Name
Capella University
NURS-FPX6218
Instructor’s Name
October, 2024
Planning for Community and Organizational Change
Health care is one basic need among the human rights that many communities across the world including the Jordan community cannot attain. Francis Health Center is the main healthcare facility in the area and again, people in this city find it very challenging to access these healthcare services due to cost and accessibility (Duhoux et al., 2023). Telehealth technology offers a realistic solution to such complications since it delivers healthcare services from a distance and liaises with other practitioners to improve the quality of care. Therefore, community executives should purchase this telemedicine technology to enhance equal healthcare for all Jordanians (Wymer & Stucky, 2023). The time has come for immediate action to ensure everyone in the Jordan community can obtain the necessary quality and important health care necessary for the community.
Benefits and Implications of Changes
In adopting the health facility, below are the benefits that would accrue to the Francis Health Center and other members of the society/ clientele base. First, it will centralize telehealth which will help Jordanians to access healthcare services more easily due to consultations with various healthcare workers (Bennett et al., 2023). This will in a big way uplift the barriers to accessing health facilities among others being distance, transport, and time. The patients can now get the required care and treatment without having to go long distances hence the load on the Francis Health Center is well checked.
The type of care is one of the greatest needs in a community and health care services for all citizens is a human right but poor economic status is a hindrance to access to health care in Jordan where about 14.2% of the population rate is poor (Rantz et al., 2021). It is possible to solve this problem and obtain effective health care services, without reference to the economic status of an individual or country, with the aid of telehealth technology. Through telemedicine, the cost of meetings is usually a little cheaper than those involved in face-to-face meetings and this means cost barriers to care are minimized.
The rationale for this proposed change is to provide quality health care to Jordanians, control the cost of health, and patients’ satisfaction (Hewlett et al., 2020). These goals are backed up by research on the US healthcare system, where telehealth increases health outcomes, decreases hospital readmission rates, and decreases overall health costs. Thus, through telehealth, Francis Healthcare facility can enhance the health status of Jordanian people, and make the usage of health care services more reasonable.
Potential Barriers
There may be several challenges that might necessitate when telehealth is introduced at the Francis Health Center in Jordan, Minnesota these include; society tends to avoid change as it is generally uncomfortable, dangerous, or regarded as unwanted (Torrens et al., 2020). At Francis Health Center, the various stakeholders such as the staff and the patients may resist the change since they previously enjoyed the old system and find that the use of telehealth serves to be inconsistent with their natural behavior since they will perceive it to be inhuman to use or uncomfortable.
The literature has identified some practical ways of overcoming resistance to change, including communication, leadership, and organizational culture (Schirle et al., 2020). Leaders also need to ensure they champion and support the use of telehealth and explain how effective use of this technology matches the organizational goals and values. Other ways are constantly monitoring the staff members and giving them feedback can go a long way in reducing their resistance to the new system (Al-Kalaldeh et al., 2020). The idea of establishing a proper implementation plan is to show that we have thought about possible obstacles to change and can offer proof that telehealth can be valuable at Francis Health Center.
Strategies for Changing Barriers into Opportunities
For the above-mentioned barriers to be changed to opportunity the following strategies can be adopted: Publicizing the benefits of using telehealth, training the staff and patients, approaching insurance companies, government and corporate organizations for funding, venturing into partnership with local firms (Peyrovi et al., 2023). Such measures can contribute to enhancing telehealth acceptance, enhancing access to technology, and minimizing costs.
If any disagreements pop up during implementation it may be possible to approach the issue by first devising a communication strategy then engaging all parties involved to weigh in on the issue and finally, seeking the services of a neutral third party such as a mediator (Fields et al., 2024). This can assist in preventing or at least reduce the chances of conclusion unfair in the battle and all the factions are fully satisfied. Moreover, learning how to reduce the number of adverse outcomes avoids conflict situations of interpersonal and legal nature by developing and maintaining an organizational culture that fosters staff, patients, and other stakeholders’ freedom to voice the problems or conflicts they experience.
