NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Name

Capella university

Prof. Name

Date

Advocating for Lasting Change

Hello everyone, I am……, and it is a privilege to introduce to you today a vital project that aims to address two critical health needs in our society in Jordan: mental health concerns among young students and the lack of access to quality healthcare for managing chronic diseases. Examining our community’s issues makes it clear that preventative actions are necessary to protect our children’s health and ensure a better future for all elderly patients with chronic health conditions. This presentation will clarify the significance of funding and policy in resolving the current issues facing the Jordanian community. Furthermore, the substantial evidence will demonstrate how these adjustments will result in the desired good consequences. Additionally, I will provide general budget estimates to help the project financially secure sufficient funding and human resources. Finally, I will lay out a transformational change method backed by an evidence-based change theory approach. Let’s get started.

Key Stakeholders

As we gather here today to address the pressing health challenges facing our community, it is essential to acknowledge the diverse array of individuals and organizations whose collaboration and support are integral to the success of our proposed initiatives. The key stakeholders who play pivotal roles in shaping the health and well-being of our community in Jordan, Minnesota.

• Local School Managers: They are responsible for overseeing educational institutions within our community. They have expressed concerns about students’ declining health and are critical partners in implementing mental health education programs.
• Hospital Administrators and Healthcare Providers: Professionals within our healthcare system, including administrators, physicians, nurses, and mental health specialists, are instrumental in delivering care and support to individuals and families and are essential partners in improving access to healthcare services.
• Local Funding Agencies and Philanthropic Entities: Organizations that provide financial support and resources for community initiatives, including mental health education programs and healthcare access initiatives.
• Leadership Personnel in Educational and Healthcare Institutions: Decision-makers within educational and healthcare institutions who can allocate resources and implement policy changes to support the proposed initiatives.

All of our esteemed stakeholders can bring a positive change in Jordan by addressing these health issues and improving the overall well-being of young students and elderly people suffering from chronic diseases.

Social Determinants Affecting Health in the Community

Social determinants of health significantly influence health outcomes in the community of Jordan, Minnesota. These determinants encompass various environmental conditions and socio-economic factors that shape individuals’ health and well-being. Housing inventory in Jordan vary, with older and sometimes dilapidated homes reflecting lower socioeconomic class in downtown locations. Socio-economic disparities in housing conditions may contribute to health disparities, impacting residents’ physical and mental health outcomes. While commercial activity is rising in Jordan, vacant buildings raise questions about economic stability.

Financial constraints and limited access to insurance may hinder residents’ ability to afford healthcare services, leading to worsening health outcomes. Disparities in educational attainment and job opportunities may contribute to health inequities in Jordan. Educational resources and employment opportunities vary between wealthier and poorer socioeconomic regions, influencing access to good nutrition, healthcare, and general well-being.

Synopsis of the Windshield Survey and Environmental Analysis Findings

Positive Perspectives of the Community

Jordan exhibits diverse neighborhoods, blending old and new developments, contributing to a rich cultural tapestry within the community. The community boasts solid infrastructure, including recent upgrades to major highways and amenities such as a community center, facilitating connectivity and access to essential services. Furthermore, with St. Francis Health Services and a food bank serving many families, healthcare services are accessible, ensuring residents have opportunities for comprehensive care. Jordan’s educational system is robust, featuring modernized schools and special education centers, reflecting a commitment to providing quality education for all students.

Opportunities for Improvement

In Jordan, Minnesota, there are significant opportunities to address pressing health issues and implement proposed changes that can enhance the community’s overall well-being. One such opportunity lies in implementing mental health support programs within schools. By incorporating instruction on mental health into the curriculum and providing resources for support, schools can create a healthier and more supportive environment for students. This initiative presents a chance to reduce the stigma surrounding mental health issues and prevent tragic incidents like suicides among youth.

Another opportunity arises from improving access to healthcare services for chronic disease management. Enhancing access to primary care physicians, specialists, and resources for chronic disease management can improve health outcomes and reduce the burden of untreated conditions in the community. Timely and comprehensive care can prevent complications that often result in emergency room visits or hospitalizations, ultimately enhancing the standard of living for those who suffer from long-term illnesses.

