+1(978)310-4246 credencewriters@gmail.com
  

NURS-FPX6030_Assessment 4
Instructions: Implementation Plan
Design.
Develop a 4-6 page plan that will allow your intervention to be implemented in
your target population and setting.
You will also be required to submit your completed practicum hours using CORE
ELMS. You must submit a minimum of 20 confirmed hours with each assessment
deliverable to receive a grade for the entire assessment.
Introduction
Note: Each assessment in this course builds on the work you completed in the
previous assessment. Therefore, you must complete the assessments in this
course in the order in which they are presented.
Even the best intervention plan will not be effective without a sound and
reasonable approach to implementing it. The implementation of the same
intervention plan can vary drastically between different care settings, based on
the culture of the care setting, the resources available, and the stakeholders
involved in the project, as well as the specific policies already in place. A
successful implementation plan blends contemporary and emerging best
practices and technology with an understanding of the on-the-ground realities of
a specific care setting and the target population for an intervention. By
synthesizing these various considerations it is possible to increase the likely
success of the implementation and continued sustainability of an intervention
plan.
Preparations
•
•
Read Guiding Questions: Implementation Plan Design [DOC]. This document is
designed to give you questions to consider and additional guidance to help you
successfully complete this assessment.
As you prepare to complete this assessment, you may want to think about other related
issues to deepen your understanding or broaden your viewpoint. You are encouraged to
consider the questions below and discuss them with a fellow learner, a work associate, an
interested friend, or a member of your professional community. Note that these questions
•
•
•
•
are for your own development and exploration and do not need to be completed or
submitted as part of your assessment.
What are the needs of your stakeholders that are relevant to your target population and
need?
What applicable health care policy and regulations are relevant to your target population
and need?
How will these considerations impact the development of your Intervention Plan Design
assessment?
How can you work these considerations into the development of your Implementation
Plan Design assessment?
Instructions
Note: The assessments in this course are sequenced in such a way as to help
you build specific skills that you will use throughout your program. Complete the
assessments in the order in which they are presented.
Your implementation plan design will be the third section of your final project
submission. The goal for this is to design a plan that will allow your intervention
to be theoretically implemented in your target population and setting. You should
be able to preserve the quality improvement outcomes that you designed for your
target population and setting while also ensuring that the intervention does not
put undue stress on the health care setting’s resources or violate any policies or
regulations. Provide enough detail so that the faculty member assessing your
implementation plan design will be able to provide substantive feedback that you
will be able to incorporate into the final draft of your project.
At minimum, be sure to address the bullet points below, as they correspond to
the grading criteria. You may also want to read the scoring guide and the Guiding
Questions: Implementation Plan Design document (linked above) to better
understand how each criterion will be assessed. In addition to the bullet points
below, provide a brief introduction that refreshes the reader’s memory about your
problem statement, as well as the setting and context for which this intervention
plan was designed before launching into your implementation plan.
Reminder: these instructions are an outline. Your heading for this this section
should be Management and Leadership and not Part 1: Management and
Leadership.
•
Part 1: Management and Leadership
Propose strategies for leading, managing, and implementing professional nursing
practices to ensure interprofessional collaboration during the implementation of an
intervention plan.
•
•
•
•
•
•
•
•
Analyze the implications of change associated with proposed strategies for improving the
quality and experience of care while controlling costs.
Part 2: Delivery and Technology
Propose appropriate delivery methods to implement an intervention which will improve
the quality of the project.
Evaluate the current and emerging technological options related to the proposed delivery
methods.
Part 3: Stakeholders, Policy, and Regulations
Analyze stakeholders, regulatory implications, and potential support that could impact the
implementation of an intervention plan.
Propose existing or new policy considerations that would support the implementation of
an intervention plan.
Part 4: Timeline
Propose a timeline to implement an intervention plan with reference to specific factors
that influence the timing of implementation.
Address Generally Throughout
Integrate resources from diverse sources that illustrate support for all aspects of an
implementation plan for a planned intervention.
Communicate implementation plan in a way that clearly illustrate the importance of
interprofessional collaboration to create buy-in from the audience.
Practicum Hours Submission
You have been tracking your completed practicum hours each week using
the CORE ELMS. By placing the hours into CORE ELMS, you will ensure you are
accumulating all hours that are needed to meet the requirements for your
specialization and degree.
