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NUR 590 Evidence-Based Practice Proposal – Section D: Change Model NUR 590 Evidence-Based Practice Proposal – Section D: Change Model Model for Change Change models are important in facilitating organizational transformations. They guide the implementation of strategies that would contribute to realizing the desired organizational goals. Nurses are responsible for ensuring effective change models in their organizations. Therefore, this paper examines the change model for use in implementing the project and its applications. The Selected Model The trans-theoretical model of change will be used in the project implementation. The model guides the implementation of change and decision-making in the process. It also facilitates the identification of the critical factors needed for the successful implementation of change (Faan et al., 2022). The trans-theoretical model proposes that change occurs systematically in a series of steps. They include pre-contemplation, contemplation, preparation, action, maintenance, and termination. The model applies to the proposed project since it will guide its gradual implementation in the organization. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Stages and their Application As noted above, change in the trans-theoretical model occurs in steps. They include pre-contemplation, contemplation, preparation, action, maintenance, and termination. Pre-contemplation is the first step where the implementers of the change are not willing to take any initiatives that will change their current behaviors. They do not know the need to change their existing beliefs and practices. As a result, they do not understand the need for a change in their routines (Narimani et al., 2018). The applicability of this stage of change is that school-aged children are not aware of the negative effect of their diets and sedentary behaviors on their health. Consequently, they do not understand the need to adopt healthy behaviors and practices that will minimize their risk of obesity and its associated complications. Contemplation is the second phase in the trans-theoretical model of change. The adopters of change are aware of the need for change in their behaviors in this stage. They are willing to adopt a change to improve their outcomes. They also explore the strategies they need to overcome their status quo (Edelman & Rnc, 2021). The applicability of this stage to the proposed project is that parents and school-aged children become aware of the risks of obesity and overweight. They begin to explore healthy lifestyles and behaviors. They also begin to engage in active physical activity to manage weight. As a result, their engagement in change initiatives begins in this phase. The third step in the trans-theoretical model of change is preparation. The adopters of change are ready to implement strategies that would transform their behaviors, beliefs, and practices in this stage. They also participate in identifying additional, effective strategies that would enable them to achieve their desired behavioral change (Butts & Rich, 2021). The applicability of the preparation stage to the proposed project is that children and their parents or guardians have adopted the recommended change initiatives. Nurses also play a proactive role in implementing project initiatives to achieve the desired change. They also promote the environmental transformation to minimize the risk factors for obesity in school-aged children. Action is the fourth step in the trans-theoretical model of change. The adoption of sustainable interventions characterizes action to promote change. The adopters are highly motivated to engage in activities that would contribute to continuous improvement in their outcomes. The applicability of this stage to the project is that nurses, parents/guardians, and school-aged children will be motivated to engage in activities that minimize the risk factors of obesity. They eat healthy diets and engage in active physical activity to improve their health outcomes. Maintenance is the fifth stage in the trans-theoretical model of change. The adopters have made the change part of their routine in this stage. They aim to prevent their relapse to old behaviors that had a negative effect on them. The applicability of this stage to the project is that school-aged children and stakeholders, including nurses and parents, will have incorporated dietary modifications and physical activity into their routines. They prevent their relapse into their harmful lifestyles and behaviors. The last stage in the model is termination, where the desired behavioral change has been achieved. The adopters of the change are no longer willing to relapse to their old lifestyles and behaviors (Edelman &Rnc, 2021). Therefore, a safe community for school-aged children has been created. Conclusion Models of change are important in the implementation of improvement initiatives in healthcare. The trans-theoretical model of change will be usedto implement the proposed change. It will provide insights into critical factors for successful change. Its effective use is expected to contribute to achieving optimum project outcomes. References Butts, J. B., & Rich, K. L. (2021).Philosophies and Theories for Advanced Nursing Practice.Jones & Bartlett Learning. Edelman, C. L., & Rnc, E. C. K., Dnsc MPH. (2021).Health Promotion Throughout the Life Span—E-Book. Elsevier Health Sciences. Faan, P. A. P., Faan, A. G. P., Edd, P. A. S., & Hall, A. (2022). Fundamentals of Nursing—E-Book. Elsevier Health Sciences. Narimani, S., Farmanbar, R., Mozaffari, N., Nemati, A., Amani, F., &Abbasgholizadeh, N. (2018).Cognitive and Behavioral Processes and Its Stages of Change for Fruit and Vegetable Consumption among Nursing and Midwifery Staff of Ardabil Hospitals, 1395: Application of the Trans Theoretical Model.Journal of Health, 9(2), 182–195. https://doi.org/10.29252/j.health.9.2.182 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. 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. 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. Order Now