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NURS FPX 6218 Assessment 4 Advocating for Lasting Change

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    NURS FPX 6218 Assessment 4 Advocating for Lasting Change

    Student Name

    Capella University

    NURS-FPX 6218 Leading the Future of Health Care

    Prof. Name

    Date

    Slide 1: Advocating for Lasting Change

    Hello everyone, my name is ______ and I would like to welcome you all today to my presentation about advocating for sustainable change. The primary focus of the presentation is to discuss the health issues identified within the Jordan community and to present an evidence-based and comprehensive program proposal designed for these pressing health issues. 

    Slide 2: Introduction to Health Concerns 

    To provide a brief background, a windshield survey, and an environmental analysis were performed, which we will cover later in the presentation, they revealed mental health issues among adolescents, opioid addiction among children, poor nutrition and sedentary lifestyle within the population, and lack of health insurance coverage and increased healthcare costs as some of the highlighting health concerns within the community. 

    Slide 3: Key Stakeholders

    The key stakeholders of today’s presentation belong to a diverse group of professionals and leaders from within the community. These include:

    1. Heads from the funding agency
    2. Local policymakers
    3. Community leaders
    4. Healthcare professionals, including nurses, physicians, nutritionists, physical therapists, rehabilitation specialists, mental health advocates, and providers
    5. Heads from educational institutions
    6. And heads from non-profitable organizations

    Once again, I appreciate your presence in this presentation today to work together in making Jordan a healthier place to live and improve the quality of lives of our people. 

    Slide 4: Social Determinants Affecting the Health of the Community 

    Next, we will discuss the social determinants (SDH) defining the Jordan community. These factors have a significant impact on the health outcomes of the population. Social determinants of health (SDH) are defined as factors that are non-medical and present an influence on the health of an individual or community. They are factors that include demographics, environmental considerations, and external policies and systems (World Health Organization, n.d.). As per our survey and environmental analysis, age, diverse population, economic instability, and lack of healthcare accessibility are some of the SDH that lead to health issues. 

    • Most of the Jordan population is under the age of 40 years, which impacts significantly on the health concerns. This age group is primarily at high risk of developing health concerns like mental health issues and addiction due to peer pressure, media influence, and unstable life circumstances. Moreover, a sedentary lifestyle, including poor nutrition and lack of physical activity is common at this stage.
    • A diverse population, especially consisting of refugees, reduces healthcare accessibility for underserved people leading to a lack of disease management and health complications. Moreover, limited healthcare insurance coverage for non-registered immigrants and homeless people increased the burden of healthcare issues within the community. 
    NURS FPX 6218 Assessment 4 Advocating for Lasting Change
    • The high poverty level and unemployment status within the community have made it challenging for the healthcare sector to deliver accessible care for every individual. As per the analysis, residents are unable to cover themselves with insurance packages due to limited financial resources, thus, increasing the disease burden within the community. 
    • Due to limited healthcare facilities within the town, Jordanians are at high risk of developing complications or comorbidities due to poor management and treatment of the diseases. This leads to limited healthcare access, poor health outcomes, and ultimately impacts the quality of lives of individuals. 

    The health initiative proposed in this project primarily focuses on alleviating these risk factors by providing and generating enough financial resources for the community and educating the importance of improving health outcomes to our community members. 

    Slide 5: Synopsis of the Windshield Survey and Environmental Analysis

    As shared earlier, we conducted a windshield surgery and environmental analysis to identify the health issues which are primary concerns of this project. The comprehensive tools helped us identify strengths and areas of improvement in the community. 

    Positive Aspects 

    The Jordan town has various recreational parks, educational centers, and worship places which are beneficial for improving the community’s health outcomes against the challenges. Although limited healthcare services are available within the town, they can at least provide primary care services to the population to prevent further delays in the management of diseases. Community leaders and the local population have strong bonds and showed resilience and support, which will act as a strong asset for health promotion initiatives. 

    Opportunities to Improve

    Some of the areas of improvement include health awareness, inclusion of nutritional food in shelters and restaurants, introducing health curricula in schools, and growing healthcare facilities within the town. These improvement areas require the effective collaboration of all the stakeholders present today to ensure that we can make sustainable changes and improve our community’s quality of life and well-being.  

