Tag: Model Answer

  • [Solved] Disparity in healthcare

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    Discuss the leading causes of death and illness among Hispanic Americans, and explore how Advanced Practice Nurses can address healthcare disparities for this group. Document this in a 2 page word document, include a minimum of 4 references published in last 5 years.

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    Discuss the leading causes of death and illness among Hispanic Americans, and explore how Advanced Practice Nurses can address healthcare disparities for this group.
    Document this in a 2 page word document, include a minimum of 4 references published in last 5 years.

  • [Solved] Mod 2 CL Discussion Reply

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    You should respond to both discussions separately–with constructive literature material- extending, refuting/correcting, or adding additional nuance to their posts. Minimum 150 words each reply with references under each reply. Incorporate a minimum of 2 current (published within the last five year…

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    You should respond to both discussions separately–with constructive literature material- extending, refuting/correcting, or adding additional nuance to their posts.
    Minimum 150 words each reply with references under each reply.
    Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
    discussion 1
    **Clinical Week 2 Reflection: Iron Deficiency Anemia Assessment**
    As a nurse practitioner student in my second week of clinical rotation, I saw a diverse range of patients, each with particular and intricate medical requirements. A 52-year-old woman who had symptoms typical of iron deficiency anemia (IDA) was one patient case that caught our attention. This experience helped me improve my diagnostic reasoning and assessment abilities in addition to helping me comprehend the clinical approach to a common condition.
    In addition to frequent headaches, the patient reported persistent exhaustion, shortness of breath during mild exertion, and a noticeable craving for ice, or pagophagia, a common IDA symptom. Upon physical examination, I noticed mild tachycardia, brittle nails, and pallor in the nail beds and conjunctiva. Her medical history included a diet deficient in foods high in iron and heavy menstrual bleeding, both of which were consistent with potential causes of IDA.
    Her laboratory tests revealed low mean corpuscular volume (MCV), decreased serum ferritin, and low hemoglobin and hematocrit levels, all of which are indicative of microcytic anemia. This information led us to create a care plan that included dietary counseling to increase iron intake (lean red meat, leafy greens, fortified cereals), oral iron supplementation (ferrous sulfate 325 mg daily), and a referral to gynecology for additional menorrhagia evaluation. We also talked about potential gastrointestinal side effects and suggested taking iron supplements with vitamin C to improve absorption.
    Three differential diagnoses were considered:
    1. **Iron Deficiency Anemia (IDA):** The patient's symptoms, low ferritin, and microcytic hypochromic anemia in the lab led to the primary diagnosis of iron deficiency anemia (IDA) (Short & Domagalski, 2013).
    2. **Anemia of Chronic Disease (ACD):** Given her age and chronic fatigue, she was considered to have anemia of chronic disease (ACD); however, ferritin is normally normal or elevated in ACD, which was not the case in this instance.
    3. **Thalassemia Trait:** Given her low MCV, thalassemia trait was taken into consideration; however, this was less likely because she had no family history and a normal RBC count.
    Nutritional counseling on iron-rich foods and avoiding tea or calcium during meals, which can hinder iron absorption, were part of the patient's health promotion. Education regarding the significance of medication adherence and how to spot symptoms of worsening anemia was also stressed.
    Interpreting lab results in light of clinical symptoms was one of the difficulties I encountered this week. At first, I wasn't sure if a chronic inflammatory disease could be the cause of the anemia. I now have a better understanding of how ferritin and iron saturation levels can distinguish between different types of anemia after going over the entire panel and talking with my preceptor. Confidently explaining the condition to the patient and giving her the confidence to control it with food and medicine was a success.
    The event this week served as a reminder of how crucial it is to treat patients holistically. In addition to diagnosing, I discovered the importance of follow-up planning, patient education, and interdisciplinary teamwork, particularly for conditions like anemia that may require GI or gynecological evaluation. As my training continues, I'm learning how important it is for advanced practice nurses to be able to connect the dots in their patients' lives that affect their health in addition to identifying clinical patterns.
    The American Society of Hematology (2020) states that dietary changes, oral iron therapy, and determining and treating the underlying cause are the first-line treatments for IDA. I felt more confident in my practice and our clinical decisions were guided by the application of these guidelines.
    discussion 2
    This week’s clinical experience was successful and did not have any challenges. I was able to establish positive and trusting relationships with the patients I encountered, making them feel heard and supported. Working as part of a team with doctors, nurses, and other healthcare professionals significantly improved my collaboration skills. One of the notable successes is that I was able to accurately document patient information, including outcomes, assessments, and interventions. I also cared for patients with different medical and surgical conditions, including those with chronic illnesses.
    **The Signs and Symptoms**
    This week, I encountered a 70-year-old white female with congestive heart failure. The nursing home resident has been complaining of a rapid heartbeat. She has been experiencing swelling of the feet and ankles during the past month and increasing SOB (shortness of breath) when lying down and with activity during the past six weeks. The patient feels tired most of the time, and she is very weak.
    **Assessment**
    (ECG) was performed to check how slowly or fast the patient’s heart is beating. A chest X-ray provided detailed images of the chest, which were required to check the condition of the heart. Subjective information was obtained by asking the patient to discuss her medical history and symptoms, including how long they last and their frequency. A physical examination was conducted to check for signs of CHF and disorders that may have affected her heart. Blood tests were ordered to diagnose disorders that can lead to heart issues (King & Goldstein, 2022).
    **Differential Diagnosis**
    Depending on the symptoms presented by the patient, the first differential diagnosis is chronic kidney disease. The disorder is characterized by swelling of ankles and feet, chest pain, high blood pressure, shortness of breath, and other symptoms (King & Goldstein, 2022). The second differential diagnosis is respiratory failure, which is a disorder that occurs when there is excess carbon dioxide or insufficient oxygen in the body. Heart failure and respiratory failure have several overlapping symptoms, which makes the latter a possible diagnosis. The third differential diagnosis is pericarditis. It causes symptoms that are similar to the ones presented by the patient, including swelling of feet and legs, heart palpitations, fatigue, and others (Chen & Aronowitz, 2022).
    **Plan of Care**
    Treatment of CHF usually includes medicines and lifestyle changes. The patient was prescribed lisinopril tablets 5 mg once per day. The dose may be adjusted as required, but should not exceed 40 mg daily. Lisinopril may have some side effects such as dizziness, reduced urine output, confusion, cloudy urine, blurred vision, and others (Chen & Aronowitz, 2022). As a result, the patient was advised to check with her provider immediately if she experiences any unwanted effects.
    **Health Promotion Intervention**
    The patient was encouraged to make certain home and lifestyle remedies to improve her CHF symptoms. The provider advised her to avoid smoking because it can raise her blood pressure and damage her blood vessels (Sapna et al., 2023).  Smoking also increases the heartbeat and reduces blood oxygen levels. She should check her feet, legs, and ankles for swelling daily and call her provider if her swelling exacerbates. A patient with CHF also needs to limit salt and eat a healthy diet that includes whole grains, vegetables, and fruits (Sapna et al., 2023).
    **Lessons from this Week’s Clinical Experience**
    From this week’s clinical experience, I gained valuable insights into the management of patients with CHF. I learned that CHF patients require a comprehensive treatment approach that includes close monitoring, lifestyle changes, and medication management to enhance the patients’ quality of life and outcomes.

