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NURS FPX 6030 Assessment 4 Implementation Plan Design

Student Name

Capella University

NURS-FPX 6030 MSN Practicum and Capstone

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Date

Implementation Plan Design

The focus of this capstone project revolves around a PICO(T) inquiry related to the early initiation of Broad-Spectrum Antibiotics (BSA) within 72 hours of sepsis diagnosis in adult patients admitted in the Intensive Care Units (ICU). The anticipated outcome of this research is to reduce the mortality rate and improve the quality of life. Hence, we developed an interventional plan based on a two-pronged approach – clinical protocols and healthcare professionals’ education. In this paper, we further delve into the intricacies of the plan and design an implementation outline to bring quality improvements to the target population and the selected setting. 

Management and Leadership 

Some leadership and management strategies and nursing practices are crucial to ensure interprofessional collaboration while implementing our two-pronged interventional plan. 

Leadership Strategies

  • Clear Communication Channels: Establishing transparent communication channels among healthcare professionals through regular meetings and feedback sessions will ensure that all team members are well-informed about the change plan (Alsaedi, 2022). Thus, aligning everyone’s responsibilities with the common goal of improving patient outcomes and integrating interprofessional. In our case, these channels will help healthcare workers understand the importance of early initiation of antibiotic protocols and address the challenges.

Management Strategies

 

  • Resource Allocation: Strategic planning and management through effective resource allocation facilitates the implementation of quality improvement and change intervention plans (Kabeyi, 2019). Resource optimization includes managing staffing, training programs, and technological support to implement educational programs and develop clinical guidelines seamlessly. Effective resource optimization requires collaborative efforts from a multidisciplinary team to ensure limited resource wastage, ensuring interprofessional collaboration. 

 

Professional Nursing Practices

  • Timely Assessment and Intervention: Emphasizing the importance of prompt and thorough patient assessment among nursing professionals is essential to swiftly recognizing signs of sepsis and ensuring timely initiation of antibiotic therapy (See, 2022). This nursing practice is correlated with the intervention of clinical protocols and professional education to introduce regular monitoring of vital signs, laboratory results, and patient response into nursing care plans, ensuring patients receive early intervention. 

Implications of Change to Improve Quality, Experience, and Cost-effectiveness 

Open and transparent communication ensures that the interprofessional team members have timely access to patients’ information for sepsis care. This precise information exchange will enhance care coordination, reducing the likelihood of errors and improving the overall quality of care and patient experiences (Wieke Noviyanti et al., 2021). These efficiency gains can contribute to cost control by minimizing delays and avoiding redundant efforts. However, conflicts among diverse professionals are an essential area of uncertainty, which may require strategies to mitigate those challenges for smooth patient care.

Additionally, optimal resource allocation will ensure that the necessary logistics and human and financial resources are available for early antibiotic intervention in sepsis. This proactive approach will impact the quality of care by mitigating the risk of resource shortages and delays, ultimately enhancing patient outcomes and experiences of care through timely and effective care (Kabeyi, 2019). From a cost perspective, judicious resource allocation can lead to cost savings by preventing emergency purchasing and minimizing waste, striking a balance between cost-effectiveness and high-quality care. However, evolving funding regulations and the availability of internal resources may lead to some unanswered questions. Lastly, timely assessment and intervention will emphasize the importance of early response to sepsis.

NURS FPX 6030 Assessment 4 Implementation Plan Design

Considerable elevation in the quality of care is anticipated as early detection and intervention are pivotal factors in sepsis management (See, 2022). While the initial implementation may require additional training and resources, the long-term impact on cost control is anticipated to be positive as timely interventions can prevent the progression of sepsis, potentially reducing over-hospitalization and the overall cost of care. However, resistance to change and leadership commitment are essential knowledge gaps in this analysis, leading to unexpected outcomes. 

Delivery and Technology 

Delivery Methods for Implementation 

Several methods can be used to implement the interventional plan (clinical protocols and educational programs) to empower healthcare professionals with skills, guidelines, and knowledge about early initiation of antibiotic therapy. Online learning platforms are effective for educational initiatives as they allow healthcare professionals to access training modules at their own pace, promoting a flexible learning environment (Mahdavi Ardestani et al., 2023). Through diverse learning styles such as interactive modules, quizzes, and discussions, this method improves the quality of the project by enhancing information retention and incorporating the latest evidence-based practices to improve project outcomes through early initiation of antibiotic therapy. 

Furthermore, integrated Electronic Health Records (EHR) with Clinical Decision Support (CDS) systems are valuable for embedding clinical protocols to guide medical professionals during patient care, enhancing adherence to evidence-based practices, and reducing practice variations (Sangal et al., 2022). Integrating clinical protocols into EHR streamlines decision-making and ensures the timely administration of broad-spectrum antibiotics. This method augments the overall quality of the project by providing real-time direction to healthcare professionals, promoting consistency in healthcare practices.

This proposal assumes the availability of technological mediums and digital literacy among healthcare professionals. It also assumes that the organization is ready to support the implementation and maintenance of the delivery methods through adequate resources. Lastly, we suppose there is an enthusiasm among healthcare professionals to collaborate and engage in interdisciplinary training and communication.

Current and Emerging Technological Options 

Current technological options under online learning platforms include Learning Management Systems (LMS) such as Moodle or Canvas. These systems are structured to create user-friendly environments, allowing healthcare professionals to engage and easily access educational materials (Falaki et al., 2022). On the other hand, integrating emerging Artificial Intelligence (AI) in online learning will personalize learning experiences by examining individual performance, providing customized feedback, suggesting additional learning resources, and creating a dynamic learning environment based on the healthcare professionals’ strengths and weaknesses. Similarly, technological platforms like Epic or Cerner can be better leveraged for integrating clinical protocols into EHR systems.

