NURS FPX 6614 Assessment 3

NURS FPX 6614 Assessment 3

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

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To understand the significance of care coordination in health care, one must remember that as Heal allied health professionals, these goals are our ultimate objectives (Smith, 2021). In this presentation, we will provide an overview and further analysis of the main components of our intervention, review the clinical purposes met by the intervention, describe the enhancements in practice made by the members of our interprofessional team, and present the approaches for maintaining the obtained results. However, as we are to go deeper into it, let us first turn over one question that is pertinent to our current goal: the dissemination of our results. Anyone who has heard of knowledge management knows that knowledge sharing is one of the critical steps in creating progress as well as in promoting the dissemination of best practices within a given area of knowledge – within our case in the field of knowledge management. Not only do we bring the evidence, but by providing key information and testimony of the process as we offered above, we are also educating other healthcare providers and giving them an opportunity to follow our example and improve on the experiences we had.

Coordination Efforts Related to Clinical Priorities

When developing our approach, our first step involved formulating a PICOT question to deliberate on throughout the interventions’ conception. More specifically, we sought to identify the effect of nurse-coordinated care interventions on decreasing hospitalisation of patients suffering from chronic heart failure within one year [Smith, Porterfield, D’eringoin, Stratton, Searle, Alzghoul, & Byrne, 2020]. The identified approach is useful for not getting lost in the depth of possibilities and concerning a large number of patient groups or focusing on various outcome indicators: it helped to select a specific patient group and an outcome measure, giving structure to the further development of the study. From the literature review conducted from the year 2019 onwards, overwhelming evidence has been found supporting the impact of care coordination in enhancing the patient’s health status across different fields of specialty (Jones & Johnson, 2019). Research has shown that through proper care coordination, patients successfully get to experience decreased hospitalisation rates, compliance and appropriate prescription management, positive patient satisfaction and quality of life scores (Roberts, 2021). These facts underlined the importance of the work done and encouraged us to investigate the applicability of the intervention in the healthcare facility where we work.

When considering our clinical goals and identifying how care coordination impacts these efforts, the studies noted several positive associations (Adams & Brown, 2020). Specifically, interventions implemented on care coordination through nurse-led approaches have also shown reduced hospital readmissions among heart failure patients (Miller et al., 2022). These results gave us some knowledge regarding the possibility of our intervention’s success, which we used for implementation and assessment results.

Change in Practice Related to Services and Resources

As with the care coordination intervention implemented in our study, the following changes in practice concerning services and resources were made to the interprofessional care coordination: These changes were based on a review of best practices in patient care outcomes and conducted with a view to ensuring that the USE of resources was as efficient as possible. Firstly, we underlined that interprofessional collaboration should be regarded as an essential aspect of the healthcare system to provide proper and coherent care. To this end, implementing frequent interdisciplinary team huddle meetings where physicians, nurses, pharmacists, social workers, and care coordinators reviewed patients’ cases and treatment plans were initiated (Jones & Smith, 2020). In the implementation of this cultural change, we aimed to involve all team members and encourage them to share their knowledge with the rest of the teams to improve cooperation between teams and, therefore, improve patient’ outcomes.

NURS FPX 6614 Assessment 3 Curriculum Overview, Framework, and Analysis

We incorporated care maps and care plans to practice consistent patient care and to provide guidelines to assist with decision-making and management of patient care plans and processes. These evidence-based guidelines are designed in consultation with practitioners and calibrated for our patient pool (Miller et al., 2021). Thus, by staying loyal to the norms, it was possible to minimise practice deviations, enhance the quality of care rendered, and utilise available resources efficiently.

Efforts to Build Stakeholder Engagement

To create support among stakeholders in the interprofessional team, it is essential to invest in establishing stakeholder engagement in the care coordination interventions. For better coverage of stakeholders, information on uncertainties should be complemented by a well-coordinated approach that tackles the unknown aspects.

  • Identify Stakeholders:

The process starts with the identification of all key stakeholders in the care coordination activity. It involves all the healthcare givers from different fields, clinics, hospitals, patients, families and friends, caregivers and many times institutions and groups in society (Jones & Smith, 2020).

  • Communication Plan:

Establish a clear structure of communication channels to ensure that the various stakeholders are in continuous communication. It is recommended to use as many means of communication as possible, for example, live meetings and teleconferencing, e-mails, company newsletters, or a corporate portal (Roberts & Brown, 2019).

  • Stakeholder Needs Assessment:

First of all, one should carry out coherent needs analysis to identify further the needs of different stakeholders regarding priorities, issues, and expected outcomes. This will assist in directing the engagement initiatives to meet definite needs or concerns, which are often characterised by ambiguity (Taylor & Johnson, 2021).

NURS FPX 6614 Assessment 3

Next Steps That Support Thoughtful Resource Utilization

When discussing further actions that will assist with the consideration of resource allocation and guarantee the safety of the environment when it comes to care coordination, it will be appropriate to think about the development of action plans that may be well grounded in evidence. Here’s a comprehensive plan:

  • Utilization Review:

Perform a utilization review to evaluate the current practices on how resources were arranged in the organisation. Mr/Ms. Information that points to resource inefficiency or available resource consumption by breaking patterns of staff time, equipment, supplies, and facility utilisation (Miller & Brown, 2021).

  • Evidence-Based Practices:

It is recommended to introduce changes and integrate the best practices and recommendations in the stated area to enhance the efficiency of the use of resources, yet adhere to the principles of quality care. This may encompass care mapping, computerised order entries, the use of checklists, expert pod systems, and future telepharmacy Education This may include care mapping, computerised order entries, the use of checklists, expert pod systems, and future telepharmacy

  • Interprofessional Collaboration:

Currently, review and integrate care among professionals from different disciplines to share resources and avoid providing repetitive services. Engage all interdisciplinary team members to participate in efforts to assess needs for resources, as well as recognise any gaps and inefficiencies in the order and flow of care delivery (Adams et al., 2022).


In conclusion, it is possible to state that the care coordination intervention has seen success in enhancing patient outcomes, more efficient use of resources and higher quality of care provision. The strategies included the use of research guidelines, collaboration between departments, departments, and the use of technology to propel clinical priorities and optimize the quality and efficiency of care. In this project, we learned that it takes ample time, focus and planning to efficiently use resources and identify ways of ensuring a safe and coordinated care environment. In doing so, cost has been better contained, patient safety has been improved, and patients together with other stakeholders have been effectively involved in ascertaining better outcomes and laying down frameworks for sustainable improvements in patient care. Therefore, there is need and great importance of developing strategies of making our work and experience known to other health care fraternity. Thus, we anticipate that by sharing our findings with other academic journals we would be able to inspire other clinicians to achieve similar improvements in discontinuity management and enhance care linkages in their own local contexts.

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NURS FPX 6616 Assessment 3


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Chang, E.-S., Kannoth, S., Levy, S., Wang, S.-Y., Lee, J. E., & Levy, B. R. (2020). Global reach of ageism on older persons’ health: A systematic review. PLOS ONE, 15(1).

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Robertson, S. T., Rosbergen, I. C. M., Burton-Jones, A., Grimley, R. S., & Brauer, S. G. (2022). The effect of the electronic health record on interprofessional practice: A systematic review. Applied Clinical Informatics, 13(03), 541–559.

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Zaila, K. E., Osadchiy, V., Anderson, A. S., Eleswarapu, S. V., & Mills, J. N. (2020). Popularity and worldwide reach of targeted, evidence-based internet streaming video interventions focused on men’s health topics. Translational Andrology and Urology, 9(3), 1374–1381.
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