This document discusses improving nurses' involvement in decision making using Kurt Lewin's three stage change theory of unfreezing, movement, and refreezing. The change would be tested using the PDSA model and occur first on one unit of a nursing home. Nurses would participate in empowerment programs to prepare them for decision making involvement through education and staff meetings. Outcomes like job satisfaction, retention, patient outcomes would be measured. Currently there is a top-down communication approach and lack of staff input. The change aims to increase interactions between leaders and staff for improved job satisfaction, productivity and patient outcomes.