NRS 493 Capstone Project Change Proposal Presentation

The major obligation of healthcare system is the provision of healthcare services to enhance the quality of life and patient outcomes. The proposed nursing issue in this project is the management of mental health and psychological conditions of elderly patients or seniors living in managed long-term care setting. Mental health issues are increasingly becoming common among elderly patients. These conditions adversely impact their quality of life, compromise activities of daily living, reduce satisfaction with life, and ruin personal relationships. As such, there is need to address the mental health conditions properly to improve quality of their life and health outcomes in seniors. The objectives of this project will be achieved by covering all the above mentioned sections.

The identified problem is mental health problems in elderly people. Mental health issues are increasingly becoming common among elderly people. Today, at least one in four elderly persons suffers from some mental disorder. It is anticipated that older people with mental disorders will double by the year 2030 due to population aging. Two-thirds of this population does not get appropriate treatment they deserve because access to mental health services in seniors is limited in many places in the US (Mitchell, 2022). These conditions adversely impact their quality of life, compromise activities of daily living, reduce satisfaction with life, and ruin personal relationships. As such, this project sought to address the mental health problems among the elderly people living in MLTC to avoid the negative consequences associated with mental health conditions and promote positive health outcomes among this population and their families. The proposed intervention is mindfulness mediation. This intervention is anticipated to lower stress and stress reactivity in seniors with mental health issues, leading to increased quality of life and better outcomes.

The identified problem is mental health problems in elderly people. These conditions adversely cause adverse consequences to the patients, their families, and the community (Axon & Chien, 2021). Mental health conditions are categorized under major community health concern that are associated with negative impacts such as poor their quality of life, compromise activities of daily living, reduce satisfaction with life, and ruin personal relationships. Moreover, mental health conditions are attributed to highest suicide rates among the seniors. This capstone change proposal recommends the adoption of mindfulness meditation as the intervention to address the mental health conditions among the seniors admitted in a managed long-term care setting.

An individual success plan (ISP) is a critical tool that is used in mapping out what the RN-to-BSN student need to achieve to succeed in this project and finish the entire program of study. The ISP was used in this project to develop personal plan for the completion of the practice immersion hours and acted as a tool to assess how I complete the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies regarding the my project on the management of mental health and psychological conditions of elderly patients or seniors living in managed long-term care setting.

The proposed nursing intervention for this project is the adoption of mindfulness meditation to address the mental health conditions among seniors admitted in a managed long-term care setting. Mental health issues are increasingly becoming common among elderly patients and are associated with adverse consequences to the patients, their families, and the community (Hayasi Pinho et al., 2020). The mindfulness mediation characterizes a mental training that teaches people to become mindful all through the day, especially during difficult situations by reducing racing thoughts, relieving negativity, and calming the body and mind. The mindfulness mediation is expected to help patients to remain mindful all through the day, especially during difficult situations by reducing racing thoughts, relieving negativity, and calming the body and mind. This intervention is anticipated to lower stress and stress reactivity in seniors with mental health issues, leading to increased quality of life and better outcomes.

This project sought to achieve various objectives. The first objective is improvement of mental health. The management of mental health and psychological conditions of elderly is essential in improving mental health through prevention and facilitation of access to suitable, quality mental health services (Biering, 2019). The other objective is to enhance quality of life. The management of mental health and psychological conditions of elderly patients seeks to enhance their health and quality of life (Axon & Chien, 2021). Another objective is to increase chances of treatment. Close supervision of seniors with mental health problems admitted in a managed long-term care setting enhances chances of addressing symptoms that may indicate a problem and foster successful treatment. The other objective is to reduce economic and non-economic costs of mental illness. Mental health disorders are linked to heavy financial burdens to the patients, their families, and the community. The disorders also involve more costs such as disability, reduced productivity, and high mortality rates (Chua, 2020). Therefore, this project will support the patients and prevent these serious economic burdens. The final objective is to raise awareness about mental health range, minimize stigma associated with mental illness, facilitate help pursuit behaviors and emotional wellness practice, and avert suicide or suicide ideation through personalized education (Biering, 2019).

The proposed PICOT question is; in older patients with mental health disorders (P) does mindfulness mediation (I) compared to no intervention (C) improve mental health outcomes (O) in 12 months? This project relied majorly on evidence-based solutions from superior databases to support the change project. The proposed nursing intervention for this project is the adoption of mindfulness meditation to address the mental health conditions among seniors admitted in a managed long-term care setting. Mental health conditions are associated with many negative outcomes. As such, the implementation of mindfulness mediation is vital in improving patient care because it reduces stress and stress reactivity in seniors with mental health issues, leading to increased quality of life and better outcomes (Goldberg et al., 2018). Health care agencies play vital roles in managing individual and population health through development of treatment design, diagnosis modalities, and mental health management. Regarding nursing practice, successful implementation of this proposed intervention is likely to impact nursing practice by reducing workload that is currently rampant in nursing practice. The intervention will also help nurses understand a host of interventions that can reduce their susceptibility to different disease conditions.

