NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

Name

Capella university

NURS-FPX 6218 Leading the Future of Health Care

Prof. Name

Date

Planning for Community and Organizational Change

St. Francis Health Services is addressing the mental health challenges in Jordan, Minnesota, including opioid threats, funding cuts, and the influence of technology on youngster’s well-being. The town is grappling with caregiving dilemmas and the worsening state of health insurance, urging a holistic approach to address these issues (Capella University, n.d.). 

With a focus on preventative strategies to improve individual health outcomes and promote community well-being, the proposed changes aim to create a healthcare infrastructure that is more inclusive, robust, and resilient. This paper thoroughly explores these developments, outlining the benefits, potential roadblocks, strategies for overcoming opposition, efficient stakeholder communication, and assessment techniques. The goal is to develop a more vibrant and healthy society in Jordan through strategic planning and active community involvement.

Summary

Benefits & Implications of Healthcare Changes

Jordan faces mental health disparities, opioid concerns, inadequate nutrition, a sedentary lifestyle, and systemic health insurance issues, necessitating comprehensive healthcare reform to address these multifaceted issues (Capella University, n.d.).

Mental Health Education in Schools

Scientific concepts in school mental health improve adaptability, practicality, and school leaders’ involvement in evidence-based interventions, creating a pleasant learning environment, reducing stigma, and promoting a friendly attitude while also providing valuable life skills for students (Lyon & Bruns, 2019).

Enhanced Primary Care Accessibility

Tackling the shortage of primary care physicians in Jordan aims to establish accessible and patient-centered healthcare, reducing health disparities and promoting preventive care for overall community well-being. Fostering a robust primary care workforce contributes to building a sustainable healthcare system. (Packer, 2022). 

Community-Centric Wellness Initiative

Community wellness initiatives involve regional organizations working together to promote general health through diet, exercise, and mental health. They aim to reduce chronic diseases, foster social cohesion, and enhance community resilience in health challenges (Clendon & Munns, 2022).

 Potential Barriers to Change

Jordan faces challenges in integrating mental health services into schools, including limited focus, perpetuating stigma, funding difficulties, historical separation of mental health from mainstream education, and inconsistent attention during crises. Addressing these issues is crucial for creating a comprehensive and accessible mental health care system in Jordan’s schools (Hoover & Bostic, 2021). In Jordan, barriers to healthcare access at the patient’s level encompass diverse challenges. Financial constraints are a problem, as are resistance to house calls, low health literacy, cultural distinctions, and housing arrangement problems (Enguidanos et al., 2020).

 Implementing healthcare initiatives in Jordan has been challenging, with issues including enlisting stakeholders in the community, managing internal modification procedures, and guaranteeing confidentiality requirements are followed. These challenges highlight the difficulty of carrying out medical care, underscoring the necessity for well-thought-out solutions to remove hurdles (Cartier et al., 2020). Lack of cooperation between providers is one of the main obstacles to providing healthcare, as it prevents a thorough grasp of the requirements of underprivileged people and weakens efforts to improve medical education. It is imperative to remove these obstacles to enhance the delivery of healthcare services (Soni et al., 2021).

Interactive components like wellness instruction and sports activities in Jordanian schools provide opportunities to address barriers to student mental health. Prioritizing worker health and involving community members can enhance students’ well-being by fostering beneficial social and psychological environments. (Kolbe, 2019). Significant policy initiatives, such as vital public health services and primary health insurance plans, present opportunities to overcome healthcare barriers in Jordan. Leveraging strong policy support in leadership governance, health finance, and service delivery can address and reduce current healthcare challenges, creating a more efficient and inclusive healthcare system for the Jordanian community  (Xiong et al., 2022). 

Opportunities to address healthcare barriers for individuals with low socioeconomic status, limited education, and health literacy involve improving mobility, enhancing awareness of the healthcare system, and emphasizing the value of preventative care. Ensuring equal healthcare opportunities requires addressing structural concerns via improved access and affordability of medical providers and services. Recognizing and acting on these opportunities can reduce disparities in healthcare access (Tzenios, 2019). Introducing changes in St. Francis Hospital in Jordan can spark conflicts among nurses, involving resistance to new protocols and concerns about increased workload. Effective communication and support are crucial to navigate these conflicts and ensure a smooth transition in healthcare practices (Mills et al., 2020).

Stakeholder Communications

Developing strategies to draw in, train, and compensate young physicians is essential to reducing the shortage of primary care physicians. Recognizing schools as complex adaptive subsystems is essential to succeed in school interventions. This recognition necessitates the involvement of various stakeholders. The objective of encouraging interest in and dedication to high-quality primary care within a comprehensive framework that guarantees systemic change in education is in line with the implementation of mentorship programs for medical students (Smith et al., 2020).

