NURS-FPX 6030 Assessment 3: Intervention Plan Design

Sample Answer for NURS-FPX 6030 Assessment 3: Intervention Plan Design Included After Question

Guiding Questions

Implementation Plan Design

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Implementation Plan Design assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.

Part 1: Management and Leadership

Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan.

• What leadership strategies are most relevant to successfully implementing your intervention plans?
  • How will these strategies help to ensure interprofessional collaboration?
• What management strategies are most relevant to successfully implementing your intervention plan?
  • How will these strategies help to ensure interprofessional collaboration?
• What professional nursing practices are most relevant to successfully implementing your intervention plan?
  • How will these practices help to ensure interprofessional collaboration?

Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs.

• How will your proposed leadership strategies change the care setting in which your intervention plan will be implemented?
  • How will these changes impact the quality of care?
  • How will these changes impact the experience of care?
  • How will these changes help to control the costs of care?
• How will your proposed management strategies change the care setting in which your intervention plan will be implemented?
  • How will these changes impact the quality of care?
  • How will these changes impact the experience of care?
  • How will these changes help to control the costs of care?
• How will your proposed professional nursing practices change the care setting in which your intervention plan will be implemented?
  • How will these changes impact the quality of care?
  • How will these changes impact the experience of care?
  • How will these changes help to control the costs of care?

Part 2: Delivery and Technology

Propose appropriate delivery methods to implement an intervention which will improve the quality of the project.

• What delivery methods are appropriate for implementing your intervention plan?
  • Why are the proposed methods appropriate for implementing your intervention plan?
  • How will the proposed methods improve the quality of your project?

Evaluate the current and emerging technological options related to the proposed delivery methods.

• What are the current technological options that are relevant to support and improve your proposed delivery methods?
  • How will these current technological options help make your delivery methods more effective?
  • Which of the current relevant technological options will likely have the largest positive impact?
• What are the emerging technological options that are relevant to support and improve your proposed delivery methods?
  • How might these emerging technological options help make your delivery methods more effective?
  • Which of the emerging relevant technological options could have the largest positive impact?

Part 3: Stakeholders, Policy, and Regulations

Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan.

• Who are the relevant stakeholders?
  • How will the needs of relevant stakeholders impact the implementation of your intervention plan?
• What are the relevant health care regulations?
  • How will health care regulations impact the implementation of your intervention plan?
• What other support considerations are relevant to implementing your intervention plan?
  • How will these additional considerations impact the implementation of your intervention plan?

Propose existing or new policy considerations that would support the implementation of an intervention plan.

• What are the existing policy considerations that would support the implementation of your intervention plan?
  • How will the existing policy positively impact your implementation efforts?
• What are one or more new policy considerations that could support the implementation of your intervention plan?
  • How would the new policy considerations positively impact your implementation efforts?

Part 4: Timeline

Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation.

• What is the time frame for implementing your intervention?
  • Is this time frame realistic?
  • What are the specific factors that will impact the timing of implementation?
    • To what degree will these factors impact the timeline?

Address Generally Throughout

Integrate resources from diverse sources that illustrate support for all aspects of an implementation plan for a planned intervention.

• Do the resources cited support all aspects of your implementation plan?
• Do your resources come from a diversity of sources?
  • For example: the literature, professional standards, existing health care policy, relevant health care laws, et cetera.
• Do you cite a minimum of 3–6 resources?

Communicate implementation plan in a way that clearly illustrates the importance of interprofessional collaboration to create buy-in from the audience.

• Is your writing clear and professional?
• Does your writing effectively communicate your proposed implementation plan?
• Does your writing effectively communicate the importance of interprofessional collaboration to successful implementation?
• Is your writing free from errors?
• Is your submission 4–6 pages?
• Does your submission conform to current APA style standards?

Description

Target population: Hispanic located in Baja, CA.

