NURS FPX 6218 Assessment 3 Planning For Community and Organizational Change

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Assessment 3: Planning for Community and Organizational Change
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Capella University
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Course Name
Prof Name
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April 10, 2024
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Planning for Community and Organizational Change
This assessment delves into the enduring health challenges faced by the community of
Jordan. In a previous evaluation, we examined Jordan's health landscape, situating it
within a small town in Minnesota. A comprehensive health analysis identified mental
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health concerns leading to adolescent suicide, deteriorating health insurance conditions,

and suboptimal management of chronic diseases due to financial constraints.
Consequently, this change proposal outlines strategies aimed at addressing these
persistent health challenges in the Jordan community.
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Summary of Proposed Changes and Their Implications

To address health challenges in Jordan, proposed changes in the healthcare system
include:
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1. Implementation of Interaction-Based Mental Health Programs in Schools:

Introducing mental health programs in schools involving counselors, psychologists, and
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social workers collaborating with school authorities. These interventions aim to enhance
emotional well-being, resilience, coping skills, and stress management in adolescents.
2. Health Insurance Improvement Plan:
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Collaborating with policymakers and advocacy teams to improve health insurance
affordability, advocating for expanded access to Medicare and Medicaid for the
low-income population.
3. Management of Chronic Health Conditions:
Raising awareness among the older community regarding Affordable Care Act eligibility,
providing full health coverage for chronic diseases, and reducing mortality and morbidity
rates.
These strategies aim to address health challenges, improve mental health among
students, enhance health outcomes through improved insurance, and better manage
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chronic conditions in the older population, ultimately leading to a healthier community
overall.
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Potential Barriers to Change
1. Barriers to Implementing Mental Health Programs:
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Challenges such as social stigma, cultural attitudes, and resource constraints may
hinder the implementation of mental health programs in schools.
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2. Barriers to Accessing Adequate Healthcare Insurance:
Issues like a lack of understanding of the insurance process, language barriers, limited
internet access, and resistance to change can hinder access to adequate healthcare
insurance.
3. Barriers to Chronic Health Management:
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Factors such as lack of awareness, social stigma, resistance to change, and personal
beliefs may impede acceptance of healthcare assistance.
Strategies for Overcoming Barriers and Resolving Conflict

1. Educational Campaigns:
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Combatting stigma through educational campaigns that emphasize the importance of

mental health programs.
2. Collaboration with External Organizations:
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Addressing resource constraints by partnering with external organizations for financial

support.
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3. Communication for Enhanced Community Engagement:

Encouraging open, two-way communication within the community to reduce resistance
to change.
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By implementing these strategies, conflicts can be resolved, fostering a culture of
adaptability, continuous learning, and improvement.
Stakeholder Communications
A robust communication plan is crucial for the successful implementation of proposed
changes. Stakeholders, including healthcare practitioners, administrators, policymakers,
and advocates, need access to key messages, content, and visual aids. Infographics
and presentations will enhance comprehension, focusing on cost-benefit analysis,
evidence-based implications, and strategies for overcoming barriers.
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References
AbouAssi, K., Bowman, A. O’M., Johnston, J. M., Bauer, Z., & Tran, L. (2020). Relations,
resources, and costs: Exploring cross-sectoral collaboration at the local level in a developing
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country. International Public Management Journal, 24(5), 646–672.
https://doi.org/10.1080/10967494.2020.1853292
Banner, D., Bains, M., Carroll, S., Kandola, D. K., Rolfe, D. E., Wong, C., & Graham, I. D.
(2019). Patient and public engagement in integrated knowledge translation research: Are we
there yet? Research Involvement and Engagement, 5(1).
https://doi.org/10.1186/s40900-019-0139-1
Bracke, P., Delaruelle, K., & Verhaeghe, M. (2019). Dominant cultural and personal stigma
beliefs and the utilization of mental health services: A cross-national comparison. Frontiers in
Sociology, 4(40). https://doi.org/10.3389/fsoc.2019.00040
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Errida, A., & Lotfi, B. (2021). The determinants of organizational change management success:
Literature review and case study. International Journal of Engineering Business Management,
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13(1), 1–15. https://doi.org/10.1177/18479790211016273
García-Carrión, R., Villarejo-Carballido, B., & Villardón-Gallego, L. (2019). Children and
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adolescents mental health: A systematic review of interaction-based interventions in schools
and communities. Frontiers in Psychology, 10(918). https://doi.org/10.3389/fpsyg.2019.00918
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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
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.
https://doi.org/10.1097/mlr.0000000000001370
Repovš, E., Drnovšek, M., & Kaše, R. (2019). Change ready, resistant, or both? Exploring the
concepts of individual change readiness and resistance to organizational change. Economic
and Business Review, 21(2). https://doi.org/10.15458/85451.82
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Schroeder, S., Tan, C. M., Urlacher, B., & Heitkamp, T. (2020). The role of rural and urban
geography and gender in community stigma around mental illness. Health Education &
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Behavior, 48(1), 109019812097496. https://doi.org/10.1177/1090198120974963
Appendix A: Grant Proposal

