At that time, electronic medical records were a very foreign idea. Nursing is complicated and busy enough without adding a whole new way of charting, documenting, and communicating. We had several months of in-services, practice modules, and communication surrounding this new method of documenting. Additionally, each unit was provided both on-site IT assistance and “super-users” for the first few weeks and months after the “role-out” to assist with questions, concerns, and trouble shooting. Change is hard, but change is necessary. The change was successfully implemented, and now, all these years later, it is hard to imagine what it was like prior to electronic medical records. Another theory that could have been for this situation is Lippett’s Model of Change. Lippett’s theory extends itself from Lewin’s model emphasizing the “participation of key members of the target system throughout the change process, particularly during planning. Communication skills, rapport building, and problem-solving strategies are the basis for the phases” (“The change,” 2020, p. 8).


The change process (2020). Denver College of Nursing. Retrieved from https://media.pearsoncmg.com/pls/us/edaff/13236026…

Discussion: Change Theories Discussion

Discussion: Change Theories Discussion

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
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Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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