  • [Solved] W2:612-D

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  • [Solved] 6530-7a1

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  • [Solved] human resource

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    I need your help – ## JWI556Week1LectureNotes.pdf – LashondaWeek1ResponseLeadingChange.jpeg – PeacelynnWeek1ResponseLeadingChange.jpeg – Week1DiscussionLeadingChange.jpeg **## JWI556Week1LectureNotes.pdf** © Strayer University. All Rights Reserved. This document contains Strayer University Confident…

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    – ## JWI556Week1LectureNotes.pdf

    – LashondaWeek1ResponseLeadingChange.jpeg
    – PeacelynnWeek1ResponseLeadingChange.jpeg
    – Week1DiscussionLeadingChange.jpeg

    **## JWI556Week1LectureNotes.pdf**

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    JWI 556 (1196) Page 1 of 8

    JWI 556
    Leading Change by Putting People First

    Week One Lecture Notes

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 2 of 8

    WHY IS CHANGE SO DIFFICULT?

    What It Means

    To acknowledge that change is difficult is to recognize a fundamental force of nature – inertia.
    Once something is set in motion, it will tend to continue in that direction until a strong enough
    force acts on it to change the direction. Inertia applies to people and businesses. Change is
    especially difficult when everything is going along “well enough.” We think, if there is no crisis or
    imminent threat, we carry on as if everything will stay this way forever. We get comfortable in
    our familiar ways, and won’t willingly change from them unless there is a compelling reason to
    break free from the status quo.

    Why It Matters

    • An increasingly global and competitive market will force change onto most
    organizations whether they want it or not. Those that aren’t able to change proactively
    (i.e., before they need to) will find themselves on the losing end of the battle for market
    share, and will eventually be made obsolete.

    • Leaders need to understand the forces that undermine change or they will continue to
    repeat the same mistakes.

    • Leveraging a proven change model is the best way to harness the positive forces that
    can drive change, and head off the negative forces before they can do irreparable
    damage.

    “Change takes time, change takes buy-in from lots of people
    for meaningful and lasting success.”

    Jack Welch

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 3 of 8

    INTRODUCTION

    “If the rate of change on the outside is faster than the rate of
    change on the inside, the end is near.”

    Jack Welch

    Welcome to the course.

    Over the next ten weeks, we will explore change leadership with a particular focus on the role that HR
    professionals can, and should, play in it. The lecture notes for this course are designed to draw out key
    themes that are covered each week. This is intended to both help you better focus your learning activities,
    and present additional tips and guidance on how the practices and tools we are studying can be applied
    to your job as a current or aspiring HR professional.

    Our course is organized around three broad change themes. Since HR leadership is a complex
    interconnection of forces, you can expect that many of these themes will be revisited throughout the
    course and will have multiple applications during our ten weeks together.

    1. Identifying and Managing Change in One’s Own Career

    We begin with an examination of the key principles of change leadership. We introduce the
    challenges that change leaders face, and explore the reasons so many change initiatives fail to
    deliver on their promise. As part of this, we introduce key elements of proven change models, and
    look at our own personal tendencies in approaching change.

    2. Leading Change in HR and in Teams

    Over the next three weeks, we focus on leading change in teams. While the principles of leading
    team change are fundamentally the same as those of organizational change, it is helpful to look
    at team-level change first. This will help you apply what you have been learning in your other
    courses in your HR concentration at JWMI, and it serves as a proving ground before moving on to
    bigger change projects.

    3. Leading Organizational Change

    The second half of our course is focused on BIG CHANGE. This is the sort of large-scale initiative
    that is driven by the C-suite. We look at the similarities and differences between team change and
    organizational change. We will also focus on how to tailor your approach to better match both the
    specific type of change initiative being undertaken, and the cultural forces at work in the
    organization. We will conclude the course with a review of our change journey and a look at
    what’s next.

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 4 of 8

    THE NEED FOR CHANGE AND CHANGE LEADERSHIP IN ORGANIZATIONS

    Whether you want them to or not, organizations evolve over time. Companies react to competitive
    pressures. Leaders pursue new agendas. Products progress through life cycles. Yet, people resist
    change. Managers block or ignore the inevitable. Leaders make big investments in yesterday’s products
    and services. Too many organizational cultures value, reward, and perpetuate complacency.

    Organic change occurs “naturally” as products and systems evolve over time. But organic change is
    rarely enough to ensure an organization’s ongoing success. So, when we talk about organizational
    change in this course, we mean transformational change. We’re focusing on the kind of change that a
    leader instigates and drives forward in order to better position the organization for greater relevance and
    success.

    John Kotter, one of the most respected experts on change, and whose model for change leadership will
    form the foundation of our course, characterizes our history with change as follows:

    “People of my generation or older did not grow up in an era when transformation was
    common. With less global competition and a slower-moving business environment, the
    norm back then was stability and the ruling motto was: ‘If it ain’t broke, don’t fix it.’
    Change occurred incrementally and infrequently…The challenges we now face are
    different. A globalized economy is creating both more hazards and more opportunities
    for everyone, forcing firms to make dramatic improvements not only to compete and
    prosper but also to merely survive. Globalization, in turn, is being driven by a broad and
    powerful set of forces associated with technological change, international economic
    integration, domestic market maturation within the more developed countries, and the
    collapse of worldwide communism…No one is immune to these forces. Even companies
    that sell only in small geographic regions can feel the impact of globalization.”

    Leading Change, p. 20

    TECHNOLOGY & GLOBALIZATION: THE LEADING FORCES OF CHANGE

    Over the past 30 years, the pace of change in business has increased dramatically. Of the many
    contributing factors, the most important have been breathtakingly rapid developments in technology and
    globalization. Throughout organizations of all sizes, technology has:

    • Multiplied the speed and quantity of work that can be done
    • Distributed work across traditional boundaries of function, organization, and geography
    • Restructured traditional industries like telecommunications and banking, and given rise to new

    ones
    • Facilitated the tracking and analysis of vast quantities of data, transforming everything from

    managerial decision-making to the behavior of capital markets
    • Reshaped consumer behavior – how people shop, choose among competing products, and

    entertain themselves

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    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 5 of 8

    During the same period, globalization has stitched together the world’s economies, removing traditional
    barriers to the flow of goods, money, information, and expertise across national and regional boundaries.

