NURS FPX 6218 Assessment 4 Advocating for Lasting Change
Phillip October 5, 2023 No Comments

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Student Name

Capella University

NURS-FPX 6218 Leading the Future of Health Care

Prof. Name

Date

Advocating for Lasting Change

Hello everyone, welcome to this presentation on Advocating for Lasting Change, where I will discuss the significant health issues faced by the Jordan community, deteriorating their health badly. The health issues comprised mental health irregularities among school-going youngsters, lack of health insurance, and ill management of chronic health conditions.  In this presentation, I highlight the pressing need for a healthcare change proposal based on substantial data that can address these health concerns. This change proposal will improve mental health among children and young adolescents, enhance health insurance coverage, and manage chronic diseases for low-income people by utilizing governmental policy on free treatment for people with pre-existing conditions like chronic health diseases. 

Target Role Groups or Stakeholders

This presentation targets specific stakeholders and role groups that can contribute towards this cause of improving the Jordan community’s health outcomes:

  • Policymakers: Your contributions in advocating this change proposal plan can support us in achieving our goal through developing and implementing fruitful health policies.
  • Governmental Organizations and Non-Profit Organizations: Your expanded health policy programs, resources, and services can effectively almiliorate the community’s health and help us accomplish our objectives.
  • Healthcare professionals: Your constant efforts to improve patients’ health will be highly demanding in providing mental health support and managing chronic diseases and relevant health problems.
  • Community Leaders and Advocates for Change: Your unwavering support and advocacy for improved health within the community is crucial in driving the change proposal program and turning it into reality through consistent efforts.
  • School Institutions: Your collaboration and support in promoting mental well-being among students will be highly valued to foster an institution where youngsters are mentally safeguarded from evil thoughts that can take a toll on their health.

Through unions for similar causes, we can cultivate a community where priority is population’s health. Therefore, the contributions of each role group are essential to implement our change proposal plan effectively.

Brief Overview of Environmental Analysis of Jordan Community Through Windshield Survey

Through a windshield and environmental analysis, we analyzed the environmental condition of the Jordan community, which enhanced our understanding of its positive features and the lacking areas where further improvements are required.

  • Positive Features of Jordan Community: The small town has basic amenities where children and young adolescents can go to school, community dwellers can shop around, go to recreational places, and acquire healthcare services from hospitals. The community members were resilient and eager to tackle health issues collaboratively as they showed an amicable bond with the neighborhood. All members were willing to stand for a change that ensured a sound and healthy community.
  • Areas for Improvements: The Jordan community lacked in certain areas that jeopardized their overall health and impacted their quality of life. The prevailing mental health issues among school students caused havoc as a student committed suicide. Moreover, the scarcity of maximum coverage of health insurance among community members and financial issues in procuring medication for managing chronic conditions were significant health challenges. These areas required intricate attention, which our change proposal is keenly addressing and has the potential to improve these lacking areas.

Social Determinants Impacting Community Health

Several social determinants of health impact community health, the major factors being education and economic instability. While several school institutions were established for the community’s growing kids and youth, the educational systems lacked health literacy, which impacted students’ mental health. Moreover, the economic instability in most of the population hindered them from acquiring essential health services as they could not get full health insurance coverage and needed to rely on self-financing for treatments. Additionally, the financial constraints burdened populations with chronic diseases who could not manage them as they could not purchase prescribed medications. These social determinants of health are adequately touched upon through our change proposal through appropriate resource allocation and support from local health advocates.

Change Proposal Framework

 Our change proposal was built on the following framework that could improve the lacking areas of the Jordan community where health was profoundly impacted.

  • Conducting interaction-based mental health programs in schools to provide mental health support to affected students and manage their thinking patterns.
  • Creating health insurance improvement plans where expanded access to Medicaid and Medicare services is advocated by community leaders and health advocates.
  • Empowering the population to acquire health insurance coverage by enrolling into ACA’s policy for treatment care in patients with pre-existing and chronic health conditions.

The goals and objectives include reduced suicide attempts among children and young adolescents, an increased population with complete health insurance coverage, and an enhanced number of community members with adequate knowledge of ACA policy for chronic diseases to improve their health outcomes.

Rationale for Policy and Financial Support

The Jordan community requires a comprehensive change proposal with its emerging health issues, including mental health, insufficient health insurance coverage, and poor management of chronic conditions. The accomplishment of proposed changes is possible with governmental policies and financial assistance from external sources to ensure positive and systemic changes are produced. The governmental Affordable Care Act (ACA) policy with expanded Medicaid and Medicare access to cover health insurance of community members is needed to address this health concern. Through this policy, a maximum number of community members with complete health insurance coverage will acquire adequate healthcare services when required and can have improved health outcomes.

