Observe your environment in the health care facility where you have clinical and monitor the site for signs and symptoms of the need for change. Look at the nursing processes in place: do they work efficiently, are Infection control practices being done routinely. Anything can be a catalyst for change as long as it adds something positive to the establishment. Then, diagnose the problem that indicates a need for change.
1. Pick a Change Theory. Lewin’s change theory is used widely in nursing. Despite this fact, there are many other change theories you can use like Spradley’s theory of change, Lippitts change theory or Roger’s theory of change. Pick the ones that best suit the change you are trying to bring about.
2. Put a plan together. Using your selected change theory, develop a plan based on each step of the theory you have chosen. Your plan should address what you will do to solve the problem you have diagnosed. It should include activities that will combat the problem and bring about change, a method to measure the success of the plan such as a quiz and a way to make the change permanent. Be sure to include a timeline or timetable for your change project. It needs to have a beginning and an end.
3. Type a 4-5 page double-spaced, APA formatted professional paper that describes your project and submit it to your clinical faculty by the due date. The paper has to Include:
o An introduction: Brief description of the issue & Purpose of the paper
o Assessment of the environment which needs to be changed: Current practice, organizational structure, deriving and restraining forces, advantages of change, cost and resources for implementing the change.
Revised September 2023
o Planning: Goals of change, phases of change, timeline, how you will mobilize the driving forces and minimize the restraining forces and plan of evaluation Implementation: Needed training and education and methods o Evaluation, o Conclusion
4. Present your change project. Tell your class the topic of your change project and why you chose it.
Discuss the change theory you applied to the problem you diagnosed and all the activities you planned for bringing about change.