NURSFPX 6030 Assessment 4 Nursing Evaluation Plan Design

Guiding Questions

Evaluation Plan Design

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Evaluation 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: Evaluation Plan

Define the outcomes that are the goal of an intervention plan.

What are the outcomes that you are attempting to achieve with your intervention and project?
- How do the outcomes illustrate the purpose of your intervention and project?
- How do the outcomes illustrate what you hope to accomplish your intervention and project?
- How do the outcomes establish a framework that can be used to achieve an improvement in the quality, safety, and experience of care? NURSFPX 6030 Nursing Evaluation Plan Design Paper

Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.

How are you going to measure and evaluate the degree to which you achieved your outcomes?
- What data do you need to fully evaluate the outcomes?
  - How will you collect the needed data?
  - What tools or technology will you use to aid in data collection?
- What strategies will you use to analyze and evaluate the collected data?
  - What tools or technology will you use to aid in data analysis?
- How will the evaluation plan illustrate the impact that your intervention plan had, or will have?

Part 2: Discussion

Advocacy

Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.

How does the nurse help to lead change in professional practice and interprofessional teams?
How does the nurse help to drive improvements in the quality and experience of care in professional practice and interprofessional teams?

Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.

How does your intervention plan affect the nursing profession and role?
- In other words, how does your intervention plan improve the nursing profession and practices?
How does your intervention plan affect interprofessional collaboration related to improving outcomes for the target population and setting of your intervention plan?
What are other gains and benefits to the health care field in general from your intervention plan and project?

Future Steps

Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety.

How could your intervention plan and project be revised to create improved or broader-reaching impacts for your target population?
How could your intervention plan and project better take advantage of emerging technology to improve performance related to the outcomes of the intervention plan?
How could your intervention plan and project better take advantage of emerging care models to improve achievement of the project’s outcomes, as well as to improve patient safety?

Reflection on Leading Change and Improvement

Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions.

How has your work on your capstone project impacted your ability to lead change in your personal practice and current care setting?
How has your work on your capstone project impacted your ability to lead change in any future leadership positions you may have?

Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts.

How can the work you have undertaken with your capstone project be transferred into your current practice and care setting?
How can the work you have undertaken with your capstone project be transferred into other care settings and contexts?

Address Generally Throughout

Integrate resources from diverse sources that illustrate support for all aspects of an evaluation plan for an intervention, as well as for professional discussion about the plan.

Do the resources cited support all aspects of your evaluation plan?
Do the resources cited support your professional discussion of the plan and your practice?
Do your resources come from a diversity of sources?
- 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 evaluation plan and discussion of the project in a professional way that helps the audience to understand how the outcomes will be evaluated, as well as what was learned through the project process.

Is your writing clear and professional?
Does your writing effectively communicate your proposed evaluation plan?
Does your writing effectively communicate what was learned throughout the project process?
Is your writing free from errors?
Is your submission 4–6 pages?
Does your submission conform to current APA style standards?

NURSFPX 6030 Intervention Plan Example Paper

Nurses play a critical role in the intervention of diabetes. As it is known, diabetes is caused by excess insulin levels in the blood. Therefore, to manage it well, nurses need to educate people on dietary issues. Research results indicate that diabetes is a global problem with over 415 million patients (Ross et al., 2018). The number is projected to rise significantly over the next twenty years, and this is because of eating habits and the food that people consume (Powers et al., 2016). The disease may also lead to complications. Patients are more worried about the condition and not the difficulties that may arise with uncontrolled glucose levels. Nursing interventions can help people affected by the disease. The nursing intervention entails creating awareness of the role of uncontrolled diabetes, instruction on proper dietary modifications, and the importance of regular exercise.

Educating the Patients

In the nursing intervention program, the first thing is to give patients educational knowledge on uncontrolled diabetes in developing more complicated health problems. Informing the patient on how uncontrolled diabetes can result in other health complications, the patients may become more educated and may be motivated to keep up with their care. For instance, acute diabetes can result in health complications such as hypoglycemia, hyperglycemia, and hyperosmolar hyperglycemic state.

To avoid these complications, the patient must remain aware of their health status, informed on how to prevent further complications and be willing to modify important aspects to better their overall health. Also, advanced diabetes can result in retinopathy, neuropathy, and nephropathy. The intervention’s educational part is to ensure the patient’s self-management and responsibility to control their diabetic care (Testerman & Chase, 2017).

