Name
Capella University
NURS-FPX 6030: MSN Practicum & Capstone
Instructor’s Name
September 27th, 2024
Implementation Plan Design
In this assessment, I will provide the intervention plan that I designed in the previous assignment to the client. Implementation intention is not only going to include implementation of best practice but it will also take into aspect the actual condition and requirement of the targeted group for interference. Also, during the assessment, this employee’s purpose will be to implement the above-stated intervention plan on the selected population as per the identified theories and best practices in theory.
Part 1: Management and Leadership
Approaches to Interpersonal Collaboration
I will employ two key approaches to facilitate interpersonal collaboration in my implementation plan: change-oriented leadership and the leadership behavior known as democratic leadership. Transformational leadership is about how to convince the employees to accept the vision of the organization which is set by the leader (Abd et al., 2024). Those teams that work in organizations with transformational strategies are more likely to raise their individual and collective benchmarks; they work harder to meet the mission and vision of the organization they serve. These teams work as one with a focus on organization directions, dedicating their resources, time, and effort towards organizational success this is a very important factor to focus on in the reduction of nurse burnout and improved patient care.
On the other hand, the democratic leadership approach includes the participation of all members in decision-making. Though leaders remain accountable for decision-makers, they involve subordinates to ensure that everyone becomes part of the decision-makers (Alshahrani et al., 2021). Every staff member is a stakeholder in this approach so it allows the targeted nurses to openly address the issue of burnout in front of other staff members and provide recommendations on how such a situation may be prevented to the management of the hospital. It fosters cordiality within the relations of the members of the nursing workforce hence concern and solutions to the problems ailing the workforce.
Management Strategies for Collaboration
To build up a better understanding between departments, I will consider the following managerial strategies. First of all, a candidate must ensure that his or her goals and mission are in line with the associated goals and the healthcare facility. This alignment makes sure that targeted nurses cherish the organization’s goals in the course of their duties (Brown, 2021). Secondly, additional training for selected nurses will be established by developing awareness among the targeted nurses about their professional requirements and the relevant competencies. Such investment in development is not only helpful for improving individual performance but also provides an increased value to the healthcare organization.
Professional Nursing Practices
To ensure the optimality of my intervention plan, I will ensure I use the five professional nursing practice realms of compassion, trust, integrity, and accountability. To seek and nurture the targeted nurses with kindness, the practice of compassion is important as results in the positive treatment of co-workers in the facility, thus deeming them to be part of a large family (Cateau et al., 2022). Honesty is essential to credibility within the nursing team, and to create an environment in which communication and collaboration are possible. Finally, the need to ensure that all members of the team stay committed to the goals of the intervention will be used to emphasize the importance of accountability to other team members.
Conflicting Data and Perspectives
Research carried out post-crisis has shown that burnout is a real phenomenon and deserves much effort to be given to combat it (Connor et al., 2023). But there are more cases of Burn out and the hospital administrators have not taken much importance to this matter.
Implications of Change Associated with Proposed Strategies
Strategies for Improving the Quality of Care
The leadership strategies that I have applied in this intervention plan include transformational and democratic. The primary purpose is to set a reference rate of the nurse-patient ratio to prevent burnout syndrome for several groups of nurses. Patient experience refers to all the ways a patient interacts with the systems in healthcare, particularly with the health plans and nurses in hospital settings (Connelly et al., 2023). To bring this about, I offer the following management initiatives of motivational and collaborative training of the nurses to improve the quality of the care that they give. It is a strategy that focuses on the enhancement of organizational interest, encouragement of particular-interest events with nurses, and appreciation of activities performed and experiences that enhance the professional perspectives of nurses. They might have a important effect on lessening the level of depression and burnout which would in turn lead to improve nurse’s well-being (Eglseer et al., 2021). These efforts will lead to improved patient satisfaction levels appointment schedules, patient information, and communication.
Further, the use of the democratic leadership approaches will guarantee each patient’s equal consideration, thus eliminating readmissions and, in general, decreasing costs for patients, including those due to nurse burnout. Other support includes insurance coverage and financial assistance which enable patients to afford the cost prices which make health care a possibility (Green et al., 2020). Benefits such as good communication, inter-professionality, reliability, respect, and responsibility of the nurse are major determinants that define the quality of care delivered. Nurse recipients report perceiving care in such facets which makes the patients adhere to the treatment planned and thus improving the efficiency of the nurses. According to the study, high levels of compassion for patients and their families contribute positively to the attainment of happiness and healthcare quality besides decreasing the levels of burnout in nurses (Green et al., 2020). This type of relationship is built on trust, between the patient and the health care provider because it enables the interaction between them and patients to present their issues as early as possible for treatment. However, the final responsibility that can cause significant savings is when patients decide to take full responsibility for maintaining their health; when people exercise, and choose their diet regimens appropriately, the level of spending is likely to be lower.