    Slide 6: Change Proposal Outline

    The overall change proposal that is initiated for the Jordan community comprises four programs: 

    1. Mental Health Program: This program introduces mental health curriculum as a school subject for students of all ages. It will create awareness among children and assure them of the support from their teachers and mental health specialists. 
    2. Prevention and Rehabilitation Program for Addiction: The program prevents children and other high-risk individuals from acquiring opioid addiction and rehabilitates those already involved in the activity. The major components of this program include community-based and school-led awareness campaigns. Moreover, two small rehabilitation centers with trained individuals are also a part of this program. 
    3. Lifestyle Modification Program: The program improves the community’s nutritional habits and increases physical activity through educational sessions, distribution of nutritious food in food shelters, and introduction of healthy eating through healthy restaurants. 
    4. Healthcare Cost and Insurance Coverage Program: This program covers partnerships with public and private insurance providers to make healthcare accessible for every individual in light of the Affordable Care Act. 

    Slide 7: Need for Policy and Financial Support for Proposed Changes

    The initiatives proposed for the Jordan community are based on the findings received in the community needs assessment whereby mental health issues, addiction issues, poor lifestyle management issues, and healthcare costs are increasing the burden on the healthcare system of the community. Thus, it is important to develop policies and provide financial support in this regard to assist limitation or complete eradication of these pressing concerns from the community.

    A study by Pollack Porter et al. (2018) on the importance of policy in addressing public health issues, elaborates that policies are made based on evidence-based recent research for successful implementation of evidence-based practices within the healthcare system. Policies promote health equity whereby every individual is provided with unprejudiced healthcare. Thus, it is imperative to develop policies in the Jordan community as mental health disorders and addiction, poor lifestyle habits, and limited healthcare accessibility are pressing concerns due to limited healthcare facilities, associated stigma, and financial constraints. 

    NURS FPX 6218 Assessment 4 Advocating for Lasting Change

    Along with policies, healthcare initiatives require financial support for the execution of the plan. It is significant to have financial viability before initiating a proposal to see desired outcomes and execute value-based models in the healthcare systems (Shrank et al., 2021). Since our plan proposal is based on hiring individuals, purchasing educational and instructional materials, partnerships with non-profitable organizations, and awareness campaigns, it is significant to have sufficient monetary resources to effectively implement the program. Moreover, the development of rehabilitation centers and increasing healthcare accessibility will also require financial reserves. Thus, to make these initiatives sustainable and long-lasting, the development of policies, acquiring financial support from funding agencies, and generating revenues are crucial. 

    The underlying assumptions for the need for policy and financial support are based on leadership commitment toward the improvements, increasing burden on healthcare systems, limited healthcare accessibility, increasing financial constraints within the community, and the effectiveness of these proposed changes for sustainable development in Jordan. 

    Slide 8-9: Evidence Supporting Proposed Changes 

    It is significant to share the evidence that supports the effectiveness of our proposed changes in achieving desired outcomes. Within the Jordan community, the evidence of pressing health needs, as discussed earlier, was collected from educational institutions, community members, healthcare organizations, and our windshield survey. 

    Mental Health Program

    The alarming situation of rising mental health issues among school-aged children advocated the need for a comprehensive mental health program within the school. This includes the introduction of mental health curriculum and awareness campaigns. A study by Cefai et al. (2022) concludes the effectiveness of school-based mental health programs as it significantly increases social resilience and emotional competence in the students while reducing mental health issues. Thus, our mental health program proposal is evident to be effective in achieving desired outcomes. 

    Prevention and Rehabilitation Program for Addiction 

    Jordan community’s assessment revealed the increasing cases of opioid addiction among children and other high-risk individuals, which necessitates the need for awareness campaigns and utilization of community resources, such as rehabilitation centers to increase prevention and recovery from addictive practices. It is evident by research that community engagement and the utilization of community resources by using evidence-based practices can effectively address the concerns of opioid crises in significantly impacted communities. Moreover, to keep these outcomes sustainable, it is imperative to build partnerships between the community and the educational sector (Sprague Martinez et al., 2020). Failure to address this challenge may lead to serious health complications, increasing healthcare burden, and a negative impact on the community’s healthcare system by increasing substance abuse and addiction cases. 

