NURS FPX 6030 Assessment 5 Evaluation Plan Design

NURS FPX 6030 Assessment 5

Evaluation Plan Design

An evaluation plan will be developed for psychological palliative care for the terminally ill population. This work will offer the evaluation details of the implementation plan. This is organized as an intervention, and the aims of the intervention are as follows: It is done to determine the quality of palliative care offered to terminal patients. Check how patients feel after they have been offered palliative care. Therefore, in the healthcare setting, there is a need to review the plan design in order to identify its effectiveness.

Evaluation Plan Outcomes

The outcomes of the psychological palliative care plan are as follows: Minimize the appearance of pain that a person with a terminal disease might experience. There is a need to address the culture in the delivery of equitably palliative care to patients. This entails that the delivery of safe care is patient-centered, not disease-centered. Enhance people’s quality of existence.

The outcomes mentioned above are the specific objectives of my intervention plan. These outcomes explain the rationale of the developed intervention plan that aims at the delivery of psychological palliative care to the patients in a bid to reduce the manifestation of pain symptoms.

The outcomes show what I want to achieve in my intervention plan, which is culturally acceptable psychological care as well as equitable psychological care for terminally ill patients. The outcomes help me set a framework for ensuring that quality, safe, and experienced care is delivered to our patients to accommodate the principles of patient-centered care rather than disease-centered care and that patients should be treated with equity regardless of cultural/ethnic/racial differences.

Alternative Outcomes

The alternative outcome includes:

This could be because the current staff workload has been reduced due to the new hiring of hospice/palliative care nurses. Improvement in hospital revenue resulting from expanding palliative healthcare administration to many patients will consequently enhance the hospital’s financial and economic growth.

• Benefits and drawbacks of the outcomes

The benefits of the outcome include improvement of patient quality care, managing patients’ pain through psychological methods, and improving equitable services to culturally sensitive patients for participants suffering from terminal diseases. The demerits of the outcomes are non-recognition or appreciation of the palliative healthcare nurses and not receiving bonuses and increments that demotivate the staff. This will lead to poor performance and poor quality of the health services offered to the patients, and this will also lead to poor patient satisfaction. All this will lead to the degradation of the quality of a patient’s care and safety.

Evaluation Plan

• Impact of Intervention Plan

The intervention plan includes surveys and questionnaires better to evaluate the outcomes in the management of dementia. The survey form will be administered to the Cancer Care Center to patients (family members) with terminal illnesses. They are subjecting the respondents to questions based on what they have noticed in their sick family members with terminal diseases and the care that they receive.

From the patients, they will ask about the effects of psychological palliative care, whether the care they received was fair, and if the patient had alleviated some of the pain symptoms after attending cognitive therapy, supportive group discussion therapy, art therapy, or music therapy. Participants will be expected to comment on the changes in the quality of care and the safety of patients generated by this count and its efficacy in enhancing the psychological standing of the patient (Deemer et al., 2022).

Before the introduction of the intervention, a cross-sectional study will be conducted amongst the terminally ill patients situated in the Cancer department, with the view of establishing the quality of care that the patients receive prior to the introduction of the intervention. The questions in the survey form are as follows, which are needed to evaluate the complete outcome comprehensively.

The designation of the data required to analyze the beneficial outcome is noteworthy: The data will be collected using digital surveys/questionnaires or traditional handout prints, which shall be distributed to the cancer care department for terminally Ill patients. The tools and technology to be used are telemonitoring or electronic health, using tabs to fill out Google forms. Paper with ink and pen for the traditional hand printouts shall be available to the patients or their next of kin. The evaluation plan will demonstrate the effectiveness of the intervention plan by showing the social comparison of the patient’s psychological treatment plan to other patients and the equality of the healthcare service delivery system of culturally diverse patients.

Discussion

• Advocacy

Nurses’ Role in Leading Change

Nurses play a direct role as patient care providers, and they are required to attend to patients’ quality care and safety needs. This can be altered by introducing a number of leadership approaches, such as transformational or collaborative leadership.

Transformational leadership is effective in engaging experienced hospice/ palliative care nurses to bring about the changes targeted for the terminally ill population (Collins et al., 2020). The interaction can be used to offer equal healthcare to the patients; also, by advancing psychological care to patients with terminal diseases, the nurses can coordinate to provide care that has the patient as the center and deal with the need to manage the pain, which can be handled competently when communicating the patient through an intervention plan (Shu & Wang, 2021).

