Sample Coursework Paper on Culture Evidence Based Practice and the Nurse Leader

Change and advocacy is an essential element in nursing today. It is an ongoing process in health care delivery. Nurses should act as change argents in an organization in many situations.While advocating for change, nurses should follow the Lewin’s theory of change, which holds the view that in an organization, stability is achieved through equilibrium, or balance of forces that acre acting on the existing situation (Frilund et al., 2013). It is essential for nurses to act as change argent in order to realize the vision of transformational health care. In this situation, there is need for quality patient care, quality staff management, quality facility management. In such case, the nurse should believe in the necessity of the envisioned change (Salmela, Eriksson & Fagerström, 2011).

In some situations, it is more important for nurses to collaborate, mediate, as well as follow others in leadership positions. In such case, the nurse should follow, mediate, or collaborate with a person who seeks to lead or create planned change in the health care organization. The person must demonstrate commitment to achieving the planned changes. Nurses should follow this approach when there is a need to mitigate adverse effects of the change process. In essence, the nurses should understand the need of the change, why it should occur; its benefits, its requirements for success, as well as her/his place in the change process (Frilund, Eriksson & Fagerström, 2014).

There are several different approaches that nurses can use to provide leadership through the introduction of best practices; environmental and adaptive strategy, empirical-rational strategy, normative-reeducative strategy, as well as power-coercive strategy.In nursing practice, culture might influence critical thinking in many ways. For instance, the culture has direct influence on how a nurse cares for patients. Culture also determines the style fop leadership. In essence, culture influence critical thinking by guiding, directing, supporting, motivating, as well as communicating the type of nursing practice that will be utilized (Salmela & Fagerström, 2008).


Frilund, M., Eriksson, K., & Fagerström, L. (2014). The caregivers’ possibilities of providing ethically good care for older people–a study on caregivers’ ethical approach. Scandinavian journal of caring sciences28(2), 245-254.

Frilund, M., Fagerström, L., Eriksson, K., & Eklund, P. (2013). Assessment of ethical ideals and ethical manners in care of older people. Nursing research and practice2013.

Salmela, S., & Fagerström, L. (2008). When two health care organizations are merged into one—Staff attitudes in a change process. Intl Journal of Public Administration31(10-11), 1380-1402.

Salmela, S., Eriksson, K., & Fagerström, L. (2011). Leading change: a three‐dimensional model of nurse leaders’ main tasks and roles during a change process. Journal of advanced nursing68(2), 423-433.