Managing And Implementing Professional Nursing Practices Essay

Assessment 3: Implementation Plan Design

Healthcare interventions are deemed to improve the care and overall Target population’s quality of life. Today, healthcare is being defined by the prioritization of care quality through six lenses, namely efficiency, accessibility, timeliness, safety, effectiveness, and patient-centeredness resulting in increasing or accelerated changes in formulating and adopting initiatives to reach the desired goals in the health sector (Döğer et al., 2019). The increased need to remain relevant, up-to-date, and effective in care delivery has led to many change management strategies. According to Uecker & Kinnaman (2021), the ability to adapt to change is critical to the contemporary delivery of healthcare services directed toward meeting the population’s changing needs. Leadership and management are critical determinants of change success in an organization. Effective leadership and management strategies must be adopted and implemented for successful change implementation to ensure the realization of the set goals and change objective. Managing And Implementing Professional Nursing Practices Essay

Technology-driven change has become common in the healthcare industry as organizations and care providers continue to adopt diver tech tools to meet growing patient needs. Additionally, with the increasing shift to tech-driven work and communication, the healthcare sector has not been left behind in adopting new technology. This trend has led to the realization of remote patient monitoring, telehealth, telemedicine, and electronic health records, among others. This paper provides a detailed implementation plan design for the earlier identified change process comprising the use of telehealth tools in monitoring the impact of telehealth-based visits on patient outcomes and satisfaction. The first assignment established that telehealth could improve care accessibility, continuity, engagement, and self-management of chronic conditions. Managing And Implementing Professional Nursing Practices Essay

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Part 1: Management and Leadership

Strategies for leading, managing, and implementing professional nursing practices

Inter-professional collaboration in the nursing and the healthcare industry has become critical to achieving the best patient experience and outcomes. According to Vora et al. (2020), the healthcare sector has seen the shift from traditional individualized healthcare to multiple professionals working together to address the healthcare needs of a given patient, hence offering one-stop and holistic care. The proposed intervention plan is to use telehealth tools to deliver care to pregnant women at a higher risk of contracting gestational diabetes. To effectively deliver and implement the proposed intervention plan, critical leadership practices or strategies will be crucial to the success of the process. Managing And Implementing Professional Nursing Practices Essay

The proposed intervention plan’s success depends on the leadership approach adopted for the process. One of the strategies is the transformational leadership model. According to Zahmatkeshan et al. (2021), transformational leaders are visionary and utilize employee teams in implementing change. This model will provide a rich foundation for mentoring, instilling, and building trust and confidence among healthcare professionals. Additionally, under transformational leadership, the leaders get to listen to other players’ ideas hence offering an ideal platform for improvement in care delivery and teamwork among healthcare professionals. Secondly, there is the situational leadership strategy. Healthcare is experiencing constant change, situation model of leaders is befitting such change as it allows leaders to be flexible in modifying their leadership input based on the organization and/or individual needs. This approach allows leaders to analyze the situation and determine the befitting team or care professionals impact or deliver the desired outcomes collaboratively. Polsky et al. (2020) identified that situational leadership best works for short targets or projects, hence an equally important tool for delivering the desired intervention. Another leadership strategy critical in formulating successful inter-professional collaboration for the intervention implementation is the servant model, which is relationship oriented.

According to Aziz et al. (2020), the servant-leadership model will foster collaboration and goal driven environment for healthcare professionals as the leaders will ensure employees possess the needed skills, tools, and resources to achieve the desired objectives. With reference to management strategies, the intervention proposed will focus on building partnerships with relevant stakeholders and striking a balance between generation and utilization of the telehealth program to support post-hospital relationships between the caregivers and the patients at home. The identified leadership strategies support patient-centered care practice and collaboration, which are critical factors of adequate care and achievement of desired goals. Managing And Implementing Professional Nursing Practices Essay

Implications of Change Associated With Proposed Strategies for Improving the Quality and Experience of Care While Controlling Costs