Knowledge Gaps, and Areas of Uncertainty
Care experience and the quality of care are influenced by various factors and can be significantly enhanced through interdisciplinary approaches. Effective collaboration among different healthcare professionals fosters a comprehensive understanding of patient needs and leads to improved care outcomes (Haahr et al., 2020). However, a common problem is the ambiguity that results from prior research studies stating that there are deficiencies in the existing body of empirical work and that disciplines are insufficiently interconnected. Scholarly studies of patient-centeredness and interdisciplinary collaboration for nursing support raise concerns that in many care contexts, there may be more untapped potential for improved care quality and patient satisfaction.
Part 2: Delivery and Technology
Appropriate Delivery Methods
The intervention strategy deals with the ratio of nurses to the number of patients by seeking to increase the number of staff nurses to enable the provision of quality care as well as improve nurses’ welfare. Specifically, the implementation plan aims to adjust the ratio in long-term care institutions to 1:3 and in urgent care departments to less than 1:2. This way, a balance is achieved in guaranteeing that the healthcare settings in which patients need critical attention is staffed appropriately helping improve results for the patients while enhancing their experience (Karlsson et al., 2020). For this intervention, interpersonal relationships between the nurses and administrative staff need to be close. Stakeholders and management need to be educated on the intervention to ensure they support the process of the intervention plan.
It will be implemented by the administrative team of the hospital and there will be more than one manager who is responsible for implementing the intervention. The delivery strategy of this plan will engage nurses, stakeholders, administrators, and patients so that everyone will contribute to the formulation of the execution plan (Kolawole et al., 2022). Since the work will involve numerous specialists, the latter will contribute their experience to the project, and the overall organizational process will also improve.
Technological Options
The advantages of implementing the delivery method will be; The assured enhancement of efficiency when implementing technological advancements into the plan. One of them includes the use of site maps for establishing operational hubs, which allows the employees to have a glance at how the number of patients, employees, and management of patients aligns. Real-time dashboards will give important data about bed availability of new patients, conditions in the ED, nurse-to-patient assignment, and preparedness of equipment (Morrison et al., 2021). This integration of previously separate functions allows a worker to make a sound decision that navigates company affairs and helps improve patient care. Moreover, all the tasks shall be delivered to the nurses through the application hence reducing confusion and keeping to the standard operating procedures.
In addition, the implementation of AI as a relatively new technology will also enhance the delivery method (Myers, 2020). AI refers to a variety of developed tools and systems that imitate human intelligence and evolve depending on the data obtained. For instance, chatbots can solve questions and answers, Intelligent assistants can enhance the communication method, and Recommendation engines can provide solutions to the issues.
Part 3: Stakeholders, Policy, and Regulation
Stakeholders Impact
Concerning the intervention plan implementation, the major stakeholders include managers, fiscal officers, the community, patients, and hospital employees. Stakeholders are required to be approachable by personnel, participate in decision-making processes, and be able to achieve work-life adaptation (Njah et al., 2021). Explaining the needs of these stakeholders will greatly improve the quality of the intervention plan. Of these, the patient is most important because the patient can enhance the intervention. One of the potential negative consequences is an increase in the number of patients that are to be admitted leading to a situation where there is a ratio of nurses to patients. Reducing high readmission rates requires efforts such as a patient tracking system because it assists in decreasing the number of patients that get admitted to care units.
Policy, and Regulations Impact
The ACA is one of the regulations in the healthcare system that has an impact on the intervention plan since it discusses nurse burnout at higher levels (Reynolds et al., 2022). Their setting up of outpatient care units among patients with major health issues is hoped to ease the load on nurses, thus reducing the nurse-to-patient ratio by the ACA. Furthermore, the Nurse Staffing Standards align with the implementation plan (Myers, 2020), recommending specific staffing ratios to improve care quality: In medical units, there should be one IT specialist per four units while in the emergency units, there should one for every three units, and in the critical units there should be one for every one unit.
Part 4: Timeline
The time frame for the implementation plan is one year for investigating burnout’s impact on the identified nurses, both before and after COVID-19 (Yoong et al., 2023). Such timing provides sufficient time for the accomplishment of all the activities that have been planned. First, data will be requested from every hospital in Minnesota; specific requests for administrative data concerning nurses in extended care departments will be made by Reynolds. In the next two months, a sample of nurses will be chosen. In the following months, the conditions for the implementation will be on the agenda, in addition to defining the parameters for the KPIs for the selected nurses. Some of the risks include, Though, implementing such a plan may not be without its risks more so if the administration does not have imposing support for it.
NURS FPX 6030 Assessment 4 Conclusion
For efficient implementation of the outlined intervention plan, an effort should be made to mobilize all the parties that are involved. The role of technology is therefore central, in increasing the efficiency of the intervention (Reynolds et al., 2022). Furthermore, it is expected that adherence or otherwise to pertinent policies and regulations will influence the implementation process. Other risks include those that are related to processes in the delivery of the plan like; Road Blocks: Natural incidents that may cause disruptions Sleeping or low morale among the nurses which may slow down the implementation of the plan. Such factors will be tackled before hand by the intervention in order to meet the intended goals of decreasing the nurse burnout as well as enhancing the overall quality of the patient care.
