Explain the specific application of kurt Lewin Change Theory to family/community health or patient behavior.

·       Address the strengths and limitations of each.

·       Explain how the theory integrates the nursing process and is applicable at each level of prevention.

Kurt Lewin change theory is a change model which involves three steps which include ; unfreezing, changing and refreezing. The theory represents a simple model for understanding the process of change . According to Lewin, the process of change involves having in mind that change is needed, then moving towards the new and desired behavior and finally establishing the new behavior into daily practice.

The application of Kurt Lewin Change Theory to community health involves the three levels of the change theory in the following ways;

In the first stage of the theory which is unfreezing, the family/community health workers identify the change that is supposed to be implemented. For instance, ensuring transparency and fairness in supply of medicine in the community by involving all the stakeholders and administration responsible in every decision being made and ensuring that the lines of communication are open. This helps to reduce cases of resistance of change when all the stakeholders are involved.

In the moving stage is where the actual change is implemented. For instance, it can involve supply of medicine in the community by the community health workers by ensuring that transparency and fairness are considered. It actively involves all the stakeholders ensuring that the health of every family/community member is catered for.

In the final stage which is refreezing stage, it involves evaluation in order to assess the success and the challenges encountered throughout the change. By realizing the challenges faced in the implementation, helps to know how to solve such challenges in future and also assessing the success of the implementation of change, gives knowledge on the level of the family/community as far health sector is concerned .

Address the strengths and limitations of each

In the application of the first stage which is unfreezing, it promotes a feeling of empowerment that helps to overcome the community resistance to implementation of change and also helps them understand the importance of the intended change. However, the community health workers may lack trust for the health organization causing them to resist to cooperate in implementing the change.

In the application of the second stage which is moving stage, it grants the community health workers a feeling of ownership of the success of the implementation of change. However, this stage can be demanding in terms of time, money and man power whereby project leader is needed and who is also supposed to be paid.

In the application of the third stage which is the freezing stage, it makes it easy to evaluate the success and the challenges encountered during the implementation of change. However, the challenges encountered during the implementation of the project may be repeated over and over again .

Explain how the theory integrates the nursing process and is applicable at each level of prevention.

In primary prevention which involves providing specific protection against disease to prevent it occurring again, it occurs in the unfreezing stage where the nurse finds methods of making it possible for people to let go of old ways that were not effective in prevention of diseases and infections .This helps the healthcare workers to promote primary prevention .

In secondary prevention which involves direct screening and educating the public to promote early case finding of a disease whereby the healthcare workers teaches and engages the community in screening for different diseases and it is found in the unfreezing stage.

In tertiary prevention which begins early during the period of recovering from illness, it involves administration of medicines to help in restoring individual 's normal level of functioning whereby the nurses advise the recovering patient on the type of food to eat so as to recover quickly and regain the immunity. This is found in the moving stage of Lewin change theory.