    Thanks to breakthroughs in containerized shipping and Internet-based telecommunications, entire
    classes of jobs – from manufacturing to computer programming – have shifted to lower-cost
    environments. Tariffs on trade have fallen – notwithstanding sporadic outbreaks of protectionism – while
    the number of preferential trading blocs has mushroomed. Across the business landscape, globalization
    has:

    • Intensified competition, not just from local businesses, but also from best-in-class organizations
    around the world

    • Widened access to a global talent pool and low-cost production options
    • Expanded market size and economies of scale
    • Increased political and financial risk
    • Driven product innovation to serve the unique needs and tastes of rapidly emerging middle-class

    consumers in developing countries

    The world is also seeing other powerful new trends emerge. The environment is becoming an ever-
    greater concern, bringing increased regulation. Resources like oil and water are showing signs of real
    scarcity. Finally, the recent financial crisis has forced organizations to change many longstanding
    practices of how they manage debt and equity. In the face of all these external forces of change, some
    organizations will be able to pull far ahead of the competition while others will be left behind.

    THE ROLE OF MANAGEMENT AND LEADERSHIP IN CHANGE

    So, if transformational and often large-scale change is the new normal, who are the leaders that will guide
    us on the journey? Is this purely the domain of the CEO and perhaps a few select members of the C-
    suite? What role should Human Resources professionals play in leading change? These are questions
    we will explore throughout the course. But before we go any further, let’s consider what Kotter finds to be
    an important distinction between management and leadership.

    • Management is a set of processes that can keep a complicated system of people and technology
    running smoothly. The most important parts of management include planning, budgeting,
    organizing, staffing, controlling, and problem solving.

    • Leadership defines what the future should look like, aligns people with that vision, and inspires
    them to make it happen despite the obstacles.

    Leading Change, p. 28

    This distinction is critical in Kotter’s view, and he argues that “successful transformation is 70 to 90
    percent leadership and only 10 to 30 percent management. Yet for historical reasons, many organizations
    today don’t have much leadership. And almost everyone thinks about the problem here as one of
    managing change.”

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 6 of 8

    “The combination of cultures that resist change and managers who have not been taught
    how to create change is lethal…A powerful enough guiding coalition with sufficient
    leadership is not created by people who have been taught to think in terms of hierarchy
    and management.”

    Leading Change, p. 30

    To be clear, however, Kotter is not anti-management.

    “Managing change is important. Without competent management, the transformation
    process can get out of control. But for most organizations, the much bigger challenge is
    leading change. Only leadership can blast through the many sources of corporate
    inertia. Only leadership can motivate the actions needed to alter behavior in any
    significant way. Only leadership can get change to stick by anchoring it in the very
    culture of an organization.”

    Leading Change, p. 33

    WHY DO SO MANY MAJOR CHANGE EFFORTS FAIL?

    It sounds too simple, but the reason that so many people in organizations don’t change is that they don’t
    have to. Their leaders may talk about why change is needed, but they fall short of demanding the results
    that can only be achieved through change. It’s a leader’s job to know when an organization needs to
    change, determine the direction, and make it happen. But determining when change is needed is not
    always easy. It requires a leader who is adept at looking into the future and staying several steps ahead
    of everyone else.

    “People who have been through difficult, painful, and not very successful change efforts
    often end up drawing both pessimistic and angry conclusions. They become suspicious
    of the motives of those pushing for transformation; they worry that major change is not
    possible without carnage; they fear that the boss is a monster or that much of the
    management is incompetent. After watching dozens of efforts to enhance organizational
    performance via restructuring, reengineering, quality programs, mergers and acquisitions,
    cultural renewal, downsizing, and strategic redirection, I draw a different conclusion.
    Available evidence shows that most public and private organizations can be significantly
    improved, at an acceptable cost, but that we often make terrible mistakes when we try
    because history has simply not prepared us for transformational challenges.”

    Leading Change, p. 19

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 7 of 8

    JOHN KOTTER’S EIGHT-STAGE PROCESS FOR LEADING CHANGE

    We have selected Leading Change by John Kotter as our main text in the course. While Kotter’s is
    certainly not the only model for leading change, it has proven itself over the years. It remains one of the
    most widely-referenced sources on the topic in both academic and corporate circles.

    Kotter’s eight-stage framework is based on his research that shows major change does not happen easily
    or naturally, and that it must be supported by a series of steps that address the eight most common errors
    that occur during large-scale change initiatives. The errors are:

    1. Allowing Too Much Complacency

    2. Failing to Create a Sufficiently Powerful Guiding Coalition

    3. Underestimating the Power of Vision

    4. Undercommunicating the Vision

    5. Permitting Obstacles to Block the New Vision

    6. Failing to Create Short-Term Wins

    7. Declaring Victory Too Soon

    8. Neglecting to Anchor Changes Firmly in the Corporate Culture

    Leading Change, pp. 4-15

    As we explore change leadership and management practices in this course, we will revisit Kotter’s model
    frequently. We will also feature readings by other experts presenting research that argues Kotter’s model
    may not go far enough in some areas, or that it does not address key factors that have a significant
    impact on the success of change initiatives. You are encouraged to consider these points of alignment
    and difference carefully, and to continue your exploration and application of the practices presented in the
    course in your own career.

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 8 of 8

    SUCCEEDING BEYOND THE COURSE

    Throughout this course, we will explore principles and tools of effective change leadership. You should
    always think about how what you learn can be tested and applied in your own workplace. At the end of
    each week’s lecture notes, you will find tips on how to do this. These tips are directly connected to the key
    learning outcomes for the week. For most of the ideas, it will be helpful to apply them to a specific change
    initiative you are considering or are already engaged with. It doesn’t have to be a large-scale change. In
    fact, it may be better if it isn’t. But having a real-world scenario to work through allows you to apply what
    you are learning and evaluate the results you get.

    • Understand the need for change and change leadership in organizations

    Commit to not becoming complacent about the need for change. Be on the lookout for
    examples of organizations that wouldn’t or couldn’t change, and ended up losing market
    share or even going out of business. Research the biggest changes that have happened in
    your industry in the last decade. What drove them? Which companies came out as winners
    and which as losers? What did the winners do that allowed them to make the needed
    changes ahead of other companies? As you are researching change in your industry, take a
    look around the inside of your organization also. Who are the change leaders? What role
    has HR played in leading change? What factors led to this role?

