While the focus of this course is nursing theory, frequently we use a non-nursing or borrowed theory to help us manage or guide a situation or change. Think of a time when you were involved in a situation or a change that needed to occur. If you feel you have not applied a borrowed theory in your practice can you think of a situation where applying a borrowed theory would be beneficial to your practice? Which non-nursing or borrowed theory do you feel was used or could be used to help guide this situation or change? Why was it important to use this theory for this situation? How did it help the situation or change occur?

Solution:

One change I was involved in is implementing electronic health records (EHRs) in our facility. This required nurses to shift from paper-based to electronic documentation. The non-nursing theory used was Kurt Lewin’s theory of planned change. This theory facilitates the adoption of changes. It has that identifying the driving and restraining forces is the key to understanding why people, groups, and even organizations behave the way they do and also the forces that need to be reinforced or reduced to bring about the desired change (Hussain, Lei, Akram, Haider, Hussain, & Ali, 2018). The theory’s three stages include unfreezing, moving, and refreezing. Unfreezing entails the examination of the status quo to identify the aspects that need change. Moving includes the identification of change agents, implementation, and testing of the change and making the desired changes. Refreezing is the complete and permanent adoption of the changes (Hussain et al., 2018).

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