Category: Healthcare

The completed assignment must be at least 2 printed pages. The writing in red is more details, so u will be able to write the 2 pages. Answer the question but in a 2 pages format.

Hi you can take any medical article and write about it. I will send you a screenshot of the assignment. Keep it simple APA format one page. Thanks.

Hi you can take any medical article and write about it. I will send you a screenshot of the assignment. Keep it simple APA format one page. Thanks.

For a variety of reasons, the mental health care system in the United States has developed separately from the physical health care system. Prepare and defend one (1) practical operational recommendation for overcoming the effects of this separation and improving the health status of all Americans. Acceptable recommendations can be incremental steps, microsystem changes, specific interventions, etc., that decrease the current separation. Keep in mind to be specific, realistic, and practical. Your paper must include the what,” why, and how of your suggestion. General or global recommendations such as increasing funding or changing policies are less effective and do not demonstrate rigor of critical thinking.

The purpose of this assignment is to demonstrate student knowledge of the topic assigned, particularly knowledge gained since starting the course. The format such submissions will follow a 2-page minimum to 3-page maximum Word document in APA format.

1. APA Format

• Among other things, this means double spaced, 12 pt. font, one-inch margins, and the use of APA headings/sub-headings.
• Students are responsible for correct APA formatting of citations and references.

1. References: A minimum of four (4) references from quality resources.
2. All written assignments are double-spaced using 11 or 12-pint font (APA 7 student format)
3. 2 page minimum to 3 page maximum, not including references.
4. Cover Page APA 7 student format
5. Reference page include a reference for all citations in the paper, with no extra references.

Reflection on Leading Major Organizational Change in a Complex Healthcare Setting

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Reflection on an Experience with Major Organizational Change in a Complex Healthcare Setting

Healthcare organizations are dynamic systems that continually evolve in response to regulatory shifts, workforce demands, patient safety concerns, and technological advancements. During my time as a Charge Nurse at AdventHealth Waterman, I witnessed a significant organizational change that reshaped workflow, communication, and interprofessional collaboration on the medical-surgical unit. This reflection examines the nature of the change, the problem it sought to address, the implementation process, and recommendations for improving employee engagement and communication based on leadership principles and current evidence.

Description of the Change and Problem Addressed

The major organizational change involved the hospital-wide implementation of a new electronic health record (EHR) system. AdventHealth Waterman transitioned from an older, fragmented charting platform to a comprehensive EHR designed to optimize clinical documentation, reduce medication errors, and enhance interoperability between departments. Prior to the transition, nurses frequently encountered documentation redundancies, communication delays, and inconsistencies in physician orders due to system limitations. These inefficiencies contributed to workflow interruptions and decreased time at the bedside.

A particular concern prompting the change was medication error rates. The previous system lacked a robust bar-code medication administration (BCMA) verification process. Near-miss events were increasing, and internal audits revealed gaps in documentation accuracy. The new EHR promised integrated BCMA technology, decision-support alerts, streamlined handoff tools, and a real-time patient status dashboard. The goal was to improve patient safety, strengthen documentation accuracy, and align the hospital with emerging digital health standards.

Process of Implementing the Change

The EHR rollout followed a structured, multi-phase process, reflecting characteristics of Kotters eight-step model for organizational change. First, leadership created urgency by presenting data on medication errors and patient-safety risks during staff meetings. The need for improved documentation accuracy and regulatory compliance strengthened staff understanding of why the change was necessary.

Second, a multidisciplinary change leadership team was assembled, including nurse leaders, IT specialists, physicians, and super-users from each unit. As Charge Nurse, I served as one of the nursing representatives responsible for communicating updates and supporting troubleshooting during go-live.

The implementation process included several key components:

1. Staff Education and Training

Nurses completed mandatory training sessions consisting of online modules, hands-on simulations, and practice in the EHR training environment. These sessions were scheduled over several weeks; however, staffing shortages sometimes limited training availability, creating anxiety for staff who felt insufficiently prepared.

2. Pilot Testing

Before hospital-wide implementation, the EHR was piloted on one medical-surgical unit. Pilot outcomes revealed workflow delays due to unfamiliarity with navigation tools. Feedback from the pilot informed adjustments prior to full deployment.

3. Go-Live Support

During go-live week, super-users and IT staff provided 24/7 on-site support. As Charge Nurse, I helped assist staff with charting tasks, troubleshoot issues, communicate updates, and coordinate with leadership regarding emergent workflow concerns. Although the support was strong, the pace of implementation felt overwhelming, with nurses balancing patient care demands while learning a new system.

4. Evaluation and Adjustment

Post-implementation audits showed a temporary decline in documentation timeliness but a significant improvement in medication safety indicators. Leadership continued to gather feedback and provide refresher training, gradually stabilizing workflow processes.