    • Examine the reasons so many companies fail at major change efforts

    As you learn more about the forces that impede change, start looking for real-world
    examples in your organization. Have there been situations where change has been
    attempted and failed? Looking back on these, conduct a post mortem. Were key steps
    missed? What could have been done differently that may have led to more positive
    outcomes? If you can’t see an obvious problem (and you typically won’t at first), ask
    questions. See if you can find out who the change leaders were and talk with them. Let
    people know that you are taking a course on change leadership, and want to deepen your
    understanding. Be careful that you express your genuine interest in learning about the
    challenges of change and do not come across as someone looking to assign blame.

    • Explore John Kotter's eight-stage process for leading change

    Leverage the framework as a model for your examination of real-world change initiatives. You
    don’t have to buy into every element of it for it to be a good evaluation tool. Even Jack made
    adaptations to the model and developed a GE version called the Change Acceleration Process
    (CAP). What change models have been used in your organization in the past, or are currently
    being used? Research other models. Learn how they align or differ. Use Kotter’s model as a
    framework to weave other support tools and methodologies around.

    **LashondaWeek1ResponseLeadingChange.jpeg**

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    **Week1DiscussionLeadingChange.jpeg**

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    **## JWI556Week1LectureNotes.pdf**

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 1 of 8

    JWI 556
    Leading Change by Putting People First

    Week One Lecture Notes

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 2 of 8

    WHY IS CHANGE SO DIFFICULT?

    What It Means

    To acknowledge that change is difficult is to recognize a fundamental force of nature – inertia.
    Once something is set in motion, it will tend to continue in that direction until a strong enough
    force acts on it to change the direction. Inertia applies to people and businesses. Change is
    especially difficult when everything is going along “well enough.” We think, if there is no crisis or
    imminent threat, we carry on as if everything will stay this way forever. We get comfortable in
    our familiar ways, and won’t willingly change from them unless there is a compelling reason to
    break free from the status quo.

    Why It Matters

    • An increasingly global and competitive market will force change onto most
    organizations whether they want it or not. Those that aren’t able to change proactively
    (i.e., before they need to) will find themselves on the losing end of the battle for market
    share, and will eventually be made obsolete.

    • Leaders need to understand the forces that undermine change or they will continue to
    repeat the same mistakes.

    • Leveraging a proven change model is the best way to harness the positive forces that
    can drive change, and head off the negative forces before they can do irreparable
    damage.

    “Change takes time, change takes buy-in from lots of people
    for meaningful and lasting success.”

    Jack Welch

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 3 of 8

    INTRODUCTION

    “If the rate of change on the outside is faster than the rate of
    change on the inside, the end is near.”

    Jack Welch

    Welcome to the course.

    Over the next ten weeks, we will explore change leadership with a particular focus on the role that HR
    professionals can, and should, play in it. The lecture notes for this course are designed to draw out key
    themes that are covered each week. This is intended to both help you better focus your learning activities,
    and present additional tips and guidance on how the practices and tools we are studying can be applied
    to your job as a current or aspiring HR professional.

    Our course is organized around three broad change themes. Since HR leadership is a complex
    interconnection of forces, you can expect that many of these themes will be revisited throughout the
    course and will have multiple applications during our ten weeks together.

    1. Identifying and Managing Change in One’s Own Career

    We begin with an examination of the key principles of change leadership. We introduce the
    challenges that change leaders face, and explore the reasons so many change initiatives fail to
    deliver on their promise. As part of this, we introduce key elements of proven change models, and
    look at our own personal tendencies in approaching change.

    2. Leading Change in HR and in Teams

    Over the next three weeks, we focus on leading change in teams. While the principles of leading
    team change are fundamentally the same as those of organizational change, it is helpful to look
    at team-level change first. This will help you apply what you have been learning in your other
    courses in your HR concentration at JWMI, and it serves as a proving ground before moving on to
    bigger change projects.

    3. Leading Organizational Change

    The second half of our course is focused on BIG CHANGE. This is the sort of large-scale initiative
    that is driven by the C-suite. We look at the similarities and differences between team change and
    organizational change. We will also focus on how to tailor your approach to better match both the
    specific type of change initiative being undertaken, and the cultural forces at work in the
    organization. We will conclude the course with a review of our change journey and a look at
    what’s next.

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 4 of 8

    THE NEED FOR CHANGE AND CHANGE LEADERSHIP IN ORGANIZATIONS

    Whether you want them to or not, organizations evolve over time. Companies react to competitive
    pressures. Leaders pursue new agendas. Products progress through life cycles. Yet, people resist
    change. Managers block or ignore the inevitable. Leaders make big investments in yesterday’s products
    and services. Too many organizational cultures value, reward, and perpetuate complacency.

    Organic change occurs “naturally” as products and systems evolve over time. But organic change is
    rarely enough to ensure an organization’s ongoing success. So, when we talk about organizational
    change in this course, we mean transformational change. We’re focusing on the kind of change that a
    leader instigates and drives forward in order to better position the organization for greater relevance and
    success.

    John Kotter, one of the most respected experts on change, and whose model for change leadership will
    form the foundation of our course, characterizes our history with change as follows:

    “People of my generation or older did not grow up in an era when transformation was
    common. With less global competition and a slower-moving business environment, the
    norm back then was stability and the ruling motto was: ‘If it ain’t broke, don’t fix it.’
    Change occurred incrementally and infrequently…The challenges we now face are
    different. A globalized economy is creating both more hazards and more opportunities
    for everyone, forcing firms to make dramatic improvements not only to compete and
    prosper but also to merely survive. Globalization, in turn, is being driven by a broad and
    powerful set of forces associated with technological change, international economic
    integration, domestic market maturation within the more developed countries, and the
    collapse of worldwide communism…No one is immune to these forces. Even companies
    that sell only in small geographic regions can feel the impact of globalization.”

    Leading Change, p. 20

    TECHNOLOGY & GLOBALIZATION: THE LEADING FORCES OF CHANGE

    Over the past 30 years, the pace of change in business has increased dramatically. Of the many
    contributing factors, the most important have been breathtakingly rapid developments in technology and
    globalization. Throughout organizations of all sizes, technology has:

    • Multiplied the speed and quantity of work that can be done
    • Distributed work across traditional boundaries of function, organization, and geography
    • Restructured traditional industries like telecommunications and banking, and given rise to new

    ones
    • Facilitated the tracking and analysis of vast quantities of data, transforming everything from

    managerial decision-making to the behavior of capital markets
    • Reshaped consumer behavior – how people shop, choose among competing products, and

    entertain themselves

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 5 of 8

    During the same period, globalization has stitched together the world’s economies, removing traditional
    barriers to the flow of goods, money, information, and expertise across national and regional boundaries.