This will solve the problem of lack of health insurance among deserving community populations and promote equitable health access to all community members (Castle et al., 2023). Furthermore, the policy by ACA prohibiting insurance companies from denying health insurance coverage or charging high premium rates to patients with pre-existing conditions such as chronic diseases must be procured for Jordan’s community, as this can lead them to obtain health insurance without experiencing discrimination or relevant factors. By acquiring access to these facilities, the people of Jordan can manage their chronic conditions in terms of care treatments and purchasing medication without worrying about their financial status (Soni et al., 2020). 

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Likewise, conducting mental health programs in schools requires financial and policy support from governmental and other healthcare organizations. Nevertheless, the implementation of these proposed changes requires policy support as well as financial support. Policy support is necessary as the governmental health missions and goals align with our initiatives; therefore, the local and high-level organizations can overcome health challenges more appropriately that promise valuable and desired results.

Moreover, the governmental policy support will help the community attain positive health outcomes and increase the quality of life as their mission proposes. Financial support is required to carry out the proposed systemic changes, which will involve recruiting and training staff, obtaining required materials and equipment, and maintenance costs to keep the process ongoing and continuous. Some underlying assumptions exist in this rationale, including chronic diseases are expensive to treat and manage, prevention is preferred to mitigate the impact of healthcare issues, and adequate funding resources are required to manage health issues effectively. These underlying assumptions support the rationale for policy and financial support by policymakers. 

Evidence for Proposed Changes

Evidence-based research studies substantiate our proposed systemic changes to improve health outcomes in Jordan’s community. Mental health problems in schools are arising daily all over the globe. According to one report, 81% of teenagers experienced mental health problems during COVID-19 associated with schooling (Rao & Rao, 2021). There are various evidence-based approaches for tackling mental health issues in children and youngsters; one of the most widely used approaches is conducting mental health programs in schools with the help of mental health specialists as collaborators who counsel and guide students to navigate their mental health and coping strategies. Our proposed change approach includes a similar strategy called interaction-based mental health programs.

By conducting these programs in schools, students will be able to manage their stress and negative thoughts and promote emotional well-being, leading to reduced suicidal attempts and improved well-being (García-Carrión et al., 2019). Our second health issue identified in the Jordanian community is the lack of healthcare insurance. People cannot seek medical treatment, causing further damage to their health. For this purpose, our proposed strategy of acquiring access to expanded Medicare and Medicaid health policies from the government can facilitate the Jordan community as they can seek medical and healthcare facilities from healthcare organizations with the help of this governmental policy. It will improve health outcomes and reduce mortality rates in community members (Martin et al., 2021).

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Lastly, another evidence-based strategy as our proposed change is educating Jordan’s population and raising awareness on governmental policies like ACA that support chronic disease management through one of its policies. Hence, the older population with chronic disease and low income can acquire health insurance access or accessible treatment facilities through this policy and manage their diseases well (Myerson & Crawford, 2020). Our proposed changes are based on ideas fortified by practical evidence and research-based studies. Therefore, it will be beneficial for the community leaders and organizational stakeholders to implement these change proposals to prevent from prospective devastating effects of unmet health needs of Jordan’s community.

Broad Budget Estimates 

To effectively implement our change proposal, we have devised broad budget estimates so we can realistically prepare to implement the change and bring meaningful and desired objectives. This estimate plan allocates the human and finance resources required to execute our proposed changes. The first-year operational cost can incur $520,000, and the startup costs include $24,000. Human resource outlays constitute the significant portion of this budget as their contributions play a key role in ensuring the practical application of this strategic plan. The project manager will receive $60,000 to manage and organize change initiatives. Moreover, the support staff are designated to help with administrative procedures, find funding sources and prepare evaluating reports at $80,000 yearly. 

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Mental health specialists and other health professionals on yearly pay of $90,000 each are hired to provide interaction-based mental health programs at schools and care treatment for patients with chronic diseases. Besides the human resources, additional resources required include educational material and equipment, making up $50,000 yearly expenses for the smooth application of change proposals. Considering the continuous efforts of our whole team, we decided to cover the health insurance of all staff members by providing them with $25,000 annually. 

Moreover, for consultations and contract services, we have kept aside $30,000 for health professionals to provide education and general guidelines on health for patients with chronic diseases. The rest of the expenses are in travel and contingency, which cost $30,000 and $15,000, respectively.  All these resources will be required to implement and sustain the proposed changes. With this precisely estimated budget, the proposed systemic changes can be produced through a life-saving investment, forming a healthier and economically stable community in Jordan.

Plan for Transformational, Evidence-Based Change

Our vision for change is to improve health in all age groups of Jordan’s community by improving mental health conditions in school-going children and managing health outcomes for patients with chronic diseases. These proposed changes can be implemented in the community by a strategic plan to execute transformation and evidence-based change. We will accomplish our goals of conducting mental health programs in schools, advocating for health insurance policy grants, and educating the population on accessing ACA’s chronic disease treatment policy. We have chosen Prosci’s Three-Phase process that integrates the ADKAR change model. The three stages include Preparing for change, Managing the change and Reinforcing change.