Recommendations for Improving the Change Process

Reflection on this experience highlights several opportunities to strengthen the change process. Based on current evidence and leadership best practices, three primary recommendations include enhancing employee engagement, improving communication, and strengthening implementation planning.

1. Strengthening Employee Engagement

Employee engagement is a critical factor in successful organizational change. When staff perceive change as imposed rather than collaborative, resistance increases and implementation quality declines (Hawkins et al., 2023). During the EHR transition, nurses expressed frustration that key workflow concerns were not addressed until after go-live. Including frontline nurses earlier and more meaningfully could have strengthened ownership and reduced resistance.

Recommendations to improve engagement include:

• Integrate nurses into early decision-making. Frontline staff should help shape workflows, templates, and documentation tools before system development is finalized.
• Provide incentives for participation. Offering paid training, recognition, or professional development credits may encourage stronger involvement.
• Create continuous feedback loops. Regular listening sessions or surveys allow leadership to address concerns promptly and promote shared governance principles.

Evidence shows that participatory change models improve employee morale, reduce turnover, and enhance implementation success (Weberg et al., 2022).

2. Enhancing Communication Across the Organization

Effective communication is essential for mitigating uncertainty and fostering trust during major change. Although AdventHealth Waterman provided periodic updates, many nurses felt unaware of key decisions or timeline implications. Inconsistent communication increased anxiety and confusion during the transition.

Recommendations for improving communication include:

• Establish a centralized communication hub. A shared EHR transition webpage or bulletin board could house schedules, updates, and troubleshooting resources.
• Implement regular interdisciplinary briefings. Brief huddles involving nurses, physicians, and IT staff help clarify expectations and identify challenges in real time.
• Use structured communication tools. Standardized messages, visual guides, and competency checklists support clarity and consistency.

Research demonstrates that transparent communication reduces resistance to change and supports psychological safety among staff (Smiley et al., 2021).

3. Improving Implementation Planning and Support

Change in complex organizations requires comprehensive planning that accounts for human, technical, and workflow variables. Although the EHR transition followed standard processes, additional preparatory steps could have mitigated strain on nursing staff.

Recommendations include:

• Stagger the implementation timeline. A phased rollout allows units to adjust gradually rather than simultaneously facing system disruption.
• Increase staffing during go-live. Additional float staff or reduced patient assignments help nurses focus on learning without compromising patient care.
• Extend training time and simulations. Evidence shows that repeated practice improves confidence and reduces errors during EHR adoption (Al-Khathami & Al-Dughmish, 2021).

Supportive implementation strategies improve both efficiency and patient outcomes (Budreviciute et al., 2022).

Conclusion

The EHR implementation at AdventHealth Waterman represented a significant organizational change aimed at improving patient safety, documentation accuracy, and workflow efficiency. As Charge Nurse, I observed firsthand the challenges and opportunities inherent in adopting new technology within a complex healthcare system. While the change ultimately enhanced safety outcomes, the transition process revealed the need for stronger employee engagement, better communication, and more comprehensive planning. Nurse leaders play a critical role in shaping successful change by advocating for frontline staff, facilitating open communication, and promoting collaborative decision-making. By applying evidence-based leadership strategies, healthcare organizations can improve change outcomes, strengthen team cohesion, and enhance the quality of patient care.

References

(All references are within the last 5 years and formatted with 0.5 hanging indents.)

Al-Khathami, A., & Al-Dughmish, A. (2021). Impact of electronic health record training on nurses documentation quality and patient safety. Journal of Nursing Management, 29(4), 780788. https://doi.org/10.1111/jonm.13212

Budreviciute, A., Zubkiene, K., & Krisciunas, A. (2022). Implementing technological change in healthcare: Strategies for improving user readiness and workflow efficiency. BMC Health Services Research, 22(1), 1125. https://doi.org/10.1186/s12913-022-08569-y

Hawkins, S., Kieft, R., & Regan, S. (2023). Employee engagement during organizational change: A systematic review of strategies in healthcare. Journal of Healthcare Leadership, 15, 2334. https://doi.org/10.2147/JHL.S393310

Smiley, R. A., Lauer, P., & Bienemy, C. (2021). Communication and nurse engagement in organizational change. Nursing Management, 52(7), 3442. https://doi.org/10.1097/01.NUMA.0000754447.13889.0a

Weberg, D., Mangold, K., Porter-OGrady, T., & Malloch, K. (2022). Leadership in nursing practice: The intersection of innovation and leadership. Jones & Bartlett Learning.