Outlining Change Proposal

The change proposal aims to address pressing health challenges faced by the Jordanian community, particularly focusing on youth mental health difficulties, restricted access to healthcare, and managing chronic illnesses. 

• Mental Health Support in Schools: Implement mental health education programs in middle schools to reduce stigma and prevent tragic incidents like suicides among youth (McGorry et al., 2022).
• Improving Access to Healthcare for Chronic Disease Management: Enhance access to healthcare services, including primary care physicians and resources, to improve health outcomes and reduce complications from untreated conditions. Moreover, telehealth services and remote consultations will be established to monitor chronic health conditions and effectively enhance their management (McMaughan et al., 2020).

By implementing these changes, the community can foster a healthier and more supportive environment, improving well-being, increased productivity, and stronger social connections.

Benefits of the Change to the Community and Stakeholders

Enhanced mental health support in schools will contribute to a healthier and more supportive environment, improving well-being, reducing stigma surrounding mental health issues, and better academic performance (Duke, 2020). Stakeholders, including students, parents, educators, and mental health professionals, will benefit from increased awareness, access to resources, and reduced barriers to seeking help for mental health concerns. Improved access to healthcare services, particularly for chronic disease management, will lead to better health outcomes, reduced complications from untreated conditions, and improved quality of life (May et al., 2021).

Residents of Jordan, especially those with chronic illnesses and limited access to healthcare, will benefit from timely and comprehensive care, resulting in fewer emergency room visits, hospitalizations, and better management of health conditions (McMaughan et al., 2020). Stakeholders involved in organizing and participating in these initiatives, including healthcare providers, local businesses, and community organizations, will benefit from improved community health, increased social cohesion, and enhanced community resilience. Moreover, strengthened collaboration among healthcare providers, educators, government agencies, and community organizations will lead to more integrated and responsive healthcare systems and services (Turner & Upton, 2021).

Rationale for Policy and Financial Support

The proposed changes to the healthcare system, such as implementing mental health education programs and improving access to chronic disease management, require policy and financial support to ensure systemic change. These changes aim to address underlying issues contributing to health disparities and inequities within the community. Present challenges, including stigma surrounding mental health, limited access to healthcare, and socio-economic barriers, necessitate policy interventions and financial resources to overcome.

These challenges will only persist with adequate support, exacerbating health disparities and undermining community well-being. Policy and financial support are also essential to ensure positive outcomes from the proposed changes. By allocating resources to mental health education, healthcare infrastructure, and socio-economic initiatives, policymakers can facilitate access to care, reduce stigma, and promote healthier lifestyles, ultimately leading to improved health outcomes and community resilience (World Health Organization, 2021). 

At the federal level, policies could include funding initiatives to support mental health education programs in schools and enacting legislation to expand healthcare coverage and address socio-economic determinants of health. State governments can allocate resources for mental health services in schools, establish regulations to ensure equitable distribution of healthcare resources, and implement programs to address social determinants of health (Dzigbede et al., 2020).

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Municipal governments play a crucial role in implementing local policies, such as zoning regulations to promote access to healthcare facilities and investing in infrastructure improvements to encourage physical activity. Community agencies can collaborate with schools to develop and implement mental health education programs, fund health promotion initiatives, and offer support services for individuals affected by socioeconomic challenges. Service providers, particularly healthcare organizations, can implement protocols to integrate mental health services into primary care settings, expand telehealth services, and partner with community organizations to address social determinants of health (Dzigbede et al., 2020).

The rationale for specific policy support rests on several assumptions:

• First, it assumes that investing in preventive and proactive healthcare measures is more cost-effective compared to treating acute conditions in the long run.
• Second, it assumes that addressing social determinants of health, such as housing and employment, can significantly impact health outcomes and reduce healthcare costs.
• Third, it assumes that overcoming barriers to healthcare access, such as stigma and financial constraints, requires comprehensive policy interventions that address systemic issues.

