It is important for nursing scholars and practitioners to apply the right types of theories to their practices in order to gain greater insight into understanding why human beings do what they do. The components of nursing knowledge, the metaparadigm, conceptual frameworks, models, and theories support the translation of nursing knowledge into real-world practice.

• What is the difference between a model, theory, framework, and philosophy?
• How are they related? (Discriminate between the concepts).

Write an answer based on this assignment. Use at least 2 references. Not use the same that appears here.

Discussion Chapter 9

Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.

Will you have to leave earlier to bein class on time?

In order to be in class on time, I would have to leave earlier, since as a nurse, you are an agent of change in a formal and informal legitimate influence and whose resolution is to direct and guide growth. Arriving in class on time is an important virtue that should be checked on. Nurses should be a good role model to the other health professionals and be a guidance to them. In real life scenario, timekeeping is essential. There is a need to be at the frontline on time to provide a necessary change in the working station, hence improving work procedures and much importantly, the patient care.

Will you meet different people on your way to class?

By taking a different route and leaving earlier, I would probably meet different people on my way to class. The new route to class may allow me to recognize other individuals that I had not acknowledged before during my previous route. Therefore, on the way, I will encounter other determined nursing students.

See different sights?

By changing the route to class, I would be exposed to new sights, buildings, and locations. When you accept the new change, there are some other aspects that may be altered like thoughts, feelings, and behaviors, which may bring positive results to the new experience.

Would you change your route to class on the day of the final exam?

I would not change my route to class on the day of the final exam. I believe that changing the route on such an important day would lead to disorganizing of the plans and maybe a form of time-wasting, since it is something new and requires adjustment. In this regard, it may be better to analyze the situation to see if the change you are making is necessary. If not, following the same route will prevent further delays or new changes and challenges to previous plans.

Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.

Changing routes may be necessary if a previous routine may be affecting the success of an outcome. For instance, an administrator may provide staff nurses with a change that he or she believes is necessary for improving the outcome of a task. The change may positively affect patient care and overall health. However, this small change may negatively impact staff nurses in that their daily routine might be altered, which may affect and delay their performance throughout the day. For this reason, a leader should be knowledgeable about the change being implemented and the way it may positively and negatively impact those involved.

Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death

How did you react to the change?

The death of a loved one is a process that is inevitable, since it happens without someone’s concession or plans. Although my reaction was not at all pleasant, one learns ways to cope with the situation since you become affected in one way or another. The environment also gives you good exposure to how to overcome the challenges that you encounter. Learning to accept the situation is the best way to approach challenges the way they come.

Would you have reacted differently if you had had more information?

If I had known all of the details of my family member’s condition, I believe I would have reacted differently to the situation, since I would have had a good exposure on how to deal with the situation and would have known what to expect. Although death is a subject no one is mentally prepared for, having more information about the situation would have helped explain what was going on and would have provided me with a glimpse of what was to come.

Using Lewin’s model describes the essential elements in the situation and how you eventually achieved a comfortable outcome.

Lewin’s model relates efficiently to real-life situations in managing change in oneself and involves three steps, which include unfreezing, changing, and refreezing (“Lewin’s change theory,” 2019). He describes how to tackle a problem adequately and how you develop pathways on encountered solutions if it requires change. The change agent should recheck the affected systems to ensure the shift stabilizes well and is maintained. Using this theory, I first directed behavior away from the existing situation. Then, I found a way to distract myself in order to change the unpleasant feeling brought on by the death of my family member. Lastly, I implemented the distraction method regularly in order to make it a daily habit and try to surpass the inevitable tragedy.

References

Balsanelli, A. P., David, D. R., & Ferrari, T. G. (2018). Nursing leadership and its relationship with the hospital work environment. Acta Paul Enferm., 31(2), 187-193.

Lewin’s change theory. (2019). Nursing Theory. https://nursing-theory.org/theories-and-models/lewin-change-theory.php

Miles, J. M., & Scott, E. S. (2019). A new leadership development model for nursing education. Journal of Professional Nursing, 35(1), 5-11.

write an answer based on this assignment. use at least 2 references. do not use the same that appears here. 

People and the Process of Change

Changing from a route I am used to would imply leaving earlier for class. This is one of the changes I would make. Leaving early would assist in dealing with any unexpected distance of the new route. I believe changing the route I am used to would bring about resistance to stick to the route, especially if it is a longer route. Personal needs would arise when sticking to the new route. Personal needs would relate to gaining trust based on safety and security (Weiss & Tappen, 2015). I would resist following the new route, where I do not believe in assured safety and security. Unlike the normal route used I was used to; the new route would take time as I adapt. The process follows freezing, changing, and unfreezing. The freezing would happen when I decide to change to a new route. The change would happen during the use of the route as I familiarize myself with the path. Gaining familiarity assists in building trust in using the route. One of the large changes would involve adjusting the time I leave for the class to ensure I am not late. The second large change is trusting in the route. The change aligns with the personal need that humans look for during stability. I would seek to adapt to having faith in the route I would be comfortable taking.

