Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the course discussions so far and any insights gained from it.

4. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment Description

Physical Activity Resource Guide

After having read the websites cited in the introduction and read your peers posts develop an out of the box physical activity resource guide (brochure). Imagine that your peers all live in the same general locale. Research fun and unusual but accessible activities that will meet the physical activity goals of you and your peers. Your resource guide should have a minimum of 6 different activities. Each entry should contain a description of the activity, costs, when and where, contact person, website or copy of the listing location. Feel free to include photos or graphics. You may submit your resource guide in PowerPoint, pdf, Word or Microsoft publisher format.

Remember to think out of the box-search for activities on Living Social, Groupon, Department of Recreation and Parks brochures, club and meetings sections of the newspaper, bulletin boards in your favorite neighborhood coffee shop or grocery store, etc.

Assignment Expectations:

Length: Minimum of 6 brochure pages (each activity should be given a page/slide), not including title page/slide and reference page/slide.

Structure: 6 brochure pages or slides; Include a title page/slide and reference page/slide in APA format.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word or PPT document (.doc or .docx or .pptx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment

 

Write a 3 page evidence-based health care delivery plan for one component of a heart failure clinic.

Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
  • Describe accountability tools and procedures used to measure effectiveness.
• Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
  • Develop an evidence-based plan for health care delivery.
• Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
  • Apply professional and legal standards in support of a care plan.
• Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
  • Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

 

In an effort to improve the patients’ health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following:

• What does the patient know about the disease process as a baseline?
• What does the patient need to do understand as far as the best self-care processes?
• Can the patient identify proper medication compliance?
• Is there a financial issue that affects compliance?
• Who buys and prepares the food in the home?
• Can the patient verbalize when to seek medical assistance?

 

Instructions

Deliverable: Develop an evidence-based plan for health care delivery.

Scenario:

The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.

As a member of the nurse team, you have been asked to develop one component of the clinic.

The hospital leadership established these objectives for the clinic services:

• Evaluate and maximize proper medication therapy.
• Conduct regular diet, exercise, and stress management classes for the patients.
• Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs).
• Provide a case management system for patients in the program post-discharge.

The overall goals for the heart failure clinic are to:

• Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge.
• Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning).
• Decrease readmission rates in this population by 5 percent over the next year.

The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.

Develop one: an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan.

An Orientation Course Plan:

• Develop an evidence-based plan for health care delivery.
• Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course.
  • What are the components of an evidence-based education plan?
  • How will you know that patients will understand what to do?
  • What modalities will you use to deliver information?
  • How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?
  • Identify specialized and supplementary material needs.
• Apply professional and legal standards in support of a care plan.
  • Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.
  • Describe the accountability tools and procedures used to measure effectiveness.
  • How will you know if the patient education plan is successful?
  • What are the indicators of success or effectiveness?

A Discharge Education Plan:

• Develop an evidence-based plan for health care delivery.
  • Develop a discharge plan with objectives and resources, and tools for patients to monitor their progress.
  • How will you know that patients understand what to do?
  • What modalities will you use to deliver information?
  • How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?
• Apply professional and legal standards in support of a care plan.
  • Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.
  • Describe accountability tools and procedures used to measure effectiveness.
  • How will you know if the discharge plan is successful?
  • What are the indicators of success or effectiveness?

Care Coordination Plan:

• Develop an evidence-based plan for health care delivery.
  • Develop a procedure for coordinating services.
    • Consider the needs of “outliers.” For example, someone with lung disease may need extra resources.
    • Who should be on the team?
    • When would the team be activated?
    • How would it be activated?
    • What is the time frame required to coordinate services?
    • How would the intervention plan be monitored for effectiveness?
• Apply professional standards in support of a care plan.
  • Explain the alignment to the most recent heart failure guidelines and specific professional standards.
  • Describe accountability tools and procedures used to measure effectiveness.
    • How will you know if the care coordination plan is successful?
    • What are the indicators of success or effectiveness?
    • How will information be collected or communicated?

Additional Requirements

• Written communication: Written communication should be free of errors that detract from the overall message.
• APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
• Length: The report should be 3 pages in content length, double-spaced.
• Font and font size: Times New Roman, 12 point.
• Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

 

Measuring expected change outcomes is crucial in research to ascertain effectiveness of planned change into real-world clinical practice.  Outcome evaluation is important at all levels including patient, clinician, and organization level.  Outcomes need to be measured throughout the process including at the beginning, short-term, and long-term (Melnyk & Fineout-Overholt, 2015).  Cultivating change mentors and champions can help improve outcomes and provide ongoing training with clinicians including “circulate information, encourage peers to adopt the innovation, arrange demonstrations, and orient staff to the innovation” (LoBiondo-Wood & Haber, 2014, p. 434). 

Expected Change Outcomes

The expected outcome from this change will be a decrease in surgical site infections (SSI) with postoperative patients.  Many factors come into play when measuring outcomes which include measurement tools, validity of instruments and tools to measure outcomes, as well as accurate self-reporting in regard to clinician compliance (Melnyk & Fineout-Overholt, 2015).  Outcomes can be measured by tracking statistics on postoperative patients regarding type of preoperative bathing solution used prior to surgery, the incidence of postoperative SSI, clinician compliance with intervention at point-of-care, 30-day hospital readmission data as well as patient satisfaction surveys (HCAHPS) over a 6-month period.  The results will determine if the change will be translated into practice.  

Implementation Process Outcomes

       Utilizing EBP leaders (mentors) can help with all aspects of the change process.  Mentors give guidance, encouragement, help foster self-confidence in clinicians as well as reinforce values to the team.  The ARCC change model stresses the importance of utilizing change mentors and champions to improve quality of care as well as patient outcomes.  Assigning a change leader and unit champions will help to provide support such as ongoing organizational assessment, conduct EBP workshops and provide ongoing education, encouragement with clinicians and staff focused on a culture of EPB, institute EBP implementation strategies (EBP rounds, newsletters, journal clubs, etc.), assess for and focus on overcoming barriers, facilitate involvement of staff and point-of-care clinician compliance, and implement a culture of multidisciplinary collaboration to promote and sustain EBP (Melnyk & Fineout-Overholt, 2015, p. 378).

References

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research:  Methods and critical appraisal for evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare:  A guide to best practice (3rd ed.). Retrieved from Amazon Kindle App

 

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.