Telehealth Benefits And Barriers Essay Discussion Paper

Evaluation Plan Design

A specific evaluation plan defines the progression and implementation of nursing proposals. The evaluation plan can employ unique designs based on the project requirements and the available options. The evaluation of the implementation process and the project progression sets a performance standard that guides the practices in the healthcare system. The plan design optimizes the project’s benefits and defines the practices that enhance the productivity and success of the project. The evaluation strategy relies on the accuracy and the assessment requirements implying that no particular strategy can meet all the nursing interventions. This paper highlights an evaluation plan for determining the effectiveness of telehealth visits in improving the interactions between physicians and patients and adherence to medical follow-ups and check-ups despite the geographical gap. Telehealth Benefits And Barriers Essay Discussion Paper

Evaluation Plan

Outcomes

The evaluation plan highlights compliance with the project’s objectives and intervention plan. Besides, the outcomes will address the specific project’s interventions depicting the components of the intervention plan, promoting access to healthcare, and improving the physician and experience. Telehealth services provide an alternative to office visits and can influence the practices and a shift in the care delivery continuum. Besides, according to Gajarawala and Pelkowski (2021), telehealth services have improved health care access to the rural parts of the world. The knowledge dissemination on telehealth services, proper nutrition, and practices in care for pregnant women defines the crucial elements considered in the adoption of evaluation plan design. The evaluation outcomes will detail the patient-physician experiences, the disparities addressed in the care continuum and the impact of telehealth services on improving the care outcomes. The patient needs, and the evaluation plan designs vary based on the individual patient’s needs and the available resources. In light, the evaluation plan will encourage the transformation of the scope and practices in the monitoring and care of pregnant women. The intervention plan will promote remote monitoring of patients with gestational diabetes, performance management of implementing the aspects of the project intervention, and improvement strategies. In addition, the intervention plan reflects the impact of the change in the communication framework with the stakeholders and the influence on care delivery outcomes.

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Plan

The evaluation plan will factor in the vital components of the intervention plan and the project’s objectives. The evaluation plan can identify the patient involvement in care, monitoring, and transition to contemporary technology in enhancing clinical and patient care practices. The evaluation plan will highlight stakeholder involvement, interprofessional collaboration, patient monitoring, and dissemination of routine check-ups and follow-ups with pregnant women, especially those with a history of gestational diabetes. The project’s objectives will be met through the successful implementation of the intervention plan. However, various measures can be applied to evaluate the project’s outcomes. The basic approaches in the utilization of technology in remote monitoring of patients and education programs on the use and self-care, such as meeting relevant nutritional requirements, will form the foundation of the care delivery process. In support, Liu et al. (2020) advocated innovative designs that improve patient-physician interaction. The project’s expected outcomes in meeting the objectives can be used in developing the model to improve the healthcare experiences such as follow-ups and check-ups in managing gestational diabetes in the target population. Telehealth Benefits And Barriers Essay Discussion Paper

The evaluation plan will include various steps, from the assessment to the data harmonization. The initial stage in the evaluation process will consist of assessing the target population and highlighting the care demands and the challenges in meeting the population’s care needs. Secondly, the plan will highlight the data collection methods. Interview sessions will be conducted through face-to-face and video conferencing platforms to extract relevant information based on the diverse care needs and the populations. Zoom video conferencing platform has various features that allow for qualitative data collection and is vital for data collection in mixed methods researchers (Archibald et al., 2019). The consistency in the data obtained will be established by determining its reliability and relevance to the patient cases. Pre- and post-implementation metrics will be used to compare data at different times of the implementation process. Post-implementation data will be presented through statistical flow charts and graphs to provide a distinctive view of the data at other times of the implantation process. The data collected will be grouped in monthly time intervals with at least five patients engaged per week. The intervention plan can reflect on the collected data to model a problem-centered health promotion and education program to improve care quality, prevent the adverse effects of gestational diabetes, and define a patient-specific management plan.

Discussion

Advocacy

Nurses play a crucial role in patient care and are actively involved in assessing and reporting the effectiveness and efficacy of the treatment plan. The active role in patient care and the direct involvement in patient management in the care setting make nurses an important component in improving the quality of care in the health care system. The evaluation plan will focus on the intervention plan and the project goals, including patient monitoring, performance management of the telehealth services, and streamlining communication with the stakeholders to enhance care outcomes. In light, nurses can be directly involved in implementing the aforementioned project goals. Telehealth Benefits And Barriers Essay Discussion Paper

Nurses can shape professional practice and patient experience by improving interpersonal communication and interprofessional collaboration. By coordinating the communication among health care professionals, they stand out as the patient care leader. Besides, nurses can influence interprofessional collaboration through goal setting, judgment formulation, and establishing a clear communication framework. The diversity in patient backgrounds is crucial in designing a care plan. Nurses can help integrate different cultures, appreciate patient diversity, and accord patient-centered care influencing the care outcomes. Communication with the stakeholders adopts technology to meet the project goals. The performance management of the telehealth services, communication, and remotely monitoring patients relies on zoom video conferencing. Interprofessional communication ensures patient safety and quality care (Lee & Kim, 2020). Telehealth services depend on video-conferencing, which provides real-time interaction among physicians, nurses, patients, and other healthcare professionals.

