What are your aims of this change? What kind of change is expected? Set the stage for the reader. Start broad and then narrow to the topic.

The purpose of this paper is to apply leadership and/or change theory and strategies to an actual change idea that addresses a quality gap within a healthcare microsystem.(Med-Surgical Unit). The essay is to be written in APA format and organized with a strong Background, System Setting, and CNL Role Sections-these should be level one headings for Part 1. This assignment is to develop a change strategy plan using current knowledge about the CNL role to influence the overall system through implementing and incorporating a change in the current microsystem. The change is to decrease staff injuries on a medical surgical unit (microsystem) by supporting the need to use mobility equipment to lift, reposition, or mobilize patients with limited mobility. Background What is the literature supporting the need for this project? It is essential to use good references (minimum of 8 references_ in this section to support the rationale for selecting this topic area. System Setting Briefly describe the macrosystem. More thoroughly describe the microsystem setting where this change strategy will be implemented. Discuss the system setting size of unit, type of patients, demographics about nursing staff, interdisciplinary team work, unit culture, etc. Who are the key stakeholders in the system? What are the potential barriers (or restraining forces) to change within the setting? How will you manage the barriers? What are the potential incentives (or driving forces) for creating change within the setting? The microsystem is a 40 bed Medical Surgical with a geriatric population. Key stake holders: Front line staff. Nurses and Patient care assistants which are the ones who assist the nurses. Some of the barriers are staff resistance and insufficient staff to assist with mobility requirements to prevent injuries. CNL Role What is your synopsis of the CNL role, how it can be implemented in this setting, and how the CNL will implement the change? Use the AACN 2013 version for your guide in this section, as well as at least one other CNL journal article to describe the CNL role as it applies to change. How can you get the staff and management of your system/organization to accept the change you are proposing? Why would it be of benefit to have a CNL propose and initiate this change? Use reliable references in this section.

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