Submit your CORE ELMS practicum hours tracking log showing a minimum of 20
confirmed hours per assessment. Reminder: Only confirmed hours will be
considered for grading.
You will not receive a grade for this assessment without a practicum hours log
showing a minimum of 20 confirmed hours for the time period of this assessment.
Your faculty will review your hours to date and will contact you if he or she has
any questions or concerns.
•
•
Additional Requirements
Length of submission: 4–6 double-spaced pages.
Number of resources: 3–6 resources. (Your final project will require 12–18 unique
resources.)
•
•
•
Written communication: Written communication is free of errors that detract from the
overall message.
APA formatting: Resources and citations are formatted according to current APA style.
Header formatting follows current APA levels.
Font and font size: Times New Roman, 12 point.
Competencies Measured
By successfully completing this assessment, you will demonstrate your
proficiency in the following course competencies and assessment criteria:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Competency 1: Lead organizational change to improve the experience of care, population
health, and professional work life while decreasing cost of care.
Propose existing or new policy considerations that would support the implementation of
an intervention plan.
Competency 2: Evaluate the best available evidence for use in clinical and organizational
decision making.
Analyze stakeholders, regulatory implications, and potential support that could impact the
implementation of an intervention plan.
Competency 3: Apply quality improvement methods to impact patient, population, and
systems outcomes.
Propose appropriate delivery methods to implement an intervention which will improve
the quality of the project.
Integrate resources from diverse sources that illustrate support for all aspects of an
implementation plan for a planned intervention.
Competency 4: Design patient- and population-centered care to improve health outcomes.
Propose a timeline to implement an intervention plan with reference to specific factors
that influence the timing of implementation.
Competency 5: Integrate interprofessional care to improve safety and quality and to
decrease cost of care.
Propose strategies for leading, managing, and implementing professional nursing
practices to ensure interprofessional collaboration during the implementation of an
intervention plan.
Evaluate the current and emerging technological options related to the proposed delivery
methods.
Competency 6: Evaluate the ability of existing and emerging information,
communication, and health care technologies to improve safety and quality and to
decrease cost.
Analyze the implications of change associated with proposed strategies for improving the
quality and experience of care while controlling costs.
Note: You will also be assessed on two additional criteria unaligned to a course
competency:
•
•
Communicate implementation plan in a way that clearly illustrates the importance of
interprofessional collaboration to create buy-in from the audience.
Demonstrate completion of hours toward the practicum experience.
See the scoring guide for specific grading criteria related to these additional
requirements.
NURS-FPX6030 Assessment 3
NURS-FPX6030_Assessment 4_Guiding Questions
Implementation Plan Design
This document is designed to give you questions to consider and additional guidance to help
you successfully complete the Implementation Plan Design assessment. You may find it useful
to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure
that you have sufficiently addressed all the grading criteria for this assessment. This document
is a resource to help you complete the assessment. Do not turn in this document as your
assessment submission.
Part 1: Management and Leadership
Propose strategies for leading, managing, and implementing professional nursing practices to
ensure interprofessional collaboration during the implementation of an intervention plan.
•
What leadership strategies are most relevant to successfully implementing your
intervention plans?
o
•
What management strategies are most relevant to successfully implementing your
intervention plan?
o
•
How will these strategies help to ensure interprofessional collaboration?
How will these strategies help to ensure interprofessional collaboration?
What professional nursing practices are most relevant to successfully implementing your
intervention plan?
o
How will these practices help to ensure interprofessional collaboration?
Analyze the implications of change associated with proposed strategies for improving the quality
and experience of care while controlling costs.
•
•
•
How will your proposed leadership strategies change the care setting in which your
intervention plan will be implemented?
o
How will these changes impact the quality of care?
o
How will these changes impact the experience of care?
o
How will these changes help to control the costs of care?
How will your proposed management strategies change the care setting in which your
intervention plan will be implemented?
o
How will these changes impact the quality of care?
o
How will these changes impact the experience of care?
o
How will these changes help to control the costs of care?
How will your proposed professional nursing practices change the care setting in which
your intervention plan will be implemented?
o
How will these changes impact the quality of care?
o
How will these changes impact the experience of care?
