Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP intervention. Why? Has your preceptor used either theory, and to what result?
Change Implementation and Management Plan
It is one of the most clichés of clichés, but it nevertheless rings true: The only constant changes. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.
As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.
To Prepare:
- Review the Resources and identify one change that you believe is called for in your organization/workplace.
- This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
- Reflect on how you might implement this change and how you might communicate this change to organizational leadership.
The Assignment (5-6-minute narrated PowerPoint presentation):
Change Implementation and Management Plan
Create a narrated PowerPoint presentation of 5 or 6 slides with a video that presents a comprehensive plan to implement the change you propose.
Your narrated presentation should be 5–6 minutes in length.
Your Change Implementation and Management Plan should include the following:
- An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
- A description of the change being proposed
- Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
- Details about the type and scope of the proposed change
- Identification of the stakeholders impacted by the change
- Identification of a change management team (by title/role)
- A plan for communicating the change you propose
- A description of risk mitigation plans you would recommend addressing the risks anticipated by the change you propose.
Create a narrated PowerPoint presentation of 5 or 6 slides with a video that presents a comprehensive plan to implement the change you propose.
- Your presentation should be 5–6 minutes in length
- Be creative and include a video of you giving the presentation with the slides.
Resources:
Advance health assessment
To prepare:
- Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
- By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
- Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
- Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
- Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
By Day 3 of Week 2
EB is a 68-year-old black female who comes in for follow-up of hypertension. She has glaucoma and her vision has been worsening during the past few years. She lives alone and is prescribed four hypertension medications (Hydralazine 50 mg PO Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily ). She brings in her medication bottles and she has some medication bottles from the previous year full of medications. She is missing one medication she had been prescribed and says she may have forgotten it at home. Her BP in clinic today is 182/99 with HR of 84.
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
week4 disc 1 6053
Discussion 1: Leadership Theories in Practice
A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.
However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.
Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.
To Prepare:
- Review the Resources and examine the leadership theories and behaviors introduced.
- Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
- Reflect on the leadership behaviors presented in the three resources that you selected for review.
By Day 3 of Week 4
Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.
Learning Resources
Required Readings
Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 1, “Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations” (pp. 7–20 ONLY)
Chapter 6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
Chapter 7, “Becoming a Leader: It’s All About You” (pp. 171–194)
Resources for the StrengthsFinder Assessment Tool
Rath, T. (2007). Strengths Finder 2.0 – with Access Code.
Purchase the access code from the Walden bookstore. Then follow the instructions in the document “How to Access the Strengths Finder 2.0.
Required Media
Laureate Education (Producer). (2014). Leadership [Video file]. Baltimore, MD: Author.
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript
3sources for this discussion
Case study #2: Child with Spina Bifida, Myelomeningocele, Chiari II Malformation, and Hydrocephalus
need this done in 12 hours
Ethical and Nursing (24 hours)
1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)
Part 1: Minimum 4 pages
Part 2: minimum 1 page
Part 3: minimum 1 page
Part 4: minimum 1 page
Part 5: Minimum 1 page
Submit 1 document per part
2)¨******APA norms
All paragraphs must be narrative and cited in the text- each paragraphs
Bulleted responses are not accepted
Dont write in the first person
Dont copy and pase the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 3 references per part not older than 5 years
Part 1: Minimum 5 references per part not older than 5 years
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
__________________________________________________________________________________
Part 1: Ethical and legal Nursing
Answer the following questions taking into account the attached case (See file Case part 1). Remember not to write in the first person
1. Could the nurses or the physicians argue that care should be stopped because he was dead?
2. Could they overrule the parents’ judgment about the usefulness of the treatment evenif he were not dead?
3. Could they legitimately take into account the welfare of the otherpatients and the enormous costs involved when deciding whether to limit their attentionto Yusef?
Part 2: Pathopysiology
Mr. F is a 38-year-old man in overall good health who has been complaining about an aching pain in his knees when working around the house and often when simply walking. He has noticed that his knees feel “hard” and tight. His history indicates that he has always been involved in athletics and was on the college football team, but recently family responsibilities and work have not made it easy for him to exercise.
Discussion Questions
1. Relate Mr. F’s case history to the pathophysiology of osteoarthritis.
2. How do anti-inflammatory drugs and analgesics help Mr. F deal with this form of arthritis?
a. Why is moderate, non–weight-bearing exercise recommended?
3. What is the probable prognosis for Mr. F?
Part 3: Pathopysiology
Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort.
Discussion Questions:
1. Discuss the development of atherosclerosis, including the predisposing factors in this case and the pathophysiological changes.
