Developing an intervention
Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you've defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5–7 page analysis of your intervention.
Please submit both your solution/intervention and the 5–7 page analysis to complete Assessment 4.
In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.
Preparation
In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:
• Creating an educational brochure.
• Producing an educational voice-over PowerPoint presentation or video focusing on your topic.
• Creating a teaching plan for your patient, family, or group.
• Recommending work process or workflow changes addressing your topic.
Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.
In addition, you may wish to complete the following:
• Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
• Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.
Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.
Part 1
Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.
In a separate written deliverable, write a 5–7 page analysis of your intervention.
• Summarize the patient, family, or population problem.
• Explain why you selected this problem as the focus of your project.
• Explain why the problem is relevant to your professional practice and to the patient, family, or group.
In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
• Define the role of leadership and change management in addressing the problem.
o Explain how leadership and change management strategies influenced the development of your proposed intervention.
o Explain how nursing ethics informed the development of your proposed intervention.
o Include a copy of the intervention/solution/professional product.
• Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
o Identify the patient, family, or group.
o Discuss the benefits of gathering their input to improve care associated with the problem.
Sample Solution
Intervention Proposal
Problem:
High rates of readmission among patients with heart failure.
Intervention:
A telemonitoring program for patients with heart failure. The program would provide patients with remote monitoring devices to track their vital signs and other health data. The data would be transmitted to a team of nurses and physicians who would monitor it for signs of worsening heart failure. If any signs of worsening heart failure are detected, the team would contact the patient and provide them with the necessary support and care to prevent a readmission.
Full Answer Section
Benefits of the Intervention:- Reduced rates of readmission
- Improved quality of life for patients with heart failure
- Reduced costs to the healthcare system
- Pilot phase: The pilot phase would be conducted with a small group of patients with heart failure. The goal of the pilot phase would be to test the program and to make any necessary adjustments.
- Full implementation: Once the telemonitoring program has been tested and refined, it would be implemented on a full scale.
- Rates of readmission
- Quality of life for patients with heart failure
- Costs to the healthcare system
- Reduced rates of readmission
- Improved quality of life
- Reduced costs to the healthcare system
- False alarms
- Patient overload
- Privacy and security concerns
- Patient autonomy
- Informed consent
- Confidentiality