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Change Management Model Case Study
How to reduce childhood obesity in schools
Change Management Model Case Study
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Childhood obesity still considered to be an endemic problem and affecting the entire nation. Many programs are already established to help solving this matter. Among established programs is the kids’ night out at the Livonia recreation center, Michigan. Four nursing students continue planning to apply Rosswurm & Larrabee model of change .This model of change will be used by the change agents as a framework to help design the change project, Smart Choices Healthy Kids. Previously, the change agents had addressed the first three steps of this model. Now, they proceed to step four and step five, which cover the design and Implementation aspects of the model by: defining the need to reduce Obesity in children as included in the PICOT question and
implementing the teaching process to help improve health in children with measurable outcomes (Rosswurm & Larrabee, 1999). Step Four: Designing Smart Choices Healthy Kids (SCHK) The goal from designing SCHK is to apply a significant change to already established Kids Night Out program at the Livonia Recreation center, Michigan. Originally, the Kids Night out program focuses on activities for children ages five through twelve on Friday nights from 6:00 PM through 12:00 AM. During this time, the facility provides the children with pizza and soft drinks rather than healthy food options. This is where the change proposal had initiated to modify the nutrition section of the Kids Night Out program. Planning process: The SCHK program is a seven week program. It will include: forty children, ages 5-12 years old, and from different ethnicities and backgrounds. This program it consists of 8 sessions, each includes 5 participants (children). The change agents suggested to select a group of 5 based on the 3:2 ratio; 3 older children ages from 9-12 years old and 2 younger children ages from 5-8. The rationale is; being an older child to act as a role model for the younger children. Initially, each member of the change group will conduct a 10 minute interview on the first day of the experience. During the interview, simple nutritional measure will be collected like height, weight, waist circumference, 24 hour dietary recall. At the end of the seven weeks period, there will be a completion ceremony that will last for 30 minutes, during which each participant will receive a certificate of appreciation.
The purpose of this paper is to provide an individual health promotion for an 8 year old African American female who is in the 95 percentile for weight. Guiding change is a key component that a nurse must display in order to combat childhood obesity (Berkowitz & Borchard, 2009). The health promotion will aim to increase physical activity and enhance the individual’s consumption of nutrient dense food based on Healthy People Guidelines 2010, as well as improve the health literacy for the parent and the individual with regards to childhood obesity. It is essential that the nurse, parent, and child have open communication with mutually agreed upon goals (Caprio et al., 2008). The goals set forth by the nurse, parent, and child are that the attendee participate in at least 60 minutes of sustained aerobic activity 5 days a week for the next 6 months.
The Encyclopedia Britannica emphasizes the increasing significance of the epidemic of childhood obesity and its complex biological, social, and health in today’s American Children with just increases year over year since the early nineteen eighties from just fewer than twenty percent from the adolescent and childhood life stages into adult transition. {Britannica} One out of every three children in the U.S. are obese, with the majority facing higher risks of developing medical, social and academic problems as a result of this health crisis. Over the past ten years, the United States rates of obesity in children have been on a steady incline. Various public health problems like obesity paired with attempted solutions to its consequences dating back years but hidden by all with differing views on exploring certain areas of life experiences. Parents’ early interventions with proper training slow the disease increase trend. The Gale Encyclopedia of Nursing and Allied Health asserts the prevalence of early diagnosis and treatment in children will help improve transitional health into adulthood by encouraging main factors in adult health complications when a cycle of weight loss followed by weight gain begins. {Gale} Parents are not provided enough conventionally accessible education to support children in prevention of the disease. We need to focus our efforts on teaching children how to lead consistent and healthy lives and eradicate this excessive weight disease by an overall healthy lifestyles starting with parents, by setting the groundwork for culture principals while providing guidance which will lead to healthy weight development into the adolescent and latter adult years. The CDC estimates studies show kids before school age ar...
...). A future research idea piggybacks on this program by encouraging an initiation of state and/or national legislation, specifically for change moving towards healthier school nutrition and additional school nutrition education. This legislation would also mandate increases in the amount of time children are allowed for physical activity in their school day as a lack of physical activity is a huge risk factor for overweight and obesity. Another thought is to designate a school health coordinator who will be responsible for maintaining and continuing the positive work that this study began. Utilizing the success of this program and others like it in this regards will lead to action on all levels of the social ecological framework. Ultimately, a multilevel examination of determinants and interventions needs to be aimed at preventing child overweight and obesity.