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Need Statement
This change proposal addresses the community health issues of the City of Jordan, located in
Minnesota. The population of Jordan is confronting various health issues in almost all age
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groups, demonstrating its broad scope. Young adolescents and adults face mental health issues
in schools, leading to suicide attempts. The deteriorating state of health insurance prevents
various population groups from acquiring basic healthcare facilities, resulting in financial
constraints and poorly managed chronic diseases requiring extensive medications prescribed by
physicians.
Considering the health state of the overall community, there is a pressing need for this change
proposal, as all age groups in the Jordan community are affected. Barriers likely to occur during
change implementation include scarcity of resources, lack of awareness and stigma towards
mental health, and resistance to change. Information sources for defining the need for change
include a windshield analysis of environmental factors, communication with community
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members, school surveys, formal consultations with community leaders, and healthcare
organizational dashboard metrics.
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Program Description
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This change proposal comprises several initiatives that promote mental well-being in young
kids, health insurance coverage programs, and advocacy for expanded Medicaid and Medicare
services. These strategic plans will be conducted with intricate planning, adequate resource
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allocation, and continuous evaluation of progress. This plan will be executed with the
participation of various stakeholders, including health professionals, school administrators,
mental health specialists, community leaders, and governmental and non-profit organizational
collaborators. This program will improve the health outcomes in the population of Jordan, as
their health is deteriorating due to poor financial conditions and mental health issues.
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The program will achieve its desired outcomes by conducting educational campaigns and
mental health programs, expanding Medicaid and Medicare access to the community of Jordan,
and empowering the population to equip themselves with ACA’s policy, where patients with
chronic diseases can get free care treatments.
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Goals and Objectives

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This change proposal aims to ameliorate the health condition of the population of Jordan by
acknowledging and providing mental health support to children and adolescents, expanding
healthcare insurance coverage through Medicaid and Medicare programs, and enabling the
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population to acquire free care treatments through ACA policy for those under severe financial
constraints. The objectives include lowering the suicide attempts among school-going children
and adolescents, increasing rates of the population with maximum coverage of health
insurance, and increasing the number of community members with adequate knowledge of ACA
and its provision for chronic care treatment.
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Program Evaluation
The change initiative will be consistently evaluated by an oversight party consisting of health
professionals, school administrators, community leaders, and governmental stakeholders. The
evaluation will be conducted bi-annually, measuring the progress made toward achieving
benchmarks. The evaluation reports will be conveyed to all stakeholders, including the funding
authorities. The stakeholders will contribute widely to the evaluation process, from acquiring
data reports to measuring progress and collecting feedback.
Summary
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The devastating health conditions of the population of Jordan necessitate the initiatives
described in this change proposal. The goals and objectives of this change initiative align with
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the funding organization where public health is prioritized. With commonly shared goals, these
funding organizations can financially support this change proposal for successful
implementation. The aligned goals of improved public health and reduced mortality and
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morbidity rates will enable funding organizations to contribute toward the common cause.
Through collaborative effort for a similar cause, a feeling of promoting meaningful change
develops through empathy and power. We are greatly indebted to the funding agencies for
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warm-heartedly considering and supporting this initiative for the community of Jordan.
Appendix B: Project Budget
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Startup ($) 1st Other

Year Sources of
($) Revenue
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Salary and Wages
Project Manager 0 60,000 – The project manager is responsible for

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organizing and planning the whole change

initiatives
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Support Staff 0 80,000 – Supporting staff helps in dealing with

administrative procedures, identifying
external funding resources, and preparing
evaluating reports for stakeholders.
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Mental Health 0 90,000 – They will provide counseling sessions for
Specialists school students to provide mental health
support to promote their mental and
emotional well-being.
Community members 0 50,000 – They will work to expand access to

advocate for change health insurance programs by negotiating
with governmental policymakers.
Healthcare 0 90,000 They will provide care treatments for

professional patients with chronic diseases.
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Fringe Benefits
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Health insurance 0 25,000 – All the participating staff will acquire
coverage for staff complete health insurance coverage.
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Consultation or
Contract Services PX
Healthcare 4,000 30,000 – They will provide expertise and
professionals education on health issues like chronic
diseases and how to self-manage them
Equipment
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Educational Material 5,000 20,000 – This will include costs incurred to provide
education to students on mental health and
general population on ACA’s policy for
chronic diseases
Other Equipment 8,000 30,000 – It will include costs for computers,

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printers, and relevant required tools for

project implementation
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Travel
Commute expenses 2,000 30,000 – This will cover costs for traveling to
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within and outside the negotiate with external funding

Jordan community organizations and within the community
Miscellaneous or Other
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Contingency 5,000 15,000 – For unfortunate or uncertain events
arising during project implementation
Total Expenses 24,000 520,000
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Assessment 3: Planning for Community and Organizational Change

health concerns leading to adolescent suicide, deteriorating health insurance conditions,

Summary of Proposed Changes and Their Implications

1. Implementation of Interaction-Based Mental Health Programs in Schools:

Strategies for Overcoming Barriers and Resolving Conflict

Combatting stigma through educational campaigns that emphasize the importance of

Addressing resource constraints by partnering with external organizations for financial

3. Communication for Enhanced Community Engagement:

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

Behavior, 48(1), 109019812097496. https://doi.org/10.1177/1090198120974963

Appendix A: Grant Proposal

Goals and Objectives

Appendix B: Project Budget

Startup ($) 1st Other

Salary and Wages

Project Manager 0 60,000 – The project manager is responsible for

organizing and planning the whole change

Support Staff 0 80,000 – Supporting staff helps in dealing with

Community members 0 50,000 – They will work to expand access to

Healthcare 0 90,000 They will provide care treatments for

Other Equipment 8,000 30,000 – It will include costs for computers,

printers, and relevant required tools for

within and outside the negotiate with external funding

Total Expenses 24,000 520,000

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