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NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

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    NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

    Student Name

    Capella University

    NURS-FPX 6218 Leading the Future of Health Care

    Prof. Name

    Date

    Planning for Community and Organizational Change Summary

    In a previous assessment, a community health assessment was performed on the Jordan community in Minnesota. Various health challenges have been identified within the community, which include mental health issues and opioid addiction among school-aged children, poor nutrition and sedentary lifestyle among community members, and increasing healthcare costs and lack of health insurance coverage. This change proposal is focused on mental health and the opioid addiction challenges faced by the community, and the summary is aimed at developing initiatives to address these health concerns within the community to create a healthy infrastructure for the population. 

    Summary 

    Benefits and Implications

    Some health initiatives are proposed to address these healthcare concerns among Jordanians, especially children. These initiatives will ensure a comprehensive management of health concerns involving various stakeholders within and outside the community. 

    Mental Health Program in Schools

    The change initiative to address suicidal thoughts and actions among school-going children in Jordan is based on introducing a mental health curriculum in the educational sector. This program should be developed as a universal curriculum for all school-going children of all ages, aimed to equip students with knowledge about mental health issues and support them through their tough times. These school-based mental health curricula’ specific goals and outcomes prevent behavioral problems in children and adolescents and improve their social and emotional resilience (Cefai et al., 2022). Moreover, it is developed to provide educators with training and technical knowledge to utilize evidence-based practices in managing mental health conditions. Providing constant support and a trustworthy environment. 

    Prevention and Rehabilitation Program for Addiction 

    Since the parents in the community are worried about their children acquiring opioid addiction, two two-pronged strategies – prevention and rehabilitation, are essential. A prevention program is necessary for individuals at high risk, whereas, for addicted individuals, a comprehensive rehabilitation program is necessary for early detection and recovery. This proposal promotes the implementation of community awareness campaigns led by non-profit organizations in the community and school-led awareness sessions. Moreover, developing two small rehabilitation centers with trained individuals is proposed as another strategy to eliminate the concern from the community.

    The goal of this program is to engage the community by utilizing their human and materialistic resources to prevent such negative cases within the area. This idea is supported by the research that the engagement of community and community resources has proven effective in addressing the opioid crisis and improving health outcomes (Sprague Martinez et al., 2020). Furthermore, the idea is to prevent high-risk children so that a healthy community is fostered and rehabilitate addicted individuals to prevent the spreading. Successful implementation of these proposed changes will result in significant improvements in the health outcomes of community members and prevent future health risks for the Jordan community. 

    Potential Barriers to Change

    There are several hindering factors associated with the change, as mentioned earlier, strategies that can impede the successful implementation of the proposal in the Jordan community.

    1. Mental Health Program: Lack of resources, inadequate training, and lack of commitment from school administration can become potential barriers to the effective implementation of mental health programs in the school. Need more financial and human resources to ensure successful change implementation. Although financial resources are significant to initiate community-based programs to ensure adequate supplies are available for smooth operations (Ludwick et al., 2021), it is equally imperative to have adequate human assets to run awareness campaigns and provide rehabilitation training, for which adequate training is necessary. Training individuals will prevent the dissemination of wrong information and create an environment for inclusivity and proactiveness. Untrained individuals may not actively take interest and participate in the change implementation (Kim et al., 2019). School administrators may show a lack of commitment toward the change, which can prevent the effective implementation of mental health programs. A study presents that support from the school administration is a pivotal contributor to the successful implementation and sustainability of school-based mental health programs (Moore et al., 2022). Vice versa may result in adverse outcomes. 
    2. Opioid Addiction Prevention and Rehabilitation Program: Lack of resources, inadequate support from community leaders, and resistance to change are some barriers to this program.  Lack of resources may impede the smooth transition from the planning to the execution phase of any change implementation within the healthcare setting (Yazdani & Wells, 2018). A range of financial, human, and infrastructural resources will be required for community-based awareness campaigns and the establishment of rehabilitation centers. Inadequate support and resistance to change may impede the proposed strategy (DuBose & Mayo, 2020). The causes of this resistance include fear of uncertainties, cultural beliefs and practices, fear of social stigmatization, and unwanted costs associated with predicted diagnosed healthcare problems due to opioid addiction. 