A Sample Answer For the Assignment: NURS-FPX 6030 Assessment 3: Intervention Plan Design

Title:  NURS-FPX 6030 Assessment 3: Intervention Plan Design

Your application of the PICOT approach to developing your problem statement and the research that you conducted and synthesized in your literature review are the foundation and framework that you will need to successfully build your intervention plan. This plan will lay out specific components of the intervention you are planning to address the need you have identified for the target population and setting. You will justify your approach to the intervention plan by integrating appropriate theoretical foundations. You will also analyze and address the needs of stakeholders, requirements of regulatory bodies, and ethical and legal considerations. It is important to have a sound intervention plan design in place before trying to work on the details of implementation and evaluation.

Intervention Plan Component

            Nurses play a critical role in the intervention of diabetes. As it is known, diabetes is caused by excess insulin levels in the blood. Therefore, to manage it well, nurses need to educate people on dietary issues. Research results indicate that diabetes is a global problem with over 415 million patients (Ross et al., 2018). The number is projected to rise significantly over the next twenty years, and this is because of eating habits and the food that people consume (Powers et al., 2016). The disease may also lead to complications. Patients are more worried about the condition and not the difficulties that may arise with uncontrolled glucose levels. Nursing interventions can help people affected by the disease. The nursing intervention entails creating awareness of the role of uncontrolled diabetes, instruction on proper dietary modifications, and the importance of regular exercise.

                                                            Educating the Patients

            In the nursing intervention program, the first thing is to give patients educational knowledge on uncontrolled diabetes in developing more complicated health problems. Informing the patient on how uncontrolled diabetes can result in other health complications, the patients may become more educated and may be motivated to keep up with their care. For instance, acute diabetes can result in health complications such as hypoglycemia, hyperglycemia, and hyperosmolar hyperglycemic state. To avoid these complications, the patient must remain aware of their health status, informed on how to prevent further complications and be willing to modify important aspects to better their overall health. Also, advanced diabetes can result in retinopathy, neuropathy, and nephropathy. The intervention’s educational part is to ensure the patient’s self-management and responsibility to control their diabetic care (Testerman & Chase, 2017). The education’s importance is to inform the patients on the possible complications that might result if the diabetic condition is not well handled and managed. The health complexities resulting from the chronic diseases of diabetes can cause loss of toes, feet, or even legs. Additionally, the conditions can lead to blindness, heart failure, and myocardial infarction. Explaining all these dangers to the patients can act as an eye-opener, and therefore, the patient may be more committed to taking care of his or her condition.

            Teaching Patients the Signs and Symptoms of Related Conditions

            It is imperative to teach the patients the symptoms of the related conditions of diabetes, such as hyperglycemia. Notably, hyperglycemia results when patients miss their oral medications, incorrectly take their insulin dose, and increase food intake or eat foods that increase glucose levels significantly. The signs and symptoms associated with this condition include increased glucose level in the blood, fatigue, blurred vision, the patient loses body weight, polyuria, polyphagia, and polydipsia (Mayberry et al., 2017). The patients should be made aware of these signs and symptoms so that if any of the symptoms appear, the patient can seek medical attention. 

                                                            Quality Improvement Plan

            As earlier asserted, diabetes results from unhealthy eating, being overweight or obese, and participating in little to no exercise. The intervention plan should entail using patients to improve nutrition (Gilis-Januszewska et al., 2017). The patients should be educated on what type of food to consume with the respective amounts. As earlier seen, increased food intake can result in hyperglycemia, and for this reason, the patient should be aware when it comes to food intake. It is recommended that the patient should use the plate method as a simple method of meal planning and maintaining healthy nutrition (Pot et al., 2019). Information should be given to the patient regarding the food groups to be taken with their rightful amount. For instance, a diabetes patient should be provided with a paper plate divided into quarter sections and respective food groups provided in each quarter. For example, half of the plate should have non-starchy vegetables, another quarter section should have protein such as meat, beans, fish, and eggs, and the remaining quarter section should be filled with good carbohydrates such as rice, potatoes, pasta, and bread. Notably, the patient should be provided with a cup of skimmed milk and fruit. Advisably, the patient should limit the intake of fat, which can be achieved by avoiding fried foods. Equally important, the patient should be advised to take in water and avoid diet soda, sugar drinks should be avoided at all costs. The patient should be sure to eat breakfast every morning along with lunch and dinner. The reason for all this is to help maintain normal blood glucose levels. It should be noted that an individualized meal plan depends on the patient’s health assessment and needs since no one individual is the same.