2. Discuss the complications that might develop in this patient. (Pathophysiology, Signs and Symptoms.)
3. Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of the
atherosclerosis, maintaining circulation in the leg, and treating complications.
Part 4: Advanced Primary Care of Family
Topic: Hispanic and Diabetes
Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities
Part 5: Advanced Primary Care of Family
Topic: Africanamericans and Prostate Cancer
Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities
Dq
reply to this discussion
Kurt Lewin created change theories in nursing that consisted of three steps: unfreezing, moving and refreezing. His theory focused on the idea that to change a current process or practice, you have to freeze it, then movement can occur and a new process of refreezing once a new idea has been brought to the attention of all (Levasseur, 2001). “The first step of Lewin’s model tells us how to minimize barriers to change and increase the odds of a successful change effort” (Levasseur, 2001). Involving everyone in the change will create a more successful change process. Lewin identified 3 concepts in his change theory: driving forces, restraining forces and equilibrium. He believed “all three phases of the change process, found that workgroups participating in the introduction and design of changes in work methods produced more and had less turnover than groups that did not” (Zand, 1975). This makes for a more successful change including all members of the process. Lewin focused more on the change process and less about the psychology of society.
Alfred Adler was a theorist born to a large family in 1902. He experienced medical problems as a young child from the death of his brother to battling rickets. He focused his readings on psychotherapy, “to build a flourishing school that promoted an understanding of human behavior that focused on healthy relationships” (Alder, 2020). He created a theory known as the Birth Order Theory that was based on your birth orders and the personalities that you possessed. He then went to different areas of the world including Europe and the United States and taught, “Adler’s vision was to cultivate confident, community-oriented, mentally healthy individuals who could contribute to the common good” (Alder, 2020). He eventually died at the age of 67 from a heart attack. Alder differed from Lewin who focused more on communities and created value on societies.
To be able to implement EBP intervention, I would have to use Lewin’s theory to push for a change in current behaviors and mindsets. Creating a welcoming environment of multiple disciplinary approaches would develop interest and understanding of change. My preceptor has not expressed any theories but we will be using ideas from both theorists listed above.
n a 4 page paper not including thetitle page and the reference pageDescribe the main ideas of the theory (should include the assumptions under which the theory operates. Identify the main
The theory is Parent Child Interaction Model( Barnard)
Describe the main ideas of the theory (should include the assumptions under which the theory
operates. Identify the main concepts/components of the selected nursing theory
Provide a background of the theory. What was going on in the profession of nursing or in the
American society that may have influenced the formation of the theory?
What values, theories, evidence, and/or existing knowledge did the theorist cite as support for
the theory?
What motivated the theorist to write the theory?
How does the theory address the metaparadigm concepts of person, nursing, environment and health
How do you implement the components or concepts of this theory in your nursing practice. Give an
example.
Citations from the course text is required and from current nursing journals. 2014-2020 articles
questions
a. The importance of transcultural nursing knowledge in an increasingly diverse world
b. The growth of lay support groups to provide information and sharing of experiences and support for clients, families, and groups experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse or similar cultures
c. Cultural values, beliefs, health practices, and research knowledge in undergraduate and graduate nursing curricula across the life span
d. Inclusion of alternative or generic care in nursing curricula, such as medicine men, Native American healers, curers, and herbalists in the Southwest and selected substantiated Chinese and Ayurvedic medicine methods shown to be effective for the treatment of both acute and chronic diseases
e. The increased access to health care information from the Internet and the growing number of books, audio recordings, and video recordings published on health maintenance, alternative medicine, herbs, vitamins, minerals, and over-the-counter medications and preparations
f. Spiraling health care costs; use of health maintenance organizations, preferred provider organizations (PPO), or internal plan provider lists; lack of health insurance; increased reliance on self-diagnosis, treatment, and care; and increased availability of diagnostic kits for home-based self-diagnostic testing
g. Problems related to cultural conflicts, stress, pain, and cultural imposition practices
h. Increased suspiciousness and mistrust or distrust of cultural, religious, and political groups because of increased terrorist activities worldwide
Public policy meeting
Week 3 Public Policy Meeting Written Assignment
Public Policy Meeting Assignment
Submit a 3-4 page summary paper on the public policy meeting. Include headings in your paper that address these components:
- The purpose of the meeting, key participants, key agenda items, and meeting logistics
- Background information and a description about the committee
- One specific topic that was discussed at the meeting and an explanation of the committee process
- An analysis of the key stakeholder positions related to the topic discussed
- Key interactions that occurred at the meeting
- Outcomes of the meeting including the specific topic focus
- APA format (6th ed.), proper grammar, and references as appropriate
Due Sunday, 11:59 p.m. (Pacific time)