PUBH 8410 Week 7 Resistance Analysis Example

Course	PUBH 8410 Fundamentals of Leadership, System Evaluation, and Interventions in Public Health
Week	Week 7
Paper type	Resistance analysis paper
Length	About 620 words, 5 pages
Format	APA 7 student paper
School	Walden University
Program	PhD in Public Health
Updated	October 2026

Free sample paper for PUBH 8410 Week 7

What the Change Costs Each Group, in Its Own Currency: A Resistance Analysis of a Composite County's Pathway for Opioid Use Disorder in Pregnancy, Sorted by the Conditions Holding the System in Place

Student Name

Walden University

PUBH 8410: Fundamentals of Leadership, System Evaluation, and Interventions in Public Health

Instructor Name

Month Day, Year

What this page is doingThe title treats resistance as a price paid by each group, which is why the analysis counts costs before it sorts objections.

What the Change Costs Each Group, in Its Own Currency: A Resistance Analysis of a Composite County's Pathway for Opioid Use Disorder in Pregnancy, Sorted by the Conditions Holding the System in Place

The Roster

Ridgeline County, a composite county, is preparing the Bridge pathway: same-day buprenorphine for pregnant patients at Ridgeline General and St. Brendan's, medication continuation at jail intake and routing of positive prenatal toxicology results to a navigator. The groups below are real kinds of stakeholders; the people and institutions are imaginary. Each pays something for the change, stated here in the group's own currency so that no objection is dismissed as attitude.

Table 1

Who is asked to change, and what it costs

Group	Change asked	Cost in its own terms \|
Emergency clinicians	Start buprenorphine and refer before discharge	About 20 extra minutes per patient on crowded shifts \|
Hospital pharmacists	Stock buprenorphine in the department	Inventory, storage and diversion controls \|
Jail medical contractor	Continue medication within 24 hours of booking	Unfunded staff time and drug costs \|
Navigator team	Contact every flagged patient within three days	Caseload beyond current staffing \|
Prenatal clinics	Accept that results go to a navigator	Implied criticism of past follow-up \|
Pregnant patients	Disclose opioid use at a hospital or jail	Fear that disclosure will reach child welfare \|

Costs come from composite planning interviews.

What this page is doingNaming costs in minutes, stock and money keeps the analysis from treating disagreement as ignorance.

Sorting the Objections

The Water of Systems Change framework separates structural conditions (policies, practices and resource flows), relational conditions (relationships and power dynamics) and transformative conditions (mental models) (Kania et al., 2018). Sorting each objection by condition shows where a leader's effort belongs.

Most objections sit in resource flows and power, not in beliefs. That redirects attention from persuasion toward arrangements. A briefing about the evidence would not give the jail contractor any money.

Table 2

Objections by condition

Objection	Condition \|
Clinicians' time	Practice and resource flow \|
Pharmacy stock and diversion	Policy and resource flow \|
Jail contract	Resource flow and power dynamics \|
Navigator caseload	Resource flow \|
Prenatal clinic criticism	Relationships \|
Patient fear	Power dynamics and mental models \|

Only patient fear reaches the transformative level.

Patients' Resistance Is Legitimate

Patients' fear has a basis. Federal law requires states to have procedures for health care providers to notify child protective services of infants affected by substance use and to develop plans of safe care (42 U.S.C. § 5106a). A pathway that frightens the people it serves will fail regardless of clinician support. Medication for opioid use disorder is what guidance recommends for pregnant patients (American College of Obstetricians and Gynecologists [ACOG], 2017), and patients need to know that starting it does not create a separate report.

How the Plan Changes

Each response alters the plan rather than answering the objection with argument.

For emergency clinicians, the navigator rather than the clinician completes the referral, cutting the added time to under ten minutes. For pharmacists, each department keeps one locked supply under the same controls used for other scheduled drugs. For the navigator team, a second navigator is funded before launch. For prenatal clinics, routing is described as a backup for results that reach no one, and each clinic receives a monthly summary. For patients, a plain-language card explains what is and is not reported, and people with lived experience review it before use.