The proposed leadership strategies ‘transformational, situational, and servant leadership models will play an integral role in change management regarding the care setting in which the proposed intervention plan will be implemented. The identified leadership strategies will be critical in bringing people and key stakeholders together to plan and execute the change. According to Lee et al. (2018), successful leadership and leaders during the change process foster collaboration and teamwork to influence care quality and patient experience. The adoption of the telehealth care delivery model will positively impact the quality of care by increasing efficiency and accessibility by reducing patients’ need to travel from home to the care facility, enabling the patient and care delivery process to overcome challenges such as timely support and geographical barriers. On the other hand, the proposed changes will allow patients or the target population to overcome waiting times connected to physical healthcare visitations.

Additionally, the proposed intervention utilizes digital healthcare records, making it easier to create reminders for patients and caregivers. This significantly reduced margin for errors such as medication hence improving the overall care quality. On the other hand, with the telehealth model of care delivery, there will be an increased focus on patient care where preferences will be addressed hence improving the overall care experience. In terms of lowering costs, the telehealth tools will reduce costs significantly as patients will not need to make long lines and journey to visit doctors only when necessary, reducing costs such as transport. Managing And Implementing Professional Nursing Practices Essay

The proposed management strategies will provide a critical foundation for the inter-professional foundation by creating the best healthcare or workplace environment where each professional caregiver’s needs and views will be factored. Additionally, the increased adoption of the proposed intervention will make patients feel like they are the primary priority, improving the overall care experience. The integrated management models will allow the care providers via the telehealth platform to see or attend to more patients with a short time, hence saving on time and cost, and subsequently improving patient experience.

Part 2: Delivery and Technology

The adoption of telehealth to implement the proposed initiative is based on technological advancement and the organizations’ ability to deploy modern technological tools. Technology has become indispensable in healthcare today, with multiple tools depending on it to deliver desired outcomes effectively. Change is not straightforward; hence effective delivery methods coupled with leadership practices and collaboration defines the success of the intervention measures. One of the delivery methods proposed to implement the intervention is through stakeholders’ training. Training allows the stakeholders to access the resources needed for successful intervention. Training ensures all stallholders are well versed with the intervention process and understand diverse patient needs, delivering patient-based care and subsequent improvement in care quality. In addition to training, there is also piloting, where several patients are selected to test the effectiveness of the proposed intervention. Managing And Implementing Professional Nursing Practices Essay

Regarding intervention delivery, the proposed intervention will be the utilization of telehealth in addressing pregnant women’s care needs and ability to manage gestational diabetes. To improve the effectiveness of the planned intervention, the patients will be trained on how to utilize phone calls and video chats with the care provider. The use of video and or phone calls would improve the contact and accessibility of both the patient and the care provider. This would foster timely contact and delivery of quality care.

With increased technological innovation, emerging platforms such as mobile apps and wearable technologies have improved remote monitoring. The utilization of remote monitoring tools such as web-based and mobile apps would provide a key platform for healthcare givers to track changes in patient data hence improving the virtual visits. For example, the utilization of devices that measure oxygen levels, blood sugar, and pressure relaying the data to the care providers remotely. The presence of emerging technologies provides an evidence-based source for effective decision-making. Managing And Implementing Professional Nursing Practices Essay

Part 3: Stakeholders, Policy, and Regulations

The health promotion intervention will utilize different stakeholders, regulations, and policies as a collaboration project. These facets would be critical in balancing the proposed intervention’s external and internal elements. According to Aziz et al. (2020), positive integration between different players in the healthcare setting defines the degree of success in care delivery and addressing patient needs. Regarding the proposed intervention program, the primary stakeholders include the healthcare specialists’ nurses, physicians, IT experts, and support teams such as nurse informatists, patients, and policymakers. While the pregnant women will be the end users of the proposed intervention program, their role will be critical in giving feedback to ensure quality and effective care is delivered based on their individualized needs. Nurse Informatists and IT experts will actively ensure that telehealth connectivity remains successful. Their support ensures the patient and the caregivers are well connected with minimal interferences. They will equally provide the best IT support to the proposed system and introduce other new and supportive technologies to improve the connection between the caregiver and the patient. The healthcare professional and specialist will be critical to the success of the proposed intervention. Not only would they respond to virtual patient visits, but also be available to address their needs when need be. Their expertise would entail response to patient needs and feedback on system effectiveness. The specialists will actively utilize the telehealth tools to deliver timely care, providing feedback to IT experts on the system’s effectiveness in us.

