Reception Led Triage for Eye Conditions

The practice development proposal I have chosen is to implement a new pathway for reception led eye assessment in the emergency department (ED) that I work in as a staff nurse.  The rationale behind my choice is due to the need to try and redirect patients that attend the ED with eye problems as a single complaint to the eye casualty which is on the same grounds as the trust that I work in. This deals with two current problems which are, minimising delay between door to assessment by appropriate healthcare specialist and utilising the already available facility of an eye casualty to its maximum. It also offers to help in the ED   meeting its four hour target as they have fewer patients to attend to. More importantly is to minimise the number of healthcare professionals assessing the patient with a single complaint which improves the patient’s hospital journey as they are directed to the appropriate speciality.
In this essay I will attempt to critically discuss the implementation of this proposal using Lewins’ change model (1951), as I found it appropriate for use. It has the force field analysis as a tool to weigh the negatives and positives in order to meet on neutral ground which other models like Bullock and Battens’ planned change (1985) or Kotter’s eight steps lack hence make understanding the implementation for them difficult to work with. Also Lewin’s three step model of unfreeze, move and refreeze is quite comprehendible in conjunction with the force field analysis as you are given the opportunity to stop old practices in order to implement new ones in this case, the eye assessment tool. Lewin’s theory requires that driving forces must outweigh resisting forces for in any situation if change is to happen. It can be argued nonetheless that Lewins’ theory does not tackle resistance as it does not leave room for much negotiation though it still proves the most straightforward and likely to succeed as Kotter...