Telehealth For Noncritical Patients With Chronic Diseases 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 For Noncritical Patients With Chronic Diseases 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. Telehealth For Noncritical Patients With Chronic Diseases Discussion Paper

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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.

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. Telehealth For Noncritical Patients With Chronic Diseases Discussion Paper

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.

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. Telehealth For Noncritical Patients With Chronic Diseases Discussion Paper

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 For Noncritical Patients With Chronic Diseases 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. Telehealth For Noncritical Patients With Chronic Diseases Discussion Paper

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.

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. Telehealth For Noncritical Patients With Chronic Diseases Discussion Paper

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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 For Noncritical Patients With Chronic Diseases Discussion Paper