The articles used in the literature evaluation table and the PICOT question paper used different research questions to address the study objectives. This project relied on the literature evaluation table (LET), which was provided by the GCU to evaluate literature. The LET is availed in a prescribed structure and the students are required to fill given areas for evaluation. Evidence-based practice (EBP) played significant roles in the success of this change project by ensuring that the decisions are informed by best available evidence from reputable research studies (Kim et al., 2020). Nurse practitioners are required to utilize EBP to create and implement mindfulness mediation programs in this project. EBP can also be used to establish the level and strategies of implementing the intervention and to determine the suitability of the mindfulness mediation. Ultimately, the success of the mindfulness mediation program is anchored on the utilization of best EBP.

Financial resources are needed and critical in the success of any project. Every project, irrespective of complexity or scale, needs funding. Financial input is crucial in hiring more staff, purchasing materials needed in the project, and helping in logistics such as transport and supplies that are crucial for the delivery of the intervention (Eyibio et al., 2020). Human resources are the primary resources needed in this project. They comprise of the healthcare professionals such as counselors, social workers, nurses, psychiatrists, nutritionists, and fitness coaches who are needed in provision of mindfulness mediation. Material resources entail things like supplies and other materials needed in the completion of the project (Mazzei et al., 2021). The material resources will play crucial role of supporting the logistics needs in the implementation of the proposed intervention. Finally, online resources are significant in reaching out to patients in remote areas such as rural dwellers (Frolova et al., 2019). Healthcare providers can depend on online platforms such as websites dealing with mindfulness mediation to inform their decisions. Online resources include podcasts, Apps, and videos.

The successful implementation of this project will improve the management of mental health and psychological conditions in seniors, which is essential in improving mental health through prevention and facilitation of access to suitable, quality mental health services (Hayasi Pinho et al., 2020). Regarding improvement in quality of life, the management of mental health and psychological conditions in elderly patients will yield positive outcomes including improved mental health and quality of life among the older people. Regarding increasing chances of treatment, proper management of seniors with mental health problems admitted in a managed long-term care setting will likely improve chances of addressing symptoms that may indicate a problem and fostering successful treatment. The intervention will also empower care givers and the seniors to take active roles in their mental health management to avoid adverse impacts. Concerning reduction of economic costs, project will support the patients and prevent these serious economic burdens such as heavy financial burdens to the patients, their families, and the community and other costs such as disability, reduced productivity, and high mortality rates. The successful implementation will yield positive outcomes including increasing awareness about mental health range, minimize stigma associated with mental illness, facilitate help pursuit of behaviors and emotional wellness practice, and avert suicide or suicide ideation through personalized education.

Project evaluation is critical in determining the essence and scope of achieving the project goals, the achievement in the development of the project, and the project’s impacts, effectiveness, and sustainability. Also, project evaluation is crucial for stakeholders to apply the lesson they learned during the evaluation process into the project decision-making process. As such, project evaluation plan is valuable in availing information to improve the success of the project during implementation (Haass & Guzman, 2019). The proposed nursing intervention in this project will be evaluated by the outcomes of the project. Assessment will be carried out on the collected data and the baseline data after the execution of the project. If the evaluation depicts improvements in mental health of elderly patients, the nursing intervention will be deemed a success. Additionally, evaluation will be conducted through the use of various tools such as questionnaires, interviews, and follow-ups.

Mental health issues are increasingly becoming common among elderly patients due to various reasons. The proposed nursing intervention for this project is adoption of mindfulness meditation to address the mental health conditions among seniors admitted in a managed long-term care setting. This intervention is essential in reducing stress and stress reactivity in seniors with mental health issues, leading to increased quality of life and better outcomes. This presentation provided summary of sections covered in this class as mentioned above.