1
NURS-FPX6030 Assessment 3
o
How will these changes help to control the costs of care?
Part 2: Delivery and Technology
Propose appropriate delivery methods to implement an intervention which will improve the quality
of the project.
•
What delivery methods are appropriate for implementing your intervention plan?
o
Why are the proposed methods appropriate for implementing your intervention plan?
o
How will the proposed methods improve the quality of your project?
Evaluate the current and emerging technological options related to the proposed delivery
methods.
•
•
What are the current technological options that are relevant to support and improve your
proposed delivery methods?
o
How will these current technological options help make your delivery methods more
effective?
o
Which of the current relevant technological options will likely have the largest positive
impact?
What are the emerging technological options that are relevant to support and improve
your proposed delivery methods?
o
How might these emerging technological options help make your delivery methods
more effective?
o
Which of the emerging relevant technological options could have the largest positive
impact?
Part 3: Stakeholders, Policy, and Regulations
Analyze stakeholders, regulatory implications, and potential support that could impact the
implementation of an intervention plan.
•
Who are the relevant stakeholders?
o
•
What are the relevant health care regulations?
o
•
How will the needs of relevant stakeholders impact the implementation of your
intervention plan?
How will health care regulations impact the implementation of your intervention plan?
What other support considerations are relevant to implementing your intervention plan?
o
How will these additional considerations impact the implementation of your
intervention plan?
Propose existing or new policy considerations that would support the implementation of an
intervention plan.
•
What are the existing policy considerations that would support the implementation of
your intervention plan?
o
How will the existing policy positively impact your implementation efforts?
2
NURS-FPX6030 Assessment 3
•
What are one or more new policy considerations that could support the implementation
of your intervention plan?
o
How would the new policy considerations positively impact your implementation
efforts?
Part 4: Timeline
Propose a timeline to implement an intervention plan with reference to specific factors that
influence the timing of implementation.
•
What is the time frame for implementing your intervention?
o
Is this time frame realistic?
o
What are the specific factors that will impact the timing of implementation?
â–ª
To what degree will these factors impact the timeline?
Address Generally Throughout
Integrate resources from diverse sources that illustrate support for all aspects of an
implementation plan for a planned intervention.
•
Do the resources cited support all aspects of your implementation plan?
•
Do your resources come from a diversity of sources?
o
•
For example: the literature, professional standards, existing health care policy,
relevant health care laws, et cetera.
Do you cite a minimum of 3–6 resources?
Communicate implementation plan in a way that clearly illustrates the importance of
interprofessional collaboration to create buy-in from the audience.
•
Is your writing clear and professional?
•
Does your writing effectively communicate your proposed implementation plan?
•
Does your writing effectively communicate the importance of interprofessional
collaboration to successful implementation?
•
Is your writing free from errors?
•
Is your submission 4–6 pages?
•
Does your submission conform to current APA style standards?
3
1
Intervention Plan Design
Anay Izquierdo
Capella University
NURS-FPX6030
Professor: Katie Hooven
July 25, 2022
2
Intervention Plan Design
Skin disorders in patients with diabetes have a range of effects on the individual. While a
number of disorders may have only cosmetic effects, there are serious complications from others.
Ischemic and neuropathic ulcers which may lead to amputation, infection, and increased risk of
morbidity and mortality are some of the complications (van Netten et al., 2020). In addition to
the health complications possible from some of the conditions, skin disorders may affect the selfesteem of patients. Therefore, the focus of the proposed program is to assist diabetic patients to
address skin disorders through glycemic control and skin care. This section outlines the
intervention plan design including the components of the plan, theoretical foundations,
stakeholder and policies, and ethical and legal considerations in the plan.
Intervention Plan Components
The main components of the intervention plan include patient education and telehealth
follow-up on glycemic control and skin care. Patient education is essential in diabetes selfmanagement and it is indeed mandated when the patient is first diagnosed with the chronic
condition. In this education proposition, patients will be educated on appropriate glucose
monitoring, maintaining glycemic control, and skin care. Patient education interventions promote
knowledge and independence in diabetes self-management (Powers et al., 2020). This training
will equip the target population with the skills to monitor their glucose levels using a log and
how to ensure appropriate skin care including hydration, protection from injury, and herbal
remedies. This first component will be carried out to empower patients to effectively manage
their glucose.
