At this stage, the patient plans to make positive changes within one month. The staff needs to reinforce the ideal that the patient has what it will take to succeed (Walker, Greene, & Mansell, 2006). Rewarding small initial steps is an important part of helping patients in this stage of development. Support in the maintenance stages often fall on other professionals. However, the nurse can help the patient to be prepared for these stages so that they can begin the process of developing coping skills. The Stages of Change model can be used as an assessment tool that can help the nurse to develop a strategy for helping the patient move into the next stage.
The next stage is the action phase, which usually lasts for 3-6 months (Prochaska & DeClemente, 1982). During this time, the patient is actually practicing the new behavior on a daily basis. They are in the process of restructuring old cues, relying on social support, realizing their self-efficacy in achieving the changes. During this stage, the patient may feel as sense of loss of things that they used to enjoy. The patient needs encouragement to continue on their path to healthy behavior. They need a support network upon which they can rely to help encourage them in their new life pattern. The nursing care staff can play an important role in this stage of the model.
The final two stages of the model can be discussed together. The maintenance stage can last for six moths up to five years. During this time, the patient must maintain the behavior with decreasing support from others (Prochaska & DeClemente, 1982). They become self-sufficient in their ability to maintain the lifestyle changes. If they cannot maintain their new behaviors, they will relapse and resume their old behaviors. Prevention of relapse involves counseling to help evaluate triggers that may cause a potential relapse and to help the patient develop a plan for those times. Counseling and support focuses on helping the patient to develop coping strategies that will help them to maintain their new behaviors for a lifetime.
Prochaska & Declemente's Stage of Change Model can serve as a guide for the nurse in helping patients to adopt healthy habits for their life. The Stages of Change Model serves as guideline for helping to assess the readiness and likelihood for success in patients who must make life changes as a result of their health conditions (Buckworth, Lee, & Regan, et al., 2007). The nurse must engage themselves as an active support system for the patient in the early stages of the ...
The patient interview, daily interactions and observations of behavior can provide key indicators as to the stage of change that the patient is in (Ciccomascolo & Riebe, 2006). The nurse can become a valuable resource in patient care through their daily interaction with the patient. They must be aware of the patient and their actions throughout the course of their treatment. The Stages of Change Model is a valuable guide that can help in the identification of the stage and readiness for change. It can also provide a framework for creating an atmosphere that facilitates the desired changes in patient behavior. The responsibility for health behavior change rests entirely on the patient, but the nurse can play a vital role in providing the atmosphere and education that will help lead to the necessary changes within the patient.
Buckworth, J., Lee, R., & Regan, et al. (2007). Decomposing intrinsic and extrinsic motivation for exercise: Application to stages of motivational readiness. Psychology of Sport and Exercise. 8 (4), 441-461.
Ciccomascolo, L. & Riebe, D. (2006). Setting the Stage for Physical Activity for Secondary
Students: Want to Get Students Moving? Try the Stages of Change Model. JOPERD
The Journal of Physical Education, Recreation & Dance. 77 (9), 34.
Prochaska, J.O., & DeClemente, C.C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research, and Practice, 20, 161 -- 173.
Rochlen, a., Rude, S. & Baron, a. (2005). The Relationship of Client Stages of Change to Working Alliance and Outcome in Short-Term Counseling. Journal of College
Counseling. 8 (1), 52.…
Support in the maintenance stages often fall on other professionals. However, the nurse can help the patient to be prepared for these stages so that they can begin the process of developing coping skills. The Stages of Change model can be used as an assessment tool that can help the nurse to develop a strategy for helping the patient move into the next stage.
The documents we provide are to be used as a sample, template, outline, guideline in helping you write your own paper, not to be used for academic credit. All users must abide by our "Student Honor Code" or you will be restricted access to our website.
Change Management Theory Change management is a discipline studied and implemented in various organizations. The existence of this discipline spans for over half a century currently. Thus, it is a discipline of old time, with quite a number of years in existence. However, it is surprising to note that despite the huge investments that various organizations and companies employ to facilitate organizational change studies still indicate that between 60% - 70%
Existence value of resistance Organization change involves introducing new conversations and shifting existing conversations and patterns of discourse. However, new conversations have a hard time competing with existing conversation and so the challenge for change agents is getting new conversation heard. This is where resistance can be of value. Resistance helps to keep the conversations in existence. Although talking negatively or complaining and criticizing have been viewed as resistance, it can
Change Plan for SBAR Implementation Change Proposal - Healthcare Change Proposal Change Issue The benefits of the SBAR are apparent to the nursing staff in the Labor, Deliver, Recovery, and Postpartum Unit of St. Johns Hospital Birth Center. All nursing staff receives training in SBAR and it has been implemented -- successfully -- for a few months at a time. However, nursing staff soon return to the historical ways of communicating about patient care,
Change Management An organizational change in a company involves a major change in processes or systems such as organizational structure, business model, leadership direction, strategy, objectives and technology. In the retail business the focus is on customer service and growth often brings about changes. This paper will explore the organizational change happening in a regional retail store selling home furnishings and art. The store desires to expand its product offerings by opening
Change Management Change as a dynamic process The adopted approaches in the development of change process The elements of the change management models The Measurement Constructs Tool Components of the constructs tool Guidelines for the Questions asked This paper discusses the concept of change management using various parameters. It does this through a development of personal management theory. The change management model is used to provide change management agents with a model that is both structured and
Policy Change The Center for Disease Control (CDC) endorsed the policy of replacing peripheral intravenous catheters (PIVC) within 48 hours following insertion in order to prevent and decrease local catheter infections. The institution that this author is employed at also made a policy to establish such a procedure based on the CDC's actions. However, there is a large body of empirical research that indicates that the length of the time that