- NUR 600 Week 6 Assignment Proposed Project Interventions.
Introduction
The capstone project is under the specific area of chronic diseases and elderly patients; specifically, the model used is the Trans-theoretical Model (TTM). This model focuses on stages of change, as well as individualized interventions to address desires and behaviors to improve patients’ compliance and results (Del Rio Szupszynski & de Ávila, 2021). Commissioning evidence-based approaches for this project is important since it ensures that the interventions that are to be applied have been tested, determined to work, and have the potential to contribute to a positive shift in the health status of the patients, their quality of life and the general delivery of health services. Explore NUR 600 Week 3 Assignment Evidence-Based Capstone Project for more information.
Evidence-Based Data for Proposed Interventions
The identified interventions for the implementation of the capstone project are well backed up by the literature review. Some of the significant findings are that TTM is useful in behavior change and better health status of elderly patients with chronic diseases (Carra et al., 2020). Research findings have shown that TTM-applied interventions effectively increase patients’ compliance with prescribed treatments, decrease the rate of readmissions, and increase general health literacy (Gok Metin et al., 2022). Studies have indicated that strategies that involve assessing the patient’s stage of change will work better when it comes to lasting behavioral improvements.
Factors Influencing the Use of Proposed Interventions
Organizational factors
Leadership support and backing, staff preparedness, and access to necessary tools and equipment are organizational features that influence the implementation of proposed changes (Schuman-Olivier et al., 2020). Closely related to leadership is knowledge, where one may have the capacity to ensure that implementation is achieved, and the other is training in which staff should be in a position to ensure the successful implementation of interventions.
Social factors
The set outcome measures assume the proposed interventions will only be effective within the social contexts that embrace patient demographics, cultural beliefs, and support systems. Knowledge of the cultural characteristics and social representations of the elderly population can help to organize activities for their rehabilitation (Chundu et al., 2021).
Economic factors
Economic factors like funding, cost of intervention, and financial incentives or rewards are vital ingredients in determining the practicality of executing the proposed interventions. Adequate funding will help to obtain the required equipment and tools that can facilitate the adoption and continuation of the interventions (Shoesmith et al., 2021). However, high costs may restrain the availability of such interventions, and in less funded healthcare structures, these barriers may prevent the broad use of such interventions.
Barriers Related to Proposed Interventions
Concerns that may hinder the feasibility of the proposed interventions include provider resistance to embracing the changes, patient noncompliance, and inadequate assets. Marginalization or disbelief of the interventions and lack of willingness to embrace change are common reasons for resistance to change (Malin et al., 2022). This is even more so because of the high variability in the level of patient health literacy and overall predisposition towards disease self-management.
NUR 600 Week 6 Assignment Proposed Project Interventions
However, lack of resources, including poor funding, inadequate staff, and restricted access to appropriate technologies necessary for working through the interventions adds another layer of challenge towards the achievement of the planned and desired goals that are pro-fitness (Malin et al., 2022).
Resources Needed
When it comes to the deployment of the intended activities, several resources are needed for successful implementation. Sufficient funds must be provided to cater for some of the expenses which may include training, equipment purchase, and maintenance. Qualified human resources such as the health sector providers and the administrative staff are indispensable in the provision and implementation of the intervention (Cometto et al., 2019). Enhanced technologies like EHR systems and patient monitoring devices help accumulate data, communicate, and keep track of the patient’s progress.
Implementation Plan
The complete implementation plan including phases and activities includes the following. First, a seminar will teach all involved personnel to the TTM’s fundamental ideas and practical use in chronic illness therapy for the elderly (Finnegan et al., 2022). Technology like electronic health records systems and patient monitoring gadgets will be purchased and implemented after training. Along with patient examination and data collecting, the following intervention stage involves identifying a variety of therapies. Target patients will be monitored and checked for progress and treatment plan compliance.
Monitoring, Tracking, and Ongoing Review
Tracking of the supervisors’ and patients’ performance will be conducted by measuring the patients’ compliance rates, health status, and satisfaction levels based on data collected by the assessment tools outlined in the baseline phase. Specifically, electronic health records or EHR will be used to document patient data within the systematic and holistic EMR format (Negro-Calduch et al., 2021). Such recurrent reviews will assist in helping the project realize areas that require fine-tuning so that the interventions are back on track toward the accomplishment of the set objectives thereby enhancing the improvement of the project’s implementation.
Performance of Tasks and Staff Responsibilities
The effective delivery of the proposed interventions, therefore, entails several crucial steps in terms of teaching the staff, producing and circulating information forms, and managing patients’ care pathways. Some of the vital activities that will be performed will involve creating awareness of the condition among the healthcare professionals, a need to adopt patient-centered approaches to developing a care plan, and monitoring and follow-up (Marques et al., 2021). The workforce that will be involved in executing these tasks includes the lead physician with specialization in chronic disease management and the nurses, the care coordinator with human resource specialists’ previous working experience in putting into practice the patient care plans, data collectors, and data analyzers.
Strategies for Facilitating Implementation
Several approaches will be applied to ensure the effectiveness of the noted proposed interventions in the current social work practice setting. To mitigate such issues as unfavorable culture change and constrained resources, the involvement of the stakeholders in the process through workshops and consultations will be instrumental. Constant training and motivation of personnel will go a long way in preventing resistance and readying the staff to implement the new interventions (Marques et al., 2021).
