Which theory makes the most sense for implementing your specific EBP intervention?

The Change Theory of Nursing was developed by Kurt Lewin, who is considered the father of social psychology. This theory is his most influential theory. He theorized a three-stage model of change known as unfreezing-change-refreeze model that requires prior learning to be rejected and replaced.

Lewin’s definition of behavior in this model is “a dynamic balance of forces working in opposing directions.”

The Change Theory has three major concepts: driving forces, restraining forces, and equilibrium. Driving forces are those that push in a direction that causes change to occur. They facilitate change because they push the patient in a desired direction. They cause a shift in the equilibrium towards change. Restraining forces are those forces that counter the driving forces. They hinder change because they push the patient in the opposite direction. They cause a shift in the equilibrium that opposes change. Equilibrium is a state of being where driving forces equal restraining forces, and no change occurs. It can be raised or lowered by changes that occur between the driving and restraining forces.

There are three stages in this nursing theory: unfreezing, change, and refreezing.

Unfreezing is the process which involves finding a method of making it possible for people to let go of an old pattern that was somehow counterproductive. It is necessary to overcome the strains of individual resistance and group conformity. There are three methods that can lead to the achievement of unfreezing. The first is to increase the driving forces that direct behavior away from the existing situation or status quo. Second, decrease the restraining forces that negatively affect the movement from the existing equilibrium. Thirdly, finding a combination of the first two methods.

The change stage, which is also called “moving to a new level” or “movement,” involves a process of change in thoughts, feeling, behavior, or all three, that is in some way more liberating or more productive.

The refreezing stage is establishing the change as the new habit, so that it now becomes the “standard operating procedure.” Without this final stage, it can be easy for the patient to go back to old habits.

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Topic: Nursing Words: 366 Pages: 1 Aug 11th, 2022

Introduction

In nursing, revolutionary concepts have been established to investigate the phenomenon in different administrative backgrounds. Lewin’s three-step variation theory and Lippitt’s Phases and cognitive theory of Transformation model are examples of collective modification theories. This essay scrutinizes the efficiency of two revolution theories, social cognitive theory and Lewin three-step change theory, in executing indication-based exercise plans in nursing. It also compares and contrasts the two theories.

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Comparison and contrast between Lewins and social cognitive change theories

Lewin’s model is logically focused, plan-oriented, and goal-oriented. It does not consider individual factors that can influence transition. On the other hand, the social cognitive theory claims that environmental stimuli, personal variables, and behavioral characteristics influence behavior change. Lewin’s ideal sort’s comprehensible sense, while the social cognitive theory studies both exterior and interior ecological aspects. The two theories, however, accept the importance of outside powers in affecting individual behavior change.

Lewin’s change theory looks at actions resulting from competing, driving, and restraining forces. It states that individuals must be self-motivated and have the self-efficacy to improve their behavior and manage their environment (Böckler et al., 2018). The social cognitive theory, on the other hand, stresses the role of the environment, personality, and attitudes in changing people’s behavior and how they relate to each other. It is based on the premise that consequences motivate actions. Due to this, the expected outcome serves as a motivator to adopt and maintain the action.

The theory that makes the most sense for implementing specific evidence-based practice (EBP) intervention and why it is the most relevant and the results gotten when nurses use either of the two theories.

Lewin’s change theory makes the utmost logic in applying evidence-based practice (EBP). This theory makes more sense to EBP since many nurses would be the motivating factor behind achieving this goal. As a result, there will be fewer participants in the resistance force, increasing the chance to prosper. This theory is the most relevant because it is more realistic and logical, considering the complex external influences present in nursing practice. Finally, nurses successfully implemented both Lewin’s and social cognitive theories. There was an improvement in health since both theories pre-warned surgical patients and reduced hypothermia events.

References

Al-Zboon, E. (2016). Special education teacher leadership in Jordan: Current state and constraints. Societies, 6(3), 19. Web.

Böckler, A., Tusche, A., Schmidt, P., & Singer, T. (2018). Distinct mental training differentially affect altruistically motivated, norm motivated, and self-reported prosocial behavior. Scientific Reports, 8(1). Web.

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