    Strategies for Changing Barriers into Opportunities and Resolving Conflict

    To address the barriers mentioned above for specific proposed strategies, a comprehensive plan of strategies must be implemented. 

    Strategies to Resolve Barriers to Mental Health Program 

    • Resource Allocation and Budgeting – It is imperative to analyze the available resources within the community and identify the need to acquire more resources. External organizations should be involved in receiving monetary resources, and a comprehensive budget must be created to carry forward the change proposal and bring desirable health outcomes (Huang, 2019). 
    • Prioritization of Training Programs: Another essential strategy is to prioritize training programs to upskill educators to provide adequate information related to mental health. Teachers’ knowledge and education about mental health problems will assist them in supporting their students in effectively coping with mental health threats (Imran et al., 2022). Thus, it is essential to prioritize educators’ training before developing mental health-based curricula for students. 
    • Shared Vision and Inclusivity: For increasing commitment, an inclusive environment must be built where shared vision and accessible communication must be the vital forces of attraction for the school administrators towards the proposal. The involvement of key stakeholders in the planning process, addressing their concerns, and incorporating their input are some ways the barriers can be addressed. This shared vision and effective communication will also help enhance stakeholders’ collaboration, transforming the barriers to facilitators for enriched teamwork (Musheke & Phiri, 2021). 

    Strategies to Resolve Barriers to Opioid Addiction Program: 

    • Similar to addressing the resource barrier for mental health programs, a thorough analysis of community resources must be conducted to utilize existing support effectively. Moreover, governmental agencies like the Centers for Disease Control and Prevention, American Addiction Centers, and Substance Abuse And Mental Health Services Administration should collaborate for funding support. 
    • To address the community’s resistance to change and lack of commitment from leadership, it is imperative to involve the community in the planning and development phase. Addressing their concerns and sharing evidence-based knowledge on the benefits of addiction prevention and rehabilitation programs, community members will show empowerment and active involvement in the implementation. Moreover, it is essential to provide culturally competent and destigmatized healthcare services tailored to individual needs, preferences, and cultural beliefs (Kumar et al., 2019).  This approach will assist in developing the community’s trust in the providers and services. 
    • Implementation of a structured conflict-resolution process that supports constructive discussions is crucial in disagreements. Leaders and managers should assist in dialogues, helping stakeholders find common ground. It is imperative to emphasize community benefits and the shared vision of the change proposal, that is, to improve community health outcomes during such situations to resolve conflicts. Moreover, acceptance of each other’s ideas and thoughts must be promoted from the assessment and planning stage to avoid consequences at the implementation stage. 

    Stakeholder Communications

    The critical stakeholders in this change proposal are community leaders, project managers, healthcare professionals, support team members, funding agencies, governmental organizations, and school administrators. They all play a crucial role in making decisions, arranging funds, and executing the plan. To foster stakeholders’ understanding of the proposed changes, a comprehensive strategy is needed, enabling them to fully apprehend the change proposal and evaluate the existing healthcare systems for successfully buying the ideas. This strategy comprises interactive workshops and presentations for stakeholders, including healthcare providers, project managers, and community leadership.

    Through these strategies, stakeholders will be aware of the proposed changes, their benefits, and the potential challenges that may arise during the implementation. They will also be instructed to address those challenges through graphical representations of global statistics and success stories in other healthcare facilities. To evaluate the proposed changes, stakeholders may need a monitoring strategy where the prevalence of mental health and addiction issues will be measured in children. The effectiveness of the programs will be monitored by the community’s feedback, decreasing the healthcare burden and improving the quality of life. 

    Information Needs of the Decision-makers: 

    Decision-makers may require specific information on cost-benefit analysis, which includes the short-term and long-term financial needs and expected return on investment. Moreover, potential risks associated with the proposed strategies and a mitigation plan will also be the information requirement of decision-makers. Lastly, they will need information on evaluation and monitoring plans to support the proposed healthcare system changes.