    Thanks to breakthroughs in containerized shipping and Internet-based telecommunications, entire
    classes of jobs – from manufacturing to computer programming – have shifted to lower-cost
    environments. Tariffs on trade have fallen – notwithstanding sporadic outbreaks of protectionism – while
    the number of preferential trading blocs has mushroomed. Across the business landscape, globalization
    has:

    • Intensified competition, not just from local businesses, but also from best-in-class organizations
    around the world

    • Widened access to a global talent pool and low-cost production options
    • Expanded market size and economies of scale
    • Increased political and financial risk
    • Driven product innovation to serve the unique needs and tastes of rapidly emerging middle-class

    consumers in developing countries

    The world is also seeing other powerful new trends emerge. The environment is becoming an ever-
    greater concern, bringing increased regulation. Resources like oil and water are showing signs of real
    scarcity. Finally, the recent financial crisis has forced organizations to change many longstanding
    practices of how they manage debt and equity. In the face of all these external forces of change, some
    organizations will be able to pull far ahead of the competition while others will be left behind.

    THE ROLE OF MANAGEMENT AND LEADERSHIP IN CHANGE

    So, if transformational and often large-scale change is the new normal, who are the leaders that will guide
    us on the journey? Is this purely the domain of the CEO and perhaps a few select members of the C-
    suite? What role should Human Resources professionals play in leading change? These are questions
    we will explore throughout the course. But before we go any further, let’s consider what Kotter finds to be
    an important distinction between management and leadership.

    • Management is a set of processes that can keep a complicated system of people and technology
    running smoothly. The most important parts of management include planning, budgeting,
    organizing, staffing, controlling, and problem solving.

    • Leadership defines what the future should look like, aligns people with that vision, and inspires
    them to make it happen despite the obstacles.

    Leading Change, p. 28

    This distinction is critical in Kotter’s view, and he argues that “successful transformation is 70 to 90
    percent leadership and only 10 to 30 percent management. Yet for historical reasons, many organizations
    today don’t have much leadership. And almost everyone thinks about the problem here as one of
    managing change.”

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 6 of 8

    “The combination of cultures that resist change and managers who have not been taught
    how to create change is lethal…A powerful enough guiding coalition with sufficient
    leadership is not created by people who have been taught to think in terms of hierarchy
    and management.”

    Leading Change, p. 30

    To be clear, however, Kotter is not anti-management.

    “Managing change is important. Without competent management, the transformation
    process can get out of control. But for most organizations, the much bigger challenge is
    leading change. Only leadership can blast through the many sources of corporate
    inertia. Only leadership can motivate the actions needed to alter behavior in any
    significant way. Only leadership can get change to stick by anchoring it in the very
    culture of an organization.”

    Leading Change, p. 33

    WHY DO SO MANY MAJOR CHANGE EFFORTS FAIL?

    It sounds too simple, but the reason that so many people in organizations don’t change is that they don’t
    have to. Their leaders may talk about why change is needed, but they fall short of demanding the results
    that can only be achieved through change. It’s a leader’s job to know when an organization needs to
    change, determine the direction, and make it happen. But determining when change is needed is not
    always easy. It requires a leader who is adept at looking into the future and staying several steps ahead
    of everyone else.

    “People who have been through difficult, painful, and not very successful change efforts
    often end up drawing both pessimistic and angry conclusions. They become suspicious
    of the motives of those pushing for transformation; they worry that major change is not
    possible without carnage; they fear that the boss is a monster or that much of the
    management is incompetent. After watching dozens of efforts to enhance organizational
    performance via restructuring, reengineering, quality programs, mergers and acquisitions,
    cultural renewal, downsizing, and strategic redirection, I draw a different conclusion.
    Available evidence shows that most public and private organizations can be significantly
    improved, at an acceptable cost, but that we often make terrible mistakes when we try
    because history has simply not prepared us for transformational challenges.”

    Leading Change, p. 19

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 7 of 8

    JOHN KOTTER’S EIGHT-STAGE PROCESS FOR LEADING CHANGE

    We have selected Leading Change by John Kotter as our main text in the course. While Kotter’s is
    certainly not the only model for leading change, it has proven itself over the years. It remains one of the
    most widely-referenced sources on the topic in both academic and corporate circles.

    Kotter’s eight-stage framework is based on his research that shows major change does not happen easily
    or naturally, and that it must be supported by a series of steps that address the eight most common errors
    that occur during large-scale change initiatives. The errors are:

    1. Allowing Too Much Complacency

    2. Failing to Create a Sufficiently Powerful Guiding Coalition

    3. Underestimating the Power of Vision

    4. Undercommunicating the Vision

    5. Permitting Obstacles to Block the New Vision

    6. Failing to Create Short-Term Wins

    7. Declaring Victory Too Soon

    8. Neglecting to Anchor Changes Firmly in the Corporate Culture

    Leading Change, pp. 4-15

    As we explore change leadership and management practices in this course, we will revisit Kotter’s model
    frequently. We will also feature readings by other experts presenting research that argues Kotter’s model
    may not go far enough in some areas, or that it does not address key factors that have a significant
    impact on the success of change initiatives. You are encouraged to consider these points of alignment
    and difference carefully, and to continue your exploration and application of the practices presented in the
    course in your own career.

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 8 of 8

    SUCCEEDING BEYOND THE COURSE

    Throughout this course, we will explore principles and tools of effective change leadership. You should
    always think about how what you learn can be tested and applied in your own workplace. At the end of
    each week’s lecture notes, you will find tips on how to do this. These tips are directly connected to the key
    learning outcomes for the week. For most of the ideas, it will be helpful to apply them to a specific change
    initiative you are considering or are already engaged with. It doesn’t have to be a large-scale change. In
    fact, it may be better if it isn’t. But having a real-world scenario to work through allows you to apply what
    you are learning and evaluate the results you get.

    • Understand the need for change and change leadership in organizations

    Commit to not becoming complacent about the need for change. Be on the lookout for
    examples of organizations that wouldn’t or couldn’t change, and ended up losing market
    share or even going out of business. Research the biggest changes that have happened in
    your industry in the last decade. What drove them? Which companies came out as winners
    and which as losers? What did the winners do that allowed them to make the needed
    changes ahead of other companies? As you are researching change in your industry, take a
    look around the inside of your organization also. Who are the change leaders? What role
    has HR played in leading change? What factors led to this role?

    • Examine the reasons so many companies fail at major change efforts

    As you learn more about the forces that impede change, start looking for real-world
    examples in your organization. Have there been situations where change has been
    attempted and failed? Looking back on these, conduct a post mortem. Were key steps
    missed? What could have been done differently that may have led to more positive
    outcomes? If you can’t see an obvious problem (and you typically won’t at first), ask
    questions. See if you can find out who the change leaders were and talk with them. Let
    people know that you are taking a course on change leadership, and want to deepen your
    understanding. Be careful that you express your genuine interest in learning about the
    challenges of change and do not come across as someone looking to assign blame.