            It is important to note that in many Hispanic cultures, food and family is respective in their heritage and identity. Hispanic culture combines hearty and heavy meals, ensuring no one leaves hungry or goes to bed on an empty stomach. It is common for family dinners to include the entire family, it is seen as bonding, spiritual, and inclusive. “Hispanics tend to have closer personal space and value physical contact.  Appearance and group memberships are especially important.  Latinos will work hard for the goals of a group and will work hard for the needs of the community” (BYU, 2021). It is also common for food and medicine to fuse together in Hispanic culture. Hispanics use hot/cold method in regard to illnesses and treat them respectively with its opposite. For instance, if a family member has a cold, they take in something hot to combat the illness. “Consequently, the medications, remedies, and foods that are used to treat them are assigned descriptors accordingly. Therefore, the treatment recommended for any condition will usually have the opposite classification or properties. For instance, cold diseases are treated with hot remedies, while hot diseases are treated with cool or cold remedies (Ortiz, et al, 2007). Given this information, dietary planning should be done around the patient and close family members. Meals should be inclusive of their culture, but the importance of portion control should be emphasized.

            Lastly, exercise is important to maintain a healthy weight and decrease complications associated with diabetes. Many Hispanic cultures incorporate holidays in family parties. A big asset in Hispanic culture is dancing. As a nurse, it is critical to incorporate heritage and culture into lifestyle modifications. Given the information, designing an exercise program that is family inclusive and takes an aspect of their culture and makes it more enjoyable is key. As an example, it is common for the Hispanic culture to engage in dancing. Creating an exercise that incorporates movement, such as dancing may make the goal more obtainable and enjoyable for the patient.

            Given the time frame of 12 weeks, the following holistic plan will gauge the patient’s willingness to adapt to changes to support health. The 12-week plan will incorporate education, meal modification plans, and exercise plans specific to the Hispanic population in Baja, California.

                                                            Theoretical Foundations

            Nursing professionalism is quite challenging, and for this reason, many philosophies and theories have been put forward to guide nursing practices, education, and research. Nursing practices have been changing over time. Notably, some of the initial guidelines in the nursing practices have remained intact today. For instance, nurses who serve in places with limited resources conform to the biomedical model of nursing to manage their patients. The Nightingale model of nursing, which Florence Nightingale developed during her time as a nurse during the Crimean war, states that nurses should be sure to manipulate and mediate the environment to ensure that the patients are in optimal condition. For instance, this model can be used in the diabetes intervention in Baja, CA. The direct impact of diabetes on Hispanics in this region is increasing. Following a model that can be molded to fit the culture and traditions of a specific group is important and will better improve the outcomes of the community.

                                                Stakeholders, Policy, And Regulations

            First and foremost, stakeholders play a critical role in ensuring the implementation of healthcare evidence (Pozgar, 2019). Stakeholders’ support in the health sector cannot be underestimated. For instance, stakeholders provide the necessary resources, skills, and the needed knowledge to implement health projects. Furthermore, stakeholders influence public opinion regarding the anticipated health change. Health stakeholders act as ambassadors of research since they take part in collecting and analyzing qualitative data that helps develop and implement a health policy or health program (Byrne, 2019). The health stakeholders decide the health reforms and the intervention policies. In retrospect, health stakeholders are an important part of the intervention of Diabetes disease. The presence of policy and regulations are vital tools in diabetes interventions. Key stakeholders in this specific case are the patient’s family members, since there is big emphasis on family when it comes to change and decision-making. Other stakeholders specific to the plan are nutritionists and physical and occupational therapists who will guide meal planning and exercise programs over the next 12-week period. All stakeholders need be included in the plan to help guid patient improvement.

