Answer 2 for NUR 590 Review the different frameworks/models that can be used to facilitate change

There are several different models that facilitate change in the healthcare setting. One of them is The Kurt Lewin’s Change Management Model. This model consists of three stages – unfreezing, changing, and refreezing. Unfreezing involves preparing the organization for change by overcoming resistance, changing involves implementing the actual change, and refreezing involves stabilizing the change and ensuring it becomes a part of the organization’s culture. Another model is The Prochaska and DiClemente’s Stages of Change Model. This model consists of six stages – precontemplation, contemplation, preparation, action, maintenance, and termination. It suggests that individuals go through these stages when making changes in their behavior, and interventions should be tailored to the individual’s stage of change (Harrison et al., 2021).

For an evidence-based practice proposal to decrease maternal mortality, the Prochaska and DiClemente’s Stages of Change Model would be more suitable. This is because maternal mortality is a complex issue that involves changing behavior and practices, both at the individual level (e.g. pregnant women seeking prenatal care) and at the institutional level (e.g. healthcare providers following evidence-based guidelines) (Marshall & Bidddle, 2001).

Rationale: The Stages of Change Model is more focused on individual behavior change, which is crucial in addressing maternal mortality. By understanding where individuals are in their readiness to change, healthcare providers can tailor their interventions to be more effective and increase the likelihood of sustainable change. Additionally, this model takes into account the importance of maintenance and termination stages, ensuring that the changes made are sustained over time (Littel & Girvin, 2002).

Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H (2021). Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare. Journal of healthcare leadership, 13, 85–108. https://doi.org/10.2147/JHL.S289176.

Littell, J. H., & Girvin, H. (2002). Stages of change. A critique. Behavior modification, 26(2), 223–273. https://doi.org/10.1177/0145445502026002006

Marshall, S. J., & Biddle, S. J. (2001). The transtheoretical model of behavior change: a meta-analysis of applications to physical activity and exercise. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 23(4), 229–246. https://doi.org/10.1207/S15324796ABM2304_2