The intervention plan highlights the project objectives and outlines the high-quality approaches for pregnant women with gestational diabetes. The plan affects nursing practices by intriguing advancements in evidence-based practice in promoting telehealth in care delivery and patient monitoring. The intervention plan requires the nurses to design a unique nursing care plan that integrates the patient care needs and the available video-conferencing technology. Improved interprofessional communication streamlines the multifaceted relationship between healthcare providers. Telehealth services will impact the practice of nurses, physicians, and other health care professionals, thus changing the approach to interprofessional collaboration due to the shift from physical to virtual interaction. Besides, ensuring quality patient care outcome influence interprofessional collaboration and increase the involvement of nurses, social workers, physicians, and dieticians in maintaining quality care outcome. The intervention plan enhances interdisciplinary cooperation by harmonizing the inputs of the diverse team members. The care providers need to recognize the individual traits, abilities, obligation to enhance gynecological and obstetric experiences, and commitment to patient safety. In light, the intervention plan will impact the overall quality of care delivery, patient experiences, and physician-patient interaction. Telehealth Benefits And Barriers Essay Discussion Paper

Future Steps

The intervention plan can be reviewed to develop a deeper understanding of the project’s implementation process and success. Moreover, the evaluation process can identify the disparities in the intervention plan prompting timely adjustment to deliver quality care to women with gestational diabetes. A review of the technology in disseminating telehealth services can inform other technologies that can be alternatives to zoom video-conferencing. For instance, Skype and Microsoft Teams video conferencing platforms have a relatively large user base and thus can be used to supplement or as alternatives to zoom video-conferencing platforms. Archibald et al. (2019) recognized skype and Microsoft Teams video conferencing as the online conferencing platforms that can be utilized in data collection and monitoring. The technological advancement in the organizational communication structure can promote timely convening of the meeting when in need of improvements in the implementation plan. Self-care practices, check-ups, and follow-ups can be enhanced by streamlining diet and lifestyle monitoring.

Reflection on Leading Change and Improvement

The project significantly impacts my practice by informing the integration of contemporary technology, transferability of knowledge, and leading change in leadership practice. The project refines my skills and experience in practice and career advancement, instilling the potential to utilize evidence-based practice in improving health care delivery. In addition, I have gained significant insight into adopting leadership skills in patient advocacy. According to Goldsberry (2018), the nurse is the team leader and needs to drive a shared vision in the care continuum in the interdisciplinary relationship in the care process. The project has streamlined my interpersonal relationship, appreciation of multidisciplinary collaboration, and recognition of the individual contribution in the care setting crucial in my leadership skills development. The experiences detailed in the project have improved my skills, knowledge, and expertise and influenced transferability into practice. The technological application in care delivery is highlighted, which can be replicated in other health care needs and transform the quality of care. Telehealth Benefits And Barriers Essay Discussion Paper

Conclusion

The evaluation plan is based on the identified assessment needs, stakeholder involvement, and resources. Remote management of gestational diabetes is based on the intervention goals and highlighting the evaluation framework in assessing the performance and establishing communication with stakeholders. Reflection on the project establishes the significance of the intervention plan in practice, leadership, and replication. The evaluation plan recognizes the technological integration based on contemporary health care and population needs.

References

Archibald, M. M., Ambagtsheer, R. C., Casey, M. G., & Lawless, M. (2019). Using zoom video-conferencing for qualitative data collection: perceptions and experiences of researchers and participants. International journal of qualitative methods, 18, 1609406919874596. https://doi.org/10.1177%2F1609406919874596

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218-221. https://doi.org/10.1016/j.nurpra.2020.09.013

Goldsberry, J. W. (2018). Advanced practice nurses leading the way: Interprofessional collaboration. Nurse education today, 65, 1-3. https://doi.org/10.1016/j.nedt.2018.02.024

Lee, K. R., & Kim, E. J. (2020). Relationship between interprofessional communication and team task performance. Clinical Simulation in Nursing, 43, 44-50. https://doi.org/10.1016/j.ecns.2020.02.002

Liu, N., Huang, R., Baldacchino, T., Sud, A., Sud, K., Khadra, M., & Kim, J. (2020). Telehealth for noncritical patients with chronic diseases during the COVID-19 pandemic. Journal of Medical Internet Research, 22(8), e19493. Telehealth Benefits And Barriers Essay Discussion Paper

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.

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. Telehealth Benefits And Barriers Essay Discussion Paper

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.

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. Telehealth Benefits And Barriers Essay Discussion Paper

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. Telehealth Benefits And Barriers Essay Discussion Paper

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.

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. Telehealth Benefits And Barriers Essay Discussion Paper

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.

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. Telehealth Benefits And Barriers Essay Discussion Paper

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.

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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. Telehealth Benefits And Barriers Essay Discussion Paper

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 Telehealth Benefits And Barriers Essay Discussion Paper