NRS-493 Capstone Change Project Resources Solved

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

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

Hello! Understanding the dependent and independent variables are extremely important with respect to our capstone change projects. Being able to understand how the interventions will influence our research. And the results that come about from the interventions and change implemented. The capstone project that I am doing is on fall prevention, the use of bed alarms and the implementation of hourly rounding. As fall continues to be a concern, having a intervention in place to try and prevent these falls from occurring is extremely important. Falls lead our patients to be at risk for injuries and prolonged hospital stays. As most of our populations in the healthcare field are those of the elderly, falls in this population can lead to many devastating outcomes that can include death. The incidence of falls also leads to a large cost to the healthcare system as well. There are many interventions that be put into place such keeping the bedside table within reach, call light within reach, patients have been toilet, and pain medications given. Of course, falls can still occur but placing interventions to try and prevent these falls from occurring is an important task in our daily activities with our patients. There are different ways to measure how the interventions we put into practice are working. Such as seeing a reduction in falls and see an improvement with patient satisfaction with their care, we can see that the intervention is working. Seeing a reduction in call lights as well can be beneficial.

Capstone Change Project Resources

Every project needs resources to help in its implementation and eventually its success. Project resources refer to materials exploited for the attainment of a task.  Effective utilization and distribution of project resources are essential for successful project implementation (Langenwalter, 2020). The project resource should be identified early enough, probably before initiating the project. The project manager should determine the things they need at the initiation of the project to avoid getting stuck in the middle of the implementation process to seek additional resources. Ignoring crucial project resources may result in various issues, which eventually cause project failure. The purpose of this paper is to provide capstone change project resources to help in the implementation of the change project.

The purpose of this proposed change project is to provide health education on lifestyle changes among obese adolescents to reduce obesity rates. After consulting with my preceptor, I have identified important resources required for the implementation of the project. The resources include human resources, financial resources, and material resources.

Human Resources

Human resources entail care providers such as nurse educators, counselors, nutritionists, and physical activity coaches who will lead patient education programs (Eyibio & Daniel, 2020). This is the most important resource in this project. These care providers can work closely with the community and leaders to attract more adolescents to participate in the project and help in advancing health education to more adolescents from various settings.

Financial Resources

Financial resources are also essential in the implementation of this project. All projects, irrespective of their scale or intricacy, require money (Dopp et al., 2020). This project requires money to help in hiring more caregivers, hiring venues for conducting the health education, buying educational materials, and assisting in logistics such as supplies and transport that are necessary for providing health education. Nurse Managers in charge of the project should have skills in managing budgets. They need to be confident in dealing with finances and costs to enable every stage of the project to run smoothly.

Material Resources

The other resource is educational material resources. These vital resources include supplies and materials that are an integral part of the project. They are crucial for the success of the project implementation (Eyibio & Daniel, 2020). The focus of the current project is the implementation of health education on lifestyle changes.  As such, educational resources will play a vital role in advancing educational activities such as supporting effective communication and spreading the message to the target population. The educational materials include posters, books, fliers, flip charts, audios, and leaflets.

Online Resources

Online resources are also crucial in this project. The target population of adolescents tends to spend considerable time online. Therefore, online platforms can be resourceful to them. Online resources include videos, podcasts, and Apps. These online resources are also essential for adolescents from remote areas by improving the scope of accessibility of educational programs.

Conclusion

The resources required for the implementation of this project include human resources, financial resources, material resources, and online resources. All these resources are crucial in the project implementation process by helping in initiating the project and successfully moving it towards the desired direction. The more efforts exerted into bringing these resources into the project in time, the easier it will be to successfully implement the project without getting stuck along the way and completing the project on time, within the budget, and with the required standards.

References

Dopp, A. R., Narcisse, M. R., Mundey, P., Silovsky, J. F., Smith, A. B., Mandell, D., … & Mendel, P. (2020). A scoping review of strategies for financing the implementation of evidence-based practices in behavioral health systems: State of the literature and future directions. Implementation Research and Practice, 1, 2633489520939980. https://doi.org/10.1177/2633489520939980

Eyibio, O. N., & Daniel, C. O. (2020). The Effective Resource Budgeting as a Tool for Project Management. Asian Journal of Business and Management, 8(2). https://www.researchgate.net/publication/342656923_Effective_Resource_Budgeting_as_a_Tool_for_Project_Management

Langenwalter, G. A. (2020). Enterprise resources planning and beyond: integrating your entire organization. CRC Press.

Change projects in healthcare are important in improving ways of healthcare delivery and in creating positive patient outcomes. EBP capstone change projects are crucial in promoting best practices in different nursing areas and in the implementation of nursing interventions to address different challenges in healthcare. Capstone change projects are intended to achieve particular objectives in addressing nursing issues. This paper aims to highlight the objectives of the current change project and to demonstrate how the project and objectives advocate for autonomy and social justice for individuals and diverse populations.

Objective 1: Advance Quality of Life

CAUTIs are linked to various adverse implications in patients in patients’ health including sepsis and endocarditis, and long hospital stay days, which significantly compromise health (Mong et al., 2022). As such, managing CAUTIs among patients admitted to medical-surgical wards is projected to enhance their quality of life.