The education’s importance is to inform the patients on the possible complications that might result if the diabetic condition is not well handled and managed. The health complexities resulting from the chronic diseases of diabetes can cause loss of toes, feet, or even legs. Additionally, the conditions can lead to blindness, heart failure, and myocardial infarction. Explaining all these dangers to the patients can act as an eye-opener, and therefore, the patient may be more committed to taking care of his or her condition.

Teaching Patients the Signs and Symptoms of Related Conditions

It is imperative to teach the patients the symptoms of the related conditions of diabetes, such as hyperglycemia. Notably, hyperglycemia results when patients miss their oral medications, incorrectly take their insulin dose, and increase food intake or eat foods that increase glucose levels significantly. The signs and symptoms associated with this condition include increased glucose level in the blood, fatigue, blurred vision, the patient loses body weight, polyuria, polyphagia, and polydipsia (Mayberry et al., 2017). The patients should be made aware of these signs and symptoms so that if any of the symptoms appear, the patient can seek medical attention.

Quality Improvement Plan

As earlier asserted, diabetes results from unhealthy eating, being overweight or obese, and participating in little to no exercise. The intervention plan should entail using patients to improve nutrition (Gilis-Januszewska et al., 2017). The patients should be educated on what type of food to consume with the respective amounts. As earlier seen, increased food intake can result in hyperglycemia, and for this reason, the patient should be aware when it comes to food intake.

It is recommended that the patient should use the plate method as a simple method of meal planning and maintaining healthy nutrition (Pot et al., 2019). Information should be given to the patient regarding the food groups to be taken with their rightful amount. For instance, a diabetes patient should be provided with a paper plate divided into quarter sections and respective food groups provided in each quarter. For example, half of the plate should have non-starchy vegetables, another quarter section should have protein such as meat, beans, fish, and eggs, and the remaining quarter section should be filled with good carbohydrates such as rice, potatoes, pasta, and bread.

Notably, the patient should be provided with a cup of skimmed milk and fruit. Advisably, the patient should limit the intake of fat, which can be achieved by avoiding fried foods. Equally important, the patient should be advised to take in water and avoid diet soda, sugar drinks should be avoided at all costs. The patient should be sure to eat breakfast every morning along with lunch and dinner. The reason for all this is to help maintain normal blood glucose levels. It should be noted that an individualized meal plan depends on the patient’s health assessment and needs since no one individual is the same.

It is important to note that in many Hispanic cultures, food and family is respective in their heritage and identity. Hispanic culture combines hearty and heavy meals, ensuring no one leaves hungry or goes to bed on an empty stomach. It is common for family dinners to include the entire family, it is seen as bonding, spiritual, and inclusive. “Hispanics tend to have closer personal space and value physical contact. Appearance and group memberships are especially important. Latinos will work hard for the goals of a group and will work hard for the needs of the community” (BYU, 2021).

It is also common for food and medicine to fuse together in Hispanic culture. Hispanics use hot/cold method in regard to illnesses and treat them respectively with its opposite. For instance, if a family member has a cold, they take in something hot to combat the illness. “Consequently, the medications, remedies, and foods that are used to treat them are assigned descriptors accordingly. Therefore, the treatment recommended for any condition will usually have the opposite classification or properties. For instance, cold diseases are treated with hot remedies, while hot diseases are treated with cool or cold remedies (Ortiz, et al, 2007). Given this information, dietary planning should be done around the patient and close family members. Meals should be inclusive of their culture, but the importance of portion control should be emphasized.

Lastly, exercise is important to maintain a healthy weight and decrease complications associated with diabetes. Many Hispanic cultures incorporate holidays in family parties. A big asset in Hispanic culture is dancing. As a nurse, it is critical to incorporate heritage and culture into lifestyle modifications. Given the information, designing an exercise program that is family inclusive and takes an aspect of their culture and makes it more enjoyable is key. As an example, it is common for the Hispanic culture to engage in dancing. Creating an exercise that incorporates movement, such as dancing may make the goal more obtainable and enjoyable for the patient.

Given the time frame of 12 weeks, the following holistic plan will gauge the patient’s willingness to adapt to changes to support health. The 12-week plan will incorporate education, meal modification plans, and exercise plans specific to the Hispanic population in Baja, California.

Theoretical Foundations

Nursing professionalism is quite challenging, and for this reason, many philosophies and theories have been put forward to guide nursing practices, education, and research. Nursing practices have been changing over time. Notably, some of the initial guidelines in the nursing practices have remained intact today. For instance, nurses who serve in places with limited resources conform to the biomedical model of nursing to manage their patients.

