Change involves altering something from its original nature. Unplanned change causes unpredictable results while planned change is meant to meet certain goals ( Mitchell, G, 2013) . Nurses describe a change agent as someone who causes change that affects the nurslings’ services. The change agent could be a staff nurse, a nurse leader, or someone working with the nurses. Rogers' change theory includes five stages starting with awareness, interest evaluation, implementation, and adoption. The theory is suitable for long-term projects to drive change. The theory yields results when nurses who initially ignored the proposal adopt it. Spradley’s change theory includes eight steps. The theory has a provision for continuous evolution as the change occurs, to ensure it succeeds ( Stevens, K. R, 2013) . The steps include recognizing the symptoms, dismissing the problem, analyzing alternative solutions, selecting the change, planning the change, implementing the change, evaluating the change and stabilizing the change.
Use of oral, IM or IV steroids in acute asthma exacerbation is still undergoing trials. Even though steroids are used in treatment, the healthcare system has still not finalized in research ( Nievas, I. F. F., & Anand, K. J, 2013) . Hence, the nurses should use Roger’s change theory. Trial participants should be closely monitored during the trials to manage and keep track of their health condition. The nursing department should also compare their health results with results from other patients to see if there is any positive change. Through the theory, the nursing department will take note of any side effects that the patients exhibit and assess whether the side effects are evident in all the patients or specific participants. As the nursing department learns about the drugs and their capabilities in acute asthma exacerbation, exacerbation, they can adopt the drug in the right dosage to boost health. Although the change may take longer, the healthcare industry will collect concrete information to prevent any loss of life.
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References
Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management (through 2013) , 20 (1), 32.
Nievas, I. F. F., & Anand, K. J. (2013). Severe acute asthma exacerbation in children: a stepwise approach for escalating therapy in a pediatric intensive care unit. The journal of pediatric pharmacology and therapeutics , 18 (2), 88-104.
Stevens, K. R. (2013). nursing and the next big ideas.
