To assess the rate of seasonal-depression in an Inuit community above 70 degrees N

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week 2/ discussion forum/student posted

     Exploring the rate of seasonal-pattern depression in an Inuit Community

Methodology:  Quantitative 

Design:  Ethnography

Rationale:  To assess the rate of seasonal-depression in an Inuit community above 70 degrees N.

2. Democracy in America

Methodology:  Qualitative

Design:  Grounded theory

Rationale:  To review “Democracy in America” by Alexis de Tocqueville and translated and edited by Harvey C. Mansfield and Delba Winthrop.

3. The relationship between compassion fatigue and burnout among critical care nurses

Methodology:  Qualitative

Design:  Correlation

Rationale:  To evaluate the literature related to emotional distress among healthcare professionals in the Intensive Care Unit, while emphasizing the prevalence of compassion fatigue and burnout.

4. Two drugs for Alzheimer’s show promise

Methodology:  Quantitative

Design:  Quasi-experimental design

Rationale:  The combination of two approved drugs for Alzheimer’s, acamprosate and baclofen, together open up the possibility for a therapeutic approach for the disease.

5. Evaluating technology with student success

Methodology:  Quantitative

Design: Case Study

Rationale:  To show measurements used to monitor student success and describe strategies used to promote online discussion as a key component of effective online courses.

6. Factors that influence weight control among women

Methodology:  Qualitative

Design:  Survey

Rationale:  To investigate the influence of work hours and employment on weight gain and weight loss with middle-aged women.

7. The meaning of living with brain injury and stroke 10 years after the injury

Methodology:  Quantitative

Design:  Survey

Rationale:  To indicate that rehabilitation following an ABI should consider if clients’ use everyday technology influences their activity and participation and adopt appropriate interventions.

8. Exploring the beliefs of healing among Aborigines

Methodology:  Qualitative

Design: Observational

Rationale:  To give insight on the beliefs of the Aborigines.

References

Account Respecting Beliefs of Australian Aborigines. (1896). The Journal of American Folklore, 9(34), 199-203. doi:1. Retrieved from http://www.jstor.org/stable/533404 doi:1

Au, N., Hauck, K., & Hollingsworth, B. (2013). Employment, work hours and weight gain among middle-aged women. International Journal of Obesity, 37(5), 718-24. doi:http://dx.doi.org/10.1038/ijo.2012.92

Chumakov, I., Nabirotchkin, S., Cholet, N., Milet, A., Boucard, A., Toulorge, D., Cohen, D. (2015). Combining two repurposed drugs as a promising approach for alzheimer’s disease therapy. Scientific Reports, 5, 7608. doi:10.1038/srep07608

Drescher, S. (2001). Democracy in America. The Journal of American History, 88(2), 612-614. Retrieved from http://search.proquest.com/docview/224908446?accountid=87314

Fasse, R., Humbert, J., & Rappold, R. (2009). Rochester institute of technology: Analyzing student success. Journal of Asynchronous Learning Networks, 13(3), 37.

Haggarty, J. M., Cernovsky, Z., Husni, M., Minor, K., Kermeen, P., & Merskey, H. (2002). Seasonal affective disorder in an arctic community. Acta Psychiatrica Scandinavica, 105(5), 378-384. doi:10.1034/j.1600-0447.2002.1o185.x

Lindén, A., Lexell, J., Lund, M. L., Arbetsterapi, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, & Umeå universitet. (2010). Perceived difficulties using everyday technology after acquired brain injury: Influence on activity and participation. Scandinavian Journal of Occupational Therapy, 17(4), 267-275. doi:10.3109/11038120903265022

Evolving Practice Of Nursing And Patient Care Delivery Models

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Assignment

Week 2 | Current Trends in Nursing Practice Current All
    Save Link    Assignment Evolving Practice of Nursing and Patient Care
        View Rubric   Due Date:   May 27, 2018 23:59:59       Max Points: 150

Details:
 

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

How the practice of nursing is expected to grow and change

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Due Date:   May 27, 2018 23:59:59       Max Points: 150

Details:
 

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.
due today,disappointed by Prof  Goodwill after full payment.

Importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team

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1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions? 

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective? 

5. How have you seen ISBAR used during your clinical experiences? 

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports. 

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond? 

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation. 

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care? 

2-You have to look at the unit census and prioritize the patient care:

A- Give the rationale foryour choices.