Write a 700- to 1,050-word draft proposing an intervention for your community health issue of interest. In your draft: Identify your target population and setting. Identify the category (or categories) of disease prevention or health promotion change processes you are addressing. Describe the level (or levels) of the socioecological model you are addressing with this intervention. Describe the intervention. (e.g., communications campaign to create knowledge and motivate action, provision of a service to reduce disease, an effort to reduce barriers to care, etc.). Describe what theory or theories you are using in the design of your intervention and why you think they are appropriate for the population with whom, and setting in which, you are working. Create a logic model or flow chart to show how theory applies to your intervention, including an illustration of the social level (or levels) at which this intervention will occur. Discuss how you propose to involve the community in the assessment of need and design of the intervention. Quantitative and qualitative data analysisInclude key data measures that highlight the importance of participating in a research study. Use the following tables from your textbook as a reference as you complete this assignment: Tables in Ch. 1: Table 1.4: Categories of Prevention Related to Cardiovascular Disease Table 1.7: Health-Promotion Change Processes Tables in Ch. 2: Table 2.1: Social Ecology: Theories at Eight Levels of Analysis Table 2.2: Multilevel Intervention: Targets and Outcomes of Intervention at Multiple Levels Watch Applying the Social Ecological Model to Understand Obesity Risk Factors by Dr. Alison K. Ventura on YouTube to help you complete this assignment. The video provides a real-world application of the social-ecological model that will help you understand the various levels of influence on weight-related behaviors and outcomes. Cite at least 3 sources you may have used in the APA format. Format your draft and references according to APA guidelines. Submit your assignment. ( Healthy issues is diabetes and the high blood pressure) Community would be Gwinnett county! Resources

Discussion Requirements

For this week’s discussion, discuss something new that you learned in this week’s reading or in the supplemental videos. Discuss what you learned, why you find it interesting, and how this will help you in your healthcare administration career.

Supplemental Readings:

https://www.ahrq.gov/patient-safety/resources/index.html

https://www.ncbi.nlm.nih.gov/books/NBK2681/

• Follow the instructions on the attached checklist.
• Use the attached PowerPoint and PDF to complete the PowerPoint/Poster template.
• Be sure to include any tables, figures, or graphs from the PowerPoint and/or PDF that align with the template.

What Makes a Team?

In healthcare, a team is more than just a group of professionals assigned to the same patient. This becomes clear in stressful situations where time is short and decisions are critical. My experience in clinical settings has shown me that effective teamwork relies on shared responsibility, trust, and a consistent willingness to collaborate, not on job titles. Communication is vital for effective teamwork. In clinical practice, information is exchanged quickly, and slow or unclear communication can affect patient care. Teams that communicate well identify concerns early and act before issues grow worse. When nursing staff feel comfortable asking questions, clarifying orders, or reporting changes in a patient’s condition, care becomes safer and more coordinated. Open communication promotes teamwork and helps lessen the impact of rigid hierarchies that can restrict collaboration.

Respect within a healthcare team is essential for good patient care. High-performing teams understand that each discipline offers something valuable. Nurses often notice subtle changes first due to their constant presence at the patient’s bedside. Therapists contribute important information about mobility, strength, and functional progress. Healthcare professionals use all this information to make informed medical decisions. When there is mutual respect, collaboration improves, and care plans can be modified easily as a patient’s needs shift. On the other hand, a lack of respect can create tension, poor communication, and fragmented care, which can harm patient outcomes. Clear expectations about roles are another crucial part of effective teamwork. When responsibilities are defined, care is provided more smoothly and efficiently. Struggling teams often face confusion about who is responsible for specific tasks, leading to delays or missed care. In my clinical experience, teams perform best when members understand their own responsibilities and how they fit into the overall care plan. Shared clarity of roles is recognized as a key feature of high-performing healthcare teams and is important for promoting patient safety.

Leadership has a significant influence on team dynamics as well. Effective leaders create environments where collaboration is encouraged and communication feels safe. When leaders are approachable and supportive, team members are more likely to engage, share concerns, and take accountability for patient care. Poor leadership, however, can lead to hesitation, decreased morale, and reluctance to speak up, all of which weaken team performance and compromise care quality.

In conclusion the strength of a healthcare team lies not in the number of qualified professionals it comprises, but in the quality of their interactions. Teams built on communication, mutual respect, clear roles, and supportive leadership are better prepared to deliver patient-centered, high-quality care. When they are absent, even experienced clinicians may struggle to meet patient needs effectively.

References

Saunders, H. (2014). Teamwork and collaboration in healthcare: Elements of effective teamwork. Nursing Standard, 28(31), 5056.

Salas, E., Sims, D. E., & Burke, C. S. (2015). Is there a big five in teamwork? Small Group Research, 36(5), 555599.

Overview

This capstone is designed to help you consider your own experience as it relates to developmental science by asking you to reflect on an important or significant event that occurred during a period of your earlier development and connect it to what we know about major developmental milestones, major developmental concepts, and major developmental theories.