NUR 600 Week 6 Assignment Proposed Project Interventions
This implies communication of responsibilities and feedback that will be used to check and ensure that any problem chanced is corrected on time with the least interference with the effectiveness of the interventions. All of these strategies will work hand in hand to facilitate easy implementation of the interventions into practice and therefore increase in success.
Timeline
To guarantee systematic and quantifiable implementation of recommended interventions, the following plan will be followed. The first month will be spent preparing stakeholder meetings and using resources. Staff orientation will begin in the second month, followed by training on successful interventions in the third. The points include training sessions, intercessions, and data collecting (Goorts et al., 2021). I will spend the following few months supervising, altering alterations depending on input, and evaluating the key findings. The final feedback and effect assessment will be delivered in the sixth month of project implementation.
Expected Outcomes
The anticipated, or expected, impact of the proposed interventions will involve patients with chronic diseases having better medication compliance to their disease management plans, less re-admission to hospitals, as well as patient self-efficacy and patient health literacy. To assess and monitor these firsthand learnings, both quantitative and qualitative methods will be employed. For quantitative data, some of the tools that will be used to collect data include patient compliance rates, health status, readmission records from health records, and questionnaires (Goorts et al., 2021). Outcome measures will be evaluated with the help of data and descriptiveness, and the outcomes will be compared with the baseline assessment to evaluate the general success and results of the treatments.
Conclusion
In conclusion, the key strategies to improve chronic illness management in senior patients have appropriate evidence support and consider affecting variables, obstacles, and resources. Breaking the project into conceptual stages, integrating staff duties, and describing the method for tracking and addressing possible difficulties improves project success. This approach is designed to improve patient care and practice by increasing patient adherence, decreasing hospital readmission rates, and increasing chronic illness and treatment self-efficacy.
References
Carra, M. C., Detzen, L., Kitzmann, J., Woelber, J. P., Ramseier, C. A., & Bouchard, P. (2020). Promoting behavioural changes to improve oral hygiene in patients with periodontal diseases: A systematic review. Journal of Clinical Periodontology, 47(S22), 72–89. https://doi.org/10.1111/jcpe.13234
Chundu, S., Allen, P. M., Han, W., Ratinaud, P., Krishna, R., & Manchaiah, V. (2021). Social representation of hearing aids among people with hearing loss: an exploratory study. International Journal of Audiology, 1–15. https://doi.org/10.1080/14992027.2021.1886349
Cometto, G., Buchan, J., & Dussault, G. (2019). Developing the health workforce for universal health coverage. Bulletin of the World Health Organization, 98(2), 109–116. https://doi.org/10.2471/blt.19.234138
Del Rio Szupszynski, K. P., & de Ávila, A. C. (2021). The transtheoretical model of behavior change: Prochaska and DiClemente’s model. Psychology of Substance Abuse, 205–216. https://doi.org/10.1007/978-3-030-62106-3_14
Finnegan, H. A., Daari, L., Jaiswal, A., Sinn, C. J., Ellis, K., Kallan, L., Nguyen, D., & Gallant, N. L. (2022). Changing care: Applying the transtheoretical model of change to embed equity, diversity, and inclusion in long-term care research in Canada. Societies, 12(3), 87. https://doi.org/10.3390/soc12030087
Gok Metin, Z., Izgu, N., Gulbahar Eren, M., & Eroglu, H. (2022). Theory‐based nursing interventions in adults with coronary heart disease: A systematic review and meta‐analysis of randomized controlled trials. Journal of Nursing Scholarship, 55(2). https://doi.org/10.1111/jnu.12839
Goorts, K., Dizon, J., & Milanese, S. (2021). The effectiveness of implementation strategies for promoting evidence informed interventions in allied healthcare: A systematic review. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06190-0
Malin, S. A., Ciplet, D., & Harrison, J. L. (2022). Sites of resistance, acceptance, and quiescence amid environmental injustice: An introduction to the special issue on sustainability under neoliberalism. Environmental Justice. https://doi.org/10.1089/env.2022.0050
Marques, M. do C., Pires, R., Perdigão, M., Sousa, L., Fonseca, C., Pinho, L. G., & Lopes, M. (2021). Patient-centered care for patients with cardiometabolic diseases: An integrative review. Journal of Personalized Medicine, 11(12), 1289. https://doi.org/10.3390/jpm11121289
Negro-Calduch, E., Azzopardi-Muscat, N., Krishnamurthy, R. S., & Novillo-Ortiz, D. (2021). Technological progress in electronic health record system optimization: Systematic review of systematic literature reviews. International Journal of Medical Informatics, 152(1), 104507. https://doi.org/10.1016/j.ijmedinf.2021.104507
Schuman-Olivier, Z., Trombka, M., Lovas, D. A., Brewer, J. A., Vago, D. R., Gawande, R., Dunne, J. P., Lazar, S. W., Loucks, E. B., & Fulwiler, C. (2020). Mindfulness and behavior change. Harvard Review of Psychiatry, 28(6), 371–394. https://doi.org/10.1097/HRP.0000000000000277
Shoesmith, A., Hall, A., Wolfenden, L., Shelton, R. C., Powell, B. J., Brown, H., McCrabb, S., Sutherland, R., Yoong, S., Lane, C., Booth, D., & Nathan, N. (2021). Barriers and facilitators influencing the sustainment of health behaviour interventions in schools and childcare services: A systematic review. Implementation Science, 16(1). https://doi.org/10.1186/s13012-021-01134-y