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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Student Name
Capella University
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Prof Name
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Nov 10, 2023
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Planning for Community and Organizational Change
This assessment focuses on the enduring health challenges faced by the community of Jordan.
In our prior assessment, we examined Jordan's community health, situating it in a small town in
Minnesota. A detailed health analysis identified mental health issues leading to adolescent
suicide, deteriorating health insurance conditions, and inadequate management of chronic
diseases due to financial constraints. Consequently, this change proposal outlines strategies to
address these persistent health challenges in the Jordan community.
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Summary Benefits and Implications
To address health challenges in Jordan, proposed healthcare system changes include:
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1. Interaction-Based Mental Health Programs in Schools:
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○ Implementation of mental health programs in schools involving counselors,
psychologists, and social workers collaborating with school authorities.
Interaction-based interventions aim to enhance emotional well-being, resilience,
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coping skills, and stress management in adolescents (García-Carrión et al.,
2019).
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2. Health Insurance Improvement Plan:
○ Collaboration with policymakers and advocacy teams to enhance health
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insurance affordability, advocating for expanded access to Medicare and
Medicaid for the low-income population (Martin et al., 2021).
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3. Managing Chronic Health Conditions:

○ Promoting awareness among the older community regarding Affordable Care Act
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eligibility, providing full health coverage for chronic diseases, and reducing
mortality and morbidity rates (Myerson & Crawford, 2020).
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These strategies aim to address health challenges, improve mental health among students,
enhance health outcomes through improved insurance, and better manage chronic conditions in
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the older population, leading to an overall healthier community.
Potential Barriers to Change

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1. Mental Health Program Barriers:

○ Social stigma, cultural attitudes, and resource constraints may impede the
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implementation of mental health programs in schools.

2. Accessing Adequate Healthcare Insurance Barriers:
○ Barriers include insufficient understanding of the insurance process, language
barriers, low internet access, and resistance to change.
3. Chronic Health Management Barriers:
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○ Barriers include a lack of awareness, social stigma, resistance to change, and
personal beliefs hindering acceptance of healthcare assistance (Repovš et al.,
2019).
Strategies for Changing Barriers into Opportunities and Resolving

Conflict
1. Educational Campaigns:
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○ Address stigma through educational campaigns promoting the significance of
mental health programs (Schroeder et al., 2020).
2. Collaboration with External Organizations:
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○ Overcome resource constraints by collaborating with external organizations for
financial assistance (AbouAssi et al., 2020).
3. Communication for Enhanced Engagement with Community:
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○ Encourage open and two-way communication within the community to reduce
resistance to change (Banner et al., 2019).
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By implementing these strategies, conflicts can be resolved, fostering a culture of adaptability,
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continuous learning, and improvement.
Stakeholder Communications
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To successfully implement proposed changes, a communication plan is crucial. Stakeholders,

including healthcare practitioners, administrators, policymakers, and advocates, need key
messages, content, and visual aids. Infographics and presentations will enhance understanding,
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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
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
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there yet? Research Involvement and Engagement, 5(1).
https://doi.org/10.1186/s40900-019-0139-1
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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
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Sociology, 4(40). https://doi.org/10.3389/fsoc.2019.00040
Errida, A., & Lotfi, B. (2021). The determinants of organizational change management success:
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Literature review and case study. International Journal of Engineering Business Management,
13(1), 1–15. https://doi.org/10.1177/18479790211016273
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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
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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.
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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.
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https://doi.org/10.1097/mlr.0000000000001370
Repovš, E., Drnovšek, M., & Kaše, R. (2019). Change ready, resistant, or both? Exploring the
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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
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geography and gender in community stigma around mental illness. Health Education &
Behavior, 48(1), 109019812097496. https://doi.org/10.1177/1090198120974963
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Appendix A: Grant Proposal
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
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
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various population groups from acquiring basic healthcare facilities, resulting in financial
constraints and poorly managed chronic diseases requiring extensive medications prescribed by
physicians.
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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
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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
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include a windshield analysis of environmental factors, communication with community
members, school surveys, formal consultations with community leaders, and healthcare
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organizational dashboard metrics.
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,
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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
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their health is deteriorating due to poor financial conditions and mental health issues.
The program will achieve its desired outcomes by conducting educational campaigns and
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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
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chronic diseases can get free care treatments.

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Goals and Objectives

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.
Program Evaluation
The change initiative will be consistently evaluated by an oversight party consisting of health
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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
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authorities. The stakeholders will contribute widely to the evaluation process, from acquiring
data reports to measuring progress and collecting feedback.
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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
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implementation. The aligned goals of improved public health and reduced mortality and
morbidity rates will enable funding organizations to contribute toward the common cause.
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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
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($) Revenue
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Salary and Wages
Project Manager 0 60,000 – The project manager is responsible for

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.
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.
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Community members 0 50,000 – They will work to expand access to
advocate for change health insurance programs by negotiating
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with governmental policymakers.
Healthcare 0 90,000 They will provide care treatments for
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professional patients with chronic diseases.
Fringe Benefits
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Health insurance 0 25,000 – All the participating staff will acquire
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coverage for staff complete health insurance coverage.
Consultation or
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Contract Services
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Healthcare 4,000 30,000 – They will provide expertise and

professionals education on health issues like chronic
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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
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education to students on mental health and

general population on ACA’s policy for
chronic diseases
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Other Equipment 8,000 30,000 – It will include costs for computers,

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printers, and relevant required tools for

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project implementation
Travel
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Commute expenses 2,000 30,000 – This will cover costs for traveling to
within and outside the negotiate with external funding
Jordan community organizations and within the community
Miscellaneous or Other
Contingency 5,000 15,000 – For unfortunate or uncertain events

arising during project implementation
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Total Expenses 24,000 520,000
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3. Managing Chronic Health Conditions:

the older population, leading to an overall healthier community.

Potential Barriers to Change

1. Mental Health Program Barriers:

implementation of mental health programs in schools.

Strategies for Changing Barriers into Opportunities and Resolving

To successfully implement proposed changes, a communication plan is crucial. Stakeholders,

focusing on cost-benefit analysis, evidence-based implications, and strategies for overcoming

concepts of individual change readiness and resistance to organizational change. Economic

chronic diseases can get free care treatments.

Goals and Objectives

Appendix B: Project Budget

Startup ($) 1st Other

Salary and Wages

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

Mental Health 0 90,000 – They will provide counseling sessions for

Healthcare 0 90,000 They will provide care treatments for

Healthcare 4,000 30,000 – They will provide expertise and

diseases and how to self-manage them

education to students on mental health and

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

printers, and relevant required tools for

Contingency 5,000 15,000 – For unfortunate or uncertain events

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