Policies and regulations will be critical in ensuring ethical practices are maintained. To ensure the intervention is effectively supported, policies should be adopted to foster interoperability of telehealth platforms with other Health IT technologies. This would provide support and opportunity to streamline the care delivery process and improve collaboration and information sharing, positively influencing care delivery. Others include policies that would reduce the digital divide, address privacy concerns to protect the system users and consumers, and engage different stakeholders to inform the telehealth platform development and implementation. Managing And Implementing Professional Nursing Practices Essay

Part 4: Timeline

The proposed intervention program is expected to run for ten months, comprising training of care providers, planning, and intervention implementations. 0-2 months will entail selecting the patients and installing a relevant telehealth system. The patients to be used in the proposed intervention will randomly be picked within the selected region and self-volunteer to be part of the program. 3-5 fifth months will include piloting and execution of the intervention. This time will give the stakeholders to adjust to the program demands, including training of the patients, care providers, and support staff to ensure the smooth running of the system for 6-10 months; the intervention will be fully functional with minimal interference but constant monitoring for possible improvement.

Different factors will, however, determine the timing of the intervention implementation. These include patient education level, geographical location, and willingness to participate. The geographical locations determine the availability and accessibility to practical communication tools such as the internet and phone network coverage. Patients in less covered regions will be disadvantaged from accessing the telehealth tools, hence a disadvantage to the proposed intervention. Additionally, patient education level determines the success of the program in the aspect that low education levels may hinder practical and able to use the different telehealth tools, apps, and web-based platforms to deliver desired impact effectively Managing And Implementing Professional Nursing Practices Essay

References

Aziz, A., Zork, N., Aubey, J. J., Baptiste, C. D., D’alton, M. E., Emeruwa, U. N., & Friedman, A. M. (2020). Telehealth for High-Risk Pregnancies in the Setting of the COVID-19 Pandemic. American journal of perinatology, 37(08), 800-808. https://doi.org/10.1055/s-0040-171212

Döğer, E., Bozbulut, R., Acar, A. Ş. S., Ercan, Ş., Uğurlu, A. K., Akbaş, E. D., & Cinaz, P. (2019). Effect of Telehealth System on Glycemic Control in Children and Adolescents with Type 1 Diabetes. Journal of Clinical Research in Pediatric Endocrinology, 11(1), 70. https://doi.org/10.4274/jcrpe.galenos.2018.2018.0017

Lee, P. A., Greenfield, G., & Pappas, Y. (2018). The impact of telehealth remote patient monitoring on glycemic control in type 2 diabetes: a systematic review and meta-analysis of systematic reviews of randomised controlled trials. BMC health services research, 18(1), 1-10. https://doi.org/10.1186/s12913-018-3274-8

Polsky, S., Garcetti, R., Pyle, L., Joshee, P., Demmitt, J. K., & Snell-Bergeon, J. K. (2020). Continuous glucose monitor use with and without remote monitoring in pregnant women with type 1 diabetes: A pilot study. PloS one, 15(4), e0230476. https://doi.org/10.1371/journal.pone.0230476

Uecker, M., & Kinnaman, J. (2021). A Comprehensive Analysis of the Importance and Implementation of Telehealth Behavioral Services in Rural Areas & Schools.

