a description of the setting and details of a change in a process, policy stucture or standard of clinical practice that you have experienced or are experiencing right now. A desreciption of the key stakeholders involved in the change and how the change will impact these stakeholders. Identification and description of strategies used to effectively manage the change in your setting. A description of the impact and success or lack of success in initiating the change. an evaluation of how the change could have been managed more effectively and givne a specific action plan for the setting. Finally, include a professional memo to the director of nursing summarizing the principles/rationale for the submitted work paper.