Aligning Theory With Organizational Change Project

Nursing Philosophy

Caring and nursing seem to be the two interrelated concepts that cannot be divided. All nurses have the same goal which is to take care of patients (Meehan, 2012). If there is a need to change a project that is about the improvement of D2B times and treatment of STEMI patients, the idea of care for patients should be a core of the whole project. This philosophy helps to realize that the incorporation of caregiving, knowledge, and communication are tasks that cannot be ignored (Harrison, 2010). People have to understand that care should have a theoretical basis that cannot be neglected. Such task as the improvement of D2B times bothers many hospitals and nurses because it is hard to comprehend if all improvements and changes are properly organized and distributed between patients and hospital workers successfully (Krumholz et al., 2011).

The choice of caring philosophy may be explained by the presence of respect in every single action of a nurse. As soon as the care basics are taken into consideration, nurses know how to treat people, demonstrate their respect to the decisions made by other people, and offer their opinions and ideas on how to accept the changes that cannot be avoided or postponed. This philosophy encourages people to develop the required level of relations based on trust and understanding. At the same time, the maximization of caring relations between nurses and patients is a chance to understand what people want to see in hospitals and promote the necessary improvements in a short period of time because patient satisfaction and health are the two main goals of any medical organization (Prestia & Dyess, 2012).

Nursing Model

Nursing models are offered to guide nursing practice and create the required background for training, communication, and analysis of the work done so far (McCrae, 2012). In the case under consideration, when there is a need to improve D2B times and offer appropriate care to all STEMI patients, it is suggested to focus on the McGill model of nursing in terms of which the importance of the learning process is underlined. Any kind of change requires new knowledge and explanations. If nurses or patients have to get used to new improvements in such issues as D2B times, they should have enough knowledge and understanding of what should be done and why some changes are required.

The McGill model of nursing can be applied to various dimensions of health, a patient, their family, and even the environment in which patients and nurses should cooperate (Richard, Parmar, Calestagne, & McVey, 2010). This kind of cooperation is a source that cannot be neglected. As soon as nurses start talking to patients and explain the changes that should take place or ask questions about their possible suggestions on how to improve the services, effective decisions and improvements can be observed. Care, respect, and education are the basics that can be applied to any kind of theory and project that should be developed. In this case, when the change project should be introduced, the McGill model is an effective tool with the help of which nurses and patients can develop their communication, educate each other, and share the ideas that can help nurses to improve their work and services and help patients to realize what kind of assistance they may expect from nurses in particular hospitals.

Nursing Theory

Taking into consideration the fact that a caring philosophy and the McGill model can help to promote organizational change and improve D2B times for STEMI patients, the theory of caring nursing developed by Jean Watson can be offered for consideration. There are three main elements in this theory: creative factors that help to honor different human dimensions in nursing, the transpersonal caring relations that should be built professionally, and the caring moment or moment that occurs as soon as a nurse and a patient come together in terms of care (Lachman, 2012). This theory helps to realize that patient-nurse relations are complicated and consist of a number of aspects that should be covered by both parties. Caring nursing cannot be successfully organized in case a patient does not want to get the required portion of services. In the same way, the success of nursing care is impossible if a nurse fails to provide a patient with the necessary portion of explanation.

The improvement of D2B times is an important task to be completed, and this theory teaches what basics are crucial. The changes can lead to both, successful and unsuccessful results, and nurses should take care of the conditions under which patients can spend less effort on analyzing new changes. At the same time, nurses should respect each others’ work, and they have to cooperate not only with patients but with each other. They should share information, demonstrate their own attitudes to the improvements, and explain why they want a change to be made. The improvement of D2B times is a time-consuming project, and the care of nurses is one of the factors that may be used to facilitate the implementation process.


Harrison, T.M. (2010). Family-centered pediatric nursing care: State of the science. Journal of Pediatric Nursing, 25(5), 335-343.

Krumholz, H. M., Herrin, J., Miller, L. E., Drye, E. E., Ling, S. M., Han, L. F.,… & Bratzler, D. W. (2011). Improvements in door-to-balloon time in the United States, 2005 to 2010. Circulation, 124(9), 1038-1045.

Lachman, V. D. (2012). Applying the ethics of care to your nursing practice. Medsurg Nursing, 21(2), 112-115.

McCrae, N. (2012). Whither Nursing Models? The value of nursing theory in the context of evidence‐based practice and multidisciplinary health care.Journal of advanced nursing, 68(1), 222-229.

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Prestia, A., & Dyess, S. (2012). Maximizing caring relationships between nursing assistants and patients: Care-partners. Journal of Nursing Administration, 42(3), 144-147.

Richard, M. L., Parmar, M. P., Calestagne, P. P., & McVey, L. (2010). Seeking patient feedback: an important dimension of quality in cancer care. Journal of nursing care quality, 25(4), 344-351.

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NursingBird. "Aligning Theory With Organizational Change Project." June 22, 2022.