Question: Implementing Planned Change in a Family Planning Clinic You are a Hispanic RN who has recently received a 2-year grant to establish a family planning clinic in an impoverished, primarily Hispanic area of a large city. The project will be evaluated at the end of the grant to determine whether continued funding is warranted. As project director, you have the funds to choose and hire three healthcare workers. You will essentially be able to manage the clinic as you see fit. The average age of your patients will be 14 years, and many come from single-parent homes. In addition, the population with which you will be working has high unemployment, high crime and truancy levels, and great suspicion and mistrust of authority figures. You are aware that many restraining forces exist that will challenge you, but you feel strongly committed to the cause. You believe that the high teenage pregnancy rate and maternal and infant morbidity can be reduced.

ASSIGNMENT: 1. Identify the restraining and driving forces in this situation.

2. Identify realistic short- and long-term goals for implementing such a change. What can realistically be accomplished in 2 years?

3. How might the project director use hiring authority to increase the driving forces in this situation?

4. Is refreezing of the planned change possible so that changes will continue if the grant is not funded again in 2 years?