Objective 2: Prevent the Incidence of CAUTIs and Associated Implications

CAUTIs account for the bigger percentage of UTIs in hospitals and affect over one million people yearly in the United States (Gomila et al., 2019). The implementation of this project is expected to help in eliminating CAUTIs and prevent them from recurring. The project will also help in preventing associated complications such as kidney damage, sepsis, and the risk of contracting other secondary bacteremias.

Objective 3: Minimization of Costs Associated with CAUTIs

CAUTIs are associated with various costly implications such as increasing patient length of hospital stay, additional healthcare expenses, lower productivity, and increase patient morbidity and mortality (Mong et al., 2022). This project seeks to empower nurses to avoid the overuse of urinary catheters and use EBP protocols to remove catheters. This will help in the prevention of CAUTIs and the associated severe economic consequences.

Objective 4: Enhance Catheter Use

CAUTIs are linked to poor catheter removal practices and catheter overuse (Gomila et al., 2019). The implementation of this project is expected to help nurses reduce the overuse of urinary catheters and also empower them with knowledge of removing catheters based on nurse-driven EBP protocols.

How the Project and Objectives Advocate for Autonomy and Social Justice for Individuals and Diverse Populations

The objective of this capstone change project is to enhance health outcomes among the patients admitted to the medical-surgical unit. Urinary catheters are used among vulnerable patients set for or recovering from surgical procedures. These patients encounter psychological and physical issues, which negatively impact them and their families. Therefore, it is important to consider ethical practices in their care (Dietrich & Weisswange, 2019). The ethical principle of autonomy can be upheld by involving patients in their care and encouraging them to make decisions about their healthcare. The project will ensure social justice by ensuring that the nursing intervention used is safe, quality, cost-effective, and accessible to everyone.

Conclusion

This capstone change project focuses on the management of Catheter-Associated Urinary Tract Infections (CAUTI) among medical-surgical patients. The objectives of the project include advancing the quality of life among patients, preventing incidences of CAUTIs and the associated implications, minimizing costs associated with CAUTIs, and enhancing catheter use. The project and objectives seek to advocate for autonomy and social justice by involving patients in their care and encouraging them to make decisions about their healthcare. Social justice will be promoted by ensuring that the nursing intervention used is safe, quality, cost-effective, and accessible to everyone.

 

 

References

Dietrich, M., & Weisswange, T. H. (2019). Distributive justice as an ethical principle for autonomous vehicle behavior beyond hazard scenarios. Ethics and Information Technology, 21(3), 227-239. https://doi.org/10.1007/s10676-019-09504-3

Gomila, A., Carratalà, J., Eliakim-Raz, N., Shaw, E., Tebé, C., Wolkewitz, M., Wiegand I., Grier S., Vank C., Cuperus N., Heuvel, L., Vuong, C., MacGowan, A., Leibovici, L., Addy, I., & Pujol, M. (2019). Clinical outcomes of hospitalized patients with catheter-associated urinary tract infection in countries with a high rate of multidrug resistance: the COMBACTE-MAGNET RESCUING study. Antimicrobial Resistance & Infection Control, 8(1), 1-8. doi: 10.1186/s13756-019-0656-6

Mong, I., Ramoo, V., Ponnampalavanar, S., Chong, M. C., & Wan Nawawi, W. N. F. (2022). Knowledge, attitude, and practice in relation to catheter‐associated urinary tract infection (CAUTI) prevention: A cross‐sectional study. Journal of clinical nursing, 31(1-2), 209-219. https://doi.org/10.1111/jocn.15899

 

The implementation of the capstone change project in the nursing home will require a host of resources; both human and material resources that include financial. The intervention is about implementing a falls reduction initiative in the selected setting to lower fall rates among the affected patients, elderly individuals in nursing home (AHRQ, 2018). As such, resources will be critical to ensure that the organization offers sufficient ways to integrate them for better outcomes.

The first resource will be having human resources or nursing staff and other healthcare professionals that will implement the proposed interventions. The nursing staff, therapists, and physicians as well as pharmacists will form an inter-professional collaborative team to implement the proposed intervention in the facility (MacKay et al., 2021). These individuals will be at the core part of the implementation and delivery of the different interventions based on patient needs and requirements.

The second resource required to implement the capstone change project will be equipment and materials. These include fall scales, charts, and systems integrated into the organization’s infrastructure to deliver the proposed interventions (Schoberer et al., 2022). Having effective electronic health records (EHRs) system, and patient charts will ensure that nurses understand, and apply the suggested strategies to lower the prevalence of falls.

While nurses will attain knowledge and information on diverse interventions to reduce falls in home care setting, the organization should also provide better materials. Provision of mobility devices, frequent eye exams, effective sources of light, protecting clothing and non-slip mats in the bath and shower areas are essential resources that will be required as part of the equipment to reduce falls among these patients (Heng et al., 2022). These resources will supplement the acquired knowledge and competences to reduce falls and their associated severity among patients.

 

References

Agency for Healthcare Research & Quality (AHRQ) (2018). AHRQ’s Safety Program for

Nursing Homes: On-Time Falls Prevention. https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html

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

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

DOI: 10.5770/cgj.24.521

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