                                                Ethical and Legal Implications

            Since patient safety is multidimensional and grounded in ethical and legal imperatives, nurses should consider both the ethical and legal challenges. First and foremost, nurses’ priority is ensuring the patient’s safety and therefore preventing further injuries and complicated conditions to the patient. This issue has been emphasized many times by the quality of health care services globally. As earlier stated, the nurses and healthcare providers should educate the diabetic patients on the relevant information required for them to keep off from translating their conditions to even worse health complexities such as hyperglycemia. This practice is among the ethical imperatives that demand patients’ safety from further injuries. The nurse along with other specialties such as nutritionists, physical and occupational therapists will work within their own scope of practice, being sure to promote the overall health of the individuals at hand.

References

Byrne, M. (2019). Increasing the impact of behavior change intervention research: Is there a role for stakeholder engagement?. Health Psychology, 38(4), 290.

BYU. (2021). BYU David O. McKay School of Education. Hispanic and Latino American diversity cultural information. Retrieved from https://education.byu.edu/diversity/culture/hispanicamerican.html

Gilis-Januszewska, A., Lindström, J., Tuomilehto, J., Piwońska-Solska, B., Topór-Mądry, R., Szybiński, Z., … & Hubalewska-Dydejczyk, A. (2017). Sustained diabetes risk reduction after real-life and primary health care setting implementation of the Diabetes in Europe prevention using lifestyle, physical activity, and nutritional intervention (DE-PLAN) project. BMC public health, 17(1), 1-7.

Mayberry, L. S., Mulvaney, S. A., Johnson, K. B., & Osborn, C. Y. (2017). The MEssaging for diabetes intervention reduced barriers to medication adherence among low-income, diverse adults with type 2. Journal of Diabetes science and technology, 11(1), 92-99.

Ortiz, B., PharmD, Shield, K., PharmD, Clauson, K., PharmD, Clay, P., PharmD. The Annals of Pharmacotherapy. 2007;41(6):994-1004

Pot, G. K., Battjes-Fries, M. C. E., Patijn, O. N., Pijl, H., Witkamp, R. F., de Visser, M., van der Zijl, N., de Vries, M., & Voshol, P. J. (2019). Nutrition and lifestyle intervention in type 2 diabetes: A pilot study in the Netherlands shows improved glucose control and glucose-lowering medication reduction. BMJ Nutrition, Prevention & Health, 2(1), 43–50. https://doi.org/10.1136/bmjnph-2018-000012

Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Hess Fischl, A., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2016). Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Journal of the Academy of Nutrition and Dietetics, 115(8), 1323–1334. https://doi.org/10.1016/j.jand.2015.05.012

Pozgar, G. D. (2019). Legal and ethical issues for health professionals. Jones & Bartlett Learning.

Ross, J., Stevenson, F., Dack, C., Pal, K., May, C., Michie, S., … & Murray, E. (2018). Developing an implementation strategy for a digital health intervention: an example in routine healthcare. BMC health services research, 18(1), 1-13.

Testerman, J., & Chase, D. (2017). Influences on Diabetes Self-Management Education Participation in a Low-Income, Spanish-Speaking, Latino Population. Diabetes Spectrum, 31(1), 47–57. https://doi.org/10.2337/ds16-0046

A Sample Answer For the Assignment: NURS-FPX 6030 Assessment 3: Intervention Plan Design

Title:  NURS-FPX 6030 Assessment 3: Intervention Plan Design

Intervention Plan Design

The process of proposing and implementing an intervention to help solve a clinical problem requires a careful plan. Therefore, an appropriate intervention plan should be formulated to help as a guide in the whole process (Oikarainen et al.,2019). In the previous weeks, various aspects of the project have been explored. The identified clinical problem was the gap between a senior-year nursing student and a new nurse. This gap is a hindrance in practice as these senior-year nursing students find it challenging when they join the profession as new nurses. As such, it is important to use appropriate interventions to help bridge this gap. The implication is that the new nurses will feel prepared to undertake their roles as registered nurses hence better job satisfaction and performance. As such, the purpose of this current assignment is to design an intervention plan.

The Intervention Plan Components

The Major Components

The proposed intervention has particular components which will help bridge the gap between senior nursing students and the new nurse. The targeted career planning and internship integrated with mentorship intervention will take place among the senior nursing students as they are about to enter the job market as registered nurses (Tuomikoksi et al.,2020). One of the components includes targeted career planning to help the senior students have a better grasp of what their career entails and what they should do to ensure that they appropriately carry out their roles as new nurses.

