Managing change in practice 9.1 – Jo North: Start with the end in mind

In the video, Jo North talks about the practice and management change with the integration of innovation in business. The sense making in the business gets reflected with the management ensuring that the people working in the organization have the clear vision and begin with the end of their minds to think and imagine what and how the changed and developed scenario of the business would look like. The employees in the organization would start to have a vision regarding the benefits of the integrated change which would help them in getting a very clear picture of the future goals of the company towards which they can work. The management can assist in giving sense to the employees regarding the changes in the company by explaining them regarding the advantages of the proposed change. This is essential as not every employee has the same scope and perception regarding changes which can only be inculcated by providing them with the vision and aligning them with the new way of requirements of the external environments and the new visions of the company. Assessment of the change curve and making efforts to keep the curve short would be convenient for the company as it would denote the enabling the removal or obstacles and creation of condition which would empower the employees in accepting and implementing changes in the company. Support by the employees and the management in both ways by especially the leadership teams by being clear what the requirements of changes are along with having empathy and appreciation to the employees for understanding and integrating changes. Maintaining the momentum of change and the sustainability of the change requires the embedding of the change process by preventing strategic drift by which would happen if the internal business system fails to maintain a resonance with the changing external environment and requirement.

video:

2. What is the current state of planning in your organization? How can it be improved?

It takes a good leader to develop a change plan. “Developing a change plan involves thinking through what needs to happen if a change target is to be moved towards a desired end state” (Hayes, 2014). The Supervisors in my organization are always willing to dedicate time to the planning process, they do not ever fight the change. The current state of planning in my organization is, in my opinion, successful. Instead of leaders/management spending time reacting to unexpected changes they are always anticipating and preparing for them. This is a very successful strategy for our organization because of the constant changes in healthcare. The plan for successful change should be reflected by the mission statement, general objectives, and strategies (Neilson et al., 2008). I do think improvement is needed is the distribution of leadership. It always seems, some of the leaders, feel they can do it all on their own instead of delegating for help. In these types of situations things do not go as planned because it becomes to much. It is important that leadership be multiplied and shared in order for change to be successful (Hayes, 2014). The management needs to have a clear idea of their responsibilities and roles for their to be any type of success in organizational change. When management starts making decisions that are out of their responsibilities this is when a plan can become unsuccessful. My organization specifically will implement a change among a few of the leadership for a couple months to get the kinks worked out while at the same time preparing the employees to be aware that a change is coming. The implementation of the change is always well organized and done with training and hands on experience. It amazes me sometimes how well the organization I work for now can be so responsive to organizational change.

References:

Hayes, J. (2014). The theory and practice of change management. New York, NY: Palgrave

Neilson, G., Martin, K., and Powers, E. (2008). The secrets to successful strategy execution. Retrieved from https://hbr.org/2008/06/the-secrets-to-successful-…

 

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Assignment 1

Book: Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Format: Episodic/Focused SOAP Note format (sample attached)

Nausea and Vomiting

A 20-year-old female complains of nausea and has vomited three times over the past 48 hours. The patient also experienced a low-grade fever this morning. She states that she recently ate shellfish at a new restaurant with two friends who are suffering from similar symptoms.

Post a description of the health history you would need to collect from the patient in the case study. Explain which physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

Assignment 2

Book:Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

Video: Laureate Education, Inc. (Executive Producer). (2012). Pharmacology for the gastrointestinal system. Baltimore, MD: Author.

This media presentation outlines drug treatment options for disorders of the gastrointestinal system.

Note: The approximate length of this media piece is 2 minutes.

Format: fully detail discussion paper

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

• Synthroid 100 mcg daily
• Nifedipine 30 mg daily
• Prednisone 10 mg daily
• Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
• Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors such as pregnancy, drugs, or a psychological disorder.
• Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

With these thoughts in mind:Post an explanation of your diagnosis for the patient including your rationale for the diagnosis. Then, describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Assignment 3

Book same as assignment 2

To prepare:

• Review Chapter 49 of the Arcangelo and Peterson text, as well as the Krummenacher et al. and Scourfield articles in the Learning Resources.
• Reflect on whether or not the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options for HIV/AIDS.
• Consider how health care professionals can help to change perceptions and make people more aware of the realities of the disease.
• Think about strategies to educate HIV positive patients on medication adherence, as well as safe practices to reduce the risk of infecting others.

With these thoughts in mind:

By Day 3

Post an explanation of whether or not you think the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options.Then, explain how health care professionals can help to change perceptions and increase awareness of the realities of the disease. Finally, describe strategies to educate HIV positive patients on medication adherence, as well as safe practices to reduce the risk of infecting others.

 

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