Sample Nursing Essay Paper on Rational- Empirical Change

Question 1

Sam is rational and behave according to his self-interest. Sam seems to be willing to change if he is informed and justified about the benefits of taking insulin for a diabetic patient. The empirical- rationale strategy emphasizes the fact that any proper communication of information and proffering of incentives can result in a successful change (Nickols, 2016). A person can change if they get justified information about their conditions.

Question 2

First, I will invite Sam to discuss with him the process of change in the details of the transition. Participation will allow Sam to give his opinions on taking insulin and feel like part of the change process, and identify his interest regarding the change process (Nickols, 2016). Second I will include some motivation for Sam. Third, I will deliver beneficial information to Sam so that he understands the purpose of taking insulin. The final step will involve giving and receiving feedback.

Question 3

The process will involve Sam, the wife, and physician to encourage and motivate Sam to comply to change. The physician will impart important knowledge and perceived changes to help Sam comply with taking treatment.

Question 4

After talking to Sam about change, first I would request the physician to simplify insulin regimen by adjusting time, frequency, and dosage to match Sam interest (Atreja et al., 2005).  The second strategy will involve providing Sam with knowledge and diabetic education materials such as written information and pamphlets. Third, I would address Sam beliefs, intentions and self-efficacy with continuously motivate Sam to comply with the change process (Atreja et al., 2005).  I will as well conduct continuous follow-up and evaluate Sam adherence to change through self-reports and conducting blood sugar level tests.


Atreja, A., Bellam, N., & Levy, S. R. (2005). Strategies to enhance patient adherence: making it simple. Journal of MedGenMed: Medscape general medicine, 7(1), 4.

Nickols F., (2016). Four strategies for managing change. Retrieved from