Research the various change models used by organizations today. After assessing these models, create a change model conducive to NURSING,  and that will work within your organization’s culture. This model should serve to implement a strategic process that can help your organization integrate a change and respond to the internal or external driving forces that affect organizational success.

Create a visual representation of your model using a graphic organizer of your choice (flow chart, concept map, etc.). The design of your model will be unique and relevant to your organization, based on a critical analysis of its culture and behavior. However, your model must demonstrate the necessary steps for realistic implementation. Your model will be assessed on the quality of strategic implementation you design, the support you present for your model, and inclusion of the following concepts:

1. Methods to evaluate the need for change

2. Approach and criteria for choosing individuals or teams necessary for a change initiative

3. Communication strategies

4. Strategies to gather stakeholder support and overcome resistance

5. Implementation strategies

6. Sustainability strategies

Once you have created your model, prepare a 15-20 slide PowerPoint presentation to present your model and demonstrate how this model is relevant to your organization and why it will work well within your organization’s culture. In conclusion, discuss why this model will lead to sustainable change when most change initiatives fail. 

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA format 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.

Week 4: Question for Discussion

Chapter 7 – Posttraumatic Stress

Question(s): Name the DSM-IV-TR indicators necessary for a diagnosis of PTSD? (full criteria for diagnosis) five of condition/symptoms, with at least two in each category. Please, include specific symptoms in children (PTSD symptoms in children that are different than in adults). Note: (DSM-5 will be accepted).

Guidelines:The answer should be based on the knowledge obtained from reading the book, no just your opinion. If there are 2 questions in the discussion, you must answer both of them. Your grade will be an average of both questions.

Please have a complete and concise answers to all 3 questions:

As a registered nurse, you have gathered many health histories throughout your career. The health history is the story that unfolds with the patient’s genetic history, health practices, nutrition and exercise routine, social and family relationships, spiritual strength, chronic illnesses, and chief complaint. The nurse is responsible for collecting and analyzing that information to plan care in collaboration with the patient. In practice, nurse’s encounter patients from various races, ethnicities, languages, cultures, and beliefs. Culturally congruent care promotes positive outcomes and reduces health disparity.

Directions: Please watch the video “Cultural Competence for Health Care Providers”. Once you have watched the video, please discuss the following with your classmates:

1. What does the American Nurses Association say about the nurse’s role in cultural competence?
2. Does the electronic health record used in your facility prompt you to ask culturally relevant assessment questions? Please provide an example of two. 
3. Describe one way you plan on being more culturally inclusive in providing your nursing care in the future.

Watch VideoCultural Competence for Health Care ProvidersDuration: 9:27
User: n/a – Added: 8/4/09 

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.