Evidence for Proposed Changes

Proposed changes in the healthcare system, such as implementing mental health education programs in schools and improving access to healthcare for chronic disease management, are critical initiatives with the potential to yield significant benefits. Mental health education programs in schools have been shown to reduce the stigma surrounding mental health issues and promote early intervention.

Research by the World Health Organization (WHO) indicates that people with mental health conditions can significantly improve their results with early intervention (World Health Organization, 2021). By educating students about mental health from a young age, we can foster a more supportive and understanding environment, encouraging individuals to seek help sooner rather than later. This can ultimately lead to improved mental health outcomes, reduced rates of mental illness, and lower healthcare costs associated with untreated mental health conditions. 

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Improving access to healthcare for chronic disease management is essential for preventing complications, reducing hospital admissions, and improving overall health outcomes. Studies have consistently shown that individuals with access to regular healthcare services are more likely to engage in preventative care measures, such as screenings and vaccinations, which can help detect and manage chronic diseases early (Holman, 2020). Moreover, effective management of chronic conditions through regular medical supervision and adherence to treatment plans can reduce the risk of disease progression, minimize complications, and enhance the quality of life for patients.

This leads to better health outcomes and reduces the burden on the healthcare system by decreasing the need for costly emergency interventions and hospitalizations (Bardhan et al., 2020). These proposed changes can improve overall population health outcomes by addressing mental health and chronic disease management. Mental health conditions and chronic diseases are leading causes of morbidity and mortality worldwide, contributing significantly to the global burden of disease. By prioritizing prevention, early intervention, and effective management strategies, we can mitigate the impact of these conditions on individuals, families, and communities, leading to healthier, more resilient populations (Colizzi et al., 2020).

Broad Budget Estimates

The proposed budget allocates resources to critical aspects crucial for the initiative’s success. It includes funding for personnel salaries and wages, with specific allocations for the Project Manager, Support Staff, and additional personnel as needed. The Project Manager’s role is pivotal, overseeing implementation, coordinating activities, and ensuring smooth execution.

Their compensation of $60,000 as a startup and $70,000 in the first year reflects their expertise and responsibilities with revenue of $25,000. Support Staff members are vital in assisting the Project Manager and contributing to day-to-day operations. The total salary and wages make up $110,000 for the startup’s required human resources. Fringe benefits such as health insurance and retirement contributions are factored in to attract and retain qualified personnel, corresponding to $7,000 for start-up and $8,000 for the first year with a revenue of $3,000. 

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Consultation or contract services may be necessary to access specialized expertise or resources unavailable internally. These services cost up to $10,000 and $12,000 for the start up and the first year with revenue of $5,000. This budget covers costs associated with expert guidance, technical assistance, or specific deliverables required for project implementation. Investment in equipment is necessary to support operations, enhance efficiency, and ensure quality deliverables. Likewise, materials essential for program implementation, such as educational resources and supplies, accounted for $3,000 for startup and $4,000 in the first year, with an expected revenue of $2,000. 

Travel expenses up to $4,000 for start-up and $1,000 for the first year, including staff training, community outreach, and project meetings, are included to facilitate effective communication and stakeholder engagement. Contingency funds ($2,000 for start-up and first year) are also set aside to address unforeseen expenses or emerging needs during project implementation, ensuring adaptability and resilience. The total budgeted costs for a startup, the first year, and other revenue sources are carefully calculated as $144,000, $166,000, and $110,000, respectively.

Plan for Transformational, Evidence-based Change

The goal of the change is to establish a community where people with mental health disorders are given priority, resources are readily available to support them, and access to healthcare for managing chronic illnesses is improved. The construction of mental health centers inside educational settings, the use of telehealth programs and remote consultations, the facilitation of treatment programs, and the promotion of mental health awareness and destigmatization are all part of the goals to realize this vision. To overcome obstacles to change, proactive tactics such as teamwork, communication, and stakeholder involvement will be used. Education and training programs will be implemented to give employees the skills and abilities to assist those dealing with mental health concerns. 