    • Explore John Kotter's eight-stage process for leading change

    Leverage the framework as a model for your examination of real-world change initiatives. You
    don’t have to buy into every element of it for it to be a good evaluation tool. Even Jack made
    adaptations to the model and developed a GE version called the Change Acceleration Process
    (CAP). What change models have been used in your organization in the past, or are currently
    being used? Research other models. Learn how they align or differ. Use Kotter’s model as a
    framework to weave other support tools and methodologies around.

    **LashondaWeek1ResponseLeadingChange.jpeg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/lashondaweek1responseleadingchange-jpeg)

    **PeacelynnWeek1ResponseLeadingChange.jpeg**

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    **Week1DiscussionLeadingChange.jpeg**

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    **## JWI556Week1LectureNotes.pdf**

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 1 of 8

    JWI 556
    Leading Change by Putting People First

    Week One Lecture Notes

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 2 of 8

    WHY IS CHANGE SO DIFFICULT?

    What It Means

    To acknowledge that change is difficult is to recognize a fundamental force of nature – inertia.
    Once something is set in motion, it will tend to continue in that direction until a strong enough
    force acts on it to change the direction. Inertia applies to people and businesses. Change is
    especially difficult when everything is going along “well enough.” We think, if there is no crisis or
    imminent threat, we carry on as if everything will stay this way forever. We get comfortable in
    our familiar ways, and won’t willingly change from them unless there is a compelling reason to
    break free from the status quo.

    Why It Matters

    • An increasingly global and competitive market will force change onto most
    organizations whether they want it or not. Those that aren’t able to change proactively
    (i.e., before they need to) will find themselves on the losing end of the battle for market
    share, and will eventually be made obsolete.

    • Leaders need to understand the forces that undermine change or they will continue to
    repeat the same mistakes.

    • Leveraging a proven change model is the best way to harness the positive forces that
    can drive change, and head off the negative forces before they can do irreparable
    damage.

    “Change takes time, change takes buy-in from lots of people
    for meaningful and lasting success.”

    Jack Welch

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 3 of 8

    INTRODUCTION

    “If the rate of change on the outside is faster than the rate of
    change on the inside, the end is near.”

    Jack Welch

    Welcome to the course.

    Over the next ten weeks, we will explore change leadership with a particular focus on the role that HR
    professionals can, and should, play in it. The lecture notes for this course are designed to draw out key
    themes that are covered each week. This is intended to both help you better focus your learning activities,
    and present additional tips and guidance on how the practices and tools we are studying can be applied
    to your job as a current or aspiring HR professional.

    Our course is organized around three broad change themes. Since HR leadership is a complex
    interconnection of forces, you can expect that many of these themes will be revisited throughout the
    course and will have multiple applications during our ten weeks together.

    1. Identifying and Managing Change in One’s Own Career

    We begin with an examination of the key principles of change leadership. We introduce the
    challenges that change leaders face, and explore the reasons so many change initiatives fail to
    deliver on their promise. As part of this, we introduce key elements of proven change models, and
    look at our own personal tendencies in approaching change.

    2. Leading Change in HR and in Teams

    Over the next three weeks, we focus on leading change in teams. While the principles of leading
    team change are fundamentally the same as those of organizational change, it is helpful to look
    at team-level change first. This will help you apply what you have been learning in your other
    courses in your HR concentration at JWMI, and it serves as a proving ground before moving on to
    bigger change projects.

    3. Leading Organizational Change

    The second half of our course is focused on BIG CHANGE. This is the sort of large-scale initiative
    that is driven by the C-suite. We look at the similarities and differences between team change and
    organizational change. We will also focus on how to tailor your approach to better match both the
    specific type of change initiative being undertaken, and the cultural forces at work in the
    organization. We will conclude the course with a review of our change journey and a look at
    what’s next.

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 4 of 8

    THE NEED FOR CHANGE AND CHANGE LEADERSHIP IN ORGANIZATIONS

    Whether you want them to or not, organizations evolve over time. Companies react to competitive
    pressures. Leaders pursue new agendas. Products progress through life cycles. Yet, people resist
    change. Managers block or ignore the inevitable. Leaders make big investments in yesterday’s products
    and services. Too many organizational cultures value, reward, and perpetuate complacency.

    Organic change occurs “naturally” as products and systems evolve over time. But organic change is
    rarely enough to ensure an organization’s ongoing success. So, when we talk about organizational
    change in this course, we mean transformational change. We’re focusing on the kind of change that a
    leader instigates and drives forward in order to better position the organization for greater relevance and
    success.

    John Kotter, one of the most respected experts on change, and whose model for change leadership will
    form the foundation of our course, characterizes our history with change as follows:

    “People of my generation or older did not grow up in an era when transformation was
    common. With less global competition and a slower-moving business environment, the
    norm back then was stability and the ruling motto was: ‘If it ain’t broke, don’t fix it.’
    Change occurred incrementally and infrequently…The challenges we now face are
    different. A globalized economy is creating both more hazards and more opportunities
    for everyone, forcing firms to make dramatic improvements not only to compete and
    prosper but also to merely survive. Globalization, in turn, is being driven by a broad and
    powerful set of forces associated with technological change, international economic
    integration, domestic market maturation within the more developed countries, and the
    collapse of worldwide communism…No one is immune to these forces. Even companies
    that sell only in small geographic regions can feel the impact of globalization.”

    Leading Change, p. 20

    TECHNOLOGY & GLOBALIZATION: THE LEADING FORCES OF CHANGE

    Over the past 30 years, the pace of change in business has increased dramatically. Of the many
    contributing factors, the most important have been breathtakingly rapid developments in technology and
    globalization. Throughout organizations of all sizes, technology has:

    • Multiplied the speed and quantity of work that can be done
    • Distributed work across traditional boundaries of function, organization, and geography
    • Restructured traditional industries like telecommunications and banking, and given rise to new

    ones
    • Facilitated the tracking and analysis of vast quantities of data, transforming everything from

    managerial decision-making to the behavior of capital markets
    • Reshaped consumer behavior – how people shop, choose among competing products, and

    entertain themselves

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 5 of 8

    During the same period, globalization has stitched together the world’s economies, removing traditional
    barriers to the flow of goods, money, information, and expertise across national and regional boundaries.

