Making Sense of Implementation Theories Discussion

Please respond with a paragraph to the following question, add citations and references:One change theory is Lewin’s three stage change model that includes: unfreezing, moving and refreezing. When unfreezing one recognizes the need for change, moving is when the change occurs, and refreezing is when balance is established, and the results are satisfying (Nilsen, 2015). Another theory is the Lippett’s seven phase theory. Phase one diagnosis a problem, assess motivation and capacity for change, evaluate change agent’s motivation and resources, choose a role for change agent, maintain different and terminate the relationship.Lippet’s theories is more comparable to the nursing process and used more by my mentor. He explained that there is not a huge difference between the two theories, however nursing in general is much bigger that three steps. Critical care nursing is complex with multiple levels. In the EBP project that we are working on we will use this theory, for example when a patient is admitted to ICU and have the urgent need for multiple pressers and fluid resuscitation they will need a CVC. When a patient is administered pressers such as Levophed a CVC is required. So, it’s a long process from getting a consent, to educating the patient, family and staff from the insertion to when the catheter is discontinued. Every person involved in this patient’s care is held accountable for the maintenance of this CVC, especially the nursing staff.Reference:Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implement Science, 53(10). doi: 10.1186s/13012-015-0242-0  

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