Engage stakeholders through forums, collaborative task forces, and community programs to understand, co-create solutions, and build support for a primary care workforce in Jordan. Foster partnerships with educational institutions and advocate for supportive policies to align training programs with workforce needs. Establish mentorship programs to inspire and guide medical students, creating a pathway for a skilled and committed primary care workforce (Agarwal et al., 2019).

 Arrange forums and seminars that convene essential stakeholders, such as legislators, educators, healthcare practitioners, and community leaders. Encourage candid conversations to learn about various viewpoints, requirements, and difficulties in developing a workforce for primary care (Velthoven & Cordon, 2019c). The use of heterogeneous communication channels guarantees involvement with many stakeholders, cultivating backing and establishing a mutual comprehension of the pivotal function that these healthcare tactics perform in augmenting general well-being. These efforts raise public awareness, which helps create a knowledgeable and helpful community (Chygryn et al., 2020).

 References

Agarwal, S., Sripad, P., Johnson, C., Kirk, K., Bellows, B., Ana, J., Blaser, V., Kumar, M. B., Buchholz, K., Casseus, A., Chen, N., Dini, H. S. F., Deussom, R. H., Jacobstein, D., Kintu, R., Kureshy, N., Meoli, L., Otiso, L., Pakenham-Walsh, N., & Zambruni, J. P. (2019). A conceptual framework for measuring community health workforce performance within primary health care systems. Human Resources for Health, 17(1). https://doi.org/10.1186/s12960-019-0422-0 

Capella University. (n.d.).Vila health: Planning for change. Capella.edu.

 https://media.capella.edu/CourseMedia/msn6218element238562/transcript.asp 

Cartier, Y., Fichtenberg, C., & Gottlieb, L. M. (2020). Implementing community resource referral technology: Facilitators and barriers described by early adopters. Health Affairs, 39(4), 662–669. https://doi.org/10.1377/hlthaff.2019.01588 

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

Chygryn, O., Bilan, Y., & Kwilinski, A. (2020). Stakeholders of green competitiveness: Innovative approaches for creating communicative system. Marketing and Management of Innovations, 3, 356–368. https://doi.org/10.21272/mmi.2020.3-26 

Clendon, J., & Munns, A. (2022). Community health and wellness: Principles of primary health care. In Google Books. Elsevier Health Sciences. https://books.google.com.pk/books?hl=en&lr=&id=oht9EAAAQBAJ&oi=fnd&pg=PP1&dq=community+wellness+interventions&ots=4c0FLX9pJn&sig=5vHrfRb7rDSFpLAZI8xKW4Ue4CE&redir_esc=y#v=onepage&q=community%20wellness%20interventions&f=false 

Enguidanos, S., Cardenas, V., Wenceslao, M., Hoe, D., Mejia, K., Lomeli, S., & Rahman, A. (2020). Health care provider barriers to patient referral to palliative care. American Journal of Hospice and Palliative Medicine®, 38(9), 104990912097320. https://doi.org/10.1177/1049909120973200 

Hoover, S., & Bostic, J. (2021). Schools as a vital component of the child and adolescent mental health system. Psychiatric Services, 72(1), 37–48. https://doi.org/10.1176/appi.ps.201900575 

Kolbe, L. J. (2019). School health as a strategy to improve both public health and education. Annual Review of Public Health, 40(1), 443–463. https://doi.org/10.1146/annurev-publhealth-040218-043727 

Lyon, A. R., & Bruns, E. J. (2019). From evidence to impact: Joining our best school mental health practices with our best implementation strategies. School Mental Health, 11. https://doi.org/10.1007/s12310-018-09306-w 

Mills, Roseline, B., Mene, & Taripanyeofori, C. (2020). Conflicts and its management in an organisation: A theoretical review. International Journal of Scientific and Research Publications (IJSRP), 10(05), 540–545. https://doi.org/10.29322/ijsrp.10.05.2020.p10162 

Packer, C. D. (2022). The importance of primary care. Springer EBooks, 1–9. https://doi.org/10.1007/978-3-030-99415-0_1 

Smith, A. D. -, Quarmby, T., Archbold, V. S. J., Corrigan, N., Wilson, D., Resaland, G. K., Bartholomew, J. B., Singh, A., Tjomsland, H. E., Sherar, L. B., Chalkley, A., Routen, A. C., Shickle, D., Bingham, D. D., Barber, S. E., van Sluijs, E., Fairclough, S. J., & McKenna, J. (2020). Using a multi-stakeholder experience-based design process to co-develop the creating active schools framework. International Journal of Behavioral Nutrition and Physical Activity, 17(1). https://doi.org/10.1186/s12966-020-0917-z 