    Thanks to breakthroughs in containerized shipping and Internet-based telecommunications, entire
    classes of jobs – from manufacturing to computer programming – have shifted to lower-cost
    environments. Tariffs on trade have fallen – notwithstanding sporadic outbreaks of protectionism – while
    the number of preferential trading blocs has mushroomed. Across the business landscape, globalization
    has:

    • Intensified competition, not just from local businesses, but also from best-in-class organizations
    around the world

    • Widened access to a global talent pool and low-cost production options
    • Expanded market size and economies of scale
    • Increased political and financial risk
    • Driven product innovation to serve the unique needs and tastes of rapidly emerging middle-class

    consumers in developing countries

    The world is also seeing other powerful new trends emerge. The environment is becoming an ever-
    greater concern, bringing increased regulation. Resources like oil and water are showing signs of real
    scarcity. Finally, the recent financial crisis has forced organizations to change many longstanding
    practices of how they manage debt and equity. In the face of all these external forces of change, some
    organizations will be able to pull far ahead of the competition while others will be left behind.

    THE ROLE OF MANAGEMENT AND LEADERSHIP IN CHANGE

    So, if transformational and often large-scale change is the new normal, who are the leaders that will guide
    us on the journey? Is this purely the domain of the CEO and perhaps a few select members of the C-
    suite? What role should Human Resources professionals play in leading change? These are questions
    we will explore throughout the course. But before we go any further, let’s consider what Kotter finds to be
    an important distinction between management and leadership.

    • Management is a set of processes that can keep a complicated system of people and technology
    running smoothly. The most important parts of management include planning, budgeting,
    organizing, staffing, controlling, and problem solving.

    • Leadership defines what the future should look like, aligns people with that vision, and inspires
    them to make it happen despite the obstacles.

    Leading Change, p. 28

    This distinction is critical in Kotter’s view, and he argues that “successful transformation is 70 to 90
    percent leadership and only 10 to 30 percent management. Yet for historical reasons, many organizations
    today don’t have much leadership. And almost everyone thinks about the problem here as one of
    managing change.”

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 6 of 8

    “The combination of cultures that resist change and managers who have not been taught
    how to create change is lethal…A powerful enough guiding coalition with sufficient
    leadership is not created by people who have been taught to think in terms of hierarchy
    and management.”

    Leading Change, p. 30

    To be clear, however, Kotter is not anti-management.

    “Managing change is important. Without competent management, the transformation
    process can get out of control. But for most organizations, the much bigger challenge is
    leading change. Only leadership can blast through the many sources of corporate
    inertia. Only leadership can motivate the actions needed to alter behavior in any
    significant way. Only leadership can get change to stick by anchoring it in the very
    culture of an organization.”

    Leading Change, p. 33

    WHY DO SO MANY MAJOR CHANGE EFFORTS FAIL?

    It sounds too simple, but the reason that so many people in organizations don’t change is that they don’t
    have to. Their leaders may talk about why change is needed, but they fall short of demanding the results
    that can only be achieved through change. It’s a leader’s job to know when an organization needs to
    change, determine the direction, and make it happen. But determining when change is needed is not
    always easy. It requires a leader who is adept at looking into the future and staying several steps ahead
    of everyone else.

    “People who have been through difficult, painful, and not very successful change efforts
    often end up drawing both pessimistic and angry conclusions. They become suspicious
    of the motives of those pushing for transformation; they worry that major change is not
    possible without carnage; they fear that the boss is a monster or that much of the
    management is incompetent. After watching dozens of efforts to enhance organizational
    performance via restructuring, reengineering, quality programs, mergers and acquisitions,
    cultural renewal, downsizing, and strategic redirection, I draw a different conclusion.
    Available evidence shows that most public and private organizations can be significantly
    improved, at an acceptable cost, but that we often make terrible mistakes when we try
    because history has simply not prepared us for transformational challenges.”

    Leading Change, p. 19

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 7 of 8

    JOHN KOTTER’S EIGHT-STAGE PROCESS FOR LEADING CHANGE

    We have selected Leading Change by John Kotter as our main text in the course. While Kotter’s is
    certainly not the only model for leading change, it has proven itself over the years. It remains one of the
    most widely-referenced sources on the topic in both academic and corporate circles.

    Kotter’s eight-stage framework is based on his research that shows major change does not happen easily
    or naturally, and that it must be supported by a series of steps that address the eight most common errors
    that occur during large-scale change initiatives. The errors are:

    1. Allowing Too Much Complacency

    2. Failing to Create a Sufficiently Powerful Guiding Coalition

    3. Underestimating the Power of Vision

    4. Undercommunicating the Vision

    5. Permitting Obstacles to Block the New Vision

    6. Failing to Create Short-Term Wins

    7. Declaring Victory Too Soon

    8. Neglecting to Anchor Changes Firmly in the Corporate Culture

    Leading Change, pp. 4-15

    As we explore change leadership and management practices in this course, we will revisit Kotter’s model
    frequently. We will also feature readings by other experts presenting research that argues Kotter’s model
    may not go far enough in some areas, or that it does not address key factors that have a significant
    impact on the success of change initiatives. You are encouraged to consider these points of alignment
    and difference carefully, and to continue your exploration and application of the practices presented in the
    course in your own career.

    © Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary information and may not
    be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed written permission of Strayer University.

    JWI 556 (1196) Page 8 of 8

    SUCCEEDING BEYOND THE COURSE

    Throughout this course, we will explore principles and tools of effective change leadership. You should
    always think about how what you learn can be tested and applied in your own workplace. At the end of
    each week’s lecture notes, you will find tips on how to do this. These tips are directly connected to the key
    learning outcomes for the week. For most of the ideas, it will be helpful to apply them to a specific change
    initiative you are considering or are already engaged with. It doesn’t have to be a large-scale change. In
    fact, it may be better if it isn’t. But having a real-world scenario to work through allows you to apply what
    you are learning and evaluate the results you get.

    • Understand the need for change and change leadership in organizations

    Commit to not becoming complacent about the need for change. Be on the lookout for
    examples of organizations that wouldn’t or couldn’t change, and ended up losing market
    share or even going out of business. Research the biggest changes that have happened in
    your industry in the last decade. What drove them? Which companies came out as winners
    and which as losers? What did the winners do that allowed them to make the needed
    changes ahead of other companies? As you are researching change in your industry, take a
    look around the inside of your organization also. Who are the change leaders? What role
    has HR played in leading change? What factors led to this role?

    • Examine the reasons so many companies fail at major change efforts

    As you learn more about the forces that impede change, start looking for real-world
    examples in your organization. Have there been situations where change has been
    attempted and failed? Looking back on these, conduct a post mortem. Were key steps
    missed? What could have been done differently that may have led to more positive
    outcomes? If you can’t see an obvious problem (and you typically won’t at first), ask
    questions. See if you can find out who the change leaders were and talk with them. Let
    people know that you are taking a course on change leadership, and want to deepen your
    understanding. Be careful that you express your genuine interest in learning about the
    challenges of change and do not come across as someone looking to assign blame.