3.Answer the following questions during your clinical experiences:

a. What specific tasks did your patients require that you might have been able to delegate?

b. How effective was your nurse/preceptor in delegating tasks to others? 

c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?

Essentials of Nursing Leadership & Management
6th Edition

Sally A. Weiss  MSN, EdD, RN, CNE, ANEFRuth M. Tappen  EdD, RN, FAAN

ISBN-13: 978-0-8036-3663-7

Implications of a failure to follow ethical principles in medical and public health

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Required Reading

ACHE. (2016). ACHE code of ethics. Retrieved from https://ache.org/abt_ache/code.cfm


Flite, C. A., & Harman, L. B. (2013). Code of ethics: Principles for ethical leadership. Perspectives in Health Information Management / AHIMA, American Health Information Management Association, 10(Winter), 1d. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3544144/


NAHQ. (2011). NAHQ Code of ethics and standards of practice for healthcare professionals. Retrieved from http://nahq.org/about/code-of-ethics


Airth-Kindree, N., & Kirkhorn, L. C. (2016). Ethical grand rounds: Teaching ethics at the point of care. Nursing Education Perspectives, 37(1), 48-50. doi:http://dx.doi.org/10.5480/13-1128


Benson, Michael D,M.D., F.A.C.O.G., Benson, Jordan B,C.P.A., J.D., & Stein, Mark S,J.D., PhD. (2016). Hospital quality improvement: Are peer review immunity, privilege, and confidentiality in the public interest? Northwestern Journal of Law and Social Policy, 11(1), 1-27.


Brothers, K. B., & Rothstein, M. A. (2015). Ethical, legal and social implications of incorporating personalized medicine into healthcare. Personalized Medicine, 12(1), 43-51. doi:http://dx.doi.org/10.2217/pme.14.65


Denecke, K., Bamidis, P., Bond, C., Gabarron, E., Househ, M., Lau, A. Y. S., … Hansen, M. (2015). Ethical Issues of Social Media Usage in Healthcare. Yearbook of Medical Informatics, 10(1), 137–147. Available in the Trident Online Library.


Fiscella, K., Tobin, J. N., Carroll, J. K., He, H., & Ogedegbe, G. (2015). Ethical oversight in quality improvement and quality improvement research: New approaches to promote a learning health care system. BMC Medical Ethics, 16(63). doi: 10.1186/s12910-015-0056-2. Accessed from http://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-015-0056-2


Ghosh, K. (2015). Benevolent leadership in not-for-profit organizations. Leadership & Organization Development Journal, 36(5), 592-611.


Gillon, R. (2015). Defending the four principles approach as a good basis for good medical practice and therefore for good medical ethics. Journal of medical ethics, 41(1), 111-116.


Healthcare Financial Management Association [HFMA]. (2016). HFMA’s code of ethics. Accessed from https://www.hfma.org/code/


Kostkova, Patty P. (2016). Who owns the fata? Open fata for healthcare. Frontiers in Public Health, 4(4), 7. doi: 10.3389/fpubh.2016.00007


Kulshreshtha, P. (2015). Ethical leadership and contemporary organizational ethics: Principles and cases. Journal of Leadership, Accountability and Ethics, 12(1), 94-97.
Mascone, C. F. (2015). Navigating ethical dilemmas. Chemical Engineering Progress, 111(2), 3.


McLean, S. A. M. & Campbell, T.D. (Ed.). (2006). Applied legal philosophy: First do no harm: Law, ethics and healthcare. Abingdon, GB: Routledge.

Assignment Overview

There have been many cases of violations of ethical principles in medical and public health history. It is important to study these and understand not only what went wrong, but the implications of a failure to follow ethical principles, to ensure that these things do not happen again.

**Case Assignment

For this assignment, you will be creating a PowerPoint presentation. Three cases are listed below. For each case, you will provide a background and then apply at least the 4 basic ethical principles reviewed thus far in the course; you may research and apply additional ones. For each principle, explain why it was violated in this case. If you do not believe that the principle was violated, explain why. This should not be opinion, but should be your analysis of the cases and the principles; do not use first person. 

*Your slides should be in presentation format and your text should be in your speaker’s notes. You must include speaker’s notes. Remember to cite your sources.

*You will need to research the cases below. Be sure that you are using reliable sources for your information; peer-reviewed articles, academic books, government web pages and documents. You may use newspaper articles, but these should not be your principle and only source to discuss an individual case.