Vora, N. L., Hardisty, E., Coviello, E., & Stuebe, A. (2020). Telehealth to provide prenatal genetic services: Feasibility and importance revealed during global pandemic. Prenatal diagnosis, 40(8), 1040. https://doi.org/10.1002/pd.5716

Zahmatkeshan, M., Zakerabasali, S., Farjam, M., Gholampour, Y., Seraji, M., & Yazdani, A. (2021). The use of mobile health interventions for gestational diabetes mellitus: a descriptive literature review. Journal of medicine and life, 14(2), 131. https://doi.org/10.25122/jml-2020-0163 Managing And Implementing Professional Nursing Practices Essay

Intervention Plan Components

Following the PICOT question identified in the first part, the target members of the population for the intervention plan are pregnant women in the San Diego area of California who are at a high risk of gestational diabetes. With the objective being to improve the healthcare outcome for this demographic, this second part of the report is a detailed intervention plan design. Key components of the plan include the proposed remote patient monitoring and associated support such as ensuring its use is evidence-based, its performance meets standards of care as envisaged in the health care policy in the United States, and persistent communication to stakeholders such as patients, policymakers, and provider organizations. Throughout, the intervention plan is guided by core nursing theories and principles.

Major Components of an Intervention Plan for Health Promotion

The intervention plan proposed for pregnant women in the San Diego area of California at risk of gestational diabetes has three main components. The objective of this intervention plan is to improve the health outcomes of the identified population. The first component is the adoption of an evidence-based action which in this case is remote patient monitoring. Remote patient monitoring is defined by Polsky et al. (2020) as a technological telehealth digital tool that reports, collects, and transmits patient data to healthcare providers who then evaluate it and determine interventions required. In this particular case, the proposed remote patient monitoring tools could come in the form of wearables, mobile devices, and smartphone-based applications (Malasinghe, Ramzan & Dahal, 2019). Pregnant women at risk of gestational diabetes will be constantly reminded through notification nudging to check important vital signs such as their weight and blood glucose levels and transfer them to their physicians for analysis. The second component is performance management. Aziz et al. (2020) advised that any intervention plan should be checked for effective performance with minimized negative impacts on patients. Following this, performance management of the proposed intervention is done through rigorous monitoring and evaluations in a bid to ascertain that it is a model that can be relied on and achieve the objective of improving health outcomes for patients. In addition to this, the healthcare provider adopting the proposed plan should be guided by the philosophy of continuous and persistent improvement which in this case implies telehealth program improvement. The third component is for the healthcare provider to make effective and constant communication to stakeholders on the intervention. The healthcare community and decision makers are keenly interested in changes taking place in the industry and they need to be kept abreast of new developments to keep them informed for one and secondly to ensure that the changes are in line with healthcare policy and standards of operation. Managing And Implementing Professional Nursing Practices Essay

The Impact of Cultural Needs and Characteristics of a Target Population

The success of healthcare policy and innovations is impacted by culture and its components. In view of this, the use of the proposed telehealth tools, RPM, is expected to be received with a mixed reception by the target population. Su et al. (2020) stated that it must be understood that not everyone is savvy or conversant with the use of digital technology tools such as wearables and smartphone applications. San Diego is a multicultural community and people from different cultural backgrounds reside in the expansive city. Drawing from this, these different cultures have impacts on the way the target population perceives approaches to health promotion which in this case is telehealth. In truth, the collection and sharing of personal data collected using wearable devices and smartphones are not as easy for everyone and this is likely to offer a slight challenge to implementation. The characteristic of the target population that will have an impact on the intervention plan, probably acceptance, and adoption, is that they are at a relatively higher risk of gestational diabetes and would heed calls for using the RPM. Managing And Implementing Professional Nursing Practices Essay

Theoretical Foundations

The proposed intervention plan is advised or influenced by core nursing models and theories. One such model is the patient-centered model. Uecker and Kinnaman (2021) commented that the patient-centered model is based on the principle that all patients are unique and have different cultural backgrounds. What this means is that healthcare should not be based on a static set of routines but should rather be based on understanding the individual needs of patients. Patient-centered care is manifested through the demonstration of respect for the values needs and preferences of all patients. The implementation of the proposed RPM plan will be guided by the patient-centered theory where opinions and preferences for the type of device will be considered.

