Assignment: Change Implementation and Management Plan

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 6 or 7 slides with video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 6–7 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

  4 DQ 2

     To sustain a balanced lifestyle, exercise is an essential part of daily life. People who do not remain healthy and exercise on a regular basis are more likely to develop cardiovascular diseases such as type 2 diabetes, obesity, heart disease, high cholesterol, cancer, depression, anxiety, and dementia.

     Diabetes and cardiovascular disease are two of the most common risky diseases that affect mainly middle-aged Americans today. To begin with, heart disease is the leading cause of death in the United States for men, women, and individuals of most racial and ethnic groups. According to the Centers for Disease Control and Prevention, heart disease, stroke, and other cardiovascular diseases account for one out of every three deaths in the United States. Cardiovascular disorders claim the lives of one human every 36 seconds in the United States. Second, more than 34 million Americans have diabetes, with one of every four of them being unaware of their condition.

     Physical activity is beneficial to diabetics because it renders the body more receptive to insulin management. Both physical activity aids in the regulation of blood sugar levels, as well as the prevention of nerve injury and heart disease. Nurses must remind patients to check their blood sugar levels before, after, and after physical exercise. Clients can eat a healthy snack comprising 15 to 30 grams of carbohydrates if their blood sugar is low until exercising. Blood sugar levels above 240 mg/dl could be too high to reliably engage in physical activity.

     The CDC recommends 150 minutes of low intensity physical activity a week, such as exercising, playing sports, or doing housework. To gain the client’s confidence, the nurse does not push exercise on them, but rather advise them to take it slowly and start small. The client should be encouraged to choose an enjoyable exercise, choose a partner, commit to a goal, and schedule workouts during the week. Another piece of advice that nurses should give their patients is to take the stairs rather than the elevator, park farther away from the supermarket, and do jumping jacks during commercial breaks.

Respond by using 200-300 words APA format with references supporting the discussion.

 For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature. 

                              Mental Health Practicum–Week 8 Journal  Entry

Students will:

· Develop effective documentation skills for group therapy sessions *

· Develop diagnoses for clients receiving group psychotherapy *

· Evaluate the efficacy of cognitive behavioral therapy for groups *

· Analyze legal and ethical implications of counseling clients with psychiatric 

 disorders *

                                                           ASSIGNMENT 

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

                  Then, in your Practicum Journal, address the following:

· Using the Group Therapy Progress Note in this week’s Learning Resources, 

  document the group session.

· Describe each client (without violating HIPAA regulations), and identify any  

   pertinent history or medical information, including prescribed medications.

· Using the DSM-5, explain and justify your diagnosis for each client.

· Explain whether cognitive behavioral therapy would be effective with this group. 

  Include expected outcomes based on this therapeutic approach.

· Explain any legal and/or ethical implications related to counseling each client.

· Support your approach with evidence-based literature.

                                                   Learning Resources

Required Readings

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

• Chapter      11, “In the Beginning” (pp. 309–344)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

• Chapter      12, “The Advanced Group” (pp. 345–390)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bjornsson, A. S., Bidwell, L. C., Brosse, A. L., Carey, G., Hauser, M., Mackiewicz Seghete, K. L., … Craighead, W. E. (2011). Cognitive-behavioral group therapy versus group psychotherapy for social anxiety disorder among college students: A randomized controlled trial. Depression and Anxiety, 28(11), 1034–1042. doi:10.1002/da.20877

Safak, Y., Karadere, M. E., Ozdel, K., Ozcan, T., Türkçapar, M. H., Kuru, E., & Yücens, B. (2014). The effectiveness of cognitive behavioral group psychotherapy for obsessive-compulsive disorder. Turkish Journal of Psychiatry, 25(4), 225–233. Retrieved from http://www.turkpsikiyatri.com/

Document: Group Therapy Progress Note (SEE ATTACHED PROGRESS NOTE)

Health policy unfolds daily and drives clinical practice in the US. The student will investigate current policies or legislation underway for a specific health-related issue. The Student will develop a scholarly APA formatted paper supported by evidence. The policy paper rubric:

Introduction to population or problem (incidence, prevalence, epidemiology, cost burden etc)

Description of how the policy is intended for a specific population, program or organization

Specific legislators involved in the policy development and dissemination

Identify the role of the APRN in assisting with the policy or refuting the policy – this requires the evidence to support opinion, ideas and/or concepts.

Discuss how the policy influences clinical practice and is used to promote best outcomes

Examine how the policy can be used by the interprofessional team to ensure coordinated and comprehensive care for the specific population

Conclusion – summarize findings

APA format – use of primary peer-reviewed references as much as possible

Submission Details:

• Support your responses with examples.
• Cite any sources in APA format.