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 ( 6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 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.

Provide a minimum of a two to three paragraph response that directly addresses your thoughts on their post. Describe how the results of the measures can be used for quality improvement in one of the following medical settings, physician office (ambulatory care),community health center and hospital

Post listed below:

JC (Joint Commission) 

            The mission statement that I have gathered about this organization is that of continuously improving healthcare for the public (The Joint Commission (n.d.). They take into consideration of that of the stakeholders, they evaluate the healthcare organization and inspire them to provide a safe and effectively high quality of care and value to all patients. The joint commission organization can be considered as an accreditation since it is an organization that is not for profit. I would say that the information that is collected and placed on the organizations websites is placed there for the external stakeholders so they can view all the changes that might happen to the organization on a regular basis. When it came to finding the quality improvement measures for this organization they were easy to find on the website just by using the search bar. The list of five improvement measures are data knows best, proper planning prevents poor performance, communicate, invest upfront, and don’t be a dinosaur (The Joint Commission (n.d.). To describe some of the improvement tools a little better than their titles like don’t be a dinosaur means be open to changes as that’s one of the main ways to make changes, data knows best means that data helps organizations make decisions when it comes to changes. Those were just a couple ways in which the joint commission sees fit for quality improvement tools.

CMS (Centers for Medicare & Medicaid Services)

The mission statement for the CMS is to ensure that the voices and needs of the populations are present as the agency continues to develop, implement, and evaluate programs and policies (Mission-vision-our-work. (2019, June 19). The vision of the CMS organization is for all beneficiaries to receive the highest level of healthcare. The Centers for Medicare and Medicaid services organization can be considered or listed as being a governmental agency as it helps people all over the Unites States whether they have disabilities as a young person or they are getting ready to retire and start drawing social security. The information listed on the CMS website is like that of the joint commission it is on there so the external stakeholders can see all the information right when it changes. The quality measures for CMS are a little different than that of the joint commission organization. The list of quality improvements measures can be listed as clinical processes, patient safety, care coordination, health outcomes, patient engagement and clinical guidelines just to name some of them off.

1 reference and no plagiarism

 Type of assignment

Case study

Subject

Not defined

Pages / words

2 / 550

Number of sources

3

Academic level

Master’s

Paper format

APA

Line spacing

Double

Language style

US English

Paper does not have in text citations. Reference list is no complete. Please provide the necessary information ASAP.

Description

21-year old female with highly irrational paranoid thinking and behaviors like withdrawal and isolation from social interactions and poverty of speech.
What are the possible trajectories of this patient?
What are the possible biological, psychosocial, and generational risk factors and etiologies?
ANSWER THE QYESTIONS NO NEED FOR A COVER PAGE

As a Registered Nurse since 1998, I have seen many changes among patient populations. They are getting older, sicker, and resistant pathogens have become more common, extensive, and profound. Not just restricted to heavy use of antibiotics, but environmental pollution with extensive biocides and heavy metals also created resistant pathogens (Singer, 2019). 

Environmental pollution poses many dangers to human health, which my potential future role as a nurse practitioner (NP) would serve to research trends, educate, and treat public maladies. Healthcare has become more technological and economically challenging, with the unfortunate complication of making primary care too expensive and unobtainable among populations, including the working poor and working middle class. Medications have become very complex; life-sustaining drugs are subsequently exorbitantly expensive. For example, insulin underuse leading to serious disease complications was one in four, especially in urban areas due to lack of affordability (Bhatia, Chang, & Bilal, 2019). Human populations with such profound needs, including issues with resistant organisms, can be potentially met as an Adult-Gerontology Primary Care Nurse (GPCN) with research, education, and affordable medical management; credentialing is essential to get issues across for underserved and ignored populations. Walden University School of Nursing (SON) integrates the nursing process with cost-effective treatment strategies (2019a). 

Networking and accessing resources are essential for the GPCN role. This personal mission and vision are in alliance with Walden University’s goal and values, including student-centeredness, quality, and integrity; such opportunities would enable me to achieve such credentialing as GPCN, providing convenient educational opportunities accommodating my work schedule (Walden University, 2019). Walden University further enriches the spirit of evidence-based research, discovery, and critical thinking, effecting social changes improving living conditions for individuals, communities, and society (2019). Walden University’s SON has similar objectives, lending opportunities for specialist nurse practice enabling social change (2019a). As a GPCN, we are professionals that utilize the nursing process integrating assessment, diagnosis, planning, implementing, and evaluation of healthcare strategies enabling access to healthcare to even the socioeconomic disadvantaged (Walden University, 2019a). For example, there are approximately 12 million undocumented immigrants (Beck, Le, Henry-Ikafor, & Shah, 2019). Consider the spread of tuberculosis among the impoverished, being a disease of poverty, the undocumented encounter barriers such as fear of deportation and cost in which the GPCN can bring access to these populations, thereby preventing the spread of disease, and delivering treatment to the afflicted by fostering trust (Beck et al., 2019). Making medical access more affordable for underserved communities would include technology such as mastering telehealth, which is another avenue for the GPCN, but there is legal baggage with this as well (Balestra, 2018). 

Treating a single individual would also address population health; what affects one would affect others. 

Hi class,

The following there weeks will review  the APRN scope of practice. We must know and get familiar with the procedures, actions, and processes permitted by our professional license.

Review the following article: https://journals.sagepub.com/doi/full/10.1177/0193945918820338

Mark, B. A., & Patel, E. (2019). Nurse Practitioner Scope of Practice: What Do We Know and Where Do We Go?. doi:https://doi.org/10.1177/0193945918820338

This week assignment:

From above identify three challenges the Advanced Nurse Practitioner  encounter in their Scope of practice (SOP), include them on this week first peer response due.

Scholarly article as reference must be included on your post and peer responses when due.

Thank you all.

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi