It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. 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 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 to address the risks anticipated by the change you propose

By Day 2 of Week 11

Submit your narrated Change Implementation and Management Plan.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Comment1

Also known as the four-principal approach, principalism has four main principles that explain the bioethics. I believe the principles should be ranked as follows. 

1. Respect for autonomy- this implies regarding the result for people possess bodies. This implies our patients can choose what treatment they need, and the privilege to reject treatment, solutions or medical procedures (Kizilcec, Schneider, Cohen, & McFarland, 2014).Even though it may not be to the greatest advantage of our patient, it is a choice that must be regarded by all. A case of this is blood transfusions in a Jehovah Witness tolerant. Even though we realize that it can involve last chance, we should regard that our patient rejects the transfusion per religious convictions. 
2. Nonmaleficence- the best medical decisions should be made to avoid harming the patient and all the rules and procedures which are laid down professionally. These can be small tasks such as hand hygiene which helps in keeping infections away.    
3. Beneficence- depending on the situation at hand, the principle is aimed at improving the condition of the patient.
4. Justice- there should be fairness within patient care, and the treatment and resources should be distributed equally.

The most important thing is the respect for autonomy thus allowing the patient to decide their health care. From the biblical narrative, the principles will follow one another in the following manner; creation, fall, redemption, and restoration (Reyes, & Castillo, 2017).This is because God permitting is to be on this planet, and picking amongst good and bad. Even though he may not concur with our choice, he enables us to choose what way we will take throughout everyday life.

comment2

Similar to how the U.S. has placed the respect for autonomy as the highest of the four principles, I too rank autonomy as the most important biomedical ethics principle. I believe that first and foremost, what happens to the body of an individual is the decision of that individual, assuming that those decisions do not cause harm to anyone else.

I rank nonmaleficence as my second most important principle of ethics because I don’t believe anyone should intentionally cause harm to others.  

The ranking of the last two principles, for me, is slightly less clear. Beneficence and justice are tied in third. When I see the term “prevent” as in prevent harm, I want to rank beneficence higher on my list, but I need further consideration. In consideration of justice, the fair distribution of benefits is of extreme importance and is no small issue. It is of huge importance, but it is not what I think of when I initially think of ethics.

In relation to the Christian biblical narrative, I believe the order of importance for the principles would be: beneficence, justice, nonmaleficence, and respect for autonomy. I believe this would be the order because in the beginning, God provided benefits that were balanced and distributed fairly to all (beneficence and justice). This resulted in Shalom, a peaceful and orderly state. Nonmaleficence I believe would be ranked third because we were (are) not to cause harm to others. Finally, I believe respect for autonomy would be last in the Christian biblical narrative because all living things had what they needed, and they believed and trusted in God to provide all their needs. 

1. What aspects of brain development underlie the tremendous gains in language, thinking, and motor control of early childhood?

2.  Among children who spend much time playing alone, what factors distinguish those who are likely to have adjustment difficulties from those who are well-adjusted and socially skilled?

3. What experiences help children differentiate moral imperatives, social conventions, and matters of personal choice?

4. Explain how the social environment and young children’s cognitive limitations contribute to rigid gender stereotyping in early childhood.

5. Summarize findings on ethnic variations in child-rearing styles. Is the concept of authoritative parenting useful for understanding effective parenting across cultures? Explain.

When a patient presents to a primary care provider with a complaint of chest pain, there are a number of possibilities that must be considered. Discuss the first three steps you would complete in assessing a patient with this complaint. Then, discuss at least two differential diagnoses for a patient with chest pain. How would the treatment and intervention course differ for each diagnosis?

Your initial posting should be 200 to 300 words in length and utilize at least one scholarly source other than the textbook. 

Assignment:

Your final assignment helps to integrate all that you have learned over the course. Your future role as a leader will benefit from this exercise by applying your new knowledge to the real world.

Answer each prompt using at least 350 words. 

1. Develop a list of five criteria for a CEO assuming that he or she has effective diversity management and inclusion as a strategic goal. Now that this course is coming to a close, select any one of the managers in a case from this text. Evaluate this manager on your established criteria for diversity. Based on your evaluation, give this person a grade ranging from A to F for his or her diversity.
2. In terms of the change model (unfreezing, change, and refreezing) what internal and external forces might resist each of the following: instituting mandatory diversity training for all employees, appointing a chief diversity officer, initiating applications for diversity awards, or establishing a phased retirement program? 
3. Assume that you are a mentor to an employee who came from a low-class background. She is bright and has career potential. However, you recognize that some elements of her behavior such as the way she speaks, her dress, her manners, and her communication patterns will prevent her from advancing to the next level in your organization. How could you help her?
4. The list of primary and secondary dimensions of diversity include:
   – Race
   – Ethnicity
   – Age
   – Gender
   – Sexual Orientation
   – Physical and Mental Challenges
   – Social Class
   – Religion
   – Appearance
   – Language and
   – Military Service

Now that you have read about the primary and secondary dimensions of diversity, what have you learned about yourself? Of all of the dimensions covered in this text which so far have affected your life the most? What examples can you provide to substantiate your answer? Do you think these may change in importance during your lifetime? Why or why not?

Assignment Expectations:

• Length:
  • 1400-1650 words (5-7 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Reference any outside content.  Include the appropriate APA style in-text citations and references for all resources utilized to answer the questions