How Do You Apply Havelock’s Theory of Change in Nursing?

The six steps to apply Havelock’s theory of change in nursing are studying the hospital environment, diagnosing the problem, finding the relevant resources, picking a solution, accepting the plan of action and monitoring the change. Based on Kurt Lewin’s theory of change, Havelock’s theory accounts for the fluid, rather than linear, nature of affecting change in a relational environment such as a doctor’s office or hospital.

The first step in Havelock’s theory is to build a relationship with the current system. In a nursing environment, apply this step by observing the systems in place in the office or hospital and all factors affecting those systems. The second step is diagnosis, in which one determines whether or not change is necessary. Talk with other nurses to find out if there is a widespread feeling of a need for change. Next, find the relevant resources with those same nurses, and develop solutions to bring about change in the office or hospital. If any material resources are needed for a proposed solution, acquire them in this step. Follow this up by picking one of the proposed solutions. Next, communicate the change to the entire staff and help the staff accept it. Finally, monitor the change that has taken place to ensure consistent, ongoing acceptance of the change.