The other component is assigning mentors to the students. These mentors accomplish mentorship programs that better prepare the senior nursing students to appropriately begin their work as new nurses (Tuomikoksi et al.,2020). These components can lead to targeted improvements. For example, targeted career planning ensures that the senior nursing students are in the know of what the career expects, their responsibilities when they enter the profession, and what they need to do to successfully start their careers as new nurses. The mentorship and internship component ensures that the students get the required hands-on skills and knowledge needed in the work setting. These components are the best options since they can be accessible to senior nursing students.

Impact of Cultural Needs and Characteristics of the Population and Setting

            It is important to assess the cultural needs and characteristics of the target population. While the senior nursing students may not have a specific culture, they have a common characteristic. For instance, they are novices and lack experience when they get employed as new nurses (Sterner et al.,2019). Therefore, such information is key in developing the intervention; the intervention should have aspects that improve their competence and makes them more prepared to enter the profession. They are also in a period of learning; hence they will be able to participate effectively in the program.

The setting also has cultural needs that impact the project. As part of the culture in nursing schools, practicum forms part of the training and contributes to the final grade. However, internships are independent of school requirements. Therefore, as part of the intervention, internships will be integrated with mentorship programs for better results. The specific characteristic of the setting is the presence of faculty members who can be brought along to be mentors. Therefore, the internship programs should be made part of the faculty and supervised by these members.

Theoretical Foundations

            Theoretical foundations are key in the implementation of inventions as they provide frameworks upon which the implementation of the intervention aspects can be accomplished. One of the theoretical models relevant to the intervention plan is Benner’s model of novice to expert. This theory asserts that nurses develop understanding and skills over time through a strong educational foundation and personal experiences (Smith, 2019). The other model is Cultural Care Diversity & Universality by Madeleine Leininger, which focuses on cultural care. Benner’s model is more appropriate and will most impact the design of the intervention plan components. The theory focuses on making nurses competent as they grow from novices to experts.

            Strategies from other disciplines can also be relevant to the intervention plan. One of them is the root cause analysis, a strategy applied in engineering as a problem-solving approach. It is used to understand the underlying problem. It can be applied to evaluate the cause of the disconnect and formulate an intervention that appropriately addresses it. The other strategy is the Failure Modes and Effects Analysis which was first used by the U.S. military and then NASA to help predict and evaluate possible failures and unrecognized hazards. It can be used to predict potential failures of the planned intervention. The route cause analysis will mostly impact the intervention.  

Healthcare technologies are also relevant to the intervention plan. For example, the internet of things can be used to enhance the intervention by allowing senior nursing students to access mentorship programs remotely and even give feedback. Robotics and simulation (Verma et al.,2018) can also be used during the internship program to enhance skill and knowledge acquisition and retention. Since the mentorship and internship program involves a lot of training, robotics and simulation will mostly impact the intervention plan components.

            The theoretical nursing models, the strategies, and the technologies proposed can help justify the design decisions regarding the intervention plan. Benner’s theory asserts that nurses become experts from novices through appropriate knowledge acquisition over time (Smith, 2018). This justifies the decision to include mentorship as a component of the intervention. Therefore, through mentorship, the senior nursing students will be able to grow into their roles as they enter the profession as new nurses. The route cause analysis also justifies the inclusion of internship programs as it has been shown that internship programs increase nurses’ knowledge and skills; hence after identifying the cause of the problem, the intervention is implemented. The chosen technology of robotics and simulation also helps to justify the design decisions. For example, during internship and mentorship programs, there may be a need to train, teach and educate senior nursing students. Therefore the use of simulation and robotics can be used to support the initiative.

Stakeholder, Policy, and Regulations

            Interventions can be helpful in solving identified clinical problems. However, such interventions can be influenced by regulations and policies, and stakeholder involvement. Therefore, this section explores the stakeholders, policies, and regulations. Various stakeholders have been identified. The stakeholders include educators, nurse curriculum developers, faculty members, and senior nursing students.

