HCA 699 Section D: Change Model
HCA 699 Section D: Change Model
Theories of change are important in the implementation of evidence-based practice in the clinical settings. They guide the adoption of strategies that should be utilized to ensure that the change is successfully implemented. They also provide the basis in which project evaluation will be undertaken. Through it, the project stakeholders understand the factors that contributed or hindered the realization of the goals and objectives of the project. Therefore, this section of the project presents the change model that will be used in implementing the evidence-based practice project.
The Selected Theory for the Project
The selected theory for implementing the evidence-based practice project is innovations diffusion theory by Rogers. Rogers developed the model with the aim of describing the manner in which an idea gains momentum among people and spreads for its collective adoption. According to Rogers, the product of the model is the implementation of the idea for social use. The model however reveals that the rate of adoption of an idea is not a simultaneous process. Instead, the adoption of an innovation is unpredictable with some people adopting it earlier than others do. As a result, Rogers recommended the need for the understanding of the characteristics of the adopters and ways of promoting uniformity in the adoption process of a change. Rogers conceptualized that the process of implementing change occurs in steps that include knowledge, persuasion, decision, implementation and confirmation (Al-Suqri & Al-Aufi, 2015).
Application to the Evidence-Based Project
Each of the steps of change process by Rogers will be applied in the implementation of the change. According to Rogers, the first stage of the adoption of change is knowledge. The adopters of the change in this stage become aware of the change and find more information about it. They try to determine what the change is and the ways in which it can influence them. Despite having the knowledge about the innovation or change, they do not adopt it since they are not sure of its significance to them (Wang, 2016). The adopters of the proposed change in the project will be aware of the use of nursing rounds to prevent patient falls. They also seek more evidence-based data on its use. However, they do not make use of it due to strongly held beliefs about their current behaviors.
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The second step in the implementation of change according to the diffusion innovations theory by Rogers is persuasion. According to Rogers, the adopters of the change in this stage develops attitude towards the change. The information that they utilize to increase their understanding in the first stage influence their perception towards the change. It is worth noting however that their attitude does not have a direct influence on their decision to adopt or reject the change. The adopters also tend to validate their experiences by seeking the opinions of others concerning the clinical use of the innovation. Therefore, they continue searching for information that would enable them make decisions on whether to use the change or not in their settings (McCabe, 2020). This stage is applicable to the proposed evidence-based practice project. The adopters of the change develop mix of attitudes towards the change in this stage. They can either develop a positive or negative attitude towards it. They also explore expert opinion concerning the clinical use of the change. Consequently, they use the information that they obtain in making decisions on the adoption of the change in their settings.
The third step in the theory of innovation diffusion by Rogers is the decision stage. The decision stage is the phase where the adopter of the innovation or change decides to either accept or reject the change. Rogers identified that change or innovations that are implemented on trial basis are likely to receive a high rate of adoption when compared to those that are implemented without trials. The high rate of adoption is attributed to the thirst for trial of the innovation by the adopters (Cameron & Green, 2019). The adopters of the proposed evidence-based practice intervention will decide to adopt it or reject. Their decision will largely be based on the information that they obtained in the previous stages. Therefore, it is important that the adopters be provided with the right information that will promote informed decision-making among them.
The implementation stage is the other phase of innovation adoption in the model proposed by Rogers. The change or innovation is implemented or put into use in this stage. However, its use is often associated with significant uncertainty to the adopters. They are unaware of the anticipated outcomes or ways of achieving them. As a result, technical support might be needed to ensure effective use of the innovation in the clinical setting (Cameron & Green, 2019). The adopters of the proposed evidence-based practice will put it into practice in their clinical settings. They will however have concerns on the behaviors that are needed for its success. Therefore, support from the management and leaders of the project will be provided to enhance its adoption.
The last stage of the theory of change by Rogers is confirmation. The decision to adopt the change has been made in this stage. The adopters therefore look for additional ways in which their behaviors could be improved. It is necessary to ensure that the adopters receive the required support and information in this stage since they can easily revert to their old ways of doing things in their organizations (Cameron & Green, 2019). The adopters of the proposed evidence-based practice intervention have already made their minds on the adoption of the change. Consequently, the organization should ensure that the right information and support is provided to them to prevent them from reverting to their old ways of promoting patient safety in their units.
Conclusion
Overall, the theory of innovations diffusion will be used in the implementation of the proposed intervention. The theory will guide the implementation process, decisions, and resources that are needed. It will also provide insights into the expected reactions from the adopters towards the change and ways of facilitating the process. Therefore, it will be important for the stakeholders involved in the implementation process to increase the availability of relevant information and support related to the change.
References
Al-Suqri, M. N., & Al-Aufi, A. S. (Eds.). (2015). Information seeking behavior and technology adoption: Theories and trends. Information Science Reference.
Cameron, E., & Green, M. (2019). Making sense of change management: A complete guide to the models, tools and techniques of organizational change. Kogan Page Publishers.
McCabe, D. (2020). Changing Change Management: Strategy, Power and Resistance. Routledge.
Wang, V. C. (Ed.). (2016). Encyclopedia of strategic leadership and management. IGI Global.
