NUR 590 Benchmark Evidence-Based Practice Proposal Project: Framework or Model for Change Essay Paper

NUR 590 Benchmark Evidence-Based Practice Proposal Project: Framework or Model for Change Essay Paper

NUR 590 Benchmark Evidence-Based Practice Proposal Project: Framework or Model for Change Essay Paper

Evidence-Based Practice Proposal: Model For Change

Implementation of an evidence-based practice project is usually not a straightforward process hence a need to have an appropriate plan for each phase. Implementation can be supported by using various proven strategies, such as following established models or frameworks for change. Such frameworks or models offer foundations upon which the project can be implemented (Jayatilleke, S., & Lai, 2018). Fortunately, several change models or frameworks exist that can be used to aid the implementation of EBP projects. The implication is that project implementers should choose the most appropriate model, which will not lead to any bias and failures in implementation. Therefore, the purpose of this assignment is to explore the change model or framework which will be used in guiding the implementation of the proposed EBP project and explain how the stages of the change will be used in implementing the project.

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The Selected Model For Change

            The selected model for change to guide the implementation of this project is Kurt Lewin’s change model. According to this model, change takes place in three different phases. In addition, the process of change is usually associated with two different types of forces, which are the restraining forces and the driving forces (Hussain et al.,2018). While the driving forces enhance the change process, the restraining forces prevent change from occurring. The implication is that for a change process to be successful, the driving forces must be greater than the restraining forces.

The Stages in The Change Model

            Kurt Lewin’s change model states that change takes place in three phases. The phases include unfreezing, change, and refreezing. The unfreezing phase is the first phase, where the change implementers create an urgent need for change. Such a step is supported by various statistics that may warrant a need for change. As such, the phase prepares the affected stakeholders for the impending change (Hussain et al.,2018). Effective communication is important in this phase. The next phase is the change phase, where the implementation of the proposed change takes place. In most cases, the proposed change is implemented, and its viability is explored. The last stage is the refreezing stage. This last phase involves supporting the individuals to accept the implemented change and stabilize. In addition, the implemented intervention is embraced as part of the organizational culture and as a new strategy for doing things in the organization.

The Application of The Model in The Proposed Implementation

            The project focuses on the application of a CAUTI bundle to help in lowering the rates of CAUTI in the organization. Lewin’s model will be used to manage the change as appropriate. The first phase, which involves unfreezing, will entail informing the organization’s stakeholders of the urgent need to bring down the rates of CAUTI in the facility. In the implementation phase, the staff will be educated on the CAUTI bundle before implementation of the same is undertaken. The final phase will involve refreezing (Muldoon, 2020). At this phase, it is expected that the organization will adopt CAUTI bundles as the standard care for patients to prevent CAUTI.

Conclusion

            Evidence-based practice projects are key to improving patient care outcomes in care settings. As such, appropriate strategies should be used to ensure that their implementation is a success. Therefore, this write-up has explored the use of Lewin’s model as a model to help manage the change process. The stages of the change have been described, and how the phases or stages will be used in implementing the proposed change of CAUTI bundle care.

References

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

Jayatilleke, S., & Lai, R. (2018). A systematic review of requirements change management. Information and Software Technology, 93, 163-185. https://doi.org/10.1016/j.infsof.2017.09.004

Muldoon, J. (2020). Kurt Lewin: Organizational Change. The Palgrave Handbook of Management History, 615–632.

Appendix: Change Framework Concept map

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Assessment Description

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. 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:

1. Identify the selected model or framework for change and discuss its relevance to your project.
2. Discuss each of the stages in the change model/framework.
3. Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
4. 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.

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Criterion	1. 1: Unsatisfactory	2. 2: Less Than Satisfactory	3. 3: Satisfactory	4. 4: Good	5. 5: Excellent
Selected Model or Framework for Change Selected Model or Framework for Change	0 points The selected model or framework and its relevance to the project are not discussed.	9.6 points The selected model or framework and its relevance to the project are incomplete.	10.56 points The selected model or framework and its relevance to the project are summarized. More information or support is needed.	11.04 points The selected model or framework and its relevance to the project are discussed. Some detail is needed for clarity or support.	12 points The selected model or framework and its relevance to the project are thoroughly discussed. Rationale or support is provided.
Stages for Model or Framework Stages for Model or Framework	0 points The stages in the change model or framework are not discussed.	10.4 points The stages in the change model or framework are only partially discussed.	11.44 points The stages in the change model or framework are outlined. There are some inaccuracies. More information is needed.	11.96 points The stages in the change model or framework are discussed. Some detail is needed for clarity or accuracy.	13 points The stages in the change model or framework are thoroughly discussed.
Application of Model or Framework to Proposed Implementation Application of Model or Framework to Proposed Implementation	0 points Application of each stage of the model or theoretical framework to the proposed implementation is omitted.	12 points Application of each stage of the model or theoretical framework to the proposed implementation is incomplete.	13.2 points General application of each stage of the model or theoretical framework to the proposed implementation is outlined. More information is needed.	13.8 points Application of each stage of the model or theoretical framework to the proposed implementation is described. Some detail is needed for clarity or support.	15 points Application of each stage of the model or theoretical framework to the proposed implementation is thoroughly described.
Concept Map for Model or Framework Concept Map for Model or Framework	0 points A concept map for the selected conceptual model or framework is omitted.	12 points The concept map for the selected conceptual model or framework is incomplete or inaccurate. The concept map is attached, but not in the Appendix.	13.2 points A general concept map for the selected conceptual model or framework is attached in the Appendix. There are inaccuracies.	13.8 points A concept map for the selected conceptual model or framework is attached in the Appendix. Some detail is needed for clarity or accuracy.	15 points A detailed and accurate concept map for the selected conceptual model or framework is attached in the Appendix.
Application of Theoretical Framework in Decision Making (B) Application of Theoretical Framework in Decision Making (C.1.2)	0 points The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is not demonstrated.	8 points The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is not consistently demonstrated. There are significant gaps and inaccuracies.	8.8 points The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is generally demonstrated. There are some gaps or inaccuracies.	9.2 points The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is adequately demonstrated.	10 points The author has clearly demonstrated the ability to effectively apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.
Required Sources Required Sources	0 points Sources are not included.	4 points Number of required sources is only partially met.	4.4 points Number of required sources is met, but sources are outdated or inappropriate.	4.6 points Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.	5 points Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Thesis Development and Purpose Thesis Development and Purpose	0 points Paper lacks any discernible overall purpose or organizing claim.	5.6 points Thesis is insufficiently developed or vague. Purpose is not clear.	6.16 points Thesis is apparent and appropriate to purpose.	6.44 points Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.	7 points Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction Argument Logic and Construction	0 points Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.	6.4 points Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.	7.04 points Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.	7.36 points Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.	8 points Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) Mechanics of Writing (includes spelling, punctuation, grammar, language use)	0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.	4 points Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.	4.4 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.	4.6 points Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.	5 points Writer is clearly in command of standard, written, academic English.
Paper Format (Use of appropriate style for the major and assignment) Paper Format (Use of appropriate style for the major and assignment)	0 points Template is not used appropriately or documentation format is rarely followed correctly.	4 points Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.	4.4 points Template is used, and formatting is correct, although some minor errors may be present.	4.6 points Template is fully used; There are virtually no errors in formatting style.	5 points All format elements are correct.
Documentation of Sources Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	0 points Sources are not documented.	4 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	4.4 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	4.6 points Sources are documented, as appropriate to assignment and style, and format is mostly correct.	5 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.