The second component of telehealth follow-up will be used to promote adherence to the
diabetes self-management plan. The follow-up on telehealth will be remote calls made to the
3
patient every fortnight for three months to provide additional consultation and guidance on
appropriate measures to maintain glycemic control and skin care. Telehealth follow-up for
diabetic patients is an evidence-based intervention to enhance patients’ compliance with the
treatment plan and improve glycemic control (Appuswamy & Desimone, 2020). Therefore, the
follow-up calls are anticipated to promote patients’ self-management and maintenance of
glycemic control.
The cultural needs and characteristics of the population and setting also determine the
approach to intervention plan design. The target population is an urban community which is
predominantly African-American. The main needs and characteristics to consider are spirituality
and trust in the healthcare system (Cunningham et al., 2018). To accommodate spirituality,
patients will be consulted to integrate any additional spiritual practices for their wellness.
Additionally, to promote trust, healthcare professionals will be available for ongoing
consultation with the patients to enable them to create rapport and build trust. Considerations of
patients’ preferences in patient-centered care will also promote trust between patients and the
nurses.
Theoretical Foundations
Nursing care should be guided by evidence-based theoretical foundations and this project
will be guided by patient-centered care theoretical models. This theory is receptive to the needs
of the patient and the development of a relationship between the patient and the care provider. As
opposed to merely repeating routine tasks with patients, nurses should be responsive to unique
patient needs, preferences, and response to care and hence create a relationship with their patient
(Forsythe et al., 2019). In the proposed project, nurses will not only provide education but also
listen to patients’ experiences and challenges to tackle them in follow-up calls with them.
4
Therefore, the approach to the intervention will largely be guided by patients’ needs rather than a
fixed approach to providing nursing.
Another theoretical foundation to be used is the Maslow hierarchy of needs as developed
in psychology. This hierarchy of needs classifies human needs based on their level of importance
from the most basic physiological and safety to the highest of self-actualization. When working
with patients, it is essential to determine their most pressing needs and strive to enable them to
meet them through self-care and nursing interventions (Shoib et al., 2022). For instance, esteem
needs based on the physiological changes in the body of the patient should be addressed in the
care for diabetes. Patients who struggle with esteem due to skin disorder should be supported to
address those concerns and improve their self-esteem.
Moreover, the healthcare technology to be used will be telehealth. This technology has
become an essential tool in care coordination and following-up with patients. Telehealth is any
combination of technological tools that enable care providers to remotely disseminate care and
communicate with their patients (Appuswamy & Desimone, 2020). The basic approach to be
deployed in this project is calls made to the patient every two weeks. In those calls, the patient’s
status, needs, and compliance will be assessed and additional plans made or guidance provided to
promote diabetes self-management. Telehealth follow-up will reduce the need for routine clinical
visits while still supporting patients to comply with the self-management plan in place.
Stakeholder, Policy, and Regulations
Stakeholder support is needed in every healthcare project and in the current project,
providers, patients, and their families are the main stakeholders to be considered. Healthcare
providers involved are mainly nurses who provide education and follow-up calls. Nurses need
support from the healthcare organization to enable them to support their patients appropriately.
5
For instance, the presence and reliability of telehealth in the organization is important to enable
nurses to fulfill their roles in this project. Secondly, patients are the primary stakeholders who
will implement knowledge from the nurses and their needs are diverse. Access to healthcare
resources and support from their families is essential. Family members also need to understand
the patient’s needs, approaches to self-management, and necessary support they can offer to
them.
Additionally, the main regulation to consider in this project is the diabetes selfmanagement education (DSME) mandate and compensation under the Centers for Medicare and
Medicaid Services (CMS). The regulation applies specifically to beneficiaries of Medicaid and
Medicare, who are mostly older adults, a huge proportion of patients with diabetes. Education
should be provided by a certified provider and should establish outcome measures to determine
improvement in Medicare beneficiaries (Powers et al., 2020). Based on this regulation, the
patients will be educated by a certified provider under the provisions of the CMS rule. Outcome
measures will also be outlined in the evaluation plan in later sections of this project to meet the
requirements of DSME under the CMS.
