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Discussion postChange management

DQ 2 :Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP intervention

The last clause is the one you cannot look up: has your preceptor used either theory, and what happened. That grounds the comparison in your setting rather than in a textbook.

Editorial process

Last reviewed · August 18, 2026

01

Two change theories, chosen for THIS intervention

Choose two theories that would give different advice about your intervention, because two that agree produce a comparison with nothing in it. Lewin's unfreeze-change-refreeze is simple and its value is the refreeze stage, which names the thing most nursing projects never do. Kotter's eight steps front-load urgency and coalition building, so it is the better fit when the problem is that nobody yet agrees a change is needed. Rogers' diffusion of innovations shifts attention from the organisation to the adopters, sorting them into innovators through laggards and asking about the innovation's own attributes — relative advantage, compatibility, complexity, trialability, observability. That last one is genuinely useful for a capstone, because it tells you to make the change easy to try and easy to see, which is concrete advice rather than a stage to pass through. Say which stage of each theory you would actually be standing in during your practicum weeks, because that is where the choice bites.

Then make the choice on the shape of your own intervention, and say why the losing theory loses. If your barrier is that people do not accept the problem exists, Kotter's urgency step earns its place and Lewin's unfreeze is too coarse to guide you. If the change is small, voluntary and spreading nurse to nurse, Rogers describes what will actually happen better than a staged organisational model. If the risk is that everything reverts once your practicum ends, Lewin's refreeze names your central problem and you should say so. Finally, answer the preceptor question honestly, including if the answer is no — many preceptors have run changes without naming a theory at all, and describing what they did and mapping it onto the stages afterwards is a genuinely good answer. What happened is more interesting than what was intended, so report the result rather than the plan.

Likely learning objectives

  • Select two change theories that would give different guidance.
  • Match a theory to the specific obstacle facing an intervention.
  • Explain why the rejected theory fits less well.
  • Report observed practice in your setting against a theoretical frame.

Assignment instructions

Read the full question

Review every instruction before using the planning guidance that follows.

NRS 493 Topic 4 DQ 2 DQ 2 :Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP intervention Assessment Description Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP intervention. Why? Has your preceptor used either theory, and to what result?

02

Turn the brief into deliverables

  1. 01Two named change theories, described by what they emphasise.
  2. 02A comparison that identifies where their advice differs.
  3. 03A choice justified by your intervention's specific obstacle.
  4. 04A reason the other theory was rejected.
  5. 05An answer to the preceptor question, including a negative one.
03

Comparison, choice, then the preceptor question

01

Theory one and what it emphasises

Describe the first theory by the guidance it gives, not its history.

What the assessor is likely looking for

An actionable emphasis, such as refreeze or urgency.

02

Theory two, giving different advice

Choose a theory that would prioritise something else.

What the assessor is likely looking for

A point where the two would recommend different first moves.

03

Your intervention's actual obstacle

Name what is most likely to stop your change.

What the assessor is likely looking for

One obstacle identified as dominant.

04

The choice, and why the other loses

Select a theory against that obstacle and reject the other explicitly.

What the assessor is likely looking for

A rejection argued rather than implied.

05

What your preceptor actually did

Report observed practice and map it onto the stages afterwards.

What the assessor is likely looking for

A result, including an unsuccessful one.

04

Where change theory meets implementation evidence

Recommended databases

  • PubMed Central
  • Implementation Science
  • CINAHL Complete
  • Agency for Healthcare Research and Quality

Search sequence

  1. 1.Read a diffusion-of-innovation study in health care for the adopter-centred view.
  2. 2.Find implementation research that names its strategies, and compare with the staged models.
  3. 3.Identify your intervention's dominant obstacle before choosing a theory.
  4. 4.Ask your preceptor the question early, since the answer takes a conversation.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

06

Review before submission

Common mistakes

  • Choosing two theories that give the same advice.
  • Summarising the theories without applying either to the intervention.
  • Skipping the preceptor question because the answer is no.
  • Naming Lewin and never mentioning refreeze, which is the stage that matters here.

Submission checklist

  • Would your two theories actually disagree about what to do first?
  • Is the choice tied to a specific obstacle in your project?
  • Have you said why the other theory fits less well?
  • Have you answered the preceptor question honestly?
  • Is a result reported, not just an intention?

Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.

Written by

Maren Caldwell

MSN, RN, CNE

Medical-surgical nursing, pharmacology and NCLEX preparation

Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by

Dr. Tessa Redmond

DNP, RN, CNE

Evidence-based practice and clinical education

Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.

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