• Driving Improvements

Through equitable care, the act specified for the nurse’s job description will enhance the quality and experience of care observed by terminally ill patients. The new positions in hospice/ palliative care nurses will help spread the responsibilities in the context of the nursing staff, which will make the nurses deliver optimal care without feeling stressed and overwhelmed. This was instrumental in cutting down on mistakes that were made previously and enhancing patient safety as well as the rate of patient satisfaction.

• Assumptions

Thus, properly coordinated and managed cooperation with other staff and leadership initiatives can help nurses offer fair psychological quality pain relief for all patient needs. This will assist in maintaining continuity in assessing the responsibilities provided to the hospice/palliative care nurses by the nurse leader. The equal distribution of tasks will ensure that the children receive quality care since no individual is overworked.

Impact of Interprofessional Collaboration and Nursing Intervention Plans

• Nursing and Interprofessional Collaboration 

The intervention plan enhances the position of the nurses in leadership roles; c, subsequently strengthening the nursing profession and practice. The intervention plan influences interprofessional collaboration insofar as it has an impact on the outcomes concerning the pains in terminal cases and dealing with psychological approaches in the Cancer Care Center.

The professionals who are involved in the intervention are physicians from numerous fields, like psychiatrists, oncologists, and so on. Interaction with the hospice nurses is required to enhance the efficacies. This assists in strengthening the exchange of information between the healthcare providers and guarantees patient-oriented fair treatment (Vatn & Dahl, 202 2).

• Healthcare Field Gain

Consequently, there is a lot of leverage that the healthcare field acquires from the intervention plan. This is because incorporating psychological palliative care in the nursing of terminally ill patients is achieved without the need to use some appalling procedures such as radiotherapy and chemotherapy to do so.

This has enhanced the level of satisfaction and the quality of treatment that the patients have enjoyed so far. These intervention plans have been helpful in improving the achievement of healthcare since it is now availed at a cheaper price (Wajid et al., 2021).

Information required or necessary to fill the gaps in the knowledge, which would help in understanding the whole scenario of the healthcare field, gets benefits through the intervention plan, including data related to the satisfaction level of the patients, a higher number of patients, and better management of the symptoms. This will provide information concerning areas that have been changed for the better and the areas that still need to be changed.

Among the significant gaps in the provision of palliative care is the fact that a need for more resources usually limits these services. However, there can be barriers as to when a patient can avail of palliative care, where it is offered in less availability, there might be inadequate resources, or the insurance may need to cover the costs sufficiently. Increased availability of palliative care could increase the number of patients who get proper care in case of a life-limiting illness.

Future Steps

• Current Project

Revised/ Improved Intervention Plan

Potential enhancements to the current project are the escalation of patients’ pain management through the administration of opioid analgesics and FS-TENS located at high-frequency fixed sites. The inclusion of these two would significantly contribute to enhancing the circumstances of managing pain in terminally ill patients or clients. Opioids are the kind of analgesics that can be administered to terminally ill patients in order to reduce symptoms of pain and consequently prolong their remaining years of comfortable life.

The improvement of FS-TENS will assist in the nonmedication cure coupled with the psychological cure by creating electrical signals all through the body, which will help to decrease pain in chronic sickness. Both of these would significantly enhance the quality of life and reduce the level of pain that patients suffering from terminal illnesses feel (Kong & Gozani, 2018).

Emerging Technology

Outcome plans can enhance the usage of existing technologies to better manage pain through the implementation of FS-TENS and Virtual Reality. With the help of these new or some of the recent technologies associated with them, the facilities can minimize the pain symptoms of the patients and give them a long-lasting, pain-free session.

On the basis of the literature mentioned above, it was observed that Virtual Reality (VR) assisted in the reduction of pain for one-to-two hours following removal of the Virtual Reality equipment. According to the assessment, many patients stated their willingness to use VR again in the future since it alleviates terminal disease pain and enhances their psychological condition (Guenther et al., 2022).

Emerging Care Models

The intervention plans and the project can be expanded and employ inpatient and outpatient palliative care, home and inpatient hospice care, and palliative care through mobile technologies, in addition to telehealth and home-based palliative care (HBPC) models.

They are accompanied by remote or home-based palliative care, which is more acceptable in developing countries and people of a progressive age. Palliative care needs to be made accessible and available, and the intervention can reap from such models by enabling more clients with an opportunity to be treated.

