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.

o 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 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 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

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

· Chapter 8, “Practice Model Design, Implementation, and Evaluation” (pp. 195–246)

Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practice. Journal of Nursing Administration, 42(4), 222–230. Retrieved from https://medcom.uiowa.edu/annsblog/wp-content/uploads/2012/10/JONA-FINAL-Cullen-2012.pdf 

Kotter, J. (2007, January). Leading change: Why transformation efforts fail. Best of HBR. Harvard Business Review, 1–10. Retrieved from https://wdhb.org.nz/contented/clientfiles/whanganui-district-health-board/files/rttc_leading-change-by-j-kotter-harvard-business-review.pdf (Original work published 1995) 

Note: This article is considered seminal to the field.

Tistad, M., Palmcrantz, S., Wallin, L., Ehrenberg, A., Olsson, C. B., Tomson, G., …Eldh, A. C. (2016). Developing leadership in managers to facilitate the implementation of national guideline recommendations: A process evaluation of feasibility and usefulness. International Journal of Health Policy and Management, 5(8), 477–486. doi:10.15171/ijhpm.2016.35. Retrieved from http://www.ijhpm.com/article_3183_5015382bcf9183a74ef7e79b0a941f65.pdf 

Required Media

TEDx. (2013, January). Six keys to leading positive change: Rosabeth Moss Kanter at TEDxBeaconStreet [Video file]. Retrieved from https://www.youtube.com/watch?v=owU5aTNPJbs

Assignment: Practicum Journal Entry: Analyzing an Ethical Decision

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Learning Objectives

Students will:

· Analyze salient ethical issues in psychiatric mental health practice

· Compare ethical dilemmas with state health laws and regulations

· Analyze ethical decision-making processes

To prepare:

· Review literature for moral/ethical issues encountered by a PMHNP.

· Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 2-page paper in which you do the following:

· Summarize the moral/ethical issue in the article (no more than 1 paragraph).

· Describe the moral and ethical dilemmas surrounding the issue.

· Analyze the ethical issue and compare them to the state health laws and regulations in your state.(Texas)

· Outline the process of ethical decision making you would use to address this ethical dilemma.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

see class rules

Use subheadings when writing 

cite scholarly resources including peer-review journals and current practice guidelines

A clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writings

Please all bullets points, bold, red and highlighted area must be attended to. 

In this written assignment, select one cultural factor such as health beliefs, language, perception of time, environment control, etc. (see textbook reading) and apply it to a selected ethnic group. The paper will include the following:

1. One impact on medication preparation. Explain.
2. Two impacts on medication administration. Explain.
3. Two potential adverse reactions. Explain with rationale.
4. One possible issue in adherence to medication regimen. Explain how this can be overcome.

The paper should be no more than 3 pages. Use APA Editorial Format for all citations and references used.

Lesson 4 Assignment 4.1

Due: Dec 8 at 11:59pmCalendarPublic SpeakingDetailsAssignment 4.1: Developing Purpose and Thesis Statements

This assignment supports the following lesson objective:

• 4.2 Prepare purpose statements and thesis statements for speech topics

Assignment Overview
This writing assignment provides you with practice selecting a topic and developing purpose and thesis statements for different types of speeches.

Deliverables

• A one-page paper (12-point font, about 300 words) written in a word processor, such as MS Word

Assignment Details
In this activity, you will select a topic of your choice and write specific purpose and thesis statements based on that topic for an informative, persuasive, and celebratory speech.

Perform the following tasks:

Step 1: Imagine that you need to submit a proposal for an informative speech, a persuasive speech, and an entertaining or celebratory speech about one topic of your choice.
If your proposal is accepted, you will have 30 minutes to present your speech.

Step 2: Copy the table below and paste it into your word processing (such as MS Word) document.

TopicGeneral PurposeSpecific PurposeThesis Inform
  Persuade Audience

  Entertain/Celebrate

  
Step 3: Enter a topic suitable for the scenario presented in Step 1 in the Topic column of the table.

Step 4: In each of the three Specific Purpose cells, enter a specific purpose that matches the corresponding general purpose statement.

Step 5: In each of the three Thesis cells, enter a thesis based on the corresponding specific purpose statements.

Assignment 4.2: Get to the Point

This assignment supports the following lesson objective:

• 4.3 Apply standard methods for creating fully developed speech topics

Assignment Overview
This writing assignment explores the importance of clear and meaningful thesis statements in the process of developing a speech.

Deliverables

• A one- to two-page paper written using a word processor, such as MS Word.

Assignment Details
In this activity, you will use thesis statements as starting points to generate questions from which you can derive the main points for speeches.

Perform the following tasks:

Step 1: Review the information presented in the lesson that discusses using a thesis statement to determine the main points to include in a speech.
A well-constructed thesis statement raises a question in the mind of the audience. To generate the main points to include in your speech, identify the question and the potential answers.

Step 2: Open the document you created for Assignment 4.1: Developing Purpose and Thesis Statements.

Step 3: For each of the three thesis statements you wrote for the topic you selected, identify one resulting question and generate at least three main points.
Enter the thesis statement, question, and main points into your word processing document using the format in the example shown here.

Example:
Thesis Statement: The government should (or shouldn’t) provide health insurance coverage to all citizens.

Question: Why should the government provide health insurance coverage to all citizens?
Main Points:Health care is prohibitively expensive for citizens without health insurance.
The first question you are asked when you call most doctors’ offices in the United States is, “What type of insurance do you have?”
People without health insurance may be unable to get the health care they need.

Literature Evaluation Table

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

AttachmentsNRS-493-RS4-LiteratureEvaluationTable.docx 

PAPER 2

Capstone Change Project Outcomes

After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.

The assignment will be used to develop a written implementation plan.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

PAPER 3

Professional Capstone and Practicum Reflective Journal

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.