This assignment presents a case study analysis of nursing sensitive indicators, focusing on an incident where Mr. J, a patient from the Jewish community, was mistakenly served pork instead of his kosher meal. The analysis delves into the Root Cause Analysis (RCA) process, identifying staff negligence and lack of awareness regarding the needs of the Jewish community as the root cause. The assignment further outlines an improvement plan based on Lewin's change theory to educate nursing staff about cultural and dietary preferences, ultimately preventing similar incidents in the future.