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Essay / Research Paper Abstract
A 3 page research paper that discusses a proposed change in the nursing process of care pertaining to preventing pressure ulcers. The writer discusses change theory, pressure ulcer prevention and how a beneficial change in care might be implemented. Bibliography lists 4 sources.
Page Count:
3 pages (~225 words per page)
File: D0_khproch.rtf
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Unformatted sample text from the term paper:
in order for improvement to be obtained. Recently, the student researching this topic has observed the need for such an area of change in regards to how nurses in the
students hospital address pressure ulcer prevention. In order to implement a successful change of practice, change theory offers specific steps that can greatly facilitate the change process. Kurt
Lewin is credit with originating change theory. The theory he proposed in the 1940s has three basic steps or stages: the unfreezing stage, the moving stage and the re-freezing stage
(Morse, 2006). The first step is to "unfreeze," that is to release restricting attitudes that retard the process of change. The second step is the "moving stage," which is the
stage in which change actually takes place as individuals learn to alter their concepts and ways of thinking. The third step is to "refreeze," that is, opinions solidify to encompass
the changes and the new paradigm becomes the new standard. Elser, McClanahan and Green (1996) discuss a change in the process of care in a neonatal nursery that was brought
about by a group of advanced practice nurses (APNs) who recognized a need for change in the care of premature infants. The change process involved educating staff concerning the proposed
change and its rationale (which was based on the results of empirical research), implemented the change and then "supported the change until it was an integrated and familiar part
of patient care" (Elser, McClanahan and Green, 1996, p. 75). As this suggests, these nurses followed the steps described by Lewin in first "unfreezing previous behavior patterns through education,
then moving the behavior patterns toward the desired new paradigm, and then providing support t hat would help the changes to "refreeze" and thus become permanent. These nurses helped to
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