These interoperable systems allow the smooth incorporation of evidence-based guidelines, clinical decision support tools, and workflow alerts for healthcare professionals, ensuring instantaneous guidance and protocol adherence (Sangal et al., 2022). However, blockchain, as an emerging technology, can further make our delivery method effective by enhancing the security and interoperability of EHR systems. This ensures secure data exchange and maintains patients’ autonomy over their health information. Yet, knowledge gaps and uncertain areas related to the technological infrastructure of the care setting persist. Moreover, healthcare professionals’ digital literacy and training requirements remain unanswered questions, which will improve the analysis. 

Stakeholders, Policy, and Regulations

The key stakeholders of our interventional plan are patients, healthcare professionals, hospital administrators, and healthcare managers. Since the interventional plan directly impacts patient outcomes, patients remain the crucial stakeholders of the project. Meeting patients’ needs and requirements ensure patient-centered care, reducing the likelihood of errors and improving patient outcomes. Moreover, the success of the intervention plan hinges on healthcare professionals’ knowledge, recognition, and commitment to early antibiotic intervention guidelines and continuous learning. Administrators and management guarantee adequate resource provision, support for training plans, and a commitment to continuous improvement, which are crucial for smooth implementation and the plan’s success. 

Health Insurance Portability and Accountability Act (HIPAA) is a relevant regulation to our interventional plan. According to the HIPAA policy, protecting patients’ health information through strict security and confidentiality protocols is essential while using technological and health information systems (Rosenbloom et al., 2019). This policy influences the design and implementation of EHR systems, necessitating strict adherence to protect patient confidentiality.

Moreover, the content of clinical protocols must be based on evidence-based guidelines, preserving patients’ protected health information (PHI). Other support considerations are training programs and technological infrastructure. While effective training ensures healthcare professionals are well-equipped to implement early antibiotic therapy in sepsis patients, to provide this training, a robust digital infrastructure is necessary for the seamless integration of implementation delivery methods, which are EHR systems and online learning platforms.

Policy Implications 

Existing policies that direct standardized education for healthcare professionals contribute to successfully implementing the intervention plan. These standards ensure a baseline competency among professionals, facilitating a smoother adoption of online learning platforms and the integration of clinical protocols into EHR systems. Compliance with these standards promotes a unified approach to continuous learning.

However, introducing a new policy mandating the integration of technology, such as EHR systems and online learning platforms, into healthcare practices would positively impact the implementation of the intervention plan. This policy would ensure a standardized approach to leveraging technology, promoting efficiency, accuracy, and adherence to evidence-based practices across healthcare settings. The mandate would support a cohesive and technologically advanced healthcare environment, aligning with the goals of the intervention plan

Timeline 

The proposed implementation timeline is 18-24 months, during which the interventional plan will be integrated into ICU settings. This realistic timeframe includes training healthcare professionals, transforming existing work routines and operations, and establishing a quality assurance system. However, several factors may impact this timeframe and require revisions. These include resistance to change practices among healthcare professionals, availability and reliability of existing technological infrastructure, and resource constraints.

Healthcare professionals’ engagement with the intervention plan and readiness to adopt new practices affects the timeline. Successful engagement and prompt uptake of training contribute to meeting implementation milestones. Similarly, the time necessary for examining, upgrading, and implementing technologies influences the overall timeframe of the project. Delays in technology readiness can extend the implementation period.

References

Alsaedi, F. (2022). The important role of collective leadership in the face of change: Literature review. Open Journal of Leadership11(1), 1–12. https://doi.org/10.4236/ojl.2022.111001 

Falaki, M., Ahmadinejad, M., Razban, F., Najafipour, M. A., & Asadi, N. (2022). The effect of learning management system on ICU nurses’ sustained learning about safe blood transfusion: A quasi‐experimental study. Health Science Reports5(4), e629. https://doi.org/10.1002/hsr2.629 

Kabeyi, M. J. B. (2019). Organizational strategic planning, implementation and evaluation with analysis of challenges and benefits for profit and nonprofit organizations. International Journal of Applied Research5(6), 27–32. https://doi.org/10.22271/allresearch.2019.v5.i6a.5870 

Mahdavi Ardestani, S. F., Adibi, S., Golshan, A., & Sadeghian, P. (2023). Factors influencing the effectiveness of e-learning in healthcare: A Fuzzy ANP study. Healthcare11(14), 2035. https://doi.org/10.3390/healthcare11142035 

NURS FPX 6030 Assessment 4 Implementation Plan Design

Rosenbloom, S. T., Smith, J. R. L., Bowen, R., Burns, J., Riplinger, L., & Payne, T. H. (2019). Updating HIPAA for the electronic medical record era. Journal of the American Medical Informatics Association : JAMIA26(10), 1115–1119. https://doi.org/10.1093/jamia/ocz090 

Sangal, R. B., Liu, R. B., Cole, K. O., Rothenberg, C., Ulrich, A., Rhodes, D., & Venkatesh, A. K. (2022). Implementation of an electronic health record integrated clinical pathway improves adherence to COVID-19 hospital care guidelines. American Journal of Medical Quality37(4), 335–341. https://doi.org/10.1097/JMQ.0000000000000036 

See, K. C. (2022). Management of sepsis in acute care. Singapore Medical Journal63(1), 5–9. https://doi.org/10.11622/smedj.2022023 

Wieke Noviyanti, L., Ahsan, A., & Sudartya, T. S. (2021). Exploring the relationship between nurses’ communication satisfaction and patient safety culture. Journal of Public Health Research10(2), 2225. https://doi.org/10.4081/jphr.2021.2225 



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