It will be encouraged to work with external organizations to increase access to healthcare services for community members, especially those with chronic illnesses. Furthermore, feedback systems will be instituted to elicit input from relevant parties, detect issues, and promptly address obstacles. Open channels of communication and a common
vision is essential for overcoming opposition to change and encouraging a sense of commitment and ownership among organizational members. 

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

The Lewin’s Change Management Model will be implemented to ensure the proposed changes are effectively implemented. This model includes three stages:

• Unfreezing: Raise awareness about the need for mental health education programs and improved healthcare access by highlighting the benefits and addressing misconceptions.
• Change: Implement mental health education programs in schools and enhance access to healthcare services for chronic disease management.
• Refreezing: Reinforce the changes by integrating them into the organizational culture, policies, and practices (Burnes, 2020).

The organizations will be positively affected by implementing the proposed changes within the community of Jordan’s healthcare and educational systems. For instance, the educational systems will be less likely to experience incidences of suicides. They will cater to the mental health needs of young students and promote a culture of strengthened mental well-being of students. Similarly, enhanced access to healthcare services will lead to fewer emergencies within healthcare organizations and provide adequate and patient-centered healthcare services.

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

Our vision for a healthy community in Jordan revolves around better mental health support and enhanced access to primary healthcare for the elderly experiencing chronic health conditions. In this vision, individuals of all ages receive comprehensive care that addresses their physical, mental, and emotional well-being, promoting a high quality of life and active social participation. Implementing such a vision may face resistance from various stakeholders, including healthcare providers, policymakers, and community members, who may be accustomed to traditional models of care. There may be cultural stigmas surrounding mental health issues and aging, which could hinder efforts to promote awareness and access to care. 

With a growing awareness of the importance of holistic health and wellness, there is significant potential for advancements in healthcare delivery and outcomes in Jordan. Innovations in technology, telemedicine, and digital health solutions offer opportunities to improve access to care, particularly for underserved populations and those living in remote areas (Curfman et al., 2022).

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Integrating mental health support into primary care and addressing social determinants of health can lead to better overall health outcomes and reduced healthcare disparities. Providing better mental health support and enhanced access to healthcare for the elderly can improve health outcomes, reduce hospitalizations, and increase longevity (McGorry et al., 2022). Individuals experiencing chronic health conditions can experience a better quality of life with access to comprehensive care that addresses their physical, mental, and emotional needs.

Visionary leaders play a crucial role in driving change by envisioning a future where wellness and health are prioritized, inspiring others to share in this vision, and taking decisive actions to bring it to fruition. They challenge the status quo, champion innovative solutions, and advocate for policies that promote health equity and patient-centered care. Visionary leaders foster collaboration and partnerships across sectors, engaging stakeholders from government, healthcare organizations, academia, and the community to work towards common goals.

The future vision assumes a commitment to proactive and preventive approaches to healthcare, shifting focus from treating illness to promoting wellness and addressing root causes of health disparities. It assumes a supportive policy environment that incentivizes innovation, invests in healthcare infrastructure and workforce development, and prioritizes public health initiatives. It also assumes a cultural shift towards valuing health and well-being as fundamental rights, with increased emphasis on education, awareness, and community engagement.

Suitable Leadership Style 

A transformational leadership style would most effectively drive change to accomplish health and wellness goals in this context. Transformational leaders inspire others to accomplish shared objectives through developing innovative ideas, and empowering individuals to take ownership of their roles in the change process (Usman, 2020). They lead by example, demonstrate empathy and compassion, and create a supportive environment where individuals feel valued and empowered to contribute their unique talents and perspectives toward achieving shared objectives. By adopting a transformational leadership approach, leaders can effectively mobilize resources, build coalitions, and navigate challenges to drive sustainable change that improves the health and well-being of communities in Jordan.

Cultivating Stakeholder Interest and Support

The Jordanian community healthcare system’s suggested modifications aim to cultivate stakeholder interest and support by addressing the needs and concerns of various stakeholders involved. This includes community members, healthcare providers, government agencies, nonprofit organizations, educational institutions, and businesses. Our vision for change is clear: we envision a healthcare system that prioritizes preventive care, holistic wellness, and equitable access for all individuals. This entails implementing integrated mental health support, promoting healthy lifestyle interventions, and improving access to essential healthcare services, particularly for vulnerable populations. 