  • The Tuskegee Experiment
  • Henrietta Lacks and the development of the HeLa cell line
  • Nazi Medical Experiments

Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your analysis.
  2. Your presentation should have at least 6 slides, as well as a cover slide and reference slide.
  3. Support your presentation with peer-reviewed articles, and use at least 6 references. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php
  4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/

The mechanism of action of prednisone

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A 50 year old woman has had rheumatoid arthritis for 3 years and has been taking multiple NSAID’s. She has taken corticosteroids a few times during flare ups. 

The disease seems to be progressing with stiffness and swelling in her hands and wrists. Examination reveals rheumatoid nodules, synovitis of both wrists and metacarpo-phalangeal joints. This is an indication of an acute exacerbation of rheumatoid arthritis. She is prescribed methotrexate with sulfasalazine and a short course of prednisone.

Assignment Questions

  1. What is the mechanism of action of prednisone?
  2. What is the concern with chronic treatment with glucocorticoids?
  3. What is the mechanism of action of methotrexate and sulfasalazine.
  4. What are the side effects of methotrexate and sulfasalazine

Instructions 

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above. 
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Case Study: Rheumatoid Arthritis

Unit 9 Quiz 

Clinical findings that are current, thorough, and relevant to diabetes and the nursing practice

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Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 Part 2 of assignment 

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following: Presentation Notes A Must 

  1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
  2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

LEADING AS A GENERAL MANAGER

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UNIT 6

Topic: Tactical Planning (Continued)

Benchmark – Strategic Planning: Action Plan

Details:

Use your completed strategy map to formulate functional-level strategy for the primary business functions included in your plan. Functional-level strategies are the action plans used by departments within organizations to support the execution of business-level strategy at the managerial level. Create a 500-750 word action plan that addresses the following:

  1. Identify which management tactics and strategies you will implement to meet your strategic goals for each of the stakeholders, departments, or business functions impacted by your plan: MBO, MBM, single-use or standing plans, competitive advantage, contingency planning, building scenarios, crisis planning, and innovation.
  2. Provide an explanation of how you will apply managerial decision-making methods throughout your action plan.
  3. Which business functions will be impacted by your action plan? What tactics will you use to manage implementation across business functions? What can you do to enhance collaboration/cross-functionality to ensure the success of      your plan?
  4. Identify leadership strategies you plan to implement throughout the execution of your action plan. In particular, explain which strategies you would implement to foster team collaboration among the multiple stakeholders who must collaborate to successfully implement the plan. Why do you think these will be successful?

RESOURCES

Textbook 

1. Management 

Read Chapters 9 and 12 in Management. Review Chapters 7 and 8.

http://gcumedia.com/digital-resources/cengage/2013/management_ebook_11e.php

2. Southwest Airlines: In a Different World 

Review Harvard Business School (HBS) case reprint, “Southwest Airlines: In a Different World”(2013).

http://gcumedia.com/digital-resources/harvard-business-school-press/2010/southwest-airlines_in-a-different-world_ebook_1e.php

e-Library Resource 

1. (How) Does the HR Strategy Support an Innovation Oriented Business Strategy? An Investigation of Institutional Context and Organizational Practices in Indian Firms 

Read “(How) Does the HR Strategy Support an Innovation Oriented Business Strategy? An Investigation of Institutional Context and Organizational Practices in Indian Firms,” by Fang and Saini, from Human Resource Management (2010).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=inh&AN=11820768&site=eds-live&scope=site

2. Big Data: An Innovative Way to Gain Competitive Advantage Through Converting Data into Knowledge 

Read “Big Data: An Innovative Way to Gain Competitive Advantage Through Converting Data into Knowledge,”

by Bhadani, from International Journal of Advanced Research in Computer Science (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=aci&AN=101309175&site=eds-live&scope=site

3. Outsourcing: A Strategic Risk? 

Read “Outsourcing: A Strategic Risk?” by Relph and Parker, from Management Services (2014).

https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/1584943851?accountid=7374

4. Practicing Human Resource Strategy: Understanding the Relational Dynamics in Strategic HR Work by Means of a Narrative Approach 

Read “Practicing Human Resource Strategy: Understanding the Relational Dynamics in Strategic HR Work by Means of a Narrative Approach,” by Kaudela-Baum and Endrissat, from German Journal of Research in Human Resource Management (2009).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=40395722&site=eds-live&scope=site

