What are some possible adjustments that you might need to make based on the evaluation of outcomes?
Consider the evidence-based change you are proposing for your practicum setting: What other systems or components of a system are within the sphere of influence of this change? How could evolving issues internal to the setting, such as budget, staffing shortage, regulations or external to it, such as supply, funding, national priorities, and disasters, affect the implementationand ultimately the sustainabilityof such a change?
How might your proposed change, in turn, affect policy or practice at other levels beyond your initial focus?
Write a cohesive post response that addresses the following:
Describe at least three evolving issues that are internal or external to your practicum setting that could affect the implementation and sustainability of your proposed change. From what systems level do those issues originate (e.g., organizational, local, state, national, global) and what other systems are then involved in response to that factor?
How might your proposed change, in turn, lead to shifts at other levels beyond your initial focus?
