Mack’s Transformation of Practice Theory

Contributor: Rachel Mack
August 8, 2019

Author – Rachel Mack, PhD, DNP, APRN, C-FNP, CNE

Exemplar  – will be inserted her to link to you practice exemplar page
First published – Need

Macks Transformation of Practice Theory

Major Concepts – Need


Typology – need


Brief Description (I took this from your examplar form – you might want to revise for this page, then this information can remain on the exemplar page)

Several areas need to be clearly defined and described in order to understand how Mack’s Transformation of Practice Theory was developed. The environment where the abuse occurs involves the patient, office staff, registered nurse, and nurse practitioner (NP). The objects within the environment include the electronic health record (EHR), Prescription Drug Monitoring Program (PDMP), and the patient’s previous medical record. The behaviors in the environment are the act of the physical exam and the examination of the PDMP. The concepts involved in the development of the theory are the clinic, the nurse practitioner’s daily practice, addiction, the PDMP, and change itself. These concepts are all intertwined and connected.

The people, objects, and behaviors that are present in the clinic where prescription drug abuse occurs is the foundation for the development of Mack’s Transformation of Practice Theory. A clear understanding of the environment is needed before the concepts in the environment can be described and the connections between them linked together (Mack, 2012).

Changing behavior requires several steps and much persistence. It is necessary that employees in the clinic consistently participate in the process of change. The clinic’s office staff, registered nurses, and nurse practitioners will all be affected by the change. It is crucial that every employee actively participates in the process in order to facilitate change. If any resistance is encountered during the process, open discussion and negotiations should occur (Peterson & Bredow, 2004).

Planned change is a purposeful, controlled, and conscious effort to alter the status quo. It requires careful planning and maintaining control of the situation during the process of change and throughout the evaluation of the process. To achieve successful change there needs to be recognition of need, choices to direct the change, willing participants, and adequate time for education (Peterson & Bredow, 2004).

Primary Source(s)

need (these are sources for the theory itself – the other sources related to application can be on the exemplar page)

Author – Rachel Mack

I am a family nurse practitioner, certified nurse educator, and an Associate Professor of Nursing at Frontier Nursing University. I have been teaching nursing for over ten years and am a self-proclaimed writing expert. The focus of my research is prescription drug abuse and nurse practitioner regulation. I am a member of Sigma Theta Tau International Honor Society, Association of Oklahoma Nurse Practitioners, the American Academy of Nurse Practitioners, the National League of Nursing, and the National Organization of Nurse Practitioner Faculties. I assisted in developing the Oklahoma State Plan to decrease prescription drug abuse in the clinic and emergency room setting. I am currently participating in the National League of Nursing Leadership program. I have traveled as a consultant for government hospitals in the Middle East with American Gulf International Consulting and have taught the Certified Professional in Infection Control course in the Middle East with the American Institute of Healthcare Quality. I continue to practice one day a week in a family practice setting where I am able to integrate alternative and complementary treatments such as essential oils and herbal remedies into practice.

I earned an Associate of Applied Science in Nursing (RN) from Oklahoma City Community College, a Bachelor of Science in Nursing from Oklahoma City University, a Master of Science in Nursing as a Family Nurse Practitioner from Frontier Nursing University, my Doctor of Nursing Practice from Oklahoma City University, and my PhD in Nursing Education from Oklahoma City University. My job, my goal as an instructor and practitioner, is to teach, motivate, and inspire my students and patients. I must strive to be the person my students and patients look up to for knowledge and guidance. My wish is to end each day with the sense of accomplishment knowing that I made a positive impact on at least one student or patient.