Lewin’s Force Field Analysis.

Lewin’s Force Field Analysis.

Components and steps of Lewin’s Force Field Analysis:

Kurt Lewin was social psychologist that practiced in the 1930’s and 1940’s.  When we hear about three changes: unfreezing- change – refreezing.  Kurt Lewin suggests that there are influences that affect change.  Lewin’s change in general means that an individual or organizations to see that they need a change and want to make a change that will work and stay implemented. 

Lewin’s three-step model of change theory:

     #1 Unfreezing this where we acknowledge there is a challenging issue.  We know that we want to make a change.

     #2 Changing: This is the stage that we plan for the change.  This is where we bring the stakeholders for training and education of how the change with affect and benefit the organization.  This phase is also where we do education to the frontline staff and implement the new plan.

     #3 Refreezing: In this phase we have already implemented the change.  The entire organization or group is onboard.  This phase is especially important because this is where we monitor how we are doing with change.  We have created performance indicators and they are continuously monitored.   

Does the model or theory contain a component for appraising the evidence?

After review of the theory, I do not feel that there is any evidence of a component for appraising the evidence.  There is no evidence of what needs to be done to in between the phases.

Does the model or theory contain a component for networking with the stakeholders during all phases of practice change?

For Lewin’s theory the stakeholders fall into each phase.  When there is an issue that this identified for change, the stakeholders are aware and need to be onboard and support the need for change.  When we move onto the next phase of change the stakeholders are involved the most in this phase.  The stakeholders informed of the benefits of the change and give input of the changes.  In the final stage the stakeholders can review the performance indicators and are able to help reinforce education and compliance in the refreezing change.

 Does the model contain components for identifying barriers and addressing barriers to implementation?

I do not feel that there are specific components that identify barriers and barriers to implementation.  If you look at the whole theory, you can see #1 We identify the problem. #2 Create the plan and implement it.  #3 Monitor the plan and keep it going.  We can see the “general” plan.  I do not feel that this gives us the specifics of how to dissolve the process and create a new process.  We need to have the specifics of how to get the buy in from the stakeholders and the frontline staff.  How do we gather the information for the buy in of everyone involved?  I also feel that there is a time frame issue with this process.  We are not educated on how long or in general should each phase take.  How ling does it take to get all people “onboard”?

As a scholar, it is easier for me to know how to proceed with the process.  I know that as nursing scholars we have many references to obtain information.

References

Burnes, B. (2020). The origins of Lewin’s three-step model of change. The Journal of Applied Behavioral Science56(1), 32-59.

Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge3(3), 123-127.

Wojciechowski, E., Murphy, P., Pearsall, T., & French, E., (2016) “A Case Review: Integrating Lewin’s Theory with Lean’s System Approach for Change” OJIN: The Online Journal of Issues in Nursing. 21(2); 4.

Zimbardo, P. G. (2016). Carrying on Kurt Lewin’s legacy in many current domains Lewin award 2015. Journal of Social Issues72(4), 828-838.

APA Formate ( include DOI number for all journal articles )

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Discussion #2

 

Read the following article carefully: https://www.medicare. gov/yourmedicarecosts/get-helppayingcosts/medicaid

Reflect on Medicare or Medicaid and discuss which has a greater impact in the state where you plan to practice?

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Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide a citation for your answers.

 CASE STUDY: Family Member with Alzheimer’s Disease: Mark and Jacqueline Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter Jackie when Jacqueline is in the room. Jacqueline reassures her mother that she is there to help, but to no avail. Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark, because of his wife’s inability to focus on anything except her mother’s care. Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to the daily care. 

Reflective Questions

 1. How do you think this situation reflects Jacqueline’s sense of role performance? 

2. How do you think that Jacqueline may be contributing to her own health? 

 Required Instructional Resources and Materials 

Edelman, Kudza (2018). Health Promotion throughout the Life Span. (9 th Ed.). Elsevier ISBN: 978-0- 323-41673-3. 

Recommended Resources

 Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2021). Primary Care: Interprofesisonal Collaborative Practice, (6th ed.). Elsevier ISBN: 978-0-323-57015-2. 

Publication Manual of the American Psychological Association (6th Ed.). (2010). Washington, DC: American Psychological Association. 

Reinisch, C. (2016). Family Nurse Practitioner Review and Resource Manual Volume 1. 5 th Ed. SBN: 978-1-935-21390-1

 Reinisch, C. (2016). Family Nurse Practitioner Review and Resource Manual Volume 2. 5 th Ed. ISBN: 978-1-935-2194-9

 U.S. Department of Health and Human Services, Public Health Service. (2010) Healthy People 2020: National health promotion and disease prevention objectives. Washington, D.C.: http://www.healthypeople.gov/2020/default.aspx 

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concept map of an ethical decision and consequences

1.Create a concept map of an ethical decision and consequences using the free website https://bubbl.us/ Place the dilemma in the middle “bubble” and one extension “bubble” for each possible outcome (at least 2). From each outcome bubble, map the effects of the decision. 

Example map: https://bubbl.us/NDIzNjQ4My84Mjk0MjA3LzYzNDJkNWVjYjkwMDExNDUwMTM1YzNjZjQ0MzQzYTgy-X?utm_source=shared-link&utm_medium=link&s=8294207

The example is also attached in the event that the link doesn’t open.