References

Axon, D. R., & Chien, J. (2021). Predictors of Mental Health Status among Older United States Adults with Pain. Behavioral Sciences, 11(2), 23. https://doi.org/10.3390/bs11020023
Biering, P. (2019). Helpful approaches to older people experiencing mental health problems: a critical review of models of mental health care. European Journal of Ageing, 16(2), 215-225. https://doi.org/10.1007/s10433-018-0490-3
Chua, S. N. (2020). The economic cost of mental disorders in Malaysia. Lancet psychiatry, 7(4), e23-e23. DOI: 10.1016/S2215-0366(20)30091-2
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
Frolova, E. V., Ryabova, T. M., & Rogach, O. V. (2019). Digital Technologies in Education: Problems and Prospects for” Moscow Electronic School” Project Implementation. European Journal of Contemporary Education, 8(4), 779-789. https://eric.ed.gov/?id=EJ1238561
Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis. Clinical psychology review, 59, 52-60. https://doi.org/10.1016/j.cpr.2017.10.011
Haass, O., & Guzman, G. (2019). Understanding project evaluation–a review and reconceptualization. International Journal of Managing Projects in Business. https://doi.org/10.1108/IJMPB-10-2018-0217
Hayasi Pinho, P., Maffei Carnevalli, L., Oliveira Santos, R., & Silva De Lacerda, L. C. (2020). Mindfulness-based interventions for adults and older adults with mental disorders: an integrative review. SMAD Revista Electronica Salud Mental, Alcohol y Drogas, 16(3). DOI: 10.11606/issn.1806-6976.smad.2020.166027
Kim, M., Mallory, C., & Valerio, T. (2020). Statistics for evidence-based practice in nursing. Jones & Bartlett Publishers.
Mazzei, A., Ingabire, R., Karita, E., Mukamuyango, J., Nyombayire, J., Parker, R., … & Wall, K. M. (2021). Cross-sectional assessment of government health center needs to implement long-acting reversible contraception services in rural Rwanda. BMC Women’s Health, 21(1), 1-11. https://doi.org/10.1186/s12905-021-01555-3
Mitchell, C. (2022). PAHO/WHO | Seniors and Mental Health. Pan American Health Organization / World Health Organization. Retrieved from https://www3.paho.org/hq/index.php?option=com_content&view=article&id=9877:seniors-mental-health&Itemid=40721&lang=en

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The identified evidence-based topic for the capstone project change proposal is the management of falls and fall prevention in nursing homes. Patient falls in nursing homes are highly common and a great issue in the United States and globally (Melin, 2018). Patient fall is linked to negative economic burden emanating from heavy financial loads needed in the management of implications associated with falls (Hill et al., 2019). Economic burden also emanates from loss of productivity at different levels including patient, family, community, and national levels. Patient falls also lead to injury-related mortality and disabilities. Other negative outcomes of patient fall include longer hospital stay days and physical and psychological discomforts to patients.

Management of patient falls can be categorized under community intervention. Community interventions characterize activities or initiatives intended to prevent disease and foster health within a community. However, community intervention in this project refers to any service towards or involving the patient. The proposed nursing intervention is the adoption of hourly rounds to prevent patient fall by attending to the patient’s needs in a proactive manner (Grillo et al., 2019). Various community interventions are conducted during hourly rounds to prevent patient falls. They include providing nourishment to patients, managing pain, and providing musculoskeletal needs such as proper positioning, range of motion, and ambulation. The intervention also involves clearing walking areas of clutter and ensuring medical equipment is effectively functioning. Other interventions include maintaining call lights within patients’ reach, teaching patients to use call lights, and ensuring strong handrails in hallways, wards, and bathrooms.

References

Grillo, D. M., Firth, K. H., & Hatchel, K. (2019). Implementation of purposeful hourly rounds in addition to a fall bundle to prevent inpatient falls on a medical-surgical acute hospital unit. Medsurg Nursing, 28(4), 243-250. https://www.proquest.com/openview/eec0dd7780fb425a757c331b77edc605/1?pq-origsite=gscholar&cbl=30764

Hill, A. M., Jacques, A., Chandler, A. M., Richey, P. A., Mion, L. C., & Shorr, R. I. (2019). In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. The Joint Commission Journal on Quality and Patient Safety, 45(2), 91-97. https://doi.org/10.1016/j.jcjq.2018.08.005

Melin, C. M. (2018). Reducing falls in the inpatient hospital setting. International Journal of Evidence-Based Healthcare, 16(1), 25-31. https://doi.org/10.1097/XEB.0000000000000115

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I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

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Important information on Writing a Discussion Question

Your response needs to be a minimum of 150 words (not including your list of references)
There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
Include in-text citations in your response
Do not include quotes—instead summarize and paraphrase the information
Follow APA-7th edition
Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

A minimum of 6 responses per week, on at least 3 days of the week.
Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
Each response needs to be at least 75 words in length (does not include your list of references)
Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
Follow APA 7th edition
Points will be deducted if the above is not followed
Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
Here are some helpful links
Student paper example
Citing Sources
The Writing Center is a great resource