1. Discuss the concept of cost-based analysis. Provide an example of a program where it could be used to show outcomes. The concept of cost-based analysis is delineated as the process for approximating all of the costs involved and the conceivable profits or benefits to be derived from a particular proposal. This analysis takes into account not only quantitative factors but also qualitative factors for examining the value for money for a particular project, proposal or opportunity. The fundamental aim is to make an ascertainment of any prospect and provide a basis for making contrasts and comparisons with other proposals. This concept of cost-based analysis can be significantly employed in different medical and health care programs, in order to reveal outcomes and results. For instance, within a healthcare institution, there are several different programs that are proposed in every fiscal year but not all can be accepted and implemented by the institution. Therefore, the most ideal approach of determining the ideal program is examining the entire cost expense of the programs and linking them with the benefit that will be expensed from it. For instance, different healthcare departments might propose the procurement of devices that cost a lot, such as MRI machines or dialysis machines. In this regard, the analysis would encompass determining the costs of procuring both machines and analyzing the benefits, for instance the number of patients requiring the machines (Frew, 2010).

2. Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability.

One change theory that has been applied in nursing practice to assimilate care delivery sustainability is Lewin’s Change Theory. Established by Kurt Lewin, this theory is extensively employed in nursing and takes into account three phases including the unfreezing stage, moving stage and refreezing stage (Batras, Duff and Smith, 2016). This theory is reliant on the existent of driving and resistant forces. One the one hand, the driving forces encompasses the change agents who propel employees towards the direction...

On the other hand, the resistant forces encompass the personnel or nurses who are against the propositioned change. An intervention of change and development within an organization is a sequence of practices, activities, and occurrences purposed to aid the entity in enhancing its performance and efficacy. However, despite the fact that change is inevitable, it is not always accepted or embraced completely. Imperatively, change is pivotal for the sustainability of the prison corporation, which positions the entity ready for transformation. However, with change comes resistance. In this regard, the fundamental resistance is expected to come in the form of personnel disliking their new roles, duties, and necessitated productivity (Welsh and Harris, 2016). In this case, the Lewin’s Change Theory can be beneficial in facilitating sustainability.
In particular, this theory has been applied in nursing practice to integrate care delivery sustainability (Batras, Duff and Smith, 2016). Numerous health care organizations have utilized Kurt Lewin’s theory to comprehend human behaviour with respect to change and patterns of resistance to change. When health care organizations entirely grasp and comprehend what behaviours impel or resist change, then work to reinforce the positive driving forces, change can take place positively. This theory has been incessantly employed to facilitate acceptance by frontline nurses by engaging them in all aspects of planning and execution. As a result, this creates independence and ownership of the introduced products, eventually giving rise to success (Sutherland, 2013).

3. New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community based and focused on improving quality outcomes, population health, and reducing readmissions to acute care settings. Describe a new health care delivery model and discuss whether or not it is sustainable.

In the contemporary setting, new health care delivery models are being unveiled to accommodate the change in health care goals and objectives. One…