    • Explore John Kotter's eight-stage process for leading change

    Leverage the framework as a model for your examination of real-world change initiatives. You
    don’t have to buy into every element of it for it to be a good evaluation tool. Even Jack made
    adaptations to the model and developed a GE version called the Change Acceleration Process
    (CAP). What change models have been used in your organization in the past, or are currently
    being used? Research other models. Learn how they align or differ. Use Kotter’s model as a
    framework to weave other support tools and methodologies around.

    **LashondaWeek1ResponseLeadingChange.jpeg**

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    **PeacelynnWeek1ResponseLeadingChange.jpeg**

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    **Week1DiscussionLeadingChange.jpeg**

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  • [Solved] Discussion

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    There are two assignments the discussion question is due back by tomorrow and the other is due Sunday. Please look at the directons and no Plagiarism. \ DiscussionPaper.docx](https://www.sweetstudy.com/files/discussionpaper-docx-10345915 "DiscussionPaper.docx")

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    There are two assignments the discussion question is due back by tomorrow and the other is due Sunday. Please look at the directons and no  Plagiarism.
    \
    DiscussionPaper.docx](https://www.sweetstudy.com/files/discussionpaper-docx-10345915 "DiscussionPaper.docx")

  • [Solved] Health Promotion Discussion Week 2 Reply to Peer 1

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    **Health Promotion and Advocacy: The Critical Role of Community Engagement** **Introduction** Health promotion is defined as the process of enabling individuals and communities to increase control over their health and its determinants, thereby improving their overall well-being (World Health Organi…

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    **Health Promotion and Advocacy: The Critical Role of Community Engagement**
    **Introduction**
    Health promotion is defined as the process of enabling individuals and communities to increase control over their health and its determinants, thereby improving their overall well-being (World Health Organization [WHO], 2022). It encompasses strategies aimed at preventing disease, improving health literacy, and reducing health disparities. Advocacy in health promotion refers to the active support and pursuit of policies, practices, and programs that advance public health goals. It serves as a powerful tool to influence systemic changes, shape policy decisions, and empower communities to address social determinants of health (Kumar & Preetha, 2022).
    **1. Importance of Advocacy in Health Promotion**
    **Theoretical Framework:**
    The Social Ecological Model (SEM) is instrumental in health promotion advocacy. It emphasizes that health behaviors are influenced by factors across multiple levels—individual, interpersonal, organizational, community, and policy (McLeroy et al., 1988). Advocacy aligns with SEM by targeting broader social and policy levels, thereby creating environments that support healthy behaviors.
    **Rationale for Inclusion:**
    Advocacy is essential in health promotion for several reasons:
    – **Policy Influence:** Advocates can push for laws and regulations that promote equitable access to healthcare and preventive services.
    – **Health Equity:** Advocacy helps address systemic barriers contributing to health disparities, especially in marginalized communities.
    – **Community Empowerment:** Engaging local voices fosters ownership and sustainability of health initiatives.
    **2. Advocacy Efforts**
    **Personal Involvement:**
    As a nurse, I participated in a mental health awareness initiative at a local community center. I helped organize workshops and support groups, providing education on anxiety, depression, and substance use. Our efforts led to increased participation in mental health screenings and reduced stigma among attendees.
    **Community Awareness:**
    In my community, the “Healthy Kids, Healthy Future” campaign is a notable example. Led by the local health department and school district, it focuses on reducing childhood obesity through nutrition education, school gardens, and physical activity programs. Strategies include family engagement nights, social media campaigns, and collaborations with local farms. Preliminary data from the health department shows a 12% increase in fruit and vegetable consumption among participating families over the past year.
    **3. Critical Analysis**
    **Effectiveness of Advocacy:**
    Literature shows advocacy efforts can significantly impact public health. For example, tobacco control advocacy led to the implementation of smoke-free laws and taxation, contributing to a decline in smoking rates (CDC, 2020). Community-based participatory approaches are particularly effective in building trust and fostering sustainable change.
    **Barriers and Challenges:**
    Common barriers include limited funding, political resistance, and lack of community engagement. These can be mitigated by building cross-sector partnerships, securing diverse funding sources, and involving community leaders in program planning and implementation.
    **4. Future Directions**
    **Innovative Approaches:**
    Digital platforms, including mobile apps and virtual campaigns, can expand the reach of health promotion messages. Collaborative efforts with influencers and local media can further enhance visibility and impact.
    **Role of Advanced Practice Nurses:**
    Advanced practice nurses (APNs) are in a prime position to advocate for public health. They can participate in policy development, conduct community needs assessments, and lead initiatives addressing social determinants of health. Their clinical expertise, combined with leadership skills, enables them to be effective change agents in diverse settings.
    **References**
    Centers for Disease Control and Prevention. (2020). _Best practices for comprehensive tobacco control programs—2014_. [https://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm](https://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm)
    Kumar, S., & Preetha, G. S. (2022). Health promotion: An effective tool for global health. _Indian Journal of Community Medicine_, _47_(2), 253–256. [https://doi.org/10.4103/ijcm.IJCM_14_22](https://ultra.content.blackboardcdn.com/ultra/uiv3900.121.0-rel.15_ef3950f#)
    McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. _Health Education Quarterly_, _15_(4), 351–377. [https://doi.org/10.1177/109019818801500401](https://ultra.content.blackboardcdn.com/ultra/uiv3900.121.0-rel.15_ef3950f#)
    World Health Organization. (2022). _Health promotion_. [https://www.who.int/health-topics/health-promotion](https://www.who.int/health-topics/health-promotion)

  • [Solved] 6202-7dr

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  • [Solved] Catherine Owens

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  • [Solved] Risk assessment

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    When performing an evaluation to determine the performance or health of a company, it is important to identify and evaluate any current or potential risks the company might face. In this assignment, you will perform a risk assessment for TransGlobal Airlines to better understand its business environ…

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    When performing an evaluation to determine the performance or health of a company, it is important to identify and evaluate any current or potential risks the company might face.
    In this assignment, you will perform a risk assessment for TransGlobal Airlines to better understand its business environment.
    ## Prompt
    Perform a risk assessment for TransGlobal Airlines and write a report describing the results.
    Specifically, you must address the following rubric criteria:
    – **Identification**: Identify two risks the company is facing, including at least one high-impact risk.
    – Identify the balanced scorecard component each risk corresponds to.
    – Classify the risk based on these two types:
    – Operational
    – Strategic
    – **Evaluation**: Determine whether the probability and impact of each identified risk is low, medium, or high. Justify your evaluation of the impact and probability of each risk.
    – **Mitigation**: Recommend a possible risk-prevention or mitigation strategy for each identified risk.
    ## What to Submit
    Submit a 1 page Word document using double spacing, 12-point Times New Roman font, and one-inch margins. Sources should be cited according to APA style. Consult the [Shapiro Library APA Style Guide](http://libguides.snhu.edu/apa) for more information on citations.