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

Soni, N. M., Shaker, A., Luck, H., Mullin, A. E., Wiley, R. E., Lewis, M. E. S., Fuentes, J., & Frazier, T. W. (2021). Tackling healthcare access barriers for individuals with autism from diagnosis to adulthood. Pediatric Research, 91(5), 1028–1035. https://doi.org/10.1038/s41390-021-01465-y 

Tzenios, N. (2019). The determinants of access to healthcare: A review of individual, structural, and systemic factors. Journal of Humanities and Applied Science Research, 2(1), 1–14. https://journals.sagescience.org/index.php/JHASR/article/view/23 

Velthoven, M. H. V., & Cordon, C. (2019a). Sustainable adoption of digital health innovations: Perspectives from a stakeholder workshop. Journal of Medical Internet Research, 21(3), e11922. https://doi.org/10.2196/11922 

Xiong, S., Cai, C., Jiang, W., Ye, P., Ma, Y., Liu, H., Li, B., Zhang, X., Wei, T., Sun, H., Hone, T., Peiris, D., Mao, L., & Tian, M. (2022). Primary health care system responses to non-communicable disease prevention and control: A scoping review of national policies in Mainland China since the 2009 health reform. The Lancet Regional Health – Western Pacific, 100390. https://doi.org/10.1016/j.lanwpc.2022.100390 

Appendix A: Grant Proposal

Need Statement

The change initiative aims to address mental health challenges in Jordan, Minnesota, dealing with issues such as opioid threats, funding cuts, and the impact of technology on children’s health. It targets a diverse population, including those facing caregiving dilemmas and worsening health insurance conditions. Barriers to implementation involve challenges in integrating mental health services into schools, monetary constraints, and obstacles related to stakeholder engagement. The need for change is informed by comprehensive explorations of healthcare developments, aligning with broader healthcare reform efforts to address mental health disparities in Jordan.

Program Description

The proposed change initiative in Jordan, Minnesota, targets mental health challenges with a holistic approach, aiming to benefit a diverse population facing caregiving dilemmas and health insurance issues. The implementation plan involves stakeholder engagement through forums and various communication channels to foster support. The initiative addresses healthcare disparities, especially for those with low socioeconomic status, limited education, and health literacy in the Jordanian community.

Goals and Objectives

The goals of the change initiative include enhancing mental health support in schools, improving primary care accessibility, and promoting community wellness in Jordan. Objectives involve reducing stigma, recruiting and training a robust healthcare workforce, and leveraging policy support for an inclusive healthcare system.

Program Evaluation

The change initiative will be evaluated through a comprehensive assessment by a dedicated evaluation team. Regular evaluations, conducted annually, will assess the initiative’s effectiveness, with reports shared with key stakeholders, including policymakers, healthcare practitioners, and community leaders. Stakeholder involvement in the evaluation process will be integral, ensuring diverse perspectives contribute to a well-rounded assessment of the initiative’s impact on mental health, primary care, and community wellness in Jordan.

Summary

This change is vital for the community as it addresses pressing mental health challenges, opioid threats, and health disparities in Jordan, Minnesota. The goals align with the funding organization’s mission, emphasizing holistic healthcare and community well-being. Financial support is crucial for implementing mental health education, enhancing primary care accessibility, and promoting community-centric wellness initiatives. We extend our heartfelt gratitude to the funding agency for their consideration and indispensable support in fostering a healthier, more resilient community.

Appendix B: Project Budget

Categories	Startup ($)	1st Year ($)	Other Sources of Revenue	Justification
Salary and Wages
Project Manager	0	75,000	–	The project manager will organize, plan, and oversee the whole project.
Support Staff	0	90,000	–	Support staff will help with administrative tasks during project implementation. Health Education Coordinators.
Other	0	105,000	–	Coordinators will manage educational programs and community outreach.
Fringe Benefits
Health Insurance for All Staff	0	15,000	–	All staff members will be protected from high healthcare costs.
Consultation or Contract Services
Healthcare Consultant	5,000	20,000	–	External professionals will provide training and expertise on specific health issues.
Equipment
Educational Material	3,000	12,000	–	This will cover costs for materials needed for health education programs.
Office Equipment	2,000	8,000	–	This will cover costs for computers, printers, etc. For the project team.
Travel
Community Outreach	1000	5,000	–	Covers the cost of travel for community outreach and meetings.
Miscellaneous or Other
Contingency	3,000	10,000	–	For unexpected costs during project implementation.
Total Expenses	14,000	240,000