As a person one might find that we follow a specific routine on the day to day basis. Sudden changes to these routines feels weird and out of place. In William Faulkner’s “A Rose For Emily” based in a fictional town called Jefferson taking place during the twentieth century. The time period is indeed an important factor because southern tradition was above all of the highest importance. This short story gives the audience details of life during that time in which they followed the values of southern tradition and the importance to never stray away from those traditions. The context of the story is laced with subliminal messages of humanities resistance to change.
Childhood obesity has been on the rise in the last couple of years. In the 1970’s childhood obesity was never a concern to the public until the number increased over the years. An alarming rate of 31% of all adults have been obese since they were children and the rates of childhood obesity don’t fall too behind with an 18% of children being obese. That makes almost half of obese adults and children. A child that is obese has a 70-80% higher chance of staying obese even through their adulthood if no action is taken. Childhood obesity is not something children are in control of, these children suffer from different outcomes since they can’t look after themselves and heavily rely on someone to aid them when they need it. These numbers can be drastically altered in a positive way by educating both children and parents about healthy, nutritious foods to consume, supplying schools with better lunch and healthier vending machines with healthy choices and promoting after school activities to keep children active and away from electronics.
The 7 Levels of Change provides a different way of thinking to enhance behaviors and processes. The author demonstrates throughout the book a seven process of change that builds upon the next. He believes that by thinking differently, being creative and stepping out of the norm is the catalyst to solutions and results beyond one’s expectations. Although the author uses the analogy of a new work environment to expound on the level of changes, the fundamentals can be used in both your personal and professional life.
MRSA is a major source of healthcare associated diseases, increased hospital mortality, and leading surgical site infection (Jennings, Bennett, Fisher, & Cook, 2014, p. 83). With the implementation of active surveillance screening and contact isolations program, an overall decrease in hospital associated MRSA infections has been observed (Jennings, Bennett, Fisher, & Cook, 2014, p. 83). The author of this paper will identify a theory that can be used to support the proposed intervention i.e., reduce the transmission of MRSA by active screening in patients at high-risk for MRSA on admission. This paper will then describe the selected theory, and rational for the selection, and how this theory will support the proposed solution and how to incorporate this theory in this project.
There is still a troubling growing paradox in hungry children and childhood obesity. Children are either getting too many or too little calories. NSLP is still criticized to this day, nonetheless they made a tremendous improvement to the program since publication of Fast Food Nation in 2001. The NSLP only provides student with 1 to 2 meals out of the day. It is up to the parents to teach and provide their children with nutritional food,“HEALTHY eating and physical activity habits are key to your child 's well-being. Eating too much and exercising too little can lead to overweight and related health problems that can follow children into their adult years. You can take an active role in helping your child--and your whole family--learn healthy eating and physical activity habits that can last for a lifetime.”(National Institute of Diabetes & Digestive & Kidney Diseases). By teaching and encouraging healthy eating habits, Offer healthy food options at home and Limiting fast food and junk food. It is also important to Limit your child’s time using a TV, computer, cell phone, or game station and encourage them to participate in physical activity. A great way to do this is to sign your children up for sports. Fast Food Nation started the discussion of America’s Food epidemic, yet sadly fifteen years has later
Childhood obesity is a serious problem among American children. Some doctors are even calling childhood obesity an epidemic because of the large percentage of children being diagnosed each year as either overweight or obese. “According to DASH sixteen to thirty-three percent of American children each year is being told they are obese.” (Childhood Obesity) There is only a small percentage, approximately one percent, of those children who are obese due to physical or health related issues; although, a condition that is this serious, like obesity, could have been prevented. With close monitoring and choosing a healthier lifestyle there would be no reason to have such a high obesity rate in the United States (Caryn). Unfortunately, for these children that are now considered to be obese, they could possibly be facing some serious health conditions, such as heart disease, diabetes, and some types of cancers. All of these diseases have been linked to obesity through research. These children never asked for this to happen to them; however, it has happened, and now they will either live their entire life being obese, or they will be forced to reverse what has already been done (Childhood Obesity).