2. What role does Cultural diversity play in Patient Safety?

Requirements for this post:

Word count: 300 minimum – 500 maximum

APA format, plagiarism-free. PLEASE DO NOT HAVE IT TURNITIN.

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Discussion w13 650

  

Instructions for Discussion Replies to 6 DQS

DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.

1- Each reply should be at least 200 words.

2- Minimum One Peer reviewed/scholarly reference ( NO MAYO CLINIC/ AHA)

3- APA 7th edition style needs to be followed.

4- Each response should have reference at the end of each reply

5- Reference should be within last 4 years

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Research paper 1

 

Please, below you will find all information regarding Research paper #1. A case study with questions that will guide your paper as well as general directions, grading criteria & grading rubric.

I attached the case study with the questions and instructions/rubric for the research paper.  

  

Maria is 15 years old and 74 pounds overweight. Her father is an uber driver who was recently diagnosed with type 2 diabetes and cardiovascular disease. Her mother works for a cleaning company. She is overweight with lipid disorder (high blood levels of low-density lipoprotein (LDL) cholesterol and triglycerides). She is taking two antihypertensive medications at present time. At a recent health science fair at Maria’s school, a student-led screening clinic documented Maria’s blood pressure at 141/92 mm Hg. The family immigrated from Nicaragua 3 years ago and they do not have health insurance. 

During health science fair, the following data was recorded: 56% of the students with BMI 25.0 to <30 and 18% of the students with BMI 30.0 or higher.

Consider yourself a community health nurse. 

1. Is obesity a major health issue in the United States? 

2. According to the National Health and Nutrition Examination Survey (NCHS, CDC; BRFSS, 2012), how is obesity defined?

3. What is your role as a community nurse? 

4. What risk factors should be explored for Maria’s family for cardiovascular disease? Mention social determinants of health in this case. Incorporate the concepts of health promotion and risk reduction. 

5. Would you apply any of the behavioral change models to address health promotion and risk reduction in this case (theoretical frameworks of behavioral change / models discussed on Chapter 5 of textbook). Describe your selection. 

6. Public health nurses use statistics to demonstrate the need for obesity program development and community interventions. According to the most recent CDC data: What data were identified about obesity in children and adults? 

7. Is there a necessity of planning a community nursing intervention? How will you do that? Will you work alone or in collaboration / teamwork? Will you look for funding? How? 

8. If you decide to do a community intervention. How would you evaluate the community-level intervention(s)? 

9. Will you use social marketing to change health behaviors or beliefs, social or cultural norms, or community standards to improve health or benefit society. Which resources will you use?

10. Mention research studies that support any of the above (1 through 9) (mention at least 3 research studies in the paper).

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Research paper 1

I attached a screenshot of the rubric!

Select a nurse theorist and write a paper describing the background of the theorist, the theory, and its application to nursing practice. The paper should address the following:

1. Describe the background of the nurse theorist and the various social and professional issues that influenced the development of the theory.

2. Identify the major concepts and relational statement of the nursing theory. Concepts common to most nursing theories include: Person, health, nursing, and environment.

3. Describe the assumptions made by the nurse theorist. To what extent are these assumptions compatible with your personal philosophy of nursing?

4. Apply the theory to a clinical situation and describe how its use will improve nursing care or influence the way care is given.

The paper must be typed in APA format with a minimum of 1000 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. Follow the APA example paper under the folder APA tools. Make sure references are used according to APA guidelines and electronic references must be from reliable sources such as CDC.

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ANPW5D1

 Select a chronic disease process from the endocrine system and apply complementary and alternative medicine (CAM) to the disease. Evaluate the safety and effectiveness of the intervention. Indicate any contraindications with the intervention and potential positive and negative effects on any disease processes. 

DIABETES IS THE TOPIC

Minimum of 300 words with at least 2 peer review reference in 7th edition apa style

PLEASE ANSWERE QUESTION WITH SUB HEADING  TO EACH COMPONENT OF THE QUESTION ASKED.

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ANPW5D2

 Identify one complementary and one traditional medication that cannot be prescribed together related to endocrine system functionality. What are the effects of the interactions of these medications? 

Minimum of 300 words with at least 2 peer review reference in 7th edition apa style.

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Properties of Fats and Oils

 Cover some of these subjects: Somebody says that fats make you “fat?” Are they correct? What is the difference between fats and oils from the viewpoint of nutrition? Account for the fact that some oils are called saturated oils. What are some of the factors that determine where a lipid is a fat or an oil at room temperature? What is a fatty acid? Describe saturated fats or fatty acids. Explain how the body makes cholesterol from saturated fats. Describe trans fats. What are some of the reasons why you should limit the amount of saturated fat or trans fat in your diet?  Name some of the foods which contain natural saturated fat. Are their any natural vegetable products that inherently contain saturated fats? Are there any natural foods that are inherently high in trans fats?  Many food products have a very high saturated fat content or trans fat that is introduced during food processing. Describe the food processing that converts an oil, margarine or peanut butter into a product that has a high saturated fat content. Provide 3 full APA citations that are evidence-based. 

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