Reflection on Leading Change and Improvements

• Impact on My Ability

Apart from enhancing my leadership skills, the capstone project made me the best practitioner and future leader. Through it, I have been able to develop leadership skills that allow me to involve other interprofessional caregivers/colleagues, provide quality patient care that is sensitive to patient needs, and ensure fairness to the patient (Akbiyik et al., 2020).

• Impact on personal practice and leadership position.

Thus, the project has played a role in either influencing, for better or for worse, the competencies necessary to become a leader as a nurse. It will assist me in presenting the intervention plan to a more extensive group within the hospital to enhance pain management for all the patients.

The promotion of change in the healthcare organization will result in improving the quality of care, safety, patient experience, and patient satisfaction outcomes, besides enhancing the financial and economic return of the hospital (Specchia et al., 2021).

• Challenges for Further Self-Employment

My personal goals for future professional growth as a healthcare professional will be advanced education, acquiring enhanced knowledge in the fields of palliative and hospice care, the work on communication skills, considering the values and beliefs in providing palliative care, as well as advocating for palliative care. I would learn about issues pertaining to the field and stay up-to-date with the current research in the field if I took and continued my education.

Acquiring the specialized skills would enable me to attend more to the patient’s needs, as this would enhance the quality of my services. Enhancing my communication ability can assist me in relating with patients as well as their familier. In contrast, identifying personal values and beliefs would help me be sensitive to my well-being, hence offering sensitive care. Last but not least, I believe that advocating for palliative care would enable me to have an overall effect on the health system and increase access to care among patients.

Completed Intervention Plan

• Impact on Current Practice and Care Setting

The final formulated interventional plan will have succeeded in describing how pain can be reduced in terminal patients. Therefore, the data to be collected and analyzed will go a long way in proving the element of effective management of the patients. The concept of intervention will then be initiated by myself to the authorities in my organization. Since the leaders will have supporting evidence, they will be very pleased with the idea and will adapt it to the care setting.

This intervention plan will also be adopted with no hesitation in the care setting since no implementation of expensive resources will be needed, and no additional financial pressure will be imposed on the hospital. Besides this, patients’ satisfaction means the intervention plan will assist more patients, and the hospital will eventually be economically and financially benefited.

• Discharged to Other Settings

This implementation plan can be easily incorporated into the care settings regardless of whether it is for terminal patients or not. The care plan entails taking psychological care of the patients with regard to managing their pain; therefore, it can be applied in any care context.

Regarding the definition of psychological relaxation, it is necessary to state that psychological palliative care comprises activities for giving psychological assistance. The activities can be used for a broad range of patients. For instance, this particular intervention plan can be applied in the case of patients suffering from depression or anxiety. It can help some of them to feel psychologically relieved and to remain calm, at least during the time of the intervention.

Contamination of Different Kinds of Tubes Eric Nzezem Mc-Pherson African Union Institute Abstract This paper examines the conflicting evidence with regard to the contamination of different types of tubes and other perspectives.

An acute literature review done by Bilge Ustun and Muhammed Sait Meric in the Journal of Palliative Medicine revealed that the patient’s preferences regarding palliative care may vary depending on some factors, including symptom severity, predicted life span, and social support. Patients’ location and their race/ethnicity, as well as SES, can act as barriers to accessing palliative care, and future research is required to eliminate this disparity (Ho et al., 2021).

Completion of Hours Toward Practicum Experience

During my practicum hours, I assessed the intervention plan to deliver psychological end-of-life care through stress, therapeutic music, and art to the hospice patient. I collaborated with the IDT to accomplish the goal of enhancing the patient’s pain. To give it a form that the patients would be relaxed to receive and which would also offer them some form of comfort, socially and emotionally, I had to approach such patients in various ways. This way, I coordinated my clinical hours to match my capstone project.

Conclusion

Information about the patient or his/her relatives will be received to assess the implementation of the psychological palliative care plan. Thus, the coherence and synergism of leadership among the nurses and other members of the interprofessional healthcare team will enhance the quality of care offered to the patients. The intervention plan will be implemented in the care setting where I work. Feasibility of using the same in another care setting:
NURS FPX 6030 Assessment 1 Conference Call Scheduling and Notes
NURS FPX 6030 Assessment 4 Implementation Plan Design

References

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