NURS FPX 6218 Assessment 4 Advocating For Lasting Change

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Assessment 4: Advocating for Lasting Change
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Student Name
Capella University
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Prof Name
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Nov 10, 2023
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Advocating for Lasting Change
Welcome to this presentation on Advocating for Lasting Change, where we will delve into
significant health issues faced by the Jordan community, adversely affecting their well-being.
These issues include mental health irregularities among school-going youngsters, lack of health
insurance, and inadequate management of chronic health conditions. This presentation
emphasizes the urgent need for a healthcare change proposal supported by substantial data to
address these health concerns. The proposed changes aim to enhance mental health among
children and young adolescents, improve health insurance coverage, and effectively manage
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chronic diseases for low-income individuals by leveraging governmental policies, such as free
treatment for people with pre-existing conditions like chronic health diseases.
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Target Role Groups or Stakeholders
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This presentation is directed towards specific stakeholders and role groups whose contributions
are vital for improving the health outcomes of the Jordan community:
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● Policymakers: Your support in advocating for this change proposal plan can assist in
developing and implementing effective health policies.
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● Governmental Organizations and Non-Profit Organizations: Your expanded health
policy programs, resources, and services can significantly improve the community's
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health.
● Healthcare professionals: Your continuous efforts to enhance patients' health are
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crucial for providing mental health support and managing chronic diseases.
● Community Leaders and Advocates for Change: Your steadfast support and
advocacy are essential for driving the change proposal program and achieving tangible
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results.
● School Institutions: Your collaboration and support in promoting mental well-being
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among students are highly valued for creating an environment where youngsters are
safeguarded from negative thoughts impacting their health.
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Through collaborative efforts among these role groups, we can cultivate a community prioritizing
health. Therefore, the contributions of each role group are essential to effectively implement our
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change proposal plan.

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Brief Overview of Environmental Analysis of Jordan Community

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Through Windshield Survey

An analysis of the Jordan community's environmental conditions was conducted through a
windshield and environmental survey, providing insights into positive features and areas
requiring improvement.
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Positive Features of the Jordan Community:
The small town offers basic amenities, allowing children and young adolescents to attend
school, community members to shop, engage in recreational activities, and access healthcare
services from hospitals. The community members demonstrated resilience and a willingness to
collaboratively address health issues, fostering a strong bond within the neighborhood. Their
readiness for change ensures a sound and healthy community.
Areas for Improvements:
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Despite positive aspects, the community faces challenges, including prevalent mental health
issues among school students, leading to tragic outcomes. Additionally, limited health insurance
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coverage and financial barriers to obtaining medication for chronic conditions pose significant
health challenges. The proposed change addresses these issues and has the potential to bring
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about positive transformations.
Social Determinants Impacting Community Health
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Various social determinants, primarily education and economic instability, impact community
health. While school institutions exist, the lack of health literacy in educational systems affects
students' mental health. Economic instability hinders access to essential health services,
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leading to limited health insurance coverage and reliance on self-financing for treatments. The
proposed change addresses these social determinants through resource allocation and support
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from local health advocates.

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Change Proposal Framework

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Our change proposal is structured on the following framework to address the lacking areas of
the Jordan community's health:
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1. Conducting interaction-based mental health programs in schools: Providing mental

health support to affected students and managing their thinking patterns.
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2. Creating health insurance improvement plans: Advocating for expanded access to

Medicaid and Medicare services to enhance health insurance coverage.
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3. Empowering the population to acquire health insurance coverage: Enrolling in