Strategies for Organizational Stakeholders
With the current generation being characterized by fast-developing technology, telehealth has wanted the market as an effective solution to deliver cost and quality healthcare services to the population (McClain et al., 2020). For telehealth proponents, it is crucial to illustrate how telehealth works, and the advantages it brings, including those like convenience, high quality of care, lower costs, and high patient satisfaction, to support the organizational stakeholders, for example, the hospital managers, doctors and nurses, patients, and the general public. It will help them appreciate the proposed change.
The specific telehealth change that is proposed will be massive in terms of change in staffing, in terms of implementation of new technology, and in terms of reformulating existing policies and procedures (Bogner et al., 2021). Hence, the decision-makers would require more detailed information on the cost benefits, training needed, and other related risks that the change proposal may create. Erasing this disconnection, decision-makers are informed and involved in the change process, thus ensuring that every implemental step of telehealth in the Francis Health Center will be effective.
Grant Proposal and Associated Budget
The idea described in the appendix is an application for financing for the introduction of telehealth technology at the Francis Health Center, the only healthcare facility located in the Jordan community of Minnesota, USA (Simkhada et al., 2023). The proposal also addresses an increased use of telehealth in Jordan and its impact on increased access to health care and a decrease in some barriers Such as traveling time. The proposal also looks at probabilities of the emergence of certain issues and ways by which these challenges can be prevented (Jones et al., 2021). The expenditures for telehealth equipment and software, staff training, and marketing and outreach are also captured in this proposed budget. It is an oriented paper and works with hypothetical numbers for the program, and it is important to be adaptive according to the changes in funding.
NURS FPX 6218 Assessment 3 Conclusion
The proposed change of offering telehealth services at Francis Health Center in Jordan, Minnesota can work for the advantage of the community by providing convenient healthcare services, enhanced efficiency and effectiveness, and cost control. The action plan containing the suggested strategies to overcome barriers and conflicts to change as well as the grant proposal with the detailed budget plan that has been developed in this paper can go a long way in ensuring that the change initiative is brought to fruition (Myers, 2020). Decision-makers need to assess and comprehend the likely effects that the change will have on the organization and the community, and then make appropriate decisions based on real information and data. This change’s proposal appears as a tenuous vantage to build up the quality of health care in Jordan, Minnesota.
NURS FPX 6218 Assessment 3 References
Al-Kalaldeh, M., Amro, N., Qtait, M., & Alwawi, A. (2020). Barriers to effective nurse-patient communication in the emergency department. Emergency Nurse: The Journal of the RCN Accident and Emergency Nursing Association, 28(3), 29–35. https://doi.org/10.7748/en.2020.e1969
Bogner, M. P., Ivanitskaya, L. V., Jeong, Y. R., & DeLellis, N. O. (2021). Nursing staff member experiences with household model implementation in a nursing home setting. Geriatric Nursing (New York), 42(3), 748–755. https://doi.org/10.1016/j.gerinurse.2021.03.018
Bennett, C., Davis, I. D., & Hamid, A. A. (2020). Nursing implications of recent changes in management practices for metastatic prostate cancer. Seminars in Oncology Nursing, 36(4), 151047. https://doi.org/10.1016/j.soncn.2020.151047
Duhoux, A., Rioux-Dubois, A., Poitras, M. E., Lazarovici, M., Gabet, M., & Dufour, E. (2023). Clinical and organizational nursing innovations in primary care: Findings from a stakeholders’ symposium. The Journal of Nursing Administration, 53(12), 654–660. https://doi.org/10.1097/NNA.0000000000001362
Fields, L., Dean, B. A., Perkiss, S., & Moroney, T. (2024). Nursing action towards the sustainable development goals: Barriers and opportunities. Nurse Education Today, 134, 106102. https://doi.org/10.1016/j.nedt.2024.106102
Hewlett, P. O., Santolla, J., & Persaud, S. D. (2020). Investing in nursing’s future. The American Journal of Nursing, 120(8), 58–63. https://doi.org/10.1097/01.NAJ.0000694592.98888.10
Jones, K., Burnett, G., Sztuba, L., & Hannon, R. (2021). Academic practice partnerships: A review of a statewide population health nursing leadership initiative. Public Health Nursing (Boston, Mass.), 38(1), 64–76. https://doi.org/10.1111/phn.12833