First, we will prepare our community by raising awareness of the need for change and creating a desire in them to participate in and support the change (Harrison et al., 2021). Next, we will proceed to implement the required changes with a collaborative effort. This will lead us to our last stage, where changes evaluate, reinforce and sustaine while promoting continuous improvements. Throughout this process, we will ensure the team is communicating well through social media or communication groups, which can align the events of all team members effectively and keep all team members on the same note. The project managers will ensure the implementation and sustaining of change as they organize and direct the proposed change. 

Vision for Future Wellness, Health, and Role of Visionary Leadership

Our vision for this community aligns with the Healthy People 2030 objectives to enhance health outcomes for all people and access to healthcare services for all populations. Moreover, our vision of promoting health equity and reducing health disparities aligns with Healthy People 2030 goals (Hasbrouck, 2021). This vision has several benefits, including improved public health, equity and inclusiveness, and stakeholder collaboration. The risks associated with this vision are limited resources, unforeseen factors, multifaceted problems, and measurement challenges to evaluate the success of the initiatives. The transformational leadership style will most effectively drive these changes to accomplish health and wellness goals. Transformational leadership will focus on achieving high performance and growth by motivating the team members to put their input into driving change to improve health outcomes in the population.

Transformational leadership will promote visionary communication, empowerment and ownership, enhanced collaboration, and team building, all necessary factors in our mission to improve changes in Jordan’s community. Through this leadership style, all team members will work in an environment that values ongoing learning and growth, encouraging all team members to stay informed about health and wellness trends to drive changes accordingly. Moreover, this leadership style promotes resilience when challenges take over by navigating the team towards maintaining a positive outlook, which is crucial when achieving health and wellness goals (Rubim et al., 2020). Therefore, by attaining this leadership style, we can foster a community where the current health concerns are adequately addressed and improve overall health outcomes by creating a fortified healthcare system for all populations.

Cultivating Stakeholder Interest and Support

The stakeholder’s participation in our proposed change has a striking effect on achieving health and wellness goals, as our shared vision of long-term health goals creates a sense of like-mindedness among stakeholders. However, their participation requires a compelling and strategic approach where they understand their roles and needs to tailor our change plan to their specific interests. Our primary stakeholders include policymakers, healthcare professionals, mental health specialists, school authorities, community leaders, and community dwellers. By collaborating with stakeholders, they can work for the exact cause by supporting our change financially and physically. Our vision for change is to improve health outcomes in all age groups for Jordan’s community and foster a healthier and economically stable community.

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Our proposed change vision considers the stakeholders’ concerns on finances, lack of involvement in shared-decision making, and lack of clear and transparent communication. Therefore, we have created an environment for all stakeholders that is conducive to their concerns, which is why we have assured stakeholders of a return on investment, improved revenue, and enhanced patient affordability. Moreover, they will be effectively engaged early and continuously in planning and implementing proposed change initiatives. Lastly, their concern about the lack of clear communication will be overcome by using plain and simple language that is understandable for all stakeholders (Zhuang et al., 2019). Above all, stakeholder interest and support are critical to successfully implementing the change plan. By providing a collaborative, open, and inclusive environment to stakeholders, we all can address these health issues with a joint effort in the community, fostering a healthy community in Jordan.

Conclusion

To conclude, improving the community health of Jordan requires a joint effort of various stakeholders, primarily policymakers, educators, and healthcare professionals, particularly mental health specialists. They will collaboratively strive to improve mental health in children, enhance healthcare insurance through governmental policies, and improve the management of chronic diseases in the population by educating them. Our proposed change is theoretical and evidence-based and has the potential to achieve desired and necessary goals. We presented broad budget estimates needed to implement our proposed plan with the help of Prosci’s three-phase process with an integrated ADKAR model. Lastly, we identified our vision aligned with Healthy People 2030 objectives on health and wellness. We also identified stakeholders’ participation as a substance for successfully implementing the proposed change for Jordan’s community.

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 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. (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 

Hasbrouck, L. (2021). Healthy people 2030: An improved framework. Health Education & Behavior, 48(2), 113–114. https://doi.org/10.1177/1090198121997812

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

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 years of the Affordable Care Act. Medical Care, Publish Ahead of Print. https://doi.org/10.1097/mlr.0000000000001370  

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 

Rubim, F., Rubim, L., & Thornton, A. R. (2020). Creating a culture of wellness. POWER, 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 health outcomes? Findings from the literature. Health Affairs, 39(3), 371–378. https://doi.org/10.1377/hlthaff.2019.01436 

Zhuang, T., Qian, Q. K., Visscher, H. J., Elsinga, M. G., & Wu, W. (2019). The role of stakeholders and their participation network in decision-making of urban renewal in china: The case of chongqing. Cities, 92, 47–58. https://doi.org/10.1016/j.cities.2019.03.014