The needs of these stakeholders will impact the intervention plan components in that their views and opinions are to be considered as part of the plan. There are also various healthcare policies relevant to the intervention plan. One of the policies is the patient safety and quality improvement Act of 2005 (Stanhope & Lancaster, 2019). This policy protects healthcare professionals reporting unsafe conditions and encourages them to report medical errors and maintain confidentiality rights. Therefore, as part of the mentorship program, the senior nursing students should be empowered and made to acquire more knowledge on how to report such cases as they enter the profession.

            Health regulations also impact the intervention plan components. One of them is the Health Information Technology for Economic and Clinical Health (HITECH) Act. It ensures that audits are done on healthcare providers to ensure that they comply with HIPPA security and privacy requirements (Stanhope & Lancaster, 2019). Therefore, during the internship and mentorship programs, the senior nursing students will be taught more about compliance so that they comply with HIPAA when they enter the profession as new nurses. There are also governing bodies that are relevant to the intervention plan. One of the governing bodies is the American Nurses Association (ANA). The American Nurses Association has various codes of ethics that nurses need to follow. Therefore, the intervention has to adhere to the codes of ethics.

Ethical and Legal Implications

            Ethics are a key component or part of practice; therefore, when an intervention is to be used, the ethical and legal implications have to be explored. Some of the ethical issues related to the project are informed consent. It is important that the participants are not coerced to take part in the study but should willfully consent. This ethical issue is likely to affect healthcare practice considerations, such as improving the nurses’ competence to improve patient outcomes (Smith, 2019). No participant will be unfairly excluded. One of the organizational change considerations is the inclusion of internship programs as part of the activities to be supervised by the faculty. Informed consent will also impact the intervention components. For example, the participants will have to give consent to take part in the mentorship and internship programs.

            There are also various legal issues related to the project. One of them is negligence and malpractice. Negligence entails carelessness and deviation from the care standards. Malpractice brings in both the caregiver’s professional status and the standard of care (Smith, 2019). The focus of the project is to bridge the disconnect between nurse students and the new nurse; as such, this legal issue ensures that the students are mentored and taught to shun negligence and malpractice is they start their roles as new nurses. The legal issue does not have any specific impact on organizational change interventions. However, it impacts the aspect related to mentorship. As part of the mentorship program, the students should be mentored to become professionals who stick to standards of care and maintain professional integrity.

Conclusion

            Intervention is one of the most important components of a project, calling for an appropriately designed plan. Therefore, this latest write-up has focused on the intervention plan design. Various aspects have been discussed, including the intervention plan components, theoretical foundations, and ethical and legal considerations.

References

Oikarainen, A., Mikkonen, K., Kenny, A., Tomietto, M., Tuomikoski, A. M., Meriläinen, M., … & Kääriäinen, M. (2019). Educational interventions designed to develop nurses’ cultural competence: A systematic review. International Journal of Nursing Studies, 98, 75-86. https://doi.org/10.1016/j.ijnurstu.2019.06.005

Stanhope, M., & Lancaster, J. (2019). Public health nursing e-book: Population-centered health care in the community. Elsevier Health Sciences.

Sterner, A., Hagiwara, M. A., Ramstrand, N., & Palmér, L. (2019). Factors developing nursing students and novice nurses’ ability to provide care in acute situations. Nurse Education In Practice, 35, 135-140. https://doi.org/10.1016/j.nepr.2019.02.005

Smith, M. C. (2019). Nursing theories and nursing practice. FA Davis.

Tuomikoski, A. M., Ruotsalainen, H., Mikkonen, K., & Kääriäinen, M. (2020). Nurses’ experiences of their competence at mentoring nursing students during clinical practice: a systematic review of qualitative studies. Nurse Education Today, 85, 104258. https://doi.org/10.1016/j.nedt.2019.104258

Verma, V., Chowdary, V., Gupta, M. K., & Mondal, A. K. (2018). IoT and robotics in healthcare. In Medical Big Data and Internet of Medical Things (pp. 245–269). CRC Press.