    References

    Alderwick, H., Hutchings, A., Briggs, A., & Mays, N. (2021). The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work: A systematic review of reviews. BMC Public Health21(1), 753. https://doi.org/10.1186/s12889-021-10630-1 

    Cefai, C., Camilleri, L., Bartolo, P., Grazzani, I., Cavioni, V., Conte, E., Ornaghi, V., Agliati, A., Gandellini, S., Tatalovic Vorkapic, S., Poulou, M., Martinsone, B., Stokenberga, I., Simões, C., Santos, M., & Colomeischi, A. A. (2022). The effectiveness of a school-based, universal mental health programme in six European countries. Frontiers in Psychology13. https://www.frontiersin.org/articles/10.3389/fpsyg.2022.925614 

    DuBose, B. M., & Mayo, A. M. (2020). Resistance to change: A concept analysis. Nursing Forum, 55(4), 631–636. https://doi.org/10.1111/nuf.12479 

    NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

    Huang, W. (2019). Developing a better planning, budgeting, and accounting system. In W. Huang (Ed.), Built on Value: The Huawei Philosophy of Finance Management (pp. 303–328). Springer. https://doi.org/10.1007/978-981-13-7507-1_11 

    Imran, N., Rahman, A., Chaudhry, N., & Asif, A. (2022). Effectiveness of a school-based mental health intervention for school teachers in urban Pakistan: A randomized controlled trial. Child and Adolescent Psychiatry and Mental Health, 16(1), 33. https://doi.org/10.1186/s13034-022-00470-1 

    Kim, B. J., Rousseau, D. M., & Tomprou, M. (2019). Training and diffusion of change: The impact of training and proactivity on change-related advice giving. The Journal of Applied Behavioral Science, 55(4), 453–476. https://doi.org/10.1177/0021886319865323 

    Kumar, R., Bhattacharya, S., Sharma, N., & Thiyagarajan, A. (2019). Cultural competence in family practice and primary care setting. Journal of Family Medicine and Primary Care, 8(1), 1–4. https://doi.org/10.4103/jfmpc.jfmpc_393_18 

    Kundapur, R., Modi, B., Ansari, R., Deepthi, R., Santhosh, P., & Saxena, D. (2022). Effectiveness of lifestyle modification on quality of life among uncontrolled diabetics and hypertensives in India – Community-based intervention study. Journal of Family Medicine and Primary Care11(2), 492–497. https://doi.org/10.4103/jfmpc.jfmpc_543_21 

    Ludwick, T., Endriyas, M., Morgan, A., Kane, S., Kelaher, M., & McPake, B. (2021). Challenges in implementing community-based healthcare teams in a low-income country context: Lessons from Ethiopia’s family health teams. International Journal of Health Policy and Management11(8), 1459–1471. https://doi.org/10.34172/ijhpm.2021.52 

    Moore, A., Stapley, E., Hayes, D., Town, R., & Deighton, J. (2022). Barriers and facilitators to sustaining school-based mental health and wellbeing interventions: A systematic review. International Journal of Environmental Research and Public Health, 19(6), 3587. https://doi.org/10.3390/ijerph19063587 

    NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

    Musheke, M. M., & Phiri, J. (2021). The effects of effective communication on organizational performance based on the systems theory. Open Journal of Business and Management9(2), 659–671. https://doi.org/10.4236/ojbm.2021.92034 

    Sprague Martinez, L., Rapkin, B. D., Young, A., Freisthler, B., Glasgow, L., Hunt, T., Salsberry, P. J., Oga, E. A., Bennet-Fallin, A., Plouck, T. J., Drainoni, M.-L., Freeman, P. R., Surratt, H., Gulley, J., Hamilton, G. A., Bowman, P., Roeber, C. A., El-Bassel, N., & Battaglia, T. (2020). Community engagement to implement evidence-based practices in the HEALing communities study. Drug and Alcohol Dependence, p. 217, 108326. https://doi.org/10.1016/j.drugalcdep.2020.108326 

    U.S. Department of Health and Human Services. (2022, March 15). About the ACA. https://www.hhs.gov/healthcare/about-the-aca/index.html

    Yazdani, A., & Wells, R. (2018). Barriers to implementation of successful change to prevent musculoskeletal disorders and how to systematically address them. Applied Ergonomics, 73, 122–140. https://doi.org/10.1016/j.apergo.2018.05.004 

    Appendix A: Grant Proposal

    Need Statement

    The community health assessment performed for the Jordan community identified various health challenges, which included mental health issues and opioid addiction among children and adolescents. These health challenges are leading causes of various diseases and lack of productivity among children. These mental health and opioid problems primarily impact children and adolescents in the community, leading to poor academic implications and loss of life and fostering an unhealthy environment for other individuals. Several barriers may impact the successful implementation of the change initiatives, which include lack of resources, inadequate training, limited commitment, and community resistance towards the change. The sources of information used to identify the need for change are community health surveys, windshield surveys, environmental analysis, interviews with various community leaders and members, and evidence from healthcare facilities. 