ACA’s policy for treatment care in patients with pre-existing and chronic health
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conditions.
The goals include reducing suicide attempts, increasing complete health insurance coverage,
and enhancing community members' knowledge of ACA policy for chronic diseases to improve
health outcomes.
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Rationale for Policy and Financial Support
The Jordanian community requires a comprehensive change proposal to address emerging
health issues, including mental health, insufficient health insurance coverage, and poor
management of chronic conditions. The proposed changes can be accomplished through
governmental policies and financial assistance. The Affordable Care Act (ACA) policy, with
expanded Medicaid and Medicare access, is crucial to address health concerns. Prohibiting
insurance companies from denying coverage or charging high premiums to patients with
pre-existing conditions, including chronic diseases, is essential. This approach ensures
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equitable health access, manages chronic conditions effectively, and promotes positive health
outcomes.
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These policies will alleviate the lack of health insurance among deserving community
populations and ensure access to necessary healthcare services. The rationale for policy and
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financial support is grounded in the understanding that chronic diseases are expensive to treat,
prevention is preferable, and adequate funding is necessary to manage health issues effectively.
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Evidence for Proposed Changes
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Evidence-based research supports our proposed systemic changes to improve health outcomes
in Jordan’s community. Mental health issues in schools have increased globally, with 81% of
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teenagers experiencing problems during COVID-19 (Rao & Rao, 2021). Interaction-based
mental health programs in schools have been shown to effectively manage stress, reduce
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suicidal attempts, and improve well-being (García-Carrión et al., 2019).
The lack of healthcare insurance is a significant issue, and proposed strategies, such as
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expanded access to Medicare and Medicaid, can facilitate access to medical facilities,
improving health outcomes (Martin et al., 2021). Educating the population on governmental
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policies like ACA can provide health insurance access to those with chronic diseases and low
incomes (Myerson & Crawford, 2020). The proposed changes are based on practical evidence
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and research studies, offering a beneficial approach to addressing the community's health
issues.
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Broad Budget Estimates

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To implement our change proposal effectively, we have developed broad budget estimates that
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allocate resources realistically. The first-year operational cost is $520,000, including startup
costs of $24,000. Human resources constitute a significant portion, with the project manager
receiving $60,000 and support staff, mental health specialists, and health professionals
collectively accounting for $250,000 annually. Additional resources include educational materials
and equipment ($50,000), health insurance for staff members ($25,000), consultations and
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contract services ($30,000), and travel and contingency expenses ($30,000 and $15,000,
respectively). These resources are crucial for implementing and sustaining the proposed
changes, forming a life-saving investment for a healthier and economically stable community.
Plan for Transformational, Evidence-Based Change

Our vision for change is to improve health in all age groups of Jordan’s community by
addressing mental health conditions in school-going children and managing health outcomes for
patients with chronic diseases. The proposed changes will be implemented through Prosci’s
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Three-Phase process, integrating the ADKAR change model.
Three-Phase Process:
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1. Preparing for Change: Raising awareness and creating a desire for change among the
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community.
2. Managing the Change: Collaboratively implementing the required changes with a focus
on communication and team alignment.
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3. Reinforcing Change: Evaluating, reinforcing, and sustaining changes while promoting
continuous improvements.
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Throughout this process, effective communication through social media and other channels will
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be prioritized to ensure team alignment and keep all members informed. The project managers
will play a crucial role in organizing and directing the proposed change.
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Vision for Future Wellness, Health, and Role of Visionary

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Leadership
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Our vision aligns with Healthy People 2030 objectives to enhance health outcomes for all
people and ensure access to healthcare services. Promoting health equity and reducing
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disparities is in line with Healthy People 2030 goals (Hasbrouck, 2021). The benefits of this
vision include improved public health, equity, inclusiveness, and collaboration among
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stakeholders. Risks involve limited resources, unforeseen factors, complex problems, and
challenges in measuring success.
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Transformational leadership is essential for driving these changes, focusing on high

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performance, motivation, visionary communication, empowerment, collaboration, and team

