Nursing researchers can use various change models to implement evidence-based practice (EBP) interventions. These are designed to support and facilitate the change process within an organization and lead to quality outcomes. The change models provide a structured approach to transitioning individuals, teams, and organizations (Dusin et al., 2023). In this case, the two change models for comparison are Lewin’s 3-step model and Kotter’s 8-step process. These change models focus on the effective implementation of evidence-based practice (EBP) interventions in clinical settings based on their systematic approaches. Both models follow certain steps to implement EBP interventions. For instance, Lewin’s model contains three steps to change implementation while Kotter’s model has eight steps. Therefore, irrespective of their steps, both models focus on implementing changes (Speroni et al., 2020). The two models are linear and one-time processes, emphasizing stability and managing resistance. The models are suitable for both small-scale and large-scale organizational changes. Lewin’s model makes changes simple through a three-step process compared to Kotter’s model which uses eight steps. The best model for change in evidence-based practice is Kotter’s 8-step process since it offers small but incremental as well as systematic approaches to change. Kotter’s eight-step process is effective as it contains an elaborate approach to change unlike Lewin’s which entails only three steps. Kotter’s model entails an iterative process that allows for continuous improvement and refinement of practice based on evidence and data. The model aligns with the nature of evidence-based practice, which is also an iterative and data-focused process (Huybrechts et al., 2021). The model ensures that change project teams focus on the entire process and collaborate with other providers and stakeholders to implement EBP interventions. As such, while both models are effective, Kotter’s model gives more room for change implementation and ensures that all stakeholders participate in all the processes and change activities.

References

Dusin, J., Melanson, A., & Mische-Lawson, L. (2023). Evidence-based practice models and frameworks in the healthcare setting: a scoping review. BMJ Open, 13(5), e071188. doi: 10.1136/bmjopen-2022-07118 Huybrechts, I., Declercq, A., Verté, E., Raeymaeckers, P., & Anthierens, S. (2021). The building Blocks of implementation frameworks and models in primary care: a narrative review. Frontiers in Public Health, 9, 675171. DOI: 10.3389/fpubh.2021.675171