A second theory that offers insights to the proposed intervention model plan is the cultural care model. According to Lee, Greenfield and Pappas (2018), the effectiveness and efficiency of healthcare to patients is best achieved when the providers acknowledge that cultural differences exist in society and among patients and use this diversity to develop a care plan for each patient. What this simply means is that healthcare interventions and approaches to care that providers issue and develop should be congruent with different cultures. As a priority, therefore, the proposed implementation should be guided by the cultural care theory in the sense that the cultural and religious practices of the patients should be highly prioritized.

Since the proposed remote patient monitoring technology requires support resources, it is important to mention that access to digital gadgets, the internet, and computers will be a huge plus. In California metropolitan areas of San Diego, Los Angeles, Santa Barbara, and San Francisco have very high smartphone and personal computer ownership at 86% and 81% respectively. These support technologies will make it more convenient for remote patient monitoring to be rolled out en masse. Managing And Implementing Professional Nursing Practices Essay

One of the major components of the intervention plan is the introduction of remote patient monitoring. While its implementation will involve a lot of capital layout for providers and for patients, its long-term benefits are immense. Commenting on the proliferation of telehealth and telemedicine, Vora et al. (2020) have pointed out two important issues. Basing their findings during the height of the novel Covid-19, the researchers have mentioned that telehealth lessens the risk of disease transmission. When outpatient pregnant mothers adopt the use of RPM, they reduce the risks of being exposed to communicable diseases that are sometimes acquired in health care settings. The second issue that the researchers commented on is the freeing up of hospital resources. With an increase in the use of remote patient monitoring using the technologies mentioned, hospital resources are freed up enabling the providers to serve the neediest patients more and better. According to Malasinghe, Ramzan and Dahal (2019), the use of remote patient monitoring technology helps providers gain faster access to patient data and in effect respond to emerging trends and issues sooner.

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Stakeholders, Policy, and Regulations

The implementation of any health promotion plan is impacted by external and internal elements. These elements are the stakeholders, healthcare policies, and regulations. To this end, there are a handful of stakeholder needs that prevail and the stakeholders that are referred to in the context of this implementation are patients, providers, and policymakers. Su et al. (2020) mentioned that while the patient’s need which in this case is pregnant women is to maintain good health and deliver babies with minimal health complications, care providers have a need to improve health outcomes for all their patient groups. For the policymakers, their interest is that healthcare resources and benefits be equitably distributed. Collectively looking at all these needs, they all point towards health practices that are modeled to address the different groups within the population. In the United States, provider organizations are compensated by third-party payers which in this case are private and public insurance companies. According to Zahmatkeshan et al. (2021), health policy in the country has been pushing towards increased coverage by insurance companies in an effort to provide care to as many people as possible including the less affluent. Drawing from this, regulations have been set for providers on all interventions intended at improving healthcare outcomes in the country. Suffice it to say, the promotion of remote patient monitoring as a component of telehealth will be analyzed from the perspective of meeting key standards of practice and use. Managing And Implementing Professional Nursing Practices Essay

Ethical and Legal Implications

Whenever a change is proposed or considered in healthcare, consideration must be put into the ethical and legal issues. Following this, key ethical and legal issues related to telehealth and specifically the use of remote patient monitoring, are rules and standards. The rationale for this is that such an implementation should at all times guarantee equitability of access, quality of care, and realistic costs. The fact that the RPM is intended at facilitating care means that it should a better alternative than the traditional physical visits to provider institutions. An equally important ethical issue is the privacy of patients (Polsky et al., 2020). Even as providers are called upon to increase the use of remote technological tools, they must at all times be respectful of patient privacy. On this, a legal issue that emerges is data privacy. It is crucial that providers put in place systems that guarantee that patient data breach likelihood is lessened. It is suggested that the transmitted data is fully encrypted to protect it from unauthorized persons. Managing And Implementing Professional Nursing Practices Essay