Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you've defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5–7 page analysis of your intervention.
Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.
Part 1
Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.
Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:
• Leadership.
• Collaboration.
• Communication.
• Change management.
• Policy.
• Quality of care.
• Patient safety.
• Costs to the system and individual.
• Technology.
• Care coordination.
• Community resources.
Part 2
Submit your proposed intervention to your faculty for review and approval.
In a separate written deliverable, write a 5–7 page analysis of your intervention.
• Summarize the patient, family, or population problem.
• Explain why you selected this problem as the focus of your project.
• Explain why the problem is relevant to your professional practice and to the patient, family, or group.
In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
• Define the role of leadership and change management in addressing the problem.
o Explain how leadership and change management strategies influenced the development of your proposed intervention.
o Explain how nursing ethics informed the development of your proposed intervention.
o Include a copy of the intervention/solution/professional product.
• Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
o Identify the patient, family, or group.
o Discuss the benefits of gathering their input to improve care associated with the problem.
o Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.
• Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.
o Cite the standards and/or policies that guided your work.
o Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
• Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
o Cite evidence from the literature that supports your conclusions.
o Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
• Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.
Developing an intervention Plan
Full Answer Section
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- Develop a comprehensive implementation plan, including training for staff, system configuration, and testing.
- Ensure seamless integration with the electronic health record (EHR) system.
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Staff Education and Training:
- Provide comprehensive training to all staff involved in medication administration, including nurses, nursing assistants, and pharmacists.
- Focus on the features and benefits of the MAS, as well as troubleshooting techniques.
- Develop ongoing training programs to address new features and updates.
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Regular Monitoring and Evaluation:
- Implement a robust system for monitoring medication administration errors and adverse drug events.
- Use data analytics to identify trends and areas for improvement.
- Regularly evaluate the effectiveness of the MAS and make necessary adjustments.
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Interdisciplinary Collaboration:
- Foster collaboration between nurses, pharmacists, physicians, and other healthcare providers to optimize medication management.
- Establish regular communication channels to discuss medication-related issues and identify potential problems.
Addressing Leadership, Collaboration, Communication, Change Management, Policy, Quality of Care, Patient Safety, Costs, Technology, Care Coordination, and Community Resources:
- Leadership: Strong leadership is essential to drive the implementation of the MAS and ensure its successful adoption.
- Collaboration: Interdisciplinary collaboration among healthcare providers is crucial for effective medication management.
- Communication: Clear and effective communication is necessary to ensure that all staff members understand the benefits of the MAS and know how to use it correctly.
- Change Management: A well-planned change management strategy can help minimize resistance to change and facilitate a smooth transition to the new system.
- Policy: Adherence to relevant state and federal regulations, as well as organizational policies, is essential.
- Quality of Care: The MAS can improve the quality of care by reducing medication errors and improving patient outcomes.
- Patient Safety: By automating medication administration and providing real-time alerts, the MAS can enhance patient safety.
- Costs: While there may be initial investment costs, the long-term benefits of reduced medication errors and improved patient outcomes can offset these costs.
- Technology: The MAS is a key technology that can improve medication safety and efficiency.
- Care Coordination: The MAS can facilitate better coordination of care by providing real-time information about medication administration and patient status.
- Community Resources: Collaboration with community pharmacists and other healthcare providers can further enhance medication safety and patient outcomes.
By implementing a Medication Administration System and addressing the various factors outlined above, the long-term care facility can significantly improve medication safety and patient care.
Part 2: Intervention Analysis and Submission
[Note: To complete Part 2, you will need to submit your proposed intervention to your faculty for review and approval. Once approved, you can then write a detailed analysis of your intervention, incorporating feedback from your faculty.]
In your analysis, be sure to address the following:
- Problem Statement: Clearly articulate the problem of medication errors in the long-term care setting.
- Intervention Rationale: Explain why the MAS is an appropriate solution to address the problem.
- Implementation Strategy: Detail the specific steps involved in implementing the MAS, including training, testing, and evaluation.
- Evaluation Plan: Describe how the effectiveness of the MAS will be evaluated, including key performance indicators and data collection methods.
- Ethical Considerations: Discuss the ethical implications of implementing the MAS, such as privacy and security concerns.
- Sustainability: Consider the long-term sustainability of the MAS, including funding, maintenance, and ongoing training.
By carefully considering these factors, you can develop a comprehensive and effective intervention to improve medication safety in long-term care facilities.
Sample Answer
Intervention: Implementing a Medication Administration System (MAS)
Rationale:
Based on the identified problem of high rates of medication errors in long-term care facilities, the implementation of a Medication Administration System (MAS) is a promising solution. An MAS is a computerized system that automates medication administration, reduces the risk of errors, and improves patient safety.
Key Components of the Intervention:
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Selection and Implementation of MAS:
- Conduct a thorough evaluation of available MAS systems to select the most suitable option for the facility.