However, we anticipate several stakeholder concerns and potential risks. Healthcare providers may worry about increased workload and the need for additional training, while community members might fear disruptions in their current healthcare relationships or access to services. Government agencies may face budget constraints, and nonprofit organizations may question alignment with their mission or potential overlap with existing programs. Educational institutions could encounter challenges in integrating new curriculum or training requirements, and businesses may express concerns about healthcare costs and employee productivity. 

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

To address stakeholder concerns, we will:

 

• Engage in open dialogue and provide education about the benefits of proposed changes and reducing stigma to seeking mental health support (Waqas et al., 2020).
• Ensure continuity of care during transitions (Freţian et al., 2021).
• Present evidence-based arguments for long-term cost savings and improved health outcomes due to early intervention (Colizzi et al., 2020; Curfman et al., 2022).
• Collaborate with stakeholders to leverage resources (Bardhan et al., 2020).
• Involve educators in curriculum design (Baker et al., 2021).
• Highlight potential returns on investment through improved employee health and productivity (Airhihenbuwa et al., 2021).

Conclusion

In conclusion, the proposed changes to the community healthcare system in Jordan offer a transformative vision aimed at improving wellness, health, and overall care for all individuals. With a collaborative approach and stakeholder participation, the changes can be turned into practical realities. The change strategy applicable will be Lewin’s change management model and transformational leadership will be the best suited for this cause. This will lead to better well-being of community members, particularly young students and elderly people. 

Questions and Answer Session

Please share your queries and questions for a healthy discussion.

References

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Baker, C. N., Peele, H., Daniels, M., Saybe, M., Whalen, K., Overstreet, S., & The New Orleans. (2021). The experience of COVID-19 and its impact on teachers’ mental health, coping, and teaching. School Psychology Review, 50(4), 1–14. https://doi.org/10.1080/2372966x.2020.1855473 

Bardhan, I., Chen, H., & Karahanna, E. (2020). Connecting systems, data, and people: A multidisciplinary research roadmap for chronic disease management. MIS Quarterly: Management Information Systems, 44(1), 185–200. https://doi.org/10.25300/MISQ/2020/14644 

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

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Dzigbede, K., Gehl, S. B., & Willoughby, K. (2020). Disaster resiliency of U.S. local governments: Insights to strengthen local response and recovery from the COVID ‐19 pandemic. Public Administration Review, 80(4). https://doi.org/10.1111/puar.13249 

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Freţian, A. M., Graf, P., Kirchhoff, S., Glinphratum, G., Bollweg, T. M., Sauzet, O., & Bauer, U. (2021). The long-term effectiveness of interventions addressing mental health literacy and stigma of mental illness in children and adolescents: Systematic review and meta-analysis. International Journal of Public Health, 66. https://doi.org/10.3389/ijph.2021.1604072 

Holman, H. R. (2020). The relation of the chronic disease epidemic to the health care crisis. ACR Open Rheumatology, 2(3), 167–173. https://doi.org/10.1002/acr2.11114 

May, E. R., Leal, J., Thanh, N. X., Lang, E., Dowling, S., Manns, B., Wasylak, T., & Ronksley, P. E. (2021). The impact of COVID-19 on hospital admissions and emergency department visits: A population-based study. PLOS ONE, 16(6), e0252441. https://doi.org/10.1371/journal.pone.0252441 

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NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Usman, M. (2020). Transformational leadership and organizational change: In the context of today’s leader. International Business Education Journal, 13(1), 95–107. 

Waqas, A., Malik, S., Fida, A., Abbas, N., Mian, N., Miryala, S., Amray, A. N., Shah, Z., & Naveed, S. (2020). Interventions to reduce stigma related to mental illnesses in educational institutes: A systematic review. Psychiatric Quarterly, 91(3), 887–903. https://doi.org/10.1007/s11126-020-09751-4

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