The SMART goal of the obesity program is to reduce the obese population in Pitt County by creating a healthier diet program. Different objectives will be needed in order to reach this goal. The first objective is that from July 2016 through December 2016 100 community members will participate in the health department’s health promotion activities. This objective aligns with the reinforcement construct of the Social Cognitive Theory. By repeatedly participating in the activities, the 100 community members will be rewarded with the knowledge they receive and also motivation to change their behavior. By having an enjoyable time, they will be rewarded and want to keep coming back to the activities. The second objective is that following the 6-month duration; the majority of the participants will lose 2-10% of their original body weight by changing to a healthier diet. The reason the participants need to lose 2-10% of their body weight is to either prevent or reduce the chances of gaining other health diseases associated with obesity, including coronary artery disease and Type 2 Diabetes. This objective aligns with the self-efficacy construct. By losing a little bit of body fat, the participants will believe in their ability to lose weight, and continue to do so. The third objective is that on June 17 and June 24, informational brochures will be distributed to the community members to create awareness and reminders to join the obesity program, and gain knowledge about the health condition of obesity. This objective deals with the behavioral capability construct of the Social Cognitive Theory because the participants will gain the knowledge and skills needed to change their behavior through the brochures.
We want to solve the problem by helping kids and adults each healthier by making healthier lifestyle choices when it comes to eating. We also want to also increase physical activity of children and adolescents. I believe with the proper diet and exercise we can help decrease the obesity issue in this country that has grown so much in the past two decades. These steps are vital to helping prevent childhood obesity and even kids who currently suffer from childhood obesity. Since the 1970’s approximately 15 percent of children and adolescents are now overweight. "Prevent Childhood Obesity-Get Your Kids Moving!" Prevent Childhood Obesity-Get Your Kids Moving!
Change should be seen as a challenge and embraced with enthusiasm (Marquis & Huston, 2012). In my professional and personal life, I view and respond to change as a way to make improvements to existing regulations and circumstances. I embark upon the quest with determination to succeed at whatever task is presented to me. Life without change can become unchallenging and stagnant (Marquis & Huston, 2012). As society and technology advance, you must incorporate the necessary transformations that arise with it.
Childhood obesity is a health problem that is becoming increasingly prevalent in society’s youth. For a number of years, children across the nation have become accustomed to occasionally participating in physical activities and regularly snacking on sugary treats. In result of these tendencies, approximately one third of American children are currently overweight or obese (Goodwin). These grim statistics effectively represent all the lack of adult interference, in regards to health, has done to the youth of America. The habits of over consuming foods and under participating in physical activities are all too common in the children of today. Children cannot solve this issue alone, though. These young people need to essentially be given the opportunities to make positive health decisions and learn about good, nutritional values.
The world is constantly changing in many different ways. Whether it is technological or cultural change is present and inevitable. Organizations are not exempt from change. As a matter of fact, organizations have to change with the world and society in order to be successful. Organizations have to constantly incorporate change in order to have a competitive advantage and satisfy their customers. Organizations use change in order to learn and grow. However, change is not something that can happen in an organization overnight. It has to be thought through and planned. The General Model of Planned Change focuses on what processes are used by the organization to implement change. In the General Model of Planned Change, four steps are used in order to complete the process of change. Entering and Contracting, Diagnosing, Planning and Implementing, and Evaluating and Institutionalizing are the four steps used in order to complete the process of change in an organization. The diagnostic process is one of the most important activities in OD(Cummings, 2009, p. 30).
Force of change is a positive factor that an organization must put in place in order to drive and develop the entire organization’s environment. In this process of change more of resistance factors will try to hinder the change. The organization in this case experiences a repulsive force which absolutely adheres to reserve the existing ways of handling of issues. In the process the firm faces the competitive challenges from other organization and in meanwhile diseconomies of scale. Organizational change process is the progression of a given institution, far from its present state and towards some desired prospects to propagate its performance effectiveness. The organization’s work strategy persistently changes for better. Afterwards, the members’ organization must acclimatize to organization’s forces of change in a bid to conserve its relevancy and effectiveness. Lewin’s force field theory of change serves as a convenient model in understanding the change process. The role of the organization leader is both intense and diverse. For the organization to propel in its management processes, the organization leader must adhere to his increasing responsibilities of change. The leader must be the primary catalyst to speed up the mechanism used to assure the members of positivity effect of change and the expected period of its existence.