The capstone change project continues to be an eye-opener on many fronts of the nursing practice. The past week was crucial in exploring the concept of change in nursing practice. The analysis of Kurt and Spadleys theories played a central role in broadening my knowledge about the concept of change in care delivery and nursing practice. The evaluation of the two theories helped me draw a clear comparison between them. For instance, I realized that both theories agree that it is difficult to effect change when stakeholders are not deeply involved in the change process. The information has a significant impact on the outcome of the capstone project. I do not doubt that the proposed intervention will drastically reduce the level of HbA1c disparities in Harvey’s black community.
Nonetheless, I had not anticipated that any entity would object to the implementation of the proposed changes. The lack of foresight in my nursing practice – a significant weakness – is one thing that I will have to address in the coming days. However, I am a resourceful person, and I believe my ability to identify flaws in my decision-making, problem-solving capabilities, and professionalism will help me address the weakness in due time. The evaluation of the two theories enables me to appreciate the importance of change management in nursing practice and health care delivery. I noted that it is essential to focus on the health care and social needs of the patients when implementing nursing changes. New practice approaches, as suggested by Kurt and Spadleys’ theories, are required to ensure all stakeholders are comfortable with the envisaged changes in the management of diabetes care in Harvey’s black community. More theories should, however, be evaluated to increase my understanding of the impact of effective change management on the implementation of nursing intervention.