Practicum: Practicum Experience As your practicum proceeds, consider the topics addressed this week. To further your understanding of how issues associated with multiple systems or spheres of influence relate to the implementation of your proposed evidence-based change, conduct additional research as necessary. 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?
