Change Model Comparison for Nursing Assignment
The implementation of the evidenced-based practice project will utilize Rodger’s diffusion of innovation theory. The theory tries to explain the manner in which an innovation is spread in an organization. According to Rodgers, the spread of an innovation occurs in a social system that has different types of adopters. They include innovators, early adopters, early majority, late majority, and laggards. The adoption of an innovation in the theory by Rodgers occurs in a series of steps. The steps include knowledge, persuasion, decision, implementation and confirmation.
Knowledge is the first stage of innovation adoption in the model by Rodgers. In this stage, the adopters learn about the change. They begin seeking information about the change with the main aim of answering the what, why and how questions that relate to the innovation. The adopters also try to examine the constituents of the change and the manner it works. Through it, they develop three types of knowledge that include awareness knowledge, principles knowledge, and how-to-knowledge (Centola, 2018). The adoption of the proposed evidence-based project is expected to occur in accordance to the steps of Rodger’s theory. In the first step, the nurses and other healthcare providers seek information related to the use of combined therapy in the treatment of major depressive disorder. They try to answer the why, how, and what questions related to the use of this treatment. They also research about the ways in which the therapy works in improving the health outcomes of the proposal.
The second phase in the adoption of innovation in Rodger’s theory is persuasion. This stage occurs when the adopters have positive or negative attitude towards the change. The attitude that they have does not have a direct impact on whether the change will be adopted or not. Often, the adopters in the persuasion stage are interested in embracing the change. As a result, they actively explore any information that is related to the change. The subjective perception of the peers towards the change has a significant effect on their attitude towards the change in this stage (Johnston & Taylor, 2018). It is expected that the adopters of the proposed intervention will have developed some interest towards the change in this phase. As a result, they actively seek information that is related to the efficacy of the combined therapy over mono-therapy in the treatment of major depressive disorder among African-American patients.
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The third phase in Rodger’s innovation diffusion theory is the decision stage. This is the stage where the adopters choose to either adopt or reject the change. The rate of adoption is high in cases where the change has partial trial basis. The adopters compare the benefits as well as risks of the change. The adoption is possible if the benefits of the change outweigh its disadvantages (Batory, Cartwright & Stone, 2018). The adopters of the proposed intervention in the evidence-based project weigh the benefits and risks of using combined therapy vs. mono-therapy in the treatment of major depressive disorder. The proposal will be adopted if the existing evidence shows that the combined therapy has superior outcomes over the use of antidepressants alone.
The fourth step in the model by Rodgers is implementation. The adopters put the change into practice. They also determine the benefits of the change and may continue searching for additional information related to it (Batory et al., 2018). The adopters of the proposed project implement the use of combined therapy in the treatment of major depressive disorder in the implementation stage. They assign their patients to either treatment or control group and follow them up to determine the effect of the intervention. Confirmation stage is reached when the intervention is found to be superior that the control. In this case, the adopters agree to incorporate the use of combined therapy in the treatment of major depressive disorder over the use of antidepressants alone. Therefore, Rodger’s innovation diffusion theory can aid in the implementation of the proposed evidence-based practice project.
Conceptual Model of the Project
Batory, A., Cartwright, A. L., & Stone, D. (2018). Policy experiments, failures and innovations: Beyond accession in Central and Eastern Europe. Cheltenham; Northampton: Edward Elgar Pub.
Centola, D. (2018). How behavior spreads: The science of complex contagions. Princeton; Oxford: Princeton University Press.
Johnston, K. A., & Taylor, M. (2018). The handbook of communication engagement. Hoboken, NJ: John Wiley & Sons, Inc.
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