The ADKAR Model

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For the future implementation of the practice change by utilising the ADKAR model, it is divided to 5 steps: Awareness of the need for change, Desire to participate in and support the change, Knowledge on how to change, Ability to implement required skills and behaviours, Reinforcement to sustain the change.

Step 1: Awareness of the need for change
This step requires to identify why the practice change is needed to improve the settings (Hiatt, 2006). According to best practice guideline for Australia and New Zealand, cost of VTE patients are over $200 million dollars annually to Australian health care system. It is a significant cost issue for health system (Fletcher et al.). The guideline is identified that over 50% of patients develop
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