Application of Change Theory Assignment

Application of Change Theory Assignment

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Application of Change Theory Assignment

Proposed Idea

Are children who live in poverty at a higher risk of becoming obese than children who live in a home with higher income?

Steps Involved

Health disparity is a serious concern that can be addressed through evidence-based and translational research. The current study seeks to determine the variations in the obesity incidences among children from poor families compared to the children from rich families. Obesity results from poor feeding habits. Also, parents from poor families lack the financial capacity to provide their children with the required balanced diet (Williams, et al., 2018). Therefore, the issue can be addressed by providing nutritional education to all people in the society, including both the rich and the poor, to reduce the risk of childhood obesity (Noonan & Fairclough, 2018). The healthcare providers will be informed on the significance of providing nutritional education to society; this involves both home-setting and community-setting. The healthcare professionals will also be trained on how to deliver the education to the targeted populations effectively and achieve better health outcomes.

Theory Application: Kotters theory

The change process will assume Kotter’s theory. The change process involves eight steps beginning with the creation of urgency, the formation of a powerful coalition, creating a vision for change, communication of the vision, eliminating obstacles, creating short-term wins, building the change, and finally anchoring the changes in the corporate culture (Rajan, & Ganesan, 2017). In this case, the urgency of change is developed from the fact that the burden of obesity among children from poor families is higher compared to the cases among children from rich families. Besides, obesity presents major health risks including cardiovascular diseases and diabetes among others. The costs involved in managing the complications associated with obesity are great and so, preventing the likelihood of children developing obesity would be the best remedy to the issue. Subsequently, reducing childhood obesity requires a collaborative approach that involves contributions from the parents, healthcare workers, and the local authorities. After identifying the people required in the coalition, the goals and vision of the change are made clear to them. In this case, the goal is to improve public health through the reduction of the incidences of childhood obesity.

The next step involves the elimination of obstacles and this involves developing measures to reduce resistance from the various people involved in the change process. Proper communication and providing necessary resources required in the change implementation reduces the level of resistance significantly (Mørk, Krupp, Hankwitz & Malec, 2018). Also, the active involvement of both the parents and healthcare workers in the formulation of the changing scope creates a sense of identity in them and thus increasing their willingness to be part of the change process. The short term goal will be to ensure that at least 70% of the parents give their children appropriate dietary intake. The parents have to be consistent in their roles and so this may require regular education provision to build the change and make it a norm. Besides, the healthcare workers should be conscious enough to offer education continuously.

Stakeholders Determined

The main stakeholders involved include the healthcare workers who will offer relevant dietary education to the parents. The second group of stakeholders includes the parent and their role is to implement the knowledge they receive from the health education. Thirdly, the local authority is responsible for organizing community health education programs in terms of venue facility and mobilization of the attendants.

Impact of Change on Patients

The change will improve patients’ outcomes positively. The reduction in the incidences of childhood obesity means that few people will be admitted to the hospitals due to obesity-related complications (Weihrauch-Blüher & Wiegand, 2018). The burden of obesity is higher among poor families; therefore, implementation of the change will save such families from the medical costs they could have otherwise incurred.

Team Members to Implement the Change

The team members to implement the change will include nurse leaders and nutritionist who will work together to offer the education. Additionally, the health officers will be required to finances various activities involved in the change process. They will have to offer relevant training to motivate the nurses and nutritionists to actively provide health education both in their routine practice and on organized forums.

Implementation Strategy

The change implementation will involve a strategic approach to be conducted in phases. The first phase will involve providing relevant education to the healthcare workers. The training will equip them with the knowledge on proper dietary intake and approaches to disseminate such information to the patients. The second stage will involve rolling the education programs in the hospital facilities before introducing the community campaigns later.

Supporting Data

According to Di Cesare, et al. (2019), the incidence of childhood obesity increased significantly in the past decade. The burden is higher among the poor families due to reduced physical activity and poor feeding habits among the parents to their children. Similarly, Goisis, Sacker & Kelly (2016) reports that reducing the burden of childhood obesity especially among children from poor families requires an early intervention that involves providing parents with the necessary feeding habits.





Di Cesare, M., Sorić, M., Bovet, P., Miranda, J. J., Bhutta, Z., Stevens, G. A., … & Bentham, J. (2019). The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC medicine17(1), 1-20.

Goisis, A., Sacker, A., & Kelly, Y. (2016). Why are poorer children at higher risk of obesity and overweight? A UK cohort study. The European Journal of Public Health26(1), 7-13.

Mørk, A., Krupp, A., Hankwitz, J., & Malec, A. (2018). Using Kotter’s change framework to implement and sustain multiple complementary ICU initiatives. Journal of nursing care quality33(1), 38-45.

Noonan, R. J., & Fairclough, S. J. (2018). Is there a deprivation and maternal education gradient to child obesity and moderate‐to‐vigorous physical activity? Findings from the Millennium Cohort Study. Pediatric obesity13(7), 458-464.

Rajan, R., & Ganesan, R. (2017). A critical analysis of John P. Kotter’s change management framework. Asian Journal of Research in Business Economics and Management7(7), 181-203.

Weihrauch-Blüher, S., & Wiegand, S. (2018). Risk factors and implications of childhood obesity. Current obesity reports7(4), 254-259.

Williams, A. S., Ge, B., Petroski, G., Kruse, R. L., McElroy, J. A., & Koopman, R. J. (2018). Socioeconomic status and other factors associated with childhood obesity. The Journal of the American Board of Family Medicine31(4), 514-521.



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