Ethical and Legal Implications
The main ethical issue to consider in the project is the risk of patient harm. Nurses should
strive to ensure patient safety and beneficence of all interventions implemented while
minimizing any harm. When considering options for managing skin disorders, there is the risk of
harm from over-the-counter products for skin care (Fisher et al., 2022). Based on this anticipated
risk, the nurse will advise patients to only use products that are evidence-based and have been
researched for diabetic patients. A shortlist of such products will be provided for patients to
6
select. Nurses will also follow-up with patients to determine any side effects and discontinue any
product whose side effects outweigh the potential benefits.
Regarding the legal aspect of the project, medication prescriptions are a crucial issue to
be considered by nurses. This is a nursing project and hence medical management will be based
on the physician’s prescription and prescription changes. Since nurses are not legally allowed to
prescribe medications in this setting, collaboration with the primary provider will be necessary.
For glycemic control, dose adjustments will be finalized by the physician. Nurses will focus on
ensuring glucose monitoring and consulting on patient progress. They will involve the physician
when changes in glycemic control warrant insulin or other medications dose changes and
adjustments.
Conclusion
Skin disorders are a common condition in patients diagnosed with diabetes and it is
necessary to intervene to reduce risk and boost patients’ wellbeing. The proposed project is
patient education on appropriate glycemic control and skin care as well as follow-up. Basic
glycemic control includes monitoring blood glucose levels and adjusting nutrition to meet the
individual goals for each patient. Skin care interventions are diverse including hygiene,
hydration, protection, and home remedies. Telehealth follow-up every two weeks for three
months will be provided to promote adherence and compliance. The project will be implemented
using patient-centered care to address individual patient needs. Compliance with the DSME
requirements under the CMS will also be required. The program intervention components will be
deployed with the aim of improving skin disorders and wellbeing in patients living with diabetes.
7
References
Appuswamy, A. V., & Desimone, M. E. (2020). Managing diabetes in hard to reach populations:
A review of telehealth interventions. Current Diabetes Reports, 20(7), 1-10.
https://doi.org/10.1007/s11892-020-01310-2
Cunningham, A. T., Crittendon, D. R., White, N., Mills, G. D., Diaz, V., & LaNoue, M. D.
(2018). The effect of diabetes self-management education on HbA1c and quality of life in
African-Americans: A systematic review and meta-analysis. BMC Health Services
Research, 18(1), 1-13. https://doi.org/10.1186/s12913-018-3186-7
Fisher, M. H., Hill, M. K., & Hugh, J. (2022). Necrotic ulcerations after the use of an over-thecounter mole and skin tag removal product. Cutis, 109(2), E27-E28.
https://doi.org/10.12788/cutis.0483
Forsythe, L. P., Carman, K. L., Szydlowski, V., Fayish, L., Davidson, L., Hickam, D. H., &
Anyanwu, C. U. (2019). Patient engagement in research: Early findings from the PatientCentered Outcomes Research Institute. Health Affairs, 38(3), 359-367.
https://doi.org/10.1377/hlthaff.2018.05067
Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., &
Uelmen, S. (2020). Diabetes self-management education and support in adults with type
2 diabetes: A consensus report of the American Diabetes Association, the Association of
Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the
American Academy of Family Physicians, the American Academy of PAs, the American
Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes
Care, 43(7), 1636-1649. https://doi.org/10.2337/dci20-0023
8
Shoib, S., Amanda, T. W., Menon, V., Ransing, R., Kar, S. K., Ojeahere, M. I., & Saleem, S. M.
(2022). Is Maslow’s hierarchy of needs applicable during the COVID-19
pandemic? Indian Journal of Psychological Medicine, 44(1), 98-100.
https://doi.org/10.1177/02537176211060435
van Netten, J. J., Bus, S. A., Apelqvist, J., Lipsky, B. A., Hinchliffe, R. J., Game, F., &
International Working Group on the Diabetic Foot. (2020). Definitions and criteria for
diabetic foot disease. Diabetes/metabolism Research and Reviews, 36, e3268.
https://doi.org/10.1002/dmrr.3268

Purchase answer to see full
attachment

  
error: Content is protected !!