Evaluation Plan Design Assignment Discussion

Following the design and implementation of an intervention, evaluating the intervention to determine whether the outcomes were achieved is essential. The overall essence of evaluation is to determine whether the intervention outcomes were achieved and to what extent they were achieved (Skivington et al., 2021)Evaluation Plan Design Assignment Discussion. Evaluation also helps the team identify the aspects of the project or intervention that did not go as planned, informing similar future projects or interventions. Additionally, evaluation provides insight for continuous improvement of the intervention to promote sustainability. The proposed intervention is introducing an educational program to teach the nurses and patients to take the necessary precautions to prevent patient falls. The need/problem that led to implementing the planned intervention is the increased number of patient fall cases at RML specialty hospital long-term care facility, leading to poor health-related quality of life, increased healthcare costs, and chronic pain. The nurses are also seen performing poorly since patient falls are a measure of nursing care quality. This essay presents the evaluation plan design for the intervention and a reflection on advocacy, leading change and improvement, and the future steps in relation to the project.

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Evaluation Plan

Outcomes that are the Goal of the Intervention Plan

The desired outcome of implementing the educational program on patient fall prevention is reducing the number of patient falls reported in the institution. Thus, an improved health-related quality of life for the patients, reduced healthcare costs, and chronic pain, among other effects of patient falls. The other outcome is increased patient fall prevention knowledge for both the patients and the nurses. The outcomes establish a framework that can be used to improve the quality, safety, and experience of care since it is a general measure of care quality and patient safety and can also be used to determine care experience.

Alternative outcomes of the intervention include reducing the risk of falls for patients at a higher risk of falls and preventing additional harm to hospitalized patients. An advantage of reducing the risk of falls is the emphasis on taking precautionary measures, while the disadvantage is that it is difficult to measure the outcome. The advantage of preventing additional harm to hospitalized patients as an outcome is that it is a general goal that can be used in different populations, while the disadvantage is that it is not easily quantifiable Evaluation Plan Design Assignment Discussion.

Evaluation Plan

The degree to which the outcomes were achieved will be measured and evaluated using the number of patient fall cases reported in the institution. The number of patient fall cases reported after the implementation of the intervention will be compared with the number of patient fall cases reported before the intervention was implemented. The required data to fully evaluate the outcomes include patient falls reports and records from the patients and the nursing units/departments of focus. The technology and tools to collect data include questionnaires, dashboards, and Electronic Health Records (EHR). The questionnaires will be used to collect data that will be used to evaluate the outcome of increased knowledge. In contrast, the dashboard and HER will collect data to evaluate the reduction in the number of patient falls recorded in the institution.

The data collected from these tools and technology strategies will be analyzed using a t-test non-parametric test. The evaluation plan will therefore illustrate the impact of the intervention if an improvement in knowledge of patient falls is noted. Additionally, a reduction in the number of patient falls cases reported in the institution, especially among elderly patients, will demonstrate the impact of the intervention. The analysis assumes that the target population, nurses, and the patients in the institution will cooperate in data collection. Additionally, the needed records from the EHR and dashboard metrics will be available and readily accessible Evaluation Plan Design Assignment Discussion.

Discussion and Reflection

Advocacy

Nurses play a significant role in leading change and driving improvements in the quality and experience of care. One of the major responsibilities of the nurse is advocating for change that affects the patient and how care is delivered to the patient. First and foremost, nurses have been trained to be leaders in Interprofessional teams and professional practice. They can use their knowledge and skills to advocate for change among the Interprofessional team by showing the team the importance of making the proposed change. Additionally, they liaise with other leaders in the team to enhance change. According to Fliedner et al. (2021), nurses are best suited to present the needs of the patients to the Interprofessional team and the institutional leaders and managers to lead change to address the needs. They also push for changes in professional practices that they know will help address the patient’s needs.