NURS FPX 6030 Assessment 4 References
Abd, A., Nashwan, A. J., Shah, Z., Abujaber, A., Alhuwail, D., Schneider, J., AlSaad, R., Ali, H., Alomoush, W., Ahmed, A., & Aziz, S. (2024). Machine learning-based approach for identifying research gaps: COVID-19 as a case study. Jmir Formative Research, 8, E49411.https://formative.jmir.org/2024/1/e49411
Alshahrani, B., Sim, J., & Middleton, R. (2021). Nursing interventions for pressure injury prevention among critically ill patients: A systematic review. Journal of Clinical Nursing, 30(15-16), 2151–2168.https://onlinelibrary.wiley.com/doi/10.1111/jocn.15709
Brown, A. (2020). Communication and leadership in healthcare quality governance. Journal of Health Organization and Management, 34(2), 144–161.https://www.emerald.com/insight/content/doi/10.1108/JHOM-07-2019-0194/full/html
Cateau, D., Ballabeni, P., & Niquille, A. (2021). Effects of an interprofessional deprescribing intervention in Swiss nursing homes: The individual deprescribing intervention (IDeI) randomized controlled trial. BMC Geriatrics, 21(1), 655.https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-021-02465-7
Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., Hole, A., Moore, L., Brown, R., Melnyk, B. M., & Gallagher, L. (2023). Evidence-based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on Evidence-Based Nursing, 20(1), 6–15.https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/wvn.12621
Connelly, D. M., Guitar, N. A., Atkinson, A. N., Janssen, S. M., & Snobelen, N. (2023). Learnings from nursing bridging education programs: A scoping review. Nurse Education in Practice, 73, 103833.https://www.sciencedirect.com/science/article/pii/S1471595323002950?via%3Dihub
Eglseer, D., Osmancevic, S., Hoedl, M., Lohrmann, C., & Bauer, S. (2021). Improving the quality of nursing care in Austria: 10 years of success. Journal of Nursing Management, 29(2), 186–193.https://onlinelibrary.wiley.com/doi/10.1111/jonm.13136
Ge, S., Wu, K. C., Frey, H., Saudagaran, M., Welsh, D., Primomo, J., & Belza, B. (2022). Engaging with aging: A qualitative study of age-related changes and adaptations. Innovation in Aging, 6(6), igac054.https://academic.oup.com/innovateage/article/6/6/igac054/6757004
Green, S., Markaki, A., Baird, J., Murray, P., & Edwards, R. (2020). Addressing healthcare professional burnout: A quality improvement intervention. Worldviews on Evidence-Based Nursing, 17(3), 213–220.https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/wvn.12450
Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2020). Nurses experiences of ethical dilemmas: A review. Nursing Ethics, 27(1), 258–272.https://journals.sagepub.com/doi/10.1177/0969733019832941
Karlsson, M., & Pennbrant, S. (2020). Ideas of caring in nursing practice. Nursing Philosophy : An International Journal for Healthcare Professionals, 21(4), E12325.https://onlinelibrary.wiley.com/doi/10.1111/nup.12325
Kolawole, O., Stephenson, J., Simkhada, P., & Keely, A. (2022). Is this a good questionnaire? Dimensionality and category functioning of questionnaires used in nursing research. Nurse Researcher, 30(4), 6–14.https://journals.rcni.com/nurse-researcher/evidence-and-practice/is-this-a-good-questionnaire-dimensionality-and-category-functioning-of-questionnaires-used-in-nursing-research-nr.2022.e1842/abs
Morrison, V., Hauch, R. R., Perez, E., Bates, M., Sepe, P., & Dans, M. (2021). Diversity, equity, and inclusion in nursing: the pathway to excellence framework alignment. Nursing Administration Quarterly, 45(4), 311–323.https://journals.lww.com/naqjournal/abstract/2021/10000/diversity,_equity,_and_inclusion_in_nursing__the.8.aspx
Myers C. R. (2020). Promoting population health: nurse advocacy, policy making, and use of media. The Nursing Clinics of North America, 55(1), 11–20.https://www.sciencedirect.com/science/article/abs/pii/S0029646519300866?via%3Dihub
Njah, J., Hansoti, B., Adeyemi, A., Bruce, K., O’Malley, G., Gugerty, M. K., Chi, B. H., Lubimbi, N., Steen, E., Stampfly, S., Berman, E., & Kimball, A. M. (2021). Measuring for success: Evaluating leadership training programs for sustainable impact. Annals of Global Health, 87(1), 63.https://annalsofglobalhealth.org/articles/10.5334/aogh.3221
Reynolds, S. S., Granger, B. B., & Oermann, M. H. (2022). Implementation science in nursing education research: An exemplar. Nurse Education Today, 119, 105580.https://www.sciencedirect.com/science/article/abs/pii/S0260691722003161?via%3Dihub
Young, S. Q., Wang, W., Seah, A. C. W., Kumar, N., Gan, J. O. N., Schmidt, L. T., Lin, Y., & Zhang, H. (2023). Nursing students’ experiences with patient death and palliative and end-of-life care: A systematic review and meta-synthesis. Nurse education in practice, 69, 103625.https://www.sciencedirect.com/science/article/abs/pii/S1471595323000872?via%3Dihub
