Change theories in nursing

Change theories in nursing

Do you want to know what the change ideas in nursing are? Change is an important part of care and of life in general. Change is when things or situations change in a certain way after a certain amount of time. Sometimes it’s planned and sometimes it’s not. The unplanned change will have effects that are hard to predict, while the planned change will help reach goals that have already been set. The goal of this piece is to explain the different nursing theories of change. Learn more by reading on.

Theories of change in nursing

What can you tell me about the different views of change in nursing? Drift and planned change are the two ways that groups and people can change.

Back in the middle of the 19th century, people talked a lot about whether they should do something or just let things happen as they will. When change is planned, leaders’ knowledge and skills have an effect on the change and how it is used in the company.

People’s ideas about change and how to deal with it changed during the 1950s. On the other hand, people started to think about when and how to plan for a change instead of if the action was needed to make a change.

Change the way nurses do their jobs

Change ideas in nursing help you understand what is going on in the world of nursing in a broader way. So, what are the ideas in nursing about change? Different theories try to prove different things about how nature works, which is why it is important for nurses to study theories of change.

According to a classic model made by several scholars, there are three strategies that can be used to make sure change happens. Here are some things that can be done based on how much resistance there is and who is trying to make the change.

Force of power

For the methods to work, they need to be backed up by real power. You will find that the leader of nurses doesn’t try very hard to make changes, so a junior nurse can’t change how the change is made.

Power-based methods work well when time is short, change is important, there is a lot of resistance, and there is little to no chance of reaching organizational agreement.

Empirical rational

Change theories in nursing often use the empirical reasoning as a method. Different methods think that giving people information is the best way to make people change.

Empirical reasoning assumes that people are smart and will act in their own best interests when they find out that a change will be good for them.

It can work if people think the change is reasonable or good for them.

Reeducative normative

Most tactics are based on the same basic ideas. For example, they think that people act exactly the way their beliefs and social norms tell them to, which has a direct effect on how willing they are to change.

When you learn about change theories in nursing, you’ll understand that there are things to pay attention to if you want to make changes that make a difference in a health care setting. For example, the nurse leader focuses on what drives a person’s behavior, such as their attitudes, jobs, relationships with other people, and feelings.

Change ideas in nursing: a few examples

You can give a number of cases of change theories in nursing. Scientists with a lot of influence, like Kurt Lewin, who is known as the “father of social psychology,” came up with these ideas.

So, let’s look at the three ideas about change;

The idea of change by Kurt Lewin

Kurt Lewin is a psychologist who is both American and German. His theory of change is widely used in nursing. His idea is mostly about three stages: the stage of moving, the stage of unfreezing, and the stage of refreezing.

Unfreezing stage

Lewin’s study says that an organization can change by planning, which means that the system needs to be unfrozen. The unfreezing stage begins when the change agent is able to convince the younger staff that change is important.

Refreezing stage

This is what Lewin’s idea is all about. In this theory, a change agent who makes changes that affect nursing essay services should balance the system. Changes to the status quo are part of the stability goals.

If this step isn’t done right, the change won’t work, and you’ll have to keep doing the things you did before the change. At this time, the change agent needs to be helpful and help all the groups in the organization be more flexible.

Movement stage

This is where Lewin’s idea goes next. During this time, the change agent’s job is to come up with, plan, and use the right methods. Also, they should make sure that the things that are driving the business beat the things that are holding it back.

No matter which change theory in nursing you choose, change is a normal and complicated process. It needs to be done at the right time, with careful planning, and, if possible, in steps.

During the moving stage, the change agent’s job is to motivate, build relationships, put change in order of importance, and set goals.

From these three theories, you can see that Lewin’s theory depends heavily on the fact that there are moving and resistant sides. But for this idea to work, the driving force needs to be stronger than the resisting force.

The change theory of Everett Rogers

Everett Rogers is another sociologist whose work is important in the field of nursing change ideas. Roger was a teacher and writer who was an expert in dialogue.

Roger’s theory can be thought of as an update to Lewin’s theory, and he also came up with his own five-stage model.

Roger’s idea has five important parts:


In this case, “knowledge” means coming across a new idea.


After learning a new idea, a person thinks about how important it is and decides whether or not to accept it without necessarily looking for proof.


The idea is that a person is interested in it and wants to find out more.


The person decides to move forward with the idea and maybe put it into full effect.


After thinking about a choice, a person accepts the idea that things change depending on the situation and could look for more information.

Roger’s theory is based on a three-step nursing method.


The first step is to do an assessment. For this process to work, you need to collect both objective and subjective facts and think critically. So, this is generally the first stage of Roger’s theory because it introduces a new idea.


During the planning stage, goals and results were set up that have a direct effect on how patients are cared for when it comes to certain suggestions. Setting goals that are unique to each patient and their results will help reach those goals.

Now you can see that the choice and persuasion parts of Roger’s theory usually happen in this phase, when the nurse starts asking the patient for more information.

Evaluation and carrying out

At this stage, a person takes on different ideas based on what’s going on and may look for more knowledge. At the end, the person can decide whether to keep working on the idea or not, and if so, how to use it to its fullest potential.

So, this idea can be used for long-term change projects, and it works if nurses resist the change before they accept it. In order for them to agree to the change, the nurses who liked it at first should try to persuade them.

The good things about Everett Roger’s idea of change

The main strength is the use of spread of change theory.
Different types of study in different fields have used the idea as a paradigm. Goals have been met across the board that were similar.


It doesn’t make people want to work together to apply for a public health program.
It only helps when a behavior is adopted. It doesn’t help when a behavior is stopped or started.
It doesn’t look at how many people a person has to help them adopt a new idea or situation.
Most of the information about this idea did not come from public health, as you can see. Also, the goal of the formulation was not to focus on health improvements or new ways of doing things.

The change theory of Ronald Lippitt

Ronal Lippitt has spent most of his life as a great leader. People think of him as a revolutionary because he came up with modern social psychology.

Lippitt’s change theory, which will be talked about below, says that achieving change happens in seven stages.

figuring out if change is needed and what the problem is
Finding signs that a doctor and a patient haven’t been able to communicate well
Getting the client to trust that their job will get better is more important than losing ideas.
The customer should be sure that outside help from a doctor is available and related to that help.
Getting the drive and skills to make changes in a relationship

In this phase, Lippitt says that the most important things are how the customer sees their working relationship with the practitioner and how the practitioner sees the customer.

It’s important to make sure the patient can speak well and openly.

The problem with the patient system is being looked at.

At this stage, the client must deal with a deeper and wider diagnosis and the results of change.

Make up other ways
Putting plans into action to help change happen
Change stabilization
The relationship that ended
Theories about how to lead change in nursing

Different kinds of change ideas are used in nursing. Here are some different views of change in nursing leadership.

Transformational theory style of management
The idea of situational leadership


These are some of the most popular theories in nursing about how things change. You shouldn’t stop your study here because you can look for other ideas. This will show you how healthcare is always getting better to meet patients’ needs. The changes in the nursing sector are meant to make better services more available and profitable, while keeping prices low and getting the most out of them. Click here if you want to learn more or have questions.

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