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Evidence-Based Practice Proposal – Section D: Change Model

Evidence-Based Practice Proposal – Section D: Change Model

Evidence-Based Practice Proposal – Section D: Change Model
Evidence-Based Practice Proposal – Section D: Change Model
Evidence-Based Practice Proposal – Section D: Change Model

Roger\’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck\’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler\’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model. Evidence-Based Practice Proposal – Section D: Change Model


In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:

Identify the selected model or theoretical framework and discuss its relevance to your project.

Discuss each of the stages in the change model/framework.

Describe how you would apply each stage in your proposed implementation.

In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.Evidence-Based Practice Proposal – Section D: Change Model

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

Evidence-based practice is supported by multiple theoretical models and frameworks. These enhance application and implementation of changes in healthcare settings thus improving the health of the patients. As such, this paper seeks to inform evidence-based practice on organizational change practices focused on reducing the Healthcare -associated infections (HAI) which have become a menace in the inpatient healthcare settings. The change model used in this project is the transtheoretical model of behavior change.

The transtheoretical model of behavior change presents an integrative therapy theory that informs the assessment of the readiness of an individual to act on new changes in behavior and provides processes orstrategies of change to guide them. It is constructed using change stages, change processes, change levels, self-efficacy and decisional balance. The theoretical model was constructed by James Prochaska in 1977 with Carlo Di Clemente and colleagues (Friman, Huck, & Olsson, 2017). The name relates to the combination of multiple analyses of psychotherapy theories which led to the establishment of the model.

The transtheoriticalmodel is relevant in this project in that; it helps in assessing the change process. For instance, it associates the lower change stages with low self-efficacy levels (Bernard, Eduardo & Reyes Fernández, 2019). This will help the change avoid this since it is a translation of a failing implementation. It tells that the project presents more cons than pros and hence, little or no positive change is expected in reducing hospital acquired infections. Moreover, this project seeks to promote the use of soap and water rather than using hand sanitizers and therefore, the model will promote the adoption of behaviors in the upper stages which are associated with higher efficacy levels. In essence, the use of the upper stages of the model will help in improving the patient outcomes through behavioral change associated with cleaning of hands with soap and water rather than using sanitizers to prevent HAIs.Evidence-Based Practice Proposal – Section D: Change Model

In addition, the model is relevant during precontemplation stage whereby the organization is not considering adopting any physicalactivity program and hence could help in convincing them to adopt the change in the facility. The model will also help in eliminating the organizations doubt related to the implementation of the project and guide the preparations after mental and physical preparation of the involved parties. It will also guide the implementation and the maintenance stage ensuring that the project turns out successful.

The change model has six stages of change. These include precontemplation whereby the clients are unaware of the need for behavioral change also known as the “not ready” stage (Coulson, Ferguson, Henshaw & Heffernan, 2016). This is followed by the contemplation stage whereby the organization recognizes the problematic behavior and is getting ready to take action. The third stage is the preparation stage that involves readiness for the behavioral change while the fourth stage entails taking action. In this case, water and soaps will be provided and individuals advised to use them instead of hand sanitizers to prevent hospital acquired infections. The maintenance stage is depicted by people’s ability to sustain the action for the project period and is focused on preventing relapses of the former behaviors while termination stage of change is marked by lack of temptation to return to previous behaviors and complete adoption of the new positive behavior.Evidence-Based Practice Proposal – Section D: Change Model


The stages of change in this model are applicable in this project. For instance, the first stage will be used to inform the organization of the problem while the second will help in getting ready for the behavioral change. The third change will facilitate the preparation and the action stage will engage the staff and the patients in the taking up the change. The fifth stage of maintenance will show the effectiveness of the project for the set period of 3 months.


Bernard, R., Eduardo, J., & Reyes Fernández, B. (2019). Introduction to the transtheoretical model: role of social support and socioeconomic variables. RevistaElectrónica de PsicologíaIztacala, 22(3), 2601-2633.

Coulson, N. S., Ferguson, M. A., Henshaw, H., & Heffernan, E. (2016).Applying theories of health behaviour and change to hearing health research: Time for a new approach. International Journal of Audiology, 55(sup3), S99-S104.

Friman, M., Huck, J., & Olsson, L. E. (2017).Transtheoretical model of change during travel behavior interventions: An integrative review. International journal of environmental research and public health, 14(6), 581. Evidence-Based Practice Proposal – Section D: Change Model

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