One Objection Accepted Outright

The jail contractor argued that continuation should not start until its contract is amended and funded, because staff asked to do unfunded work would do it poorly and then blame the program. The argument is right. The jail arm is therefore pushed back a quarter, to begin after the county board approves an amended contract. Accepting this delay shows the analysis can be moved by what it hears.

References

American College of Obstetricians and Gynecologists. (2017). Committee opinion no. 711: Opioid use and opioid use disorder in pregnancy. Obstetrics & Gynecology, 130(2), e81-e94. https://doi.org/10.1097/AOG.0000000000002235

Child Abuse Prevention and Treatment Act, 42 U.S.C. § 5106a (2018).

Kania, J., Kramer, M., & Senge, P. (2018). The water of systems change. FSG.

PUBH 8410 Week 7 instructions, in plain terms

Resistance analysis assignments ask students to identify the stakeholders who might oppose or slow an intervention, explain why and propose responses. Prompts often specify a framework, such as force field analysis or the Water of Systems Change conditions, and require students to connect resistance to underlying system conditions. Instructors usually expect patients or community members to appear among the stakeholders, not only staff and organizations. A response plan is generally required. Analyses that treat resistance as a messaging gap to be closed with better messaging tend to lose credit, because the week asks students to see objections as information about the system rather than obstacles to overcome.

Inside the PUBH 8410 Week 7 example

The paper opens with a roster of six groups, the change asked of each and its cost in that group's own terms, from extra minutes per patient to unfunded staff time. A second table sorts each objection by condition and finds that only patient fear reaches mental models. A section on patients explains that the fear has a legal basis in federal reporting requirements. Responses follow in the roster's order, each changing the plan rather than arguing with the objection: the navigator completes referrals, a second navigator is funded, a reporting card is reviewed by people with lived experience. The jail contractor's timing argument is accepted, delaying that arm by three months. Each row in the roster has a matching response, so the reader can trace every cost to a change.

Where the marks sit in the PUBH 8410 Week 7 rubric

Rubrics typically reward complete stakeholder identification, accurate use of the framework, insight into the causes of resistance and responses that are feasible and specific. Including the population served as a stakeholder group earns credit. Stating costs concretely, in time, money or risk, shows the author takes objections seriously. Correct sorting by condition demonstrates understanding of the framework. Graders often look for at least one response that changes the intervention itself rather than only its messaging. Accepting a valid objection, and saying what changed as a result, signals the kind of adaptive leadership the course aims to build. Responses that depend entirely on persuasion usually score lower.

PUBH 8410 Week 7 help from the desk

For each group, write down what the change costs them before you write anything about their attitude. Ask what they would need to give up and in what currency: time, money, authority, safety. Then sort each objection by whether it reflects a policy, a resource flow, a relationship, a power imbalance or a belief. Include the people your intervention serves, and check whether their fears have a factual basis. Make every response change something in your plan. Look honestly for an objection you should accept. If your list of resisters reads like a list of people to convince, we can rework it into a sample analysis for your intervention.

Get a PUBH 8410 Week 7 example written to your instructions

List the groups the change would affect and what it asks of each, then attach the Week 7 prompt and rubric; a resistance analysis costing every objection and revising the plan accordingly follows within 24 to 48 hours, the first one free. A different change model named by the section supplies the categories instead.

More PUBH 8410 papers and PhD in Public Health samples

PUBH 8410 Week 7 questions, answered

Where can I find a free PUBH 8410 Week 7 sample paper?

The whole Week 7 resistance analysis is shown above, covering six groups affected by a pathway for opioid use disorder in pregnancy.

What framework sorts the objections?

The Water of Systems Change, which separates structural, relational and transformative conditions.

What does the sorting reveal?

Most objections rest on resource flows and power dynamics, so changing arrangements matters more than persuasion.

Why are patients treated as a resisting group?

Their fear that disclosure will reach child welfare has a legal basis and could keep them from accepting treatment.

Which objection is accepted outright?

The jail contractor's argument that continuation should wait until its contract is amended and funded.