This paper will present the Kotter’s eight step change model as a tool to improve patient care. Beginning with the background, followed by the relevance of the model to nursing practice, and concludes with an exploration of the Doctor of Nursing Practice competencies that would support a practice change. To illustrate use of the Kotter manner, a created example is used to illustrate how the steps related to a needed nursing practice change. The investigation of the model presented in this paper supports the potential usefulness of the model in facilitating a needed practice improvement, albeit invented for the purposes of this analysis. Nonetheless, the model presents limitation and opportunities for advancing nursing care practices. Finally, this paper will discuss the benefits of a Doctor of Nursing Practice (DNP) leading the nursing practice change effort.
Background of the Model
There are many theories and models to bring about change in organizations. One noteworthy leader in the field of organizational change is Dr. John Kotter. The eight steps for managing change has been available for over 20 years and the model has changed in the verbiage used to delineate the steps and how to better function within a traditional hierarchy (LeStage, 2015), however, the model has demonstrated to help bring about …show more content…
Person, the environment and health are foundational to the nursing metaparadigm. Kotter’s eight step model is an organized business change process, the metaparadigm of person, health, and environment must be super-imposed on the change model to make it more specific to nursing (Selanders, 2010, p. 84). One way that can be accomplished is a well written vision statement, which would include the target population, the health practice improvement and addressing the environmental factors