Stability would also imply emotional stability. Emotional stability means having the full trust of security and safety (Weiss & Tappen, 2015). Small changes include seeing different environments and different people using the route. I would meet different people using the new route. Other people would be using the route, which would imply meeting different people. Hence, continuous use of the route would prompt meeting failure faces. Meeting familiar faces becomes the unfreezing part as the route becomes my norm. The more familiar the route becomes, the more I will use the path. Also, the more different people become familiar to me, the more I will trust the route. This falls under attaining stability and having the assurance that the route will not have me lost. Unless I am familiar with the route to get to my destination fast, I may not change during the final exam day. During exams, individuals are required to arrive early. Hence, not being familiar with the route would mean I may get late.

The only way to avoid lateness is by using a route that gets me to the exam room on time. Therefore, trusting the route and attaining emotional stability is vital on the final exam day. This will only happen if I am assured that I will not get lost as I use the route. The change to another route during the final day of the exam is a micro or small change. Using the new route is a small change because the effect of the change is on me. No one else is affected by the change. One of the positive impacts of changes is learning (Otken & Beser, 2017). I would learn about a new environment. My mind would become familiar with solving the way I will get to class on time. Hence, the small change would allow me to change from my comfort zone to attain new ideas regarding a different environment. Concerning nursing staff adhering to an administrator making a minor change, learning is the linking factor and an advantage. Change of route and adapting to minor change for nursing promotes learning to come in terms with new ideas.

One negative effect of the change is restructuring from the norm. The restructuring would require leaving earlier to get to the exam room on time. For the nursing staff, losing power and experiencing a downgrade in a position are negative impacts. Weiss & Tappen (2015) implies that restructuring causes altering certain norms for employees such as salary cuts, downgrade in a position, loss of benefits, job loss, or relocation to another department. Having a negative impact of change creates resistance to change (Imran et al., 2016). The resistance makes nurses seek a way of protecting interests as a team. Resisting to using the path and resistance by nurses to adherence to the change creates a negative impact because one must unlearn the old methods and adopt new methods. The new methods create a delay in how one will do what is expected. Arriving in class on time is resisted when I am forced to leave early than usual. Altering my time of going to class implies I change or drop a certain activity I am used to doing before going to class. For instance, instead of waking early to read, circumstances may force me to wake up early to prepare and leave early. For nurses, a minor change may cause a slower rate in meeting the patients’ needs. Slowness comes about during the learning process from freezing, change, and unfreezing.

A change that has occurred in my life is losing my grandmother. My grandmother died due to cancer. The loss took place when I was a child. My initial reaction to the loss was anger since I did not understand that my grandmother would leave without saying goodbye. The explanation I received is my grandmother had traveled to the sky to become a star that shines over us. Coming into terms with the betrayal of being left by my traveling grandmother was not easy. I would miss her, and I did not know how to tell her. If I knew that my grandmother died because of a brain tumor, I would have reacted differently. I would have forgiven my grandmother for leaving without any goodbyes. Knowing what death is as a child meant understanding that not everyone would be in my life for long. Having more information about death would empower me to understand that death happens in uncertain and unexpected ways. Applying Lewin’s change model means using basic elements of freeze, change, and unfreeze (Weiss & Tappen, 2015). Freezing is when I became aware of what happened to my grandmother. Learning about death made me realize that people leave and go to be with God. The change was when I learned that death is a process of life and must occur. Lastly, I went through the unfreezing process of becoming aware death is a common occurrence. The next time I lost a relative, I did not feel betrayed by the relative going without saying goodbye. I learned that a person might die when I am not close to them. Hence, no goodbyes will occur.

References

Imran, M. K., Rehman, C. A., Aslam, U., & Bilal, A. R. (2016). What’s organization knowledge management strategy for successful change implementation?. Journal of Organizational Change Management.

Otken, A. B., & Beser, H. S. G. (2017). The effect of authentic leadership on organizational learning providing organization the ability to adapt quickly and conveniently to changing circumstances. PressAcademia Procedia, 3(1), 457-471.

Weiss, S. A., & Tappen, R. M.(2015).Essentials of Nursing Leadership and Management (6th Ed.). F. A. Davis Company

 APA style and less than 10 % similarity

Please answer the following Discussion Question. Please be certain to answer the four questions on this week DQ and to provide a well-developed and complete answer to receive credit. Also, please ensure to have read the assigned chapters for the current week. 

Case Study, Chapter 24, As professional Registered Nurses we must have an understanding and grasp of the policy process and how are influence and create change. There is rapid change happening all around us. Please answer the following questions:

1. What are the most significant nursing issues being debated in the policy area?
2. Nurses are reluctant to become active in the political area. Describe what actions you can take to contribute to policy and make a difference.
3. What do you believe will be the next major policy issue affecting nursing to be debated?