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As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent and spurring positive change on behalf of patients, colleagues, and the industry.

Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10-15-slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change. Create speaker notes of 100-250 words for each slide. Include an additional slide for the title and references. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and another at the end for References.

Include the following in your presentation:

Describe the background of the situation and the rationale for and goal(s) of the change. Consider the ethical, social, legal, economic, and political implications of practice change in your response.
Outline the advanced registered nurse’s role as change agent within the interprofessional and dynamic health care environment.
Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
Discuss an appropriate change theory or model that could be used to achieve results. Explain why the theory or model selected is best for the situation. Include the ethical, social, legal, economic, and political implications of applying the change management strategies to practice change in your response.
As an advanced registered nurse, outline how you would initiate the change.
Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.
Predict what additional factors will drive upcoming organizational change for the organization and outline the advanced registered nurse’s role as change agent.

Sample Solution

Identities are at once both social and individual and they are the effective connection of life experiences variably prominent in any given instance. Our identities are comprised of what we know best of our relations to self, others and the world. The conclusive link between identity formation and music lies in the precise semiotic character of these activities. Thomas Turino’s theory of semiotics is a useful lens for looking at the unconscious political effects that music often has. American philosopher Charles Sanders Peirce created a theory of signs known as semiotics. A sign is anything that indicates something else. Every sign has three features: the sign or sign vehicle, the objector idea indicated by the sign, and the effect or meaning of the sign- object relation to the perceiver. The effect signs have can range from physical reactions to different thoughts, ideas or memories coming back to the mind of the perceiver. Turino identifies three different kinds of semiotic relationships in music: Icon, index and symbol. These three kinds of semiotic relationships create distinct and powerful responses to the listener.

An icon relationship is where people make connections based on resemblance. For example, resemblance in music can be recognising it belonging to a genre as it sounds like other songs that you’ve heard before; you can identify rap music through stylised rhythmic tunes. As Turino puts it, “icons can spur imaginative connections of resemblance between the signs perceived and the objects stood for in light of the internal context of the perceiver”. Whether intended by the artist or not; sounds or lyrics in music may resemble other ideas outside of music to the listener.

The second type of semiotic relationship is an index. Indexes are signs that point to objects or ideas they represent, this applies to music associated with a concept or occasion. For example, a national anthem at a sporting event becomes an index of patriotism. Indexical responses often happen when listening to music such as when advertisements play a jingle connected to a product, that jingle becomes an index to the product. Semantic snowballing happens when new indices are added to old ones, creating a variety of different meanings. One example is how the Civil Rights Movement used pre-existing tunes that indexed the church and progressive labour movements and set new lyrics abou

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