Lewin's Model Of Change

The nursing theory that supports implementing SSC is the Neuman’s systems Model nursing theory. “This theory focuses on the response of the patient system to actual or potential environmental stressors and the use of primary, secondary, and tertiary nursing prevention intervention for retention, attainment, and maintenance of patient system wellness” (System Theory, 2015). Newborns are dependent to their environment for the maintenance of body temperature immediately after birth. One of the newborns basic survivals is to obtain stable temperature (i.e. normal temperature range). Newborns possess physiological challenges after birth due to physical immaturity. It is a must to create a warm environment for the newborn as they transition
The Lewin’s Model of Change has three stages: Unfreezing, moving, and refreezing (Lewin's Change Theory, 2015). Unfreezing may be involving the staff to be inspired and motivated of the SSC change. The leaders can present evidence based-practice pertaining to the benefits of SSC after vaginal or cesarean section deliveries for the staff to continue to promote SSC in the setting. The second stage includes fighting resistance to SSC change. Fighting resistance to change can be difficult due to many different reasons. The management team must develop strategies to understand the true nature of the resistance and conquer this resistance by making efforts to effectively implement SSC. Gaining support from different stakeholders will carry out the implementation of SSC without difficulty. The final stage includes reinforcement. Reinforcing SSC will be challenging to those who are close-minded so reinforcement to sustain SSC is promoted until it sticks and becomes a
The new environment is very large for the newborn. The delivery room is too big that newborn loses body heat easily. There are four sources of heat loss in newborns such as evaporation, conduction, convection, and radiation. Evaporation is when fluid evaporates from the skin due to sensible (sweating) or insensible (skin and breathing) losses. There are also other factors that contribute to evaporation and newborns, vapor pressure and air velocity is the main cause of newborn’s heat loss. Conduction is when the newborns are placed on a cool surface. The transfer of heat between two objects that are touching is greatly influenced by the size of the surface area in contact and the temperature gradient between surfaces. Conduction is when the newborns are exposed to the surroundings that are cooler. The newborns are affected by the large surface area and temperature. Radiation is when the newborn is close to cool objects. The heat transfers between the solid surfaces that are not touching. These four sources need to be recognized and prevented when dealing with newborns after