Description
Complete this assessment in two parts: (a) develop an intervention as a solution to the problem I’ve defined and (b) submit your proposed intervention, with a written analysis, to my faculty for review and approval. PS: I have additional documents to support this project if neededThe defined problem is as follows:I interviewed a couple of ALS patients/residents and the nursing supervisor on a vented floor in a skilled nursing home. These patients are at the end of the
disease process, they are not able to communicate verbally, not able to take
anything PO, not able to move at all, and not even able breathe
without the ventilators. It seems like a group of patients who need a lot of
attention and skilled care. The facility is very short-staffed first of all,
and they are not training their staff the proper way. These patients rely
heavily on their Tobii to communicate and barely one or two floor staff know
the basic setup for Tobii at all. Whenever there is a technical issue going on
with the Tobii, the patient is completely helpless. They do have a speech therapy
team who are able to help patients to set up Tobii, but most of the time no one
is answering the phone when a nurse is trying to report a problem. It takes a couple or several days for someone to fix an issue related to Tobii. This means
that the patient was not able to communicate his needs at all for several days!There are not enough CNAs or nurses on the floor. The ratio is 1 nurse: 7 vented patients! And usually 2-3 CNAs for 10 patients depending if
people call out or not. Again, these patients are completely dependent. Each
patient needs at least 2 assistants at all times and also they can not verbally
communicate. It takes a very long time for these patients to type up their
needs/questions with their eye movements. It is very time-consuming for the
staff, and frustrating for the patients when they know everyone is so busy.Most of the staff working there are overworked and are not happy
with the management. Sometimes they cannot help but show it on their
faces, especially if a patient needs some extra attention that day. It makes
the patients feel like they are asking for too much when they only asking to be
repositioned every so often because they are in constant pain due to their
disease process.Preparation
In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To
prepare for the assessment, think about an appropriate intervention, based on your work in the
preceding assessments, that will produce tangible, measurable results for the patient, family, or group.
In addition, you might consider using a root cause analysis to explore the underlying reasons for a
problem and as the basis for developing and implementing an action plan to address the problem. Some
appropriate interventions include the following:
•
Creating an educational brochure.
•
Producing an educational voice-over PowerPoint presentation (narrator’s script needed).
•
Creating a teaching plan for your patient, family, or group.
•
Recommending work process or workflow changes addressing your topic.
In addition, you may wish to complete the following:
•
Review the assessment instructions and scoring guide to ensure that you understand the work
you will be asked to complete and how it will be assessed.
•
Conduct sufficient research of the scholarly and professional literature to inform your work and
meet scholarly expectations for supporting evidence.
Instructions
Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b)
submit your proposed intervention, with a written analysis, to your faculty for review and approval.
Part 1
Develop an intervention, as a solution to the problem, based on your assessment and supported by data
and scholarly, evidence-based sources.
Incorporate relevant aspects of the following considerations that shaped your understanding of the
problem:
•
Leadership.
•
Collaboration.
•
Communication.
•
Change management.
•
Policy.
•
Quality of care.
•
Patient safety.
•
Costs to the system and individual.
•
Technology.
•
Care coordination.
•
Community resources.
Part 2
In a separate written deliverable, write a 5–7 page analysis of your intervention.
•
Summarize the patient, family, or population problem.
•
Explain why you selected this problem as the focus of your project.
•
Explain why the problem is relevant to your professional practice and to the patient, family, or
group.
In addition, address the requirements outlined below. These requirements correspond to the scoring
guide criteria for this assessment, so be sure to address each main point. Read the performance-level
descriptions for each criterion to see how your work will be assessed. In addition, note the additional
requirements for document format and length and for supporting evidence.
•
•
•
•
Define the role of leadership and change management in addressing the problem.
•
Explain how leadership and change management strategies influenced the development
of your proposed intervention.
•
Explain how nursing ethics informed the development of your proposed intervention.
•
Include a copy of the intervention/solution/professional product.
Propose strategies for communicating and collaborating with the patient, family, or group to
improve outcomes associated with the problem.
•
Identify the patient, family, or group.
•
Discuss the benefits of gathering their input to improve care associated with the
problem.
•
Identify best-practice strategies from the literature for effective communication and
collaboration to improve outcomes.
Explain how state board nursing practice standards and/or organizational or governmental
policies guided the development of your proposed intervention.
•
Cite the standards and/or policies that guided your work.
•
Describe research that has tested the effectiveness of these standards and/or policies in
improving outcomes for this problem.
Explain how your proposed intervention will improve the quality of care, enhance patient safety,
and reduce costs to the system and individual.
•
•
Cite evidence from the literature that supports your conclusions.
•
Identify relevant and available sources of benchmark data on care quality, patient
safety, and costs to the system and individual.
Explain how technology, care coordination, and the utilization of community resources can be
applied in addressing the problem.
•
Cite evidence from the literature that supports your conclusions.
•
Write concisely and directly, using active voice.
