Lessons learned: Using a Three-Step Model of Planned Change for nursing curricular revision

Abstract

Background

The American Association of Colleges of Nursing (AACN, 2021) introduced “The Essentials: Core Competencies for Professional Nursing Education” (Essentials) in 2021. The AACN document necessitated a change in nursing curriculums, both undergraduate and graduate. To meet the revised standards, one college of nursing within a hierarchical organization used a Three-Step Model of Planned Change to guide curricular revisions. This article presents the lessons learned from using the Three-Step Model of Planned Change, which includes barriers, strategies, and a toolkit for implementing planned change.

Step One-Desire a Change

Lessons learned include embracing the unifying values of the guiding coalition to understand the motivation(s) and urgency for change. Suggested strategies include creating a cross-sectional organizational team, utilizing collaborative approaches that value members' time, and various communication methods.

Step Two-Make the Change

Lessons learned include understanding the larger hierarchical structure's process requirements and time allotment for approval. Suggested strategies include establishing a repository hub for templates and shared documents, implementing various communication channels, and repurposing standing meeting times.

Step Three-Live the Change

As this process is just beginning, anticipated lessons include an understanding of changes occurring circuitously within and between steps. Considerations include significant and purposeful actions to deliver the new curriculum.