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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: 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.  NURS FPX 6218 Assessment 4 Advocating for Lasting Change 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:  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

NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs

Student Name Capella University NURS-FPX 6218 Leading the Future of Health Care Prof. Name Date Assessment of Community Health Care Needs In community health settings, it is imperative to identify the community’s health needs before planning their health promotion programs. This is performed through community health assessment, described by the Centers for Disease Control and Prevention (CDC) as a structured approach to analyzing public needs, developing interventions and programs, and executing them to address specific concerns. This community health assessment focuses on the Jordan community, which is a small town in the Minnesota countryside. The methods used for the identification of health needs of the community care windshield surveys and environmental analysis. Executive Summary General Condition and Public Health Needs The windshield survey conducted for Jordan, which is a small town in Minnesota identified a City Hall, which was built in 1885 and fulfills the motto of Jordan city, “warm country feeling, minutes from the cities,” This hall is used as a venue for various events and programs within the city. Next, we see some schools almost in nearby to each other. Jordan’s middle school is adjacent to the Community Education and Recreation Center (CERC), and it is a student and family-friendly campus. Moreover, the city has a high school and an elementary school with respective subjects for specific grades, and a public library is founded as well. #The survey reveals a social determinant that most people in Jordan undertake post-secondary education. Other than the educational sector, we observed many refugee camps throughout our drive which were managed by Jordan’s government and private partnerships together. Along with this, we drove by a food shelter which is run by 100 volunteers, feeding 20 families per weekend. Additionally, we observed a health services center that is 10 minutes away from the town. The center provides services for outpatient clinics, inpatient, and emergency care. Other tertiary care hospitals are available outside Jordan town by 15 mins drive. NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs Within the area, there are small dentistry, chiropractic, and family medicine clinics available. The beauty of the town lies in its widespread recreational parks, dine-in areas, and shopping streets, for which it is famous. Our survey identified certain areas with crowded streets due to shopping stores and large buildings, which were negatively impacting the traffic and transportation system. It is estimated that the traffic volume will significantly increase by 2025. Some of the public health needs identified were healthcare accessibility and preventive care services as tertiary hospitals are away from the town. Moreover, health disparities were observed due to a diversified population, which also led to mental health problems. The limitations of our survey included a lack of resources, limited time, and the reluctance of people to provide detailed information.  Environmental Analysis The environmental analysis of the Jordan community is performed using the SWOT technique. This is an acronym for strengths, weaknesses, opportunities, and threats. It is an analysis used to evaluate the internal and external factors of an organization or community (Teoli et al., 2022). The survey and the analysis of environmental factors in the Jordan community identified several health needs of the population. Some environmental factors that affect the population’s health are a rapid increase in the number of residents, limited healthcare facilities, growing traffic and transportation problems, and excessive dine-out places, which leads to poor nutrition. According to Universal Health Coverage, undocumented refugees can access healthcare services in their residence country (Onarheim et al., 2018). However, the rising population in Jordan is leading to healthcare disparities, significantly impacting the refugees, as limited healthcare coverage is implemented for the underserved population. Another environmental factor that impedes population health is the increasing demand for business and residential areas, which impacts the traffic and transportation system of the town. The increasing traffic volume can lead to pollution and other health risks like cardiopulmonary problems. Population facing these health problems may require emergency services unavailable within the town and may require commuting to tertiary hospitals, which can increase the financial burden on the individuals, delay diagnosis and treatment, limit access to tertiary care services, and, in severe cases may increase mortality rate. Lastly, the excessive number of restaurants in Jordan town gives rise to poor nutrition as a population health concern. This food may contain unhygienic contents, which may lead to several diseases. Studies have revealed that there are increasing risks associated with the food supply chain due to inadequate food safety checks and the use of poor nutritional items (Gizaw, 2019).  Social Determinants of Health  The critical social determinants of health for the Jordanian community include population, housing facilities, employment, education, and healthcare access. The current population of the community is about 7000 people, with about 2500 housing facilities. Along with this, the employed individuals are around 2200. With the predicted rising population to reach 12,000 in 2040, the housing facilities are expected to reach 4700, with only a minimal increase in employment projections. This suggests that increasing population may lead to negative outcomes on individual employment and the overall economy of the community.Limited financial resources may impede the process of healthcare accessibility for community members as individuals may be prevented from receiving care. Moreover, this may also prevent them from utilizing insurance packages, ultimately building up healthcare costs (Coombs et al., 2022). As far as education is concerned, 34% of the population are high-school graduates (City of Jordan, Minnesota, 2015). The high level of education within the community is connected with increased literacy and awareness about health issues, which plays a significant role in improving the community’s health. In terms of healthcare access, the community is facing challenges due to the increasing population and limited available services. These challenges may lead to growing healthcare concerns within the community. The assumption of this analysis is that increasing population limits the available resources. However, the uncertain points are pandemic/epidemic situations, which may further aggravate the community’s resource needs, impeding smooth processing.  Conclusion  In conclusion, we identified various