McClain, A. R., Palokas, M., Christian, R., & Arnold, A. (2022). Retention strategies and barriers for millennial nurses: A scoping review. JBI Evidence Synthesis, 20(1), 121–157. https://doi.org/10.11124/JBIES-20-00577
Myers C. R. (2020). Promoting population health: nurse advocacy, policy making, and use of media. The Nursing Clinics of North America, 55(1), 11–20. https://doi.org/10.1016/j.cnur.2019.11.001
Peyrovi, H., Seyedfatemi, N., Goharinezhad, S., & Oghli, S. H. (2023). Barriers to the development of community-based nursing in Iran. Frontiers in Public Health, 11, 1251043. https://doi.org/10.3389/fpubh.2023.1251043
Simkhada, B., van Teijlingen, E., Pandey, A., Sharma, C. K., Simkhada, P., & Singh, D. R. (2023). Stakeholders’ perceptions of continuing professional development among Nepalese nurses: A focus group study. Nursing Open, 10(5), 3336–3346. https://doi.org/10.1002/nop2.1586
Schirle, L., Norful, A. A., Rudner, N., & Poghosyan, L. (2020). Organizational facilitators and barriers to optimal APRN practice: An integrative review. Health Care Management Review, 45(4), 311–320. https://doi.org/10.1097/HMR.0000000000000229
Rantz, M., Vogelsmeier, A., Popejoy, L., Canada, K., Galambos, C., Crecelius, C., & Alexander, G. L. (2021). Financial and work-flow benefits of reducing avoidable hospitalizations of nursing home residents. The Journal of Nutrition, Health & Aging, 25(8), 971–978. https://doi.org/10.1007/s12603-021-1650-2
Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M., Bottone, H., Polson, R., & Maxwell, M. (2020). Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies, 104, 103443. https://doi.org/10.1016/j.ijnurstu.2019.103443
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Appendix A: Grant Proposal
Need Statement
Healthcare becomes a problem in Jordan, Minnesota because there are few healthcare facilities. Francis Health Center is the main clinical center focused on the healthcare of community members. However, the current system has various drawbacks that deny people an opportunity to access health care services since it lacks enough human resources, admits few patients in one sitting, and operates under restricted time. Thus, the a need to launch telehealth services in Francis Health Center by recreating it to become more than a hospital but also a center for better health among the people.
Program Description
This will entail acquiring and setting up gadgets that will facilitate telehealth care such as cameras, microphones, and monitors in IH’s Francis Health Center. Moreover, the program will work with the medical personnel to equip how the equipment is used in the medical center, and also, the program will include telehealth services for patients. The types of telehealth services to be offered will include consultation, remote monitoring as well as prescription refill services. The program will also develop a telehealth direct access hotline, under which patients will be attended promptly.
Goals and Objectives
The target aims to improve care delivery to Jordan, Minnesota, and the community by providing telehealth services in the Francis Health Center. The objectives of the program are:
- Francis Health Center aims to increase by thirty percent the number of patients it serves in the first year of implementing FHC.
- To decrease the success rate of patient waiting by fifty percent within the first six months of the plan.
- Patient satisfaction rates are to be increased by 20% within the first year of applying the given solutions.
- The primary goal is to raise the number of patients that are attended to by providing preventative care by a quarter within one year of its practice.
Program Evaluation
Patient awareness about the program, assessment by staff members, and a comparison of the general physical well-being of patients before and after the program will be used to gauge the performance of the program. However, concerning efficiency, the program will include the number of patients the program has attended to, the average waiting time, and the number of preventive measures offered. The evaluation data will be employed to use this information to make modifications and improvements to the program.
Budget
The budget that has been suggested for starting telehealth at Francis Health Center is $195,000. The budget is broken down as follows:
Equipment and Technology
Purchase and installation of telehealth equipment: $100,000
Upgrading of internet infrastructure: $50,000
Staff Training
Training for clinical staff: $25,000
Marketing and outreach campaign: $20,000
Summary
Telehealth service to be introduced at Francis Health Center in Jordan, Minnesota, is a great first step in increasing access to healthcare services. This proposed program would seek to enhance patient’s access to healthcare delivery systems, ensure that they avoid long waits for their turn, enhance the percentage rate of patient satisfaction, and ensure that many patients receive their prevention health checkups.