•
Apply APA formatting to in-text citations and references.
Additional Requirements
•
Format: Format the written analysis of your intervention using APA style Be sure to include:
•
A title page and reference page. An abstract is not required.
•
Appropriate section headings.
•
Length: Your paper should be approximately 5–7 pages in length, not including the
reference page.
•
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support
your central ideas. Resources should be no more than five years old. Provide in-text citations
and references in APA format.
•
Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract
readers and make it more difficult for them to focus on its substance.
Patient, Family, or Population Health Problem Solution Scoring Guide
CRITERIA
NON-PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Define the role of leadership and
change management in
addressing a patient, family, or
population health problem and
includes a copy of
intervention/solution/professional
product.
Does not describe leadership
and change management
strategies, and does not include
a copy of the
intervention/solution/professional
product.
Attempts to describe leadership
and change management
strategies, and/or does not
include a copy of the
intervention/solution/professional
product.
Defines the role of leadership
and change management in
addressing a patient, family, or
population health problem and
includes a copy of the
intervention/solution/professional
product.
Defines the role of leadership
and change management in
addressing a patient, family, or
population health problem.
Provides an articulate, cogent
explanation of the influence that
leadership strategies, change
management strategies, and
nursing ethics had on the
development of an intervention
and includes a copy of the
intervention/solution/professional
product.
Propose strategies for
Does not describe
Attempts to describe
communicating and collaborating communication and collaboration communication and collaboration
with a patient, family, or group to strategies.
strategies.
improve outcomes associated
with a patient, family, or
population health problem.
Proposes strategies for
communicating and collaborating
with a patient, family, or group to
improve outcomes associated
with a patient, family, or
population health problem.
Proposes clear, best-practice
strategies, well-supported in the
literature, for communicating and
collaborating with a patient,
family, or group to improve
outcomes associated with a
patient, family, or population
health problem. Presents a
strong case for the benefits of
obtaining input from a patient,
family, or group.
Explain how state board nursing
practice standards and/or
organizational or governmental
policies guided the development
of a proposed intervention.
Does not describe state board
nursing practice standards
and/or organizational or
governmental policies applicable
to the development of a
proposed intervention.
Attempts to explain how state
board nursing practice standards
and/or organizational or
governmental policies guided the
development of a proposed
intervention.
Explains how state board
nursing practice standards
and/or organizational or
governmental policies guided the
development of a proposed
intervention.
Provides an articulate, cogent
explanation of how specific state
board nursing practice standards
and/or organizational or
governmental policies guided the
development of a proposed
intervention. Describes credible
research on the effectiveness of
these standards and/or policies
in improving outcomes.
Explain how a proposed
intervention to address a patient,
family, or population health
problem will improve the quality
of care, enhance patient safety,
and reduce costs to the system
and individual.
Does not explain how a
proposed intervention to address
a patient, family, or population
health problem will improve the
quality of care, enhance patient
safety, and reduce costs to the
system and individual.
Provides an explanation,
dependent upon unsubstantiated
assumptions, of how a proposed
intervention to address a patient,
family, or population health
problem will improve the quality
of care, enhance patient safety,
and reduce costs to the system
and individual.
Explains how a proposed
intervention to address a patient,
family, or population health
problem will improve the quality
of care, enhance patient safety,
and reduce costs to the system
and individual.
Provides an articulate, cogent
explanation of how a proposed
intervention to address a patient,
family, or population health
problem will improve the quality
of care, enhance patient safety,
and reduce costs to the system
and individual. Conclusions are
well-supported by credible
evidence. Cites specific,
relevant, and available sources
of benchmark data.
Explain how technology, care
coordination, and the utilization
of community resources can be
applied in addressing a patient,
family, or population health
problem.
Does not describe technology,
care coordination, and
community resources that can
be applied in addressing a
patient, family, or population
health problem.
Attempts to explain how
technology, care coordination,
and community resources can
be applied in addressing a
patient, family, or population
health problem.
Explains how technology, care
coordination, and the utilization
of community resources can be
applied in addressing a patient,
family, or population health
problem.
Provides an articulate, cogent
explanation of how technology,
care coordination, and the
utilization of community
resources can be applied in
addressing a patient, family, or
population health problem.
Conclusions are well-supported
by specific, credible evidence.
Write concisely and directly,
using active voice.
Does not write concisely and
directly, using active voice.
Writes passively, with a
tendency toward wordiness.
Writes concisely and directly,
using active voice.
Writes concisely and directly.
Conveys precise and
unequivocal meaning through
clear and consistent use of
active voice.
Apply APA formatting to in-text
citations and references.
Does not apply APA formatting
to in-text citations and
references.
Applies APA formatting to in-text
citations and references
incorrectly and/or inconsistently,
detracting noticeably from good
scholarship.
Applies APA formatting to in-text
citations and references.
Exhibits strict and nearly
flawless adherence to APA
formatting of in-text citations and
references.
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