GCU NUR-590 Topic 3: Theoretical Framework and Models for Change

GCU NUR-590 Topic 3: Theoretical Framework and Models for Change

Objectives:

1. Apply a change model or framework to the evidence-based practice project proposal.
2. Describe the relationship between bias and a framework or model.

Assessments Collapse All

Topic 3 DQ 1

Upcoming Assessment Description Discuss the significance of frameworks or models in guiding research or evidence-based practice projects. How can choosing an incorrect framework or model create bias in research?

Example DQ Response

Research studies are systematic and objective and thus follow a specific structure that informs their design, population of interest, and data collection and analysis and information dissemination processes. Evidence-based practices are also systematic, and their implementation is an organized, complex, and resource-intensive process that requires precision to prevent resource wastage and enhance their success. These processes could benefit from change frameworks or models. Models and frameworks are integral in evidence-based practice because they give a solid, evidence-based path for action (Speroni et al., 2020). Change models help researchers maintain focus on the project/research and its objectives and prevent deviations from these objectives. They assist with decision-making as they categorize the changes depending on the theory used. The frameworks provide precision in decision-making and help with precision as they outline assistive steps that help implement change or carry out interventions (Fineout-Overholt, 2022). They also simplify the complex change process hence their significance. Their reliability is grounded on advanced research and experience backing these theories. Selecting the wrong change framework has various implications in research and can lead to biased results. It makes meeting the set objectives and the desired outcomes challenging (Nilsen, 2020). Biases such as selection bias occur when the wrong framework is selected. It alters research implementation and data collection, analysis, and dissemination. Nilsen (2020) notes that selecting the wrong framework makes reading and understanding research difficult because they do not resonate. The research findings are thus often weak and hardly usable due to the mismatch in the concepts in the research and the theory or framework. Thus, selecting the suitable model or framework impacts the results and quality of outcomes.  

References

Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins. Nilsen, P. (2020). Overview of theories, models, and frameworks in implementation science. In Handbook on implementation science (pp. 8-31). Edward Elgar Publishing. https://doi.org/10.4337/9781788975995.00008 Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of Evidence‐based practice models and research findings in Magnet‐Designated hospitals across the United States: national survey results. Worldviews on Evidence‐Based Nursing, 17(2), 98-107. https://doi.org/10.1111/wvn.12428

Topic 3 DQ 2

Upcoming Assessment Description Review the different models and frameworks that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal and why. Provide rationale.

Example DQ Answer

Various change management models can be used. These models include the IOWA model, Lewin’s 3-stage change theory, McKinsey 7-S, Kotter’s 8 Steps, Nudge theory, Settlers, and the ARCC model. Some models, such as the IOWA, are suited for implementing evidence-based practice, while others, such as the McKinsey 7-s, are suitable for implementing and testing new practices. This essay reviews two change models and selects one for this project. The Two change models of interest are the IOWA model and Kurt Lewin’s change theory. The theories selected are based on the fact that the project is implementing an evidence-based healthcare practice. The IOWA model, developed in 2015, aims to implement evidence-based practices. The project guides the project managers to implement evidence-based practices, unlike Lewin’s change theory which focuses on overall organizational changes, including evidence-based practices (Hussain et al., 2018). Kurt Lewin’s theory focuses more on preventing and managing change resistance, while the IOWA model focuses on developing evidence-based practices and implementing and evaluating them. Speroni et al. (2020) note that the IOWA model is complex and is one of the most applied change models in healthcare to implement evidence-based practices. The IOWA model contains pilot testing in one of its steps. However, Lewin’s theory only implies its possible use, making Lewin’s theory suitable for changes that do not require a pilot study (Collaborative et al., 2017). These two models are widely applied in healthcare to lead change and implement evidence-based practices. The best model for the change model is Lewin’s change management model. Most of the project’s interventions and validation as an evidence-based project are complete; hence, the model will be vital in implementing and evaluating the EBP. The research in earlier assignments revealed that BMCA is a hardly implemented technology, and some of the reasons include nurses;’ lack of knowledge (Bedot et al., 2019). The project’s main aim is to ensure BMCA technology is implemented with optimal resource use, is accepted, faces less resistance, and is embedded in the organizational culture to cement its effectiveness. The model will help evaluate the EBP before its implementation and guide it to achieve the desired results.

References

Berdot, S., Boussadi, A., Vilfaillot, A., Depoisson, M., Guihaire, C., Durieux, P., Le Maï, L. M., & Sabatier, B. (2019). Integration of a commercial barcode-assisted medication dispensing system in a teaching hospital. Applied clinical informatics, 10(04), 615-624. https://doi.org/10.1055/s-0039-1694749 Collaborative, I. M., Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman, V., Tripp-Reimer, T., & Tucker, S. (2017). Iowa model of evidence-based practice: Revisions and validation. Worldviews on evidence-based nursing, 14(3), 175-182. https://doi.org/10.1111/wvn.12223 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 Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of Evidence‐based practice models and research findings in Magnet‐Designated hospitals across the United States: national survey results. Worldviews on Evidence‐Based Nursing, 17(2), 98-107. https://doi.org/10.1111/wvn.12428