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Facilitating Lewin's change model with collaborative evaluation in promoting evidence based practices of health professionals

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  • Manchester, Julianne
  • Gray-Miceli, Deanna L.
  • Metcalf, Judith A.
  • Paolini, Charlotte A.
  • Napier, Anne H.
  • Coogle, Constance L.
  • Owens, Myra G.

Abstract

Evidence based practices (EBPs) in clinical settings interact with and adapt to host organizational characteristics. The contextual factors themselves, surrounding health professions’ practices, also adapt as practices become sustained. The authors assert the need for better planning models toward these contextual factors, the influence of which undergird a well-documented science to practice gap in literature on EBPs. The mechanism for EBP planners to anticipate contextual effects as programs Unfreeze their host settings, create Movement, and become Refrozen (Lewin, 1951) is present in Lewin's 3-step change model. Planning for contextual change appears equally important as planning for the actual practice outcomes among providers and patients. Two case studies from a Geriatric Education Center network will illustrate the synthesis of Lewin's three steps with collaborative evaluation principles. The use of the model may become an important tool for continuing education evaluators or organizations beginning a journey toward EBP demonstration projects in clinical settings.

Suggested Citation

  • Manchester, Julianne & Gray-Miceli, Deanna L. & Metcalf, Judith A. & Paolini, Charlotte A. & Napier, Anne H. & Coogle, Constance L. & Owens, Myra G., 2014. "Facilitating Lewin's change model with collaborative evaluation in promoting evidence based practices of health professionals," Evaluation and Program Planning, Elsevier, vol. 47(C), pages 82-90.
    • Handle: RePEc:eee:epplan:v:47:y:2014:i:c:p:82-90
    DOI: 10.1016/j.evalprogplan.2014.08.007
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    References listed on IDEAS

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    1. Bernard Burnes, 2004. "Kurt Lewin and the Planned Approach to Change: A Re‐appraisal," Journal of Management Studies, Wiley Blackwell, vol. 41(6), pages 977-1002, September.
    2. Tuchman, Ellen & Sarasohn, M. Kim, 2011. "Implementation of an evidence-based modified therapeutic community: Staff and resident perspectives," Evaluation and Program Planning, Elsevier, vol. 34(2), pages 105-112, May.
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    1. Raimunda Montejano-Lozoya & Isabel Miguel-Montoya & Vicente Gea-Caballero & María Isabel Mármol-López & Antonio Ruíz-Hontangas & Rafael Ortí-Lucas, 2020. "Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    2. Albara Alomari & Val Wilson & Joanne Lewis, 2020. "Action research: A mechanism for active engagement of clinical nurses in a program of research," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 539-547, September.

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