    Lifestyle Modification Program

    Our lifestyle modification program that entails awareness campaigns and distribution of nutritious food at food shelters, schools, and community centers is proposed to observe healthier lifestyles in the population, decrease morbidities and early mortalities, decrease the burden of diseases, and improve the overall well-being of the community. This program is supported by research that focuses on the effect of lifestyle modifications on non-communicable diseases (NCDs). The study concludes that the integration of this program along with care coordination by healthcare professionals improves the quality of life in community residents suffering from NCDs like diabetes and hypertension (Kundapur et al., 2022). Therefore, it is significant to implement this program within the Jordan community to achieve desired outcomes and improve the community’s overall health. 

    Healthcare Costs and Insurance Coverage Program

    This program is developed considering poverty within the community which is the leading cause of Jordan’s population not enrolled in insurance packages. The proposed initiative is aligned with the policy of the Affordable Care Act (ACA) and the law of Universal Health Coverage, which elaborates that healthcare should be accessible to every individual. ACA’s expansion of the Medicaid program has significantly reduced the risk of health complications,  improved healthcare accessibility, and has remained a cost-effective healthcare service (Medicaid, n.d.).

    Hence, by utilizing the evidence, Jordan can bolster its case for achieving the intended outcomes of these proposed changes to the healthcare system. These initiatives will strengthen the proposition for positive change in the Jordanian healthcare system. Additionally, monitoring and evaluating the progress of these programs will be essential to make data-informed adjustments and further improve their effectiveness over time.  

    Slide 10: Broad Budget Estimation

    To achieve our desired outcomes and implement the project initiatives, financial resources are essential. For this purpose, we have established a detailed budget plan which includes human, capital, and operational resources. The overall costs required for first-year running is $1560,000 where most of it is budgeted for salary and wages. We will need four project managers overseeing each different program, with an individual salary of $60,000. The main role of project managers is to manage the team, oversee the programs, and further monitor and evaluate the results. A team of three supporting staff will be divided into each program, each receiving a $40,000 salary.

    They will be primarily responsible for administrative tasks, acquiring resources, and building partnerships with secondary organizations. Other human resources will include educators and ten healthcare professionals, and the budget allocated for their salaries is $600,000. To motivate our workforce, free primary healthcare services are added to the plan as a fringe benefit which will require an estimated amount of $70,000. We have planned to generate revenue from private and public primary care clinics in this regard. In addition to this, we have planned to hire contract-based trainers, mental health advocates, and rehabilitation specialists, for which the overall allocated budget is $110,000. They will also need a startup amount which is $20,000. 

    NURS FPX 6218 Assessment 4 Advocating for Lasting Change

    For educational equipment and materials, the allocated budget is $20,000 with a startup amount of $5,000. Public and private donors will be contacted for collaborating to generate revenue for this purpose. Since our programs are based on community, they may require traveling within or outside the community, for which the allocated budget is $20,000 per year. Lastly, we have set aside a contingency fund which will be a deposit to utilize only in unforeseen situations, which is $20,000. This fund is important as it will prevent inconveniences and hindrances within the project. We believe that this holistic budget is important to effectively implement the proposed changes to the Jordanian healthcare system and it will lead to better outcomes as desired for the project. 

    Slide 11: Plan for Evidence-based Change Using Change Theory

    The proposed change plan is centered on the implementation of a holistic healthcare program that is purposefully developed with the vision to improve the health outcomes of the Jordan community, specifically related to mental health and addiction issues, poor lifestyle habits, and limited healthcare accessibility. The goals of this initiative are to reduce the mental health issues among school-going children, eradicate the risks of opioid addiction from children and high-risk populations, improve quality of life by introducing lifestyle changes, and make healthcare accessible for every individual regardless of their social determinants of health. 

    The strategy that we will use in our change initiative is theoretically supported by Lewin’s Change Management Model, which includes the steps of unfreeze, change, and refreeze. 

    1. Unfreezing is the preparation step where the existing situations are challenges and involved participants are prepared for the change. In our case, community members and stakeholders are communicated with the proposed initiatives to prepare them for the change. 
    2. Changing steps involve the execution of the initiatives and new practices within the system. As per our project proposal, four programs as mentioned earlier will be implemented individually in their respective areas. 
    3. Finally, the refreezing step is about making the changes sustainable by solidifying them within the system. Our community project involves the integration of health initiatives with the community’s culture and practices to last the outcomes for a longer time (Burnes, 2020). 

