The Model For Change Essay Discussion Paper

The Model For Change Essay Discussion Paper

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**Model for change — The Social Ecological Model of Health
**Proposal project—- Decreasing maternal mortality rates of opioid addicted mothers
in antepartum/intrapartum/postpartum patients using a
community holistic approach

Applying a framework/model for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the framework/model you will use to implement your evidence-based practice proposal project. You will use the framework/model you select in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal The Model For Change Essay Discussion Paper.


Include the following:

Identify the selected framework/model for change and discuss its relevance to your project.
Discuss each of the stages in the change framework/model.
Describe how you would apply each stage of the framework/model in your proposed implementation.
Create a concept map for the framework/model you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document, located in Class Resources for an overview of the evidence-based practice project proposal assignments The Model For Change Essay Discussion Paper.

You are required to cite a minimum of four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist,” located in Class Resources, to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines 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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:


1.2 Apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.

Models of change are crucial in implementing evidence-based interventions in healthcare. There are multiple frameworks for guiding intervention implementation. One is the social-ecological model of health. The model takes a holistic perspective on health by focusing on multiple factors affecting health.  The theory supports the World Health Organization’s constitution of 1947 that challenges healthcare providers to have a broad thinking of patient care. The social-ecological model views health as a product of interactions between individuals, the community, and physical, political, and social environments. The model has been applied in the implementation of various healthcare interventions, including mental health care (Agency for Toxic Substances and Disease Registry, 2023)The Model For Change Essay Discussion Paper. In this paper, I demonstrate how to apply the social-ecological model of health in a community holistic approach for decreasing maternal mortality rates of opioid-addicted antepartum, intrapartum, and postpartum patients. The rest of the discussion focuses on each component of the change model and how each will be applied in implementing the proposed intervention.

The social-ecological model is conceptualized to have four concentric circles representing multilevel factors that influence an individual’s health. The Centers for Disease Control and Prevention (CDC) identifies four components of the social-ecological model, including individual, relationship, community, and societal (See Appendix A).  The first level (individual) involves the biological and other personal demographics of a person, such as health history, age, education, and income.  The second level (relationship) includes an individual’s closest relations, including family members, partners, and friends, who affect a person’s behavior and influence their experiences. The third level (community) examines the contexts in which people form social relationships, such as neighborhoods, workplaces, and schools. It seeks to determine the specifics of these settings that influence health. The final level (societal) focuses on broad factors in society that promote or impair health. Examples of societal influences are social and cultural norms, and social, educational, economic, and health policies that impact health (Agency for Toxic Substances and Disease Registry, 2023).

Opioid addiction in pregnant women is a significant problem in the United States. The cause of the problem is multifaceted and requires a holistic approach (Jalali et al., 2020). Opioid addiction in mothers is caused by individual, relationship, community, and society-based factors. It is associated with the biological and personal characteristics of a person. It may also stem from relating with family members, partners, or friends. Besides it may result from the community /neighborhood where the individual lives. Opioid use disorder (OUD) may also be prevalent in communities or groups characterized by socioeconomic inequalities (Rizk et al., 2019)The Model For Change Essay Discussion Paper.  Due to the broad factors related to opioid addiction, applying the social-ecological model of health to implement the proposed intervention is most appropriate.


The change model’s goal is to target interventions to each level of influence. At the individual level, the aim is to control opioid addiction and maintain maternal health. The strategies target mothers at the antepartum, intrapartum, and postpartum stages.   The recommended treatment for opioid-addicted mothers is pharmacotherapy with naloxone, methadone, buprenorphine, and behavioral therapy, in addition to routine antenatal, intra-natal, and postnatal care.  During prenatal, the community holistic approach recommends pregnant women be screened for substance use disorder, including OUD, as part of antenatal care.  The healthcare providers should also make referrals for mental healthcare services the women may need.  At birth, there should be screening for neonatal exposure to drug addiction and access to relevant recovery services (Hoyland et al., 2022)The Model For Change Essay Discussion Paper.

At the relationship level, the intervention calls for engaging the partners and family members of opioid-addicted mothers. The partners and the loved ones can play a significant role in the recovery and support of the individual. The social-ecological model shows that family and spouses can affect one’s health. For instance, opioid-addicted mother requires their partners or family members’ support to adhere to medications or take care of their newborns as they continue treatment (Rizk et al., 2019). Including them in care planning and management can prevent relapse or poor maternal outcomes, such as death.

At the community level of the model, the intervention proposes community partnerships that address opioid use and addiction control. Strategies that work at this level include public awareness about the risks of opioid use among pregnant women. The other strategy would be partnering with local community health clinics to adopt the practice of screening mothers for substance use disorders as part of their routine maternal care (Rizk et al., 2019)The Model For Change Essay Discussion Paper.

Finally, at the societal level, the intervention proposes tailored interventions for opioid-addicted mothers. Acknowledging the healthcare disparities present in the U.S., the best approach to opioid addiction in marginalized communities or racial/ethnic minorities is community-based substance abuse treatment programs (Rizk et al., 2019). These community interventions help improve outcomes in socially and economically disadvantaged societies since they address social determinants of health.


               The social-ecological model of health applies to the community holistic approach proposed for decreasing maternal deaths in antepartum, intrapartum, and postpartum patients.  The change framework examines health from a broad perspective. It postulates that treating an individual succeeds if we focus on the four components: individual, relationship, community, and societal. Using the social-ecological model, the intervention targets opioid-addicted mothers in antepartum, intrapartum, and postpartum. It also includes opioid addiction control strategies for families, communities, and society. The Model For Change Essay Discussion Paper


Agency for Toxic Substances and Disease Registry (2023).  Models and frameworks for the practice of community engagement. In Principles of Community Engagement.  Agency for Toxic Substances and Disease Registry Centers for Disease Control and Prevention. › pce_models.

Rizk, A. H., Simonsen, S. E., Roberts, L., Taylor-Swanson, L., Lemoine, J. B., & Smid, M. (2019). Maternity care for pregnant women with opioid use disorder: A review. Journal of Midwifery and Women’s Health, 64(5), 532-544.

Hoyland, S. A., Schuchert, A., & Mamen, A. (2022). A holistic perspective on continuing care for substance use and dependence: Results and implications from an in-depth study of a Norwegian continuing care establishment. Nordic Studies on Alcohol and Drugs, 39(5),469-584.

Jalali, M. S., Botticelli, M., Hwang, R. C., Koh, H. K., & McHugh, R. K. (2020). The opioid crisis: A contextual, social-ecological framework. Health Research Policy and Systems, 18(87), 1-9.

Appendix A: Concept Map for Social Ecological Model

Appendix B: APA Writing Checklist

APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and the format is correct throughout.

☒  The title page is present. APA format is applied correctly. There are no errors.

☒ The introduction is present. APA format is applied correctly. There are no errors.

☒ Topic is well defined.

☒ A strong thesis statement is included in the introduction of the paper.

☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion. The Model For Change Essay Discussion Paper

☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☒ All sources are cited. APA style and format are correctly applied and are free from error.

☒ Sources are completely and correctly documented on a References page, as appropriate to the assignment and APA style, and the format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and are usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.


Peer-Reviewed Journals: Peer-reviewed journals are evaluated before publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that report the original findings of an observational or experimental research study. Common aspects found within an empirical article include literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library. The Model For Change Essay Discussion Paper

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