    Program Description

    The change proposal entails two initiatives that separately cover all the healthcare concerns. These include the Mental Health Program for Schools and the Prevention and Rehabilitation Program for Addiction. The critical stakeholders in this change proposal are community leaders, project managers, healthcare professionals, support team members, funding agencies, governmental organizations, and school administrators. They all play a crucial role in making decisions, arranging funds, and executing the plan. The implementation will be done in three stages – planning, execution, and monitoring. Head stakeholders described above will develop a team of support staff responsible for acquiring resources, allocating them to relevant areas, planning respective actions (educational campaigns, collecting funds and donations, partnering with external stakeholders), and executing particular actions with the community members. This systematic approach is essential for smooth operations and successful results. 

    Goals and Objectives

    The primary objectives of this change proposal are to enhance social and emotional well-being among children with the help of mental health programs in schools and to address the addiction challenge that is problematic for parents through prevention and rehabilitation. These individual purposes will generally improve health conditions within the community, reduce the risk of non-communicable diseases, reduce mortality rates, and overall improve quality of life. 

    Program Evaluation

    The program will be evaluated by the team of program managers through report collection every six months. The evaluation will be conducted again with the particular goals and objectives elaborated earlier, and the improvements in the community’s health conditions will be observed. Team members managing each program will be responsible for providing their feedback and input to address the improvement areas. 

    Summary

    To sum up, several health challenges have been identified by the community personnel in the Jordan community, which requires extensive change reforms to improve the community’s health status. The proposed change strategies will help improve health conditions, simultaneously producing positive results on quality of life. The goals and objectives of this change initiative are to improve the quality of life and well-being of community members, which is aligned with the goals of the funding agencies. Investing in our children’s mental health and well-being is a critical endeavor that prepares the foundation for a healthier and more resilient community.

    By supporting mental health programs in schools, funding organizations can equip our children with the tools to navigate health challenges, develop coping skills, and build a strong personality. Besides this, addressing the opioid crisis early through prevention and rehabilitation programs is essential to safeguarding the future of our communities. By providing children with education, resources, and support to make informed decisions, we can prevent the spread of addiction and foster a healthier environment for other children. Your partnership in funding these vital initiatives will impact individual lives and also contribute to creating a brighter and healthier future for our community. 

    Appendix B: Project Budget

    CategoriesStartup ($)1st Year($)Other Sources
    of Revenue
    Justification
    Salary and Wages
    Project Managers (4)060,000/person= 240,000 total Each program manager will be responsible for overseeing the project, managing the team, and monitoring and evaluating the project. 
    Supporting Member (3 in each program)040,000/member= 480,000 totalThe supporting team member will look after the administrative tasks, look for external resources to build partnerships, and prepare reports for managers to evaluate. 
    Educators 0200,000The educators will be responsible for educational campaigns and awareness sessions in each category. They will also train healthcare professionals under them to conduct these sessions. 
    Health Care Professionals (10)400,000 They will be primarily responsible for health education, developing lifestyle modification plans, and assessing further healthcare needs to refer to tertiary care hospitals. 
    Fringe Benefits
    Free Primary Care facilities for the team070,000Public and private primary care clinics Primary care facilities will be provided as an incentive and added benefit for the team to motivate them towards the work. 
    Consultation or Contract Services
    Trainers 5,00030,000Trainers will be hired on a contract basis to provide lifestyle modifications training 
    Mental Health Advocates10,00050,000Mental health training needs field specialists. They will be called on a contract basis to train our providers. 
    Rehabilitation Specialists 5,00030,000Rehabilitation specialists must be called on a contract basis for field-specific guidelines. 
    Equipment
    Educational material 5,00020,000Public and private donorsMaterials needed for educational programs like papers, pens, printers, brochures, and other accessories. 
    Travel
    Community Travel (within and outside)20,000 This will cover the costs of travel within or outside the community for meetings and partnerships with external stakeholders. 
    Miscellaneous or Other
    Contingency 20,000 This will be a deposit for uncertain situations. 
    Total Expenses25,0001560,000