5. Responsible Leadership and Stakeholder Management: Influence Pathways and Organizational Outcomes 

Read “Responsible Leadership and Stakeholder Management: Influence Pathways and Organizational Outcomes,” by Doh and Quigley from the Academy of Management Perspectives (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=97816322&site=ehost-live&scope=site

6. The Relationship Between Intellectual Capital With Economic Value Added and Financial Performance 

Read “The Relationship Between Intellectual Capital With Economic Value Added and Financial Performance,” by Salehi, Enayati, and Javadi, from Iranian Journal of Management Science: A Quarterly (2014).

http://library.gcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=96560290&site=eds-live&scope=site

Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes

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 In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

  1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
  2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
  3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
  4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
  5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
  6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Comparing Frameworks for Analyzing Organizations

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Avedis Donabedian’s work generated a pivotal means of assessing organizational performance relative to structure, process, and outcomes. However, it is clearly not sufficient to view health care quality merely in terms of outcomes—the structures and processes that facilitate these outcomes are equally as important.

In this Discussion, you consider multiple frameworks that can be used to analyze an organization. As you proceed, consider how these frameworks allow you to examine the interplay of interdependent and related parts and processes that comprise the systems within an organization, as well as the arrangements or structures that connect these parts.

To prepare:

  • Investigate and reflect on the systems and structures of an organization with which you are familiar. Consider the following:
    • What is the reporting structure?
    • Who holds formal and informal authority?
    • How many layers of management are there between the frontline and the highest office-holders of the organization?
    • How are interdisciplinary teams organized?
    • How is communication facilitated?
    • How well integrated is decision making among clinical personnel and administrative professionals?
    • How are particular service lines organized?
    • Which departments, groups, and/or individuals within the organization are responsible for monitoring matters related to performance, such as quality and finances?
  • Select two of the following frameworks:
    • Learning organizations, presented in the Elkin, Haina, and Cone article
    • Complex adaptive systems (CAS), presented in the Nesse, Kutcher, Wood, and Rummans article
    • Clinical microsystems, presented in the Sabino, Friel, Deitrick, and Sales-Lopez article
    • Good to great, presented in the Geller article
    • The 5 Ps, presented in the ASHP Foundation article
  • Review the Learning Resources for each of the frameworks that you selected. Also conduct additional research to strengthen your understanding of how to use each framework to assess an organization.
  • Compare the two frameworks. How could each framework be used to identify opportunities to improve performance? In particular, how would you use each of these frameworks to analyze the organization that you have selected?

By Day 3

Post an analysis of the systems and structures of the organization you selected, sharing specific examples. Explain insights that you gained by comparing the two frameworks, and how each can be used to assess an organization, identify a need for improvement, and, ultimately, enhance the performance of an organization.

Read a selection of your colleagues’ responses.

Required Readings

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.
Chapter 1, “Evaluation and DNPs: The Mandate for Evaluation” (pp. 3-36)
Chapter 3, “Conceptual Models for Evaluation in Advanced Nursing Practice” (pp. 61-86)
Chapter 6, “Evaluating Organizations and Systems” (pp. 127-142)Chapter 1 defines microsystem, mesosystem, and macrosystem and notes that evaluation can focus on one of these levels or all three. Chapter 5 examines the evaluation of organizations and systems.

Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.
Chapter 2, “Understanding the Healthcare Organization” (pp. 31–43)Although this chapter focuses on hospitals, the authors provide information about strategic planning and organizational structure that is applicable in many health care settings. The authors examine financial and quality issues as key aspects of performance measurement.

Elkin, G., Zhang, H., & Cone, M. (2011). The acceptance of Senge’s learning organisation model among managers in China: An interview study. International Journal of Management, 28(4), 354–364.
Retrieved from the Walden Library databases.

This article outlines the five disciplines that Senge argued could be found in a learning organization. The authors also discuss the worldview that is inherent in business organizations in China and explain how this relates to Senge’s theory.

Geller, E. S. (2006). From good to great in safety: What does it take to be world class? Professional Safety, 51(6), 35–40.
Retrieved from the Walden Library databases.

Geller reviews and applies Collin’s foundational Good to Great theory from its focus on financial success to safety.

Nesse, R. E., Kutcher, G., Wood, D., & Rummans, T. (2010). Framing change for high-value healthcare systems. Journal for Healthcare Quality, 32(1), 23–28.
Retrieved from the Walden Library databases.

This article explores how to implement change in complex adaptive systems (CAS) such as health care. The authors purport that an understanding of the principles of change management in CAS is critical for success.