NRS 493 Assignment: Capstone Change Project Evaluation Plan

NRS 493 Assignment: Capstone Change Project Evaluation Plan

NRS 493 Assignment: Capstone Change Project Evaluation Plan

Assessment Description

The assignment will be used to develop a written implementation plan.

Step 1) Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources.

Step 2) Develop a process to evaluate the intervention if it were implemented.

Step 3) Write a 150-250 word summary of the evaluation plan that will be used to evaluate your intervention.

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Address the following in your summary:

What data was collected?

What tool will be used to collect the data?

Who will be responsible for collecting data?

How will this data be communicated to the team?

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

A Sample Of This Assignment Written By One Of Our Top-rated Writers

NRS 493 Capstone Change Project Evaluation Plan

The evaluation of evidence-based practice (EBP) capstone project is essential to ascertain the effectiveness of the intervention in improving patient safety. The evaluation entails a consideration of the developed strategic plan to implement the change proposal, the assessment of the objectives, and outcomes, and determining listed resources (Cameron et al., 2019). The purpose of this paper is to present the evaluation plan for the capstone change project on reducing patient falls in nursing homes among elderly residents through increasing nurses’ knowledge and interventions in the facility. The evaluation plan underscores the importance of data collected and effective tools to collect it as well as those responsible and its communication to the team.

Strategic Plan to Implement the Change Proposal, Objectives & Listed Resources  

The strategic plan for the implementation of this project entails addressing the potential challenges and opportunities that will emanate based on the organizational culture in achieving the goals and objectives of the proposed interventions to prevent and reduce falls. The strategic plan will entail developing approaches that enhance the ability of nurses to deal with falls by increasing their knowledge and administrative actions and activities (Schoberer et al., 2022). The first step would be to survey falls in the facility, the level of awareness and knowledge about them by nurses, and managerial aspects that encourage best practices among patients. Secondly, analyzing the outcomes to determine gaps at various levels and engaging all stakeholders would be key to ensuring that the project attains its goals. The evaluation plan will focus on ascertaining these approaches and the involvement of all stakeholders through effective communication.

The core objectives of this capstone project are to reduce and prevent the occurrence of falls in the facility, increase nurses’ knowledge and collaboration to address the issue and enhance quality care outcomes for patients. These outcomes will include increased patient safety, effective reporting of falls, implementation of EBP interventions based on patient’s needs and concerns, and overall provider and patient satisfaction (Heng et al., 2022). Through these interventions, the project will attain better controls for the organization and ensure that nurses work collaboratively with other professionals and stakeholders to mitigate falls and their associated adverse effects like injuries and disabilities.  Falls as a critical patient concern require interventions that are patient-centered and effective in improving nurses’ knowledge and the related change proposal implementation.

The listed resources for the project include human resources comprising of nurses in the facility and other healthcare providers, especially physicians and therapists. The second essential resource comprises equipment and materials like fall scales, charts, and systems integrated into the organization’s infrastructure like bed alarms and interventions like purposeful rounding by nurses Montero-Odasso et al., 20 For instance, the evaluation plan will determine the effectiveness of electronic health records (EHRs) system and patient charts to ensure that nurses not only understand but also can implement the recommended strategies to reduce falls in the facility.

Process of Evaluation of the Intervention

The evaluation process will entail focusing on the execution of the proposed project through the strategic plan and focusing on the effectiveness of the outcomes based on data collected and analyzed during the implementation. The intervention will run for six months after which the project will conduct a summative assessment based on collected data. The main data that would be collected include nurses’ perception of the training and knowledge provision in managing falls, patient data on falls and their prevalence for different cadres or categories of patients based on their health status and condition, and overall cost implication related to each patient and the facility (Heng et al., 2022). The Centers for Medicare and Medicaid Services (CMS) considers falls as never events despite their adverse effects on patients and healthcare facilities in terms of costs. Consequently, the CMS does not reimburse organizations for costs incurred in managing falls for patients under their value-based purchase (VBP) model. As such, the proposed capstone project must collect data before and after the implementation to assess the overall effectiveness of the proposed intervention.

The project will use different tools to collect the data. These include patient charts, the use of fall scales, and survey questionnaires for nurses to provide their experiences and how having the knowledge has enhanced their ability to care for patients (Montero-Odasso et al., 2021). The project will also collect data by recording falls at determined intervals. A core part will entail documenting all falls after the implementation and comparing the number to the situation before the intervention.

The team comprising informatics nurses and those from the information systems department will collect data about the intervention. The team will also comprise of data and compliance manager to ensure that all protocols on data compliance and laws like HIPAA and HITECH as well as the Affordable Care Act provisions are not breached (MacKay et al., 2021). The team will ensure that all data, especially the current data, is well-captured to determine the overall effectiveness of the project to meet the targeted audience.

The team will analyze the data to communicate different areas with gaps in the nursing home that make the residents susceptible to falls. The communication of data to the team will be through effective reports, presentations, and a collaborative analysis by all critical members from different departments in the nursing home (Schoberer et al., 2022). Again, data communication will also entail having sessions for providers to analyze different aspects and themes emanating from the project.

Conclusion

The evaluation of the capstone project proposal is essential in nursing when implementing such initiatives. Evaluation allows healthcare providers to improve overall outcomes and prevent the issue under consideration like falls among elderly residents in a nursing home. The evaluation process in this case will entail a review of the strategic plan, outcomes, resources, project objectives, and data collection through an effective collaborative team.

References

Cameron, E., & Green, M. (2019). Making sense of change management: A complete guide to

the models, tools, and techniques of organizational change. Kogan Page Publishers.

Heng, H., Kiegaldie, D., Shaw, L., Jazayeri, D., Hill, A. M., & Morris, M. E. (2022).

Implementing patient falls education in hospitals: a mixed-methods trial. Healthcare,

10(7):1298). https://doi.org/10.3390/healthcare10071298

MacKay, S., Ebert, P., Harbidge, C., & Hogan, D. B. (2021). Fear of falling in older adults: a

a scoping review of recent literature. Canadian geriatrics journal, 24(4), 379.

DOI: 10.5770/cgj.24.521

Montero-Odasso, M. M., Kamkar, N., Pieruccini-Faria, F., Osman, A., Sarquis-Adamson, Y.,

Close, J., … & Kobusingye, O. (2021). Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. JAMA network open, 4(12), e2138911-e2138911. DOI: 10.1001/jamanetworkopen.2021.38911.

Schoberer, D., Breimaier, H. E., Zuschnegg, J., Findling, T., Schaffer, S., & Archan, T. (2022).

Fall prevention in hospitals and nursing homes: Clinical practice guideline. Worldviews on Evidence‐Based Nursing, 19(2), 86-93. DOI: 10.1111/wvn.12571