The Nightingale model of nursing, which Florence Nightingale developed during her time as a nurse during the Crimean war, states that nurses should be sure to manipulate and mediate the environment to ensure that the patients are in optimal condition. For instance, this model can be used in the diabetes intervention in Baja, CA. The direct impact of diabetes on Hispanics in this region is increasing. Following a model that can be molded to fit the culture and traditions of a specific group is important and will better improve the outcomes of the community.

Stakeholders, Policy, And Regulations

First and foremost, stakeholders play a critical role in ensuring the implementation of healthcare evidence (Pozgar, 2019). Stakeholders’ support in the health sector cannot be underestimated. For instance, stakeholders provide the necessary resources, skills, and the needed knowledge to implement health projects. Furthermore, stakeholders influence public opinion regarding the anticipated health change. Health stakeholders act as ambassadors of research since they take part in collecting and analyzing qualitative data that helps develop and implement a health policy or health program (Byrne, 2019). The health stakeholders decide the health reforms and the intervention policies.

In retrospect, health stakeholders are an important part of the intervention of Diabetes disease. The presence of policy and regulations are vital tools in diabetes interventions. Key stakeholders in this specific case are the patient’s family members, since there is big emphasis on family when it comes to change and decision-making. Other stakeholders specific to the plan are nutritionists and physical and occupational therapists who will guide meal planning and exercise programs over the next 12-week period. All stakeholders need be included in the plan to help guid patient improvement.

Ethical and Legal Implications

Since patient safety is multidimensional and grounded in ethical and legal imperatives, nurses should consider both the ethical and legal challenges. First and foremost, nurses’ priority is ensuring the patient’s safety and therefore preventing further injuries and complicated conditions to the patient. This issue has been emphasized many times by the quality of health care services globally. As earlier stated, the nurses and healthcare providers should educate the diabetic patients on the relevant information required for them to keep off from translating their conditions to even worse health complexities such as hyperglycemia. This practice is among the ethical imperatives that demand patients’ safety from further injuries. The nurse along with other specialties such as nutritionists, physical and occupational therapists will work within their own scope of practice, being sure to promote the overall health of the individuals at hand.

References

Byrne, M. (2019). Increasing the impact of behavior change intervention research: Is there a role for stakeholder engagement?. Health Psychology, 38(4), 290.

BYU. (2021). BYU David O. McKay School of Education. Hispanic and Latino American diversity cultural information. Retrieved from https://education.byu.edu/diversity/culture/hispanicamerican.html

Gilis-Januszewska, A., Lindström, J., Tuomilehto, J., Piwońska-Solska, B., Topór-Mądry, R., Szybiński, Z., … & Hubalewska-Dydejczyk, A. (2017). Sustained diabetes risk reduction after real-life and primary health care setting implementation of the Diabetes in Europe prevention using lifestyle, physical activity, and nutritional intervention (DE-PLAN) project. BMC public health, 17(1), 1-7.

Mayberry, L. S., Mulvaney, S. A., Johnson, K. B., & Osborn, C. Y. (2017). The MEssaging for diabetes intervention reduced barriers to medication adherence among low-income, diverse adults with type 2. Journal of Diabetes science and technology, 11(1), 92-99.

Ortiz, B., PharmD, Shield, K., PharmD, Clauson, K., PharmD, Clay, P., PharmD. The Annals of Pharmacotherapy. 2007;41(6):994-1004

Pot, G. K., Battjes-Fries, M. C. E., Patijn, O. N., Pijl, H., Witkamp, R. F., de Visser, M., van der Zijl, N., de Vries, M., & Voshol, P. J. (2019). Nutrition and lifestyle intervention in type 2 diabetes: A pilot study in the Netherlands shows improved glucose control and glucose-lowering medication reduction. BMJ Nutrition, Prevention & Health, 2(1), 43–50. https://doi.org/10.1136/bmjnph-2018-000012

Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Hess Fischl, A., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2016). Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Journal of the Academy of Nutrition and Dietetics, 115(8), 1323–1334. https://doi.org/10.1016/j.jand.2015.05.012

Pozgar, G. D. (2019). Legal and ethical issues for health professionals. Jones & Bartlett Learning.

Ross, J., Stevenson, F., Dack, C., Pal, K., May, C., Michie, S., … & Murray, E. (2018). Developing an implementation strategy for a digital health intervention: an example in routine healthcare. BMC health services research, 18(1), 1-13.

Testerman, J., & Chase, D. (2017). Influences on Diabetes Self-Management Education Participation in a Low-Income, Spanish-Speaking, Latino Population. Diabetes Spectrum, 31(1), 47–57. https://doi.org/10.2337/ds16-0046