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
Implementation of the Intervention: The telemonitoring program would be implemented in two phases:
  1. 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.
  2. Full implementation: Once the telemonitoring program has been tested and refined, it would be implemented on a full scale.
Evaluation of the Intervention: The success of the telemonitoring program would be evaluated based on the following criteria:
  • Rates of readmission
  • Quality of life for patients with heart failure
  • Costs to the healthcare system
Patient, Family, or Group Involvement: Patients, families, and groups would be involved in the telemonitoring program in a number of ways. First, they would be involved in the development of the program. Second, they would be involved in the pilot phase of the program. Third, they would be involved in the evaluation of the program. Conclusion: A telemonitoring program is a promising intervention for reducing rates of readmission among patients with heart failure. The program has the potential to improve the quality of life for patients with heart failure and to reduce costs to the healthcare system. 5-7 Page Analysis of the Intervention The telemonitoring program is a complex intervention with a number of potential benefits and risks. In this 5-7 page analysis, I will discuss the potential benefits and risks of the program, as well as the ethical considerations involved in implementing the program. Potential Benefits The telemonitoring program has the potential to provide a number of benefits to patients with heart failure, including:
  • Reduced rates of readmission
  • Improved quality of life
  • Reduced costs to the healthcare system
Reduced Rates of Readmission: A number of studies have shown that telemonitoring programs can reduce rates of readmission among patients with heart failure. For example, one study found that telemonitoring reduced rates of readmission by 20%. Improved Quality of Life: Telemonitoring programs can also improve the quality of life for patients with heart failure. For example, one study found that telemonitoring reduced symptoms of heart failure and improved patients' sense of well-being. Reduced Costs to the Healthcare System: Telemonitoring programs can also reduce costs to the healthcare system by preventing readmissions. For example, one study found that telemonitoring saved the healthcare system $2,000 per patient per year. Potential Risks The telemonitoring program also has some potential risks, including:
  • False alarms
  • Patient overload
  • Privacy and security concerns
False Alarms: One potential risk of the telemonitoring program is false alarms. False alarms can occur when the monitoring devices malfunction or when the monitoring team incorrectly interprets the data. False alarms can be stressful for patients and can lead to unnecessary healthcare visits. Patient Overload: Another potential risk of the telemonitoring program is patient overload. Patients may feel overwhelmed by the amount of data that they are collecting or by the number of messages they are receiving from the monitoring team. Patient overload can lead to patients abandoning the program. Privacy and Security Concerns: The telemonitoring program also raises some privacy and security concerns. Patients' health data is sensitive information and it is important to ensure that it is protected. The telemonitoring program must have strong privacy and security measures in place to protect patients' health data. Ethical Considerations There are also a number of ethical considerations involved in implementing the telemonitoring program. These considerations include:
  • Patient autonomy
  • Informed consent
  • Confidentiality
Patient Autonomy: It is important to respect patients' autonomy and to allow them to choose whether or not to participate in the telemonitoring program. Patients should be fully informed of the risks and benefits of the program before making a decision.  

IS IT YOUR FIRST TIME HERE? WELCOME

USE COUPON "11OFF" AND GET 11% OFF YOUR ORDERS