    To bring a transformative change within the Jordan community, it is imperative to adhere to this theoretical model which will help in resolving pressing health concerns of the community and provide strength to the community members to fight against future challenges. 

    Slide 12: Vision for Future Wellness and Health and Role of Leadership

    The vision for this proposed initiative is aligned with the goals of Healthy People 2030. These goals include the promotion of healthier lifestyles and the overall well-being of individuals. Moreover, it is focused on eliminating healthcare disparities and supports health equity for populations to live healthy lives (U.S. Department of Health and Human Services, n.d.). We envision a future where the Jordan community will observe significant improvements in children’s mental health, a substantial reduction in opioid addiction among children and high-risk people, improved lifestyle and reduced risks of morbidities associated with poor lifestyle habits, and increased access to healthcare facilities and services due to adequate insurance coverage. 

    Transformational leadership is what we choose to bring changes as it helps in inspiring and motivating the team to think innovatively and create an inclusive environment. We believe that with such leadership and collaboration among stakeholders, we can not only tackle current health challenges but also lay the foundation for a healthier and more resilient future by sustaining the change. We need ongoing support from policymakers, funding agencies, and community leaders to attain the vision of this project. 

    Slide 13: Cultivating Stakeholders’ Interest and Support in the Project

    This initiative is centered around actively engaging all stakeholders to achieve our vision for a healthier community. It requires the commitment and engagement of not just executors, like healthcare professionals and policymakers but also community members, non-profitable organizations, public and private insurance companies, funding agencies, and community leaders. For addressing stakeholders’ concerns regarding the project implementation, cost-effectiveness, and outcomes, we plan to provide open communication through regular meetings, huddles, and forum discussions.  Since our plan is evidence-based, supported by community reports and evidence-based practices, we ensure transparency and reliability throughout the planning, execution, and monitoring phases. To sum up, our goal is to foster a collaborative, inclusive, and transparent environment that leads to a transformed and healthier community for everyone.

    Slide 14: Conclusion

    To conclude our presentation, I would like to restate that we Jordan community is facing various health challenges that must be addressed to improve health outcomes and the well-being of our community. It is imperative to develop policies and provide financial support to successfully implement the project initiatives. By investing in this initiative, we are not only addressing pressing health issues but also working towards a sustainable future where our community experiences better overall well-being. Our proposal aligns with the goals of Healthy People 2030, and our evidence-based approach ensures the effectiveness of our proposed changes. Thank you for attending the presentation today. I sincerely appreciate your consideration and welcome any concerns or feedback you may have. 

    References

     Burnes, B. (2020). The origins of Lewin’s three-step model of change. The Journal of Applied Behavioral Science56(1), 32–59. https://doi.org/10.1177/0021886319892685 

    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 program in six European countries. Frontiers in Psychology13. https://www.frontiersin.org/articles/10.3389/fpsyg.2022.925614 

    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 

    NURS FPX 6218 Assessment 4 Advocating for Lasting Change

    Medicaid. (n.d.). Medicaid is cost-effective. https://www.medicaid.gov/about-us/program-history/medicaid-50th-anniversary/entry/47682 

    Pollack Porter, K. M., Rutkow, L., & McGinty, E. E. (2018). The importance of policy change for addressing public health problems. Public Health Reports133(1 Suppl), 9S-14S. https://doi.org/10.1177/0033354918788880 

    Shrank, W. H., DeParle, N.-A., Gottlieb, S., Jain, S. H., Orszag, P., Powers, B. W., & Wilensky, G. R. (2021). Health costs and financing: Challenges and strategies for a new administration: Commentary recommends health cost, financing, and other priorities for a new us administration. Health Affairs40(2), 235–242. https://doi.org/10.1377/hlthaff.2020.01560 

    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 Dependence217, 108326. https://doi.org/10.1016/j.drugalcdep.2020.108326 

    NURS FPX 6218 Assessment 4 Advocating for Lasting Change

    U.S. Department of Health and Human Services. (n.d.). Priority areas. Priority Areas – Healthy People 2030. https://health.gov/healthypeople/priority-areas 

    World Health Organization. (n.d.). Social Determinants of Health. World Health Organization. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1