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Re:Topic 4 DQ 2

The two change theories I chose for this discussion post are Lewin’s change theory and Rogers’ change theory. Lewin’s change theory is well-known, and often utilized, in nursing. The three phases are unfreezing (recognizing a need for change and finding motivation), moving (making the change), and refreezing (normalizing the new status quo). Rogers’ phases of change include awareness, interest, evaluation, trial, and adoption.

The two change theories are similar because the theorists understood that change must be gradual, occurring in stages. The theories also respect that people must realize the need for change in the first place, and then have the motivation to do so. In contrasting the theories,, Rogers and Lewin have different phases. However, Mitchell (2013) provides a framework that shows how the phases are comparable: Lewin’s unfreezing coincides with Rogers’ awareness; moving with interest, evaluation, and trial; and refreezing with adoption.

For me, the theory that makes the most sense for the implementation of my change proposal is Rogers’ change theory. It makes sense to me because it is closely related to the nursing process, something we utilize every day. Rogers’ awareness coincides with assessment and diagnosis; interest, evaluation, and trial with planning, implementation, and evaluation; and adoption also with implementation and evaluation. By utilizing the nursing process, it already adds relevance to implementation. With assessment and diagnosis/awareness, I can determine the knowledge gaps and needs. In terms of planning, implementing, and evaluation/interest, evaluation, trial; I can plan interventions, implement them, and evaluate for effectiveness. Adoption occurs at the successful implementation of the change proposal.

My mentor most closely relates with Lewin’s change theory. She is a nurse residency progam facilitator, and must first assess needs and motivators of the nurse residents. She then mentors and facilitates change, and continues to provide support as refreezing occurs. Part of the nurse residency program is the completion of a EBP project, and Lewin’s change theory is utilized in those projects. There has been much success, with some nurse residents even presenting their projects at national conferences.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management-UK, 20 (1): 32-37.