Learning Outcomes

By completing this capstone, you will learn how to:

• Identify key biological, physical, cognitive, emotional, and social changes that occur in your selected developmental stage (infancy/toddlerhood, early childhood, middle childhood, ).
• Apply key concepts from developmental psychology to personal experiences.
• Define key issues relevant to your developmental stage from a lifespan perspective.
• Compare and contrast major developmental theories about key tasks in stages of .

Task

First, you will select one of the major early developmental stages: infancy/toddlerhood (0-3 years), early childhood (3-6 years), middle childhood (7-12 years), or (12-18 years). You will then explain the developmental stage in terms of major developmental milestones.

Next, you will describe your significant event in developmental context by explaining what happened and any impacts on your development during this time.

Then, you will define and apply two major concepts of development (1: , 2: continuity and discontinuity) to your significant event.

Finally, you will define and apply one major theory of development (Eriksons theory, Piagets theory, Vygotskys theory, information processing theory, theory, behavioral theory, theory) to your significant event.

Please use this chart to help you organize your capstone:

PartDescriptionTop Tips for SuccessPart I. Developmental Stage

Reflect on your development thus far. What stage of your development is most interesting to you?

• Infancy/Toddlerhood (0-3 years)
• Early Childhood (3-6 years)
• Middle Childhood (7-12 years)
• (12-18 years)

Choose ONE stage to focus on for this capstone.

First, create a header for this section (e.g., Developmental Stage).

Then, in one paragraph:

Articulate your selected developmental stage using a strong topic sentence. Then, in 3-4 sentences that follow, explain the major developmental milestones (i.e., biological, physical, cognitive, emotional, and social milestones) that occur during your selected stage.

Be specific in this paragraphmake sure to be very clear when articulating and explaining your chosen developmental stage.

Define and give concrete examples of each type of milestone (biological, physical, cognitive, emotional, and social).

Part 2. Significant Event

Think about your own experiences during your chosen developmental period (see Part 1).

What memorable events occurred during this time?

Select ONE significant event during this developmental period.

First, create a header for this section (e.g., Significant Event).

Then, in one or two paragraphs:

Explain the significant event in detail. What happened? Tell the story of the event in 3-4 sentences. Then, in another 3-4 sentences, explain why this event was important to your own development during this time by answering the question, What impact(s) did it have on your biological, physical, cognitive, emotional, and/or social growth?

This part of the capstone asks you to do two things. Be sure to fully explain the event AND discuss how it impacted several parts of your development during this time.

Be sure that the effects you discuss make sense in the context of your chosen developmental stage.

Part 3. Major Concepts in Development

Consider two major concepts in development:

• Continuity and Discontinuity

What do these concepts mean? How are these concepts illustrated in your significant event and/or its important effects on your development?

First, create a header for this section (e.g., Major Concepts in Development).

Then, in one or two paragraphs:

Define both major concepts as they pertain to developmental psychology. After defining each, discuss how each concept is illustrated in the event you described and/or the effects of this event on your development.

The definition of each major concept AND discussion of how it is illustrated in your significant event will require at least 3-4 sentences.

You may wish to write one paragraph of 3-4 sentences for EACH major concept.

Part 4. Developmental

Think about the major theories of development you have learned about so far in this course:

Eriksons theory, Piagets theory, Vygotskys theory, information processing theory, theory, behavioral theory, and theory.

Which theory seems to have the most relevance for your developmental stage and the significant event you have discussed? Do any of the theories help you understand why this significant event was so important to your development?

First, create a header for this section (e.g., Developmental ).

Then, in one paragraph:

Describe the major ideas of your chosen theory in 3-4 sentences.

Then, in another 3-4 sentences, discuss how this theory (and its major ideas) relates to your significant event. Be specific in your discussion.

Like Part 3, remember that Part 4 requires you to define AND discuss a theory.

Your theory definition will be academic and will rely on textbook content. Your discussion of how the theory applies to your experience will require your own creative thinking.

Requirements

• Type your capstone using a word processing software program.
• Use a basic font (e.g., Arial, Calibri, Times New Roman, etc.), 12-point size, and 1-inch margins.
• Use full and complete sentences. Do not include bullet points or incomplete sentences.
• Do not use ANY artificial intelligence (AI) program to generate text for your assignment. Use your own voice to explain the concepts.
• Do read your textbook to gather information for your assignment.
• Do not directly copy ANY information from your textbook or online sources.
• Cite the textbook for any information in your assignment that you did not discover yourself. Use parenthetical (in-text) citations in APA style. A reference page is NOT required.
• Successful assignments will be between 500-750 words.

Resources

Make sure to review these helpful resources associated with this capstone:

• Capstone Rubric: Developmental Science and Me
• Example Capstone Outline: Developmental Science and Me
• APA Style Guidance for parenthetical (in-text) citations: