NUR 590 Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change

NUR 590 Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change

Assessment Description

Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the

various aspects of your project into a final paper detailing your evidence-based practice project proposal.

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Include the following:

  1. Identify the selected model or framework for change and discuss its relevance to your project.
  2. Discuss each of the stages in the change model/framework.
  1. Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
  2. Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite minimum of four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

1.2 Apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level. NUR 590 Benchmark Evidence-Based Practice Proposal Project Framework or Model for Change

Topic 3 Discussion Question 1

Various models or frameworks can assist healthcare professionals, including nurses, in applying research findings to clinical practice, ultimately enhancing patient outcomes. Multiple evidence-based practice models exist to aid nurses in systematically and methodically monitoring the progress of incorporating evidence into practice. These models offer a comprehensive, step-by-step roadmap for addressing a clinical issue and aligning it with a research-based intervention to effect organizational or departmental changes in practice (Brown, C. G., 2014). Utilizing an established framework for implementation provides a structured approach to implementation efforts, significantly improving the likelihood of successful project outcomes and long-term sustainability. Neglecting to employ these approaches has the potential to create a secondary knowledge translation gap within clinical settings (Tucker et al., 2021).

Brown. C .G(2014). The lowa model of Evidence-Based Practice to promote Quality care An Illustrated Example in Oncology Nursing. Clinical Journal of Oncology Nursing vol (18)

Tucker. S, McNett. M, Mazurek. M. B, Hanarahan. K, Hunter. S.C, Kim. B, Callen. L & Kitson. A (2021). Implementation science: Application of Evidence-Based practice Models to Improve Healthcare Quality. Worldviews on Evidence-Based Nursing. 18:76-84.

Planning and Executing Evidence-Based Practice Projects

The process of implementing an evidence-based practice project is often complex, and it necessitates a well-structured plan for each stage. Effective implementation can be facilitated by employing established strategies, including the utilization of recognized models or frameworks for change. These frameworks and models provide a solid groundwork upon which the project can be successfully executed (Jayatilleke, S., & Lai, 2018). Fortunately, there are numerous change models and frameworks available to support the implementation of evidence-based practice projects. Therefore, project implementers must carefully select the most suitable model, ensuring that it leads to unbiased and successful implementation. Consequently, the objective of this assignment is to delve into the chosen change model or framework for guiding the implementation of the proposed evidence-based practice project and elucidate how the different stages of change will be applied during project execution.

The Selected Model for Change

The chosen model to steer the implementation of this project is Kurt Lewin’s change model. According to this model, change unfolds through three distinct phases, with the change process influenced by two opposing forces: restraining forces and driving forces (Hussain et al., 2018). While driving forces promote change, restraining forces act as barriers to change. Therefore, the success of a change process depends on ensuring that the driving forces outweigh the restraining forces.

The Stages in The Change Model

Kurt Lewin’s change model outlines change as a progression through three phases: unfreezing, change, and refreezing. The initial phase, unfreezing, serves to create a sense of urgency for change among the stakeholders. This stage is supported by relevant statistics that justify the necessity for change. Effective communication is crucial during this phase. Subsequently, the change phase involves the actual implementation of the proposed change, often accompanied by assessing its feasibility. The final stage is refreezing, which entails supporting individuals to embrace the change and achieve stability. Additionally, the intervention implemented becomes ingrained as part of the organizational culture and a new approach to performing tasks within the organization.

The Application of The Model in The Proposed Implementation

The project’s primary focus is the application of a CAUTI bundle to reduce the incidence of CAUTI in the organization. Lewin’s model will be employed to manage the change effectively. In the unfreezing phase, stakeholders within the organization will be informed of the urgent need to decrease CAUTI rates. This step is substantiated by pertinent data that underscores the urgency for change. Effective communication plays a pivotal role in preparing the involved stakeholders for the impending changes. The subsequent phase, the change phase, involves educating the staff about the CAUTI bundle before its actual implementation. The final phase, refreezing, is expected to lead to the organization adopting the CAUTI bundle as the standard care protocol for patients, thereby preventing CAUTI (Muldoon, 2020).


Evidence-based practice projects play a pivotal role in enhancing patient care outcomes within healthcare settings. To ensure the successful implementation of such projects, it is imperative to employ appropriate strategies. Therefore, this discussion has explored the use of Lewin’s model as a guiding framework for managing the change process. The stages of the change model have been elucidated, along with how they will be applied in the implementation of the proposed CAUTI bundle care change.

NUR 590 Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change References

Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge3(3), 123-127.

Jayatilleke, S., & Lai, R. (2018). A systematic review of requirements change management. Information and Software Technology93, 163-185.

Muldoon, J. (2020). Kurt Lewin: Organizational Change. The Palgrave Handbook of Management History, 615–632.

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