Evidence Based Practice
Change theory, which was established by Kurt Lewin, is a popular theory in nursing that is usually borrowed from the field of social sciences. The theory is a three-stage process, which includes the Freezing, change as well as the refreezing stages. The theory is commonly employed when introducing organizational change. The freezing stage is where people are prepared to accept change, the change stage is where people device new approaches to do things and the refreezing stage is where people embrace new ways that allow change to take place (Sales, 2012).
Lewin’s change theory has been applied in evidence-based practice to exhibit how health worker’s behavior is usually accepted and upheld in a clinical setting. The theory was applied in two projects that were able to evaluate their planning frameworks to create a common evidence-based practice, which entailed a multifactor risk appraisal and follow-up procedure. The EBP projects were new and needed implementation of additional requirements to improve care targeting older adults. The projects were implemented in two different EBP settings and they faced resistance from varying populations. Lewin’s model was however employed in making mature EBP demonstrations, which perpetuated employee behavior and system changes (Manchester, 2014).
EBP improves quality, safety and even outcomes in healthcare by allowing nurses to be engaged in the entire research process as well as collaborate with interdisciplinary teams throughout the healthcare setting. This allows them to engage in a lasting pursuit of integrating data, information and research-based evidence to inform varying actions. This allows nurses to consistently improve care process as well as encourage their peers to ensure that patients receive the best healthcare services possible (Larrabe and Rosswurm, 2009). EBP further improves safety and quality by ensuring that nurses among other healthcare professionals understand scientific knowledge as well as the various strategies that impact the use of evidence as well as the integration of change. EBP enables healthcare professionals to understand that implementation of evidence into the practical context is often realized through various approaches rather than adopting one simple intervention. This ensures that key stakeholders are able to translate scientific evidence into daily care, which improves quality and overall healthcare outcomes (Detrich, 2012).
Detrich, S. (2012). Evidence Based Practice: A Framework for Making Effective Decisions, Education and Treatment of Children, 35(2):89-178.
Larrabe, J and Rosswurm, A. (2009). A Model for Change to Evidence-Based Practice, Journal of Nursing Scholarship, 31(4):317-322.
Manchester, J. (2014). Facilitating Lewin’s Change Model with Collaborative Evaluation in Promoting Evidence Based Practices of Health Professionals, Virginia Aging Publications, 21(2):1-36.
Sales, A. (2012). Models, Strategies and Tools: Theory in Implementing Evidence-Based Findings into Healthcare Practice, J Gen Intern Med. 21(2):43-49.