DNP 835 Reflect on the “IHI Module QI 201: Planning for Spread: From Local Improvements to System-Wide Change.”  Describe how change spreads according to Kurt Lewin and Everett Rogers.

Everett Rogers’ theory is identified as diffusion of innovations. It identifies change as a process that involves five groups of people. First, innovators who take risks and experience setbacks when the change is unsuccessful. Second, early adopters who are willing to be among the first to adopt the change as they evaluate and look for confirmation on the innovation. Third, early majority who rely on the early adopters to confirm that the change works as intended. Fourth, late majority who are skeptics and only adopt the change when it is absolutely necessary and they cannot avoid it. Fifth, laggards who are established in the old ways and would only change when the old ways are eliminated (Garcia-Dia, 2019).

Using the IHI Framework for Spread, assess the current culture of your organization or practice site and explain how likely a new idea will spread.

The organization has an established framework for spreading change. This is a six-step process. First, the need for change is identified. This involves identifying areas that can be optimized or improved upon and presenting scientific evidence showing that the change would work. Second, setting up the change in an adaptable small-scale unit. Third, testing the change in the test site/unit and evaluating its results. Fourth, optimizing the change, addressing critical areas of failure, and adapting the change for the unit. Finally, going full scale with the change while continuing to evaluate it and make improvements (Melnyk & Fineout-Overholt, 2023).

References

Finkelman, A. (2019). Professional nursing concepts: competencies for quality leadership (4th ed.). Jones & Bartlett Learning, LLC.

Garcia-Dia, M. (2019). Project management in nursing informatics. Springer Publishing Company.

Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best pract