Assignment: Using the Duck’s Change Curve Models in EBP Implementation

Assignment: Using the Duck’s Change Curve Models in EBP Implementation

Assignment: Using the Duck’s Change Curve Models in EBP Implementation


New approaches are being introduced into the healthcare system, thanks to evidence-based practice. The main goal of evidence-based practice is to enhance the quality of health provided through the incorporation of scientific evidence and patient-centered care.  For instance, 15% to 25% of a diabetic patient usually develop foot ulcers. Most of the time, especially among adults, it becomes very difficult for the wound to heal with standard healthcare. However, through evidence-based scientific research, hyperbaric oxygen therapy has proven to be effective (Santema et al., 2018). However, implementation of this new change in the healthcare system is quite challenging. I will utilize the Duck’s change curve models in the implementation of the above intervention for an effective outcome and health promotion.

Duck’s Five-Stage Change Curve and their Implementation in EBP

Stage 1: Stagnation

This is the initial stage mainly characterized by ignorance of the health care workforce regarding the present challenge and the need for change. However, this can easily be changed by acknowledging the health professionals of the new intervention and the impact that it will have on the healthcare outcome of patients. In the implementation of the new change, health professionals need to be sensitized on the current situation in the management of foot ulcers among diabetic patients (Yazdanpanah, Nasiri, & Adarvishi, 2015). When they have realized a healthcare gap, then you can go ahead and propose hyperbaric oxygen therapy and elaborate on its benefits and the impact that it will bring for better patient outcome. Acknowledgment of stakeholders creates room for the next implementation step which is preparation for the change.

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Stage 2: Preparation

During the preparative stage, the stakeholders, especially those who are directly involved are still confused. Some might even doubt the success of the new intervention, while others are just scared of the change. During this stage, all involved stakeholders must be educated adequately on the application on the new change, and the impact (Welch, 2016). They should also be given a chance to air their views and concern which will be responded to abolish the doubt and enhance their interest in implementing the new change. For instance, most patients who have already utilized this intervention have provided positive feedback on the cost-effective outcome and advanced health among diabetic patients (Yazdanpanah, Nasiri, & Adarvishi, 2015).

Stage 3: Implementation

The implementation stage is where the change is how being incorporated into practice. It involves embarking on massive operational changes such as creating new structures in the organization, formulating job descriptions among other crucial plans. Besides, there is also a need for transforming the organizational culture and mindset of the workforce to align with planned changes (Kranke et al., 2015). The concerned healthcare providers must also be educated on how to implement the change, which in this case is an administration of hyperbaric oxygen therapy. Short term goals will be put in place to enhance the effectiveness of the implementation plan.

Stage 4: Determination

In this stage, the proposed change is appreciated in being relevant and effective in promoting health. This stage is critical and can be marked by high turnover rates especially when the changes being implemented are cumbersome to the team members. Diabetic patients who will have utilized the intervention will provide positive feedback which will prove and substantiate the new intervention in the current clinical practice (Kranke et al., 2015). This stage is relevant in making the changing culture for healthcare professionals.

The last is characterized by success and the organization appears new in its operations. The team members are most sure of what they do, positive, and eager because they are capable of producing good results (Health Quality Ontario, 2017). At this point, public awareness is necessary for applauding the success and the need for the change to be used broadly. The result is to promote the health and wellness among diabetic patients with foot ulcer by utilization of hyperbaric oxygen therapy.

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.

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