building. This leadership style fosters an environment where team members contribute to
positive change, ensuring resilience in the face of challenges. By adopting this leadership style,
we aim to address current health concerns and improve overall health outcomes in Jordan's
community.
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Cultivating Stakeholder Interest and Support
Stakeholder participation is crucial for achieving health and wellness goals. Our shared vision
creates a sense of like-mindedness among stakeholders, but their participation requires a
compelling approach tailored to their interests. Primary stakeholders, including policymakers,
healthcare professionals, mental health specialists, school authorities, community leaders, and
community dwellers, will be engaged early and continuously. Addressing their concerns about
finances, involvement in decision-making, and communication will be a priority. By providing a
collaborative, open, and inclusive environment, we aim to successfully implement the change
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plan and foster a healthy community in Jordan.
Conclusion
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In conclusion, improving the community health of Jordan requires a joint effort of various
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stakeholders, primarily policymakers, educators, and healthcare professionals. The proposed
change, based on theoretical and evidence-based approaches, has the potential to achieve
necessary and desired goals. Broad budget estimates provide a realistic plan for implementing
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the proposed changes, and the transformational, evidence-based change plan ensures a
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strategic approach to achieving health and wellness goals. The vision for future wellness aligns
with Healthy People 2030 objectives, and stakeholder interest and support are critical for
successful implementation. By fostering a collaborative environment, we can address health
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issues and create a healthier and economically stable community in Jordan.
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References
Castle, J. T., Levy, B. E., Mangino, A. A., McDonald, H. G., McAtee, E. E., Patel, J. A., Evers, B.
M., & Bhakta, A. S. (2023). Impact of the Affordable Care Act on providing equitable healthcare
access for IBD in the Kentucky Appalachian region. Diseases of the Colon & Rectum, 66(9),
1273. https://doi.org/10.1097/DCR.0000000000002942
García-Carrión, R., Villarejo-Carballido, B., & Villardón-Gallego, L. (2019). Children and

adolescents mental health: A systematic review of interaction-based interventions in schools
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and communities. Frontiers in Psychology, 10(918). https://doi.org/10.3389/fpsyg.2019.00918
Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H.
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(2021). Where do models for change management, improvement, and implementation meet? A
systematic review of the applications of change management models in healthcare. Journal of
Healthcare Leadership, 13(13), 85–108. https://doi.org/10.2147/JHL.S289176
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Hasbrouck, L. (2021). Healthy People 2030: An improved framework. Health Education &
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Behavior, 48(2), 113–114. https://doi.org/10.1177/1090198121997812
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Martin, H., Kushner, S., Iles, K., & Montgomery, H. (2021). Advocating for expanded access to
medical nutrition therapy in Medicare. Journal of the Academy of Nutrition and Dietetics.
https://doi.org/10.1016/j.jand.2021.02.024
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Myerson, R., & Crawford, S. (2020). Coverage for adults with chronic disease under the first 5
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years of the Affordable Care Act. Medical Care, Publish Ahead of Print.
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Rao, M. E., & Rao, D. M. (2021). The mental health of high school students during the
COVID-19 pandemic. Frontiers in Education, 6. https://doi.org/10.3389/feduc.2021.719539
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Rubim, F., Rubim, L., & Thornton, A. R. (2020). Creating a culture of wellness. POWER,
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171–187. https://doi.org/10.1016/b978-0-12-817872-0.00010-0
Soni, A., Wherry, L. R., & Simon, K. I. (2020). How have ACA insurance expansions affected
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health outcomes? Findings from the literature. Health Affairs, 39(3), 371–378.
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Zhuang, T., Qian, Q. K., Visscher, H. J., Elsinga, M. G., & Wu, W. (2019). The role of
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stakeholders and their participation network in decision-making of urban renewal in China: The
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change proposal plan.

Brief Overview of Environmental Analysis of Jordan Community

Through Windshield Survey

Areas for Improvements:

Social Determinants Impacting Community Health

from local health advocates.

Change Proposal Framework

1. Conducting interaction-based mental health programs in schools: Providing mental

2. Creating health insurance improvement plans: Advocating for expanded access to

3. Empowering the population to acquire health insurance coverage: Enrolling in

suicidal attempts, and improve well-being (García-Carrión et al., 2019).

Broad Budget Estimates

Plan for Transformational, Evidence-Based Change

Vision for Future Wellness, Health, and Role of Visionary

Transformational leadership is essential for driving these changes, focusing on high

performance, motivation, visionary communication, empowerment, collaboration, and team

García-Carrión, R., Villarejo-Carballido, B., & Villardón-Gallego, L. (2019). Children and

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