- NURS FPX 9100 Assessment 1 Topic Approval Form.
Topic Approval Form
Learner name: | Student |
Date: | 2024 |
Iteration: | |
Faculty Name: | |
Reviewer’s Name: | |
Decision: | |
Date: |
WORKING PROJECT TITLE: Nutritional and online treatments to help COPD patients’ lungs work better
(Student) is the principal investigator.
Place of Work: AdventHealth Ocala, Florida
Stephanie Wilson is the sponsor.
PROJECT DESCRIPTION
PICOT:
In people with COPD (P), how do nutritional and telehealth interventions (I), as compared to usual care (C), boost lung function and reduce return (O) for two to three months (T)?
Brief Summary:
Increasing COPD Readmissions Due to Poor Management
At my project site, there is an escalation in the number of people diagnosed with COPD, and patients are having to be hospitalized again because they are not managing their COPD well at home. The people are ignorant of the fact that food and some other treatments can assist them in managing COPD. In 2021, 28,068 patients had to be readmitted to the hospital due to COPD (Definitive Healthcare, 2021).
Reducing COPD Readmissions with Telehealth and Diet
In addition, about 20% of individuals who are readmitted within the 30-day days for any cause under HRRP regulations suffer from AECOPD (Buhr et al., 2020). In the US, the cost of management of COPD is high at $9800 per patient per year (Portillo et al., 2018). It is the number one cause of death in the world. High returns could damage the group and hospital relationship and reduce service payments. Telehealth and dietary intervention could help enhance lung function and the management of COPD, reducing the readmission rate of people with COPD (Scoditti et al., 2019).
Primary Objective:
- The primary objective is to reduce the rate of readmissions to a hospital for COPD inpatients.
Secondary Objective:
- Improve the function of your lungs, which can be assessed using FEV1.
- Persuade staff to apply the food interventions more frequently.
- Successful and cost-effective care via video.
Proposed Evidence-based Intervention(s):
- People with COPD may consume enough protein and take vitamins (Collins et al., 2019).
- Telehealth interventions for decreasing the number of COPD patients who require readmission to the hospital (Chahdi et al., 2023)
- Bowman et al. (2023) argue that videoconferencing is a valuable tool for making the lives of patients with COPD easier.
PROJECT DESIGN AND METHODS
Project Design:
The project aims to enhance the quality of life of people with COPD.
Model For Improvement:
To improve matters, the PDSA cycle will be used as an illustration. This cycle suits this project better since it represents a quality improvement model that repeatedly allows the solution to be tested and ameliorated.
Target Population Undergoing the Practice Change:
The project’s main audience is the healthcare workers who care for COPD patients, such as nurses, respiratory therapists, and other support staff. The project will also include COPD patients at risk of needing readmission and their caregivers.
Inclusion Criteria:
All registered nurses, physicians, respiratory therapists, dieticians, and RDs work full-time in the COPD care area.
Exclusion Criteria:
Caregivers who do not directly care for patients with COPD will be included in the project.
Estimated Project Length (weeks):
The COPD project is expected to last around ten weeks. It involves training and educating staff, delivering the solution, and collecting and analyzing final data. The job will be done within 10 to 12 weeks, with two weeks being assigned for data collection and analysis.
OUTCOME MEASURES AND ANALYSIS
Primary Outcome Measures:
The primary way to measure the success of this project will be:
- Fewer hospital readmissions because of COPD
Secondary Outcome Measures
The following are some possible side results of the project:
- More people on staff follow through with nutritional interventions.
- Happier patients and better quality of life (QoL) with care
- Lower costs because of cost-effective care services through telehealth
- Shorter hospital stays
- More staff knowledge about how to manage COPD
Explore our sample NURS FPX 9100 Assessment 6 Project Charter for complete information about this class.
Data Analysis and Results Reporting:
Measure | Measure Type | Type of Data Collected | Analysis Method | Results Reporting – Data Type |
Length of hospital stay | Outcome | Ratio data on the number of days patients stay in the hospital | Descriptive Statistics | Means and Standard Deviations |
Medication adherence rates | Process | Ordinal data on patient medication adherence (e.g., always, sometimes, rarely, never) | Descriptive Statistics | Rates and Percentages |
Staff job satisfaction | Balancing | Interval data on staff job | Descriptive Statistics | Means and Standard Deviations |
Time to treatment initiation | Process | Ratio data on the time (in minutes or hours) from patient arrival to treatment initiation | Descriptive Statistics | Means and Standard Deviations |
Surgical site infection rates | Outcome | Nominal data on the number of surgical site infections before and after the intervention | Descriptive Statistics | Rates and Percentages |
Patient engagement in care decisions | Process | Ordinal data on patient engagement levels | Descriptive Statistics | Rates and Percentages |
30-day mortality rates | Outcome | Nominal data on the number of deaths within 30 days of hospital discharge before and after the intervention | Descriptive Statistics | Rates and Percentages |
References
Bowman, M., Jalink, M., Sharpe, I., Srivastava, S., & Don Thiwanka Wijeratne. (2023). Videoconferencing interventions and COPD patient outcomes: A systematic review. Journal of Telemedicine and Telecare, 1357633X2311581–1357633X2311581.
https://doi.org/10.1177/1357633×231158140
Buhr, R. G., Jackson, N. J., Kominski, G. F., Dubinett, S. M., Mangione, C. M., & Ong, M. K. (2020). Readmission rates for the chronic obstructive pulmonary disease under the hospital readmissions reduction program: An interrupted time series analysis. Journal of General Internal Medicine.
https://doi.org/10.1007/s11606-020-05958-0
Chahdi, M., Bruchhäuser, A., von Gahlen-Hoops, W., & Nydahl, P. (2023). Interventions to reduce hospital readmission rates in patients with COPD: A systematic review. Medical Clinic, Intensive Care and Emergency Medicine.
https://doi.org/10.1007/s00063-023-01003-0
Collins, P. F., Yang, I. A., Chang, Y.-C., & Vaughan, A. (2019). Nutritional support in chronic obstructive pulmonary disease (COPD): An evidence update. Journal of Thoracic Disease, 11(S17), S2230–S2237.
https://doi.org/10.21037/jtd.2019.10.41
Definitive Healthcare. (2021). Top 10 hospitals with the highest COPD admissions. Definitive Healthcare.
https://www.definitivehc.com/resources/healthcare-insights/hospitals-highest-copd-
Portillo, E. C., Wilcox, A., Seckel, E., Margolis, A., Montgomery, J., Balasubramanian, P., Abshire, G., Lewis, J., Hildebrand, C., Mathur, S., Bridges, A., & Kakumanu, S. (2018). Reducing COPD readmission rates: Using a COPD care service during care transitions. Federal Practitioner: For the Health Care Professionals of the VA, DoD, and PHS, 35(11), 30–36.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366592/
Scoditti, E., Massaro, M., Garbarino, S., & Toraldo, D. M. (2019). Role of diet in chronic obstructive pulmonary disease prevention and treatment. Nutrients, 11(6), 1357.