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Student Name Capella University NURS-FPX 6210 Leadership and Management for Nurse Executives  Prof. Name  Date Part 1: Appreciative Inquiry Discovery and Dream The Cleveland Clinic in Ohio has demonstrated commendable progress in elevating patient care and overall health quality. The organization’s successful journey in combatting sepsis, reducing hospital-acquired infections, and effectively managing chronic diseases underscores its commitment to excellence. Cleveland Clinic’s accomplishment in diminishing sepsis-related mortality is particularly noteworthy, showcasing the powerful integration of technology and healthcare. Utilizing real-time monitoring and predictive modeling tools, the Clinic achieved a significant 30% decrease in sepsis-related deaths over a five-year period (Fan et al., 2023). Additionally, Cleveland Clinic’s unwavering dedication to preventive measures, including hygiene protocols and targeted staff education, is evident in the substantial 20% reduction in hospital-acquired infections over three years (Ojanperä et al., 2022). Another exemplar of the Clinic’s innovation is in managing chronic diseases, specifically heart failure. Through the implementation of big data analytics, the organization identifies potential risks and tailors personalized care plans, resulting in a notable 15% reduction in hospital readmissions for heart failure patients over two years (Averbuch et al., 2022). These success stories underscore Cleveland Clinic’s commitment to patient safety and high-quality care, aligning with the organization’s quality and safety goals. While data validates these narratives, indicating declines in mortality rates and infection prevalence, there remain knowledge gaps and uncertainties, such as the specific methods employed in sepsis care predictive modeling and the effectiveness of individual measures to prevent hospital-acquired infections. Proposal of Positive, Attainable Improvement Goals for Quality and Safety Despite significant achievements, Cleveland Clinic has identified areas for improvement. Proposing positive, attainable improvement goals assumes the Clinic’s commitment to continuous learning and growth. Leveraging its established infrastructure, skilled personnel, and dedication to community service, Cleveland Clinic aims to build on its successes. The proposed improvement goals focus on enhancing nurses’ training to better address diverse community needs, thereby improving patient outcomes and overall service quality (Meehan & Sharp, 2023). Goals Leading to Ethical and Culturally-sensitive Improvement To further enhance service quality and safety, Cleveland Clinic should prioritize expanding and enriching community-focused programs, coupled with strengthening nursing staff training. This two-pronged approach not only catalyzes service quality and safety enhancements but also fosters ethical and culturally-sensitive improvements. Investing in community-focused programs enables the Clinic to address health disparities and promote health equity, while enhanced nurse training ensures the delivery of culturally-sensitive care, catering to the diverse needs of the community (Zhao et al., 2022). Alignment of Goals with Cleveland Clinic’s Mission, Vision, and Values The proposed goals align seamlessly with Cleveland Clinic’s core mission to provide comprehensive, high-quality, and patient-centered care. By intensifying community-focused programs, the Clinic extends its influence beyond hospital premises, fostering healthier communities. Simultaneously, bolstering nurse training initiatives resonates with Cleveland Clinic’s vision of cultivating a culture of continuous learning and excellence across all service aspects. These endeavors align deeply with Cleveland Clinic’s values of respect, integrity, and innovation, creating a positive impact on the broader community (Cleveland Clinic, n.d.). Part 2: SWOT Analysis SWOT Analysis for Quality and Safety Goals To evaluate Cleveland Clinic’s current state regarding quality and safety goals, a SWOT analysis was conducted. The SWOT framework, a strategic planning tool, offers a comprehensive overview of an organization’s strengths, weaknesses, opportunities, and threats (Sisto et al., 2022). The analysis, based on internal evaluation, external research, and stakeholder interviews, revealed key aspects: Strengths Weaknesses Opportunities Threats The findings emphasize Cleveland Clinic’s dedication to superior patient care and innovative health service delivery as strengths. However, identified weaknesses, such as underperforming community initiatives and staff training deficits, could hinder goal attainment. Opportunities for improvement include expanding telehealth services and collaborating with local organizations, while regulatory changes and competition pose external threats. The SWOT analysis highlights a significant concern: the inefficiency of certain community programs. Upgrading these initiatives is crucial for achieving Cleveland Clinic’s mission of providing comprehensive care to all segments of society. Evaluation criteria include program reach, impact on health outcomes, community engagement levels, satisfaction rates, and alignment with broader healthcare service delivery. Part 3: Comparison of Approaches Mindset for AI vs. SWOT Approach The Appreciative Inquiry (AI) approach focused on identifying excellence within Cleveland Clinic, emphasizing best practices and successful innovative solutions. The mindset centered on unearthing positive aspects and contemplating how these could drive future growth. In contrast, the SWOT approach adopted a holistic perspective, considering internal strengths and weaknesses, along with external opportunities and threats. This analytical mindset aimed at objectively evaluating factors influencing the organization’s performance, incorporating a broader dataset, including internal metrics, patient satisfaction scores, employee feedback, market trends, regulatory changes, and competition data. Despite differing focuses, both AI and SWOT approaches aim to identify areas of excellence and improvement, fostering open dialogue and a shared understanding of the organization’s current state and future aspirations. AI encourages positive dialogue, emphasizing strengths and potential for growth, while SWOT calls for a balanced conversation, considering both positives and negatives, strengths and weaknesses. Part 4: Analysis of Relevant Leadership Characteristics and Skills Desired Leadership Traits and Skills for AI and SWOT Approaches In performance improvement projects using both AI and SWOT approaches, leadership characteristics and skills differ yet complement each other. For AI projects, creativity, innovation, and data-driven decision-making are crucial. These traits drive the identification of best practices and the visualization of an ideal future state. In SWOT projects, strategic thinking and adaptability are essential to navigate the complexities of internal and external environments, responding effectively to emerging challenges and opportunities. Shared leadership characteristics include collaboration, critical thinking, adaptability, and a commitment to excellence. Both approaches demand open dialogue, fostering a culture that values and pursues high-quality, safe, patient-centered care. References Averbuch, T., Sullivan, K., Sauer, A., Mamas, M. A., Voors, A. A., Gale, C. P., Metra, M., Ravindra, N., & Van Spall, H. G. C. (2022). Applications of artificial intelligence and machine learning in heart failure. European Heart Journal – Digital Health, 3(2), 311–322. https://doi.org/10.1093/ehjdh/ztac025 Bartunek, J. M., & Balogun, J. (2022). Context and how it