Secondly, nurses advocate by driving improvement in the quality and experiences of care in professional practice and Interprofessional teams. Since nurses are the care providers who spend the most time with the patient, they are best suited to understand their needs and know the best ways of addressing them. Therefore, they provide suggestions on the changes that can be made in professional nursing practices, including the improvements needed. Bedwell et al. (2019) note that nurses drive improvement in these professional practices by creating awareness of the need for change and how the improvement will lead to better care outcomes. They also coordinate the Interprofessional team in improvement interventions, thus driving faster and more efficient improvement. The derived change helps the institution provide better quality and care experience. The analysis is based on the assumption that the nurses in the institution are provided with the necessary support and platforms to enable them to raise their advocacy voice and liaise with the other members of the Interprofessional team, as well as the institutional leaders, to drive change and improvement Evaluation Plan Design Assignment Discussion.

Effect of the Intervention Plan on Nursing and Interprofessional Collaboration

The intervention plan on educating nurses and patients on taking the necessary precautionary measures to prevent patient falls will significantly improve the nursing profession and practice. One of how the intervention will improve the nursing profession is through using the intervention, based on its effectiveness, in other practice settings and health populations to enhance patient outcomes. Additionally, the intervention helps emphasize nurses’ role in patient falls prevention. The educational program aims to enhance nurses’ knowledge of the precautionary measures they can take to prevent patient falls. The intervention will also help the nurses to implement evidence-based practices on patient falls prevention, which will be learned in the program. Therefore, implementing the intervention will improve the profession by using best-practice and current measures to prevent patient falls.

The intervention plan implementation will also improve Interprofessional collaboration in achieving the desired outcomes regarding patient falls in the target population and setting. According to Shaw et al. (2023)Evaluation Plan Design Assignment Discussion, interprofessional interventions such as educational programs on patient falls improve interprofessional collaboration by providing a platform for the interprofessional team to work together. The implementation team will include stakeholders from different professionals, thus enabling them to work together to achieve the desired outcomes.

The healthcare field, in general, will gain from implementing the plan/project. As mentioned, the project aims to incorporate an educational program for patients and nurses into the current interventions. Ideally, educational programs on patient fall prevention mainly focus on either of the two individually. Therefore, implementing the proposed intervention will increase knowledge of the effectiveness of educational programs focusing on nurses and patients. The additional information required to improve an understanding of this analysis is the effectiveness of the mixed intervention, which is not readily available in the literature.

Current Project Improvement

The current intervention can be improved to impact the target population more and leverage emerging technology and care models to improve outcomes and safety. The intervention can be revised to reach a broader impact on the target population by extending the implementation to elderly patients’ in-home care and outpatient settings. Research shows that there is still a high incidence of patient falls among patients’ in-home care and outpatient settings (Ha et al., 2021)Evaluation Plan Design Assignment Discussion. Therefore, extending the focus to include elderly adults in these settings would improve outcomes and safety among a broader population.

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Additionally, the intervention can use emerging technology to enhance performance related to the intervention outcomes by educating the target population using patient education modalities such as virtual reality and videoconferencing. Thus, patients from home care and outpatient settings would also reduce the risk of falling and increase their knowledge of patient falls prevention, thus reducing fall incidence. The underlying assumptions of the proposed improvements include that the intervention can also be implemented in the mentioned settings and the emerging technological modalities are available for use.

Reflection on Leading Change and Improvement

Completing the project has significantly impacted my ability to lead change in personal practice and the current care setting. First and foremost, I have appreciated the importance of identifying patient safety needs in a particular setting and developing an intervention that can be used to address the need. Secondly, I have gained confidence in working with the interprofessional team to address patient needs by delegating roles of the intervention implementation according to the professionals’ specialty. Most importantly, I can now approach institutional leaders to seek their support and buy-in in implementing interventions that will help address needs and achieve better patient and organizational outcomes.

Furthermore, the project has adequately prepared me to take leadership positions in similar projects and interventions in the future. The experience gained in leading the project and working with other professionals to enhance outcomes improvement will be useful in leading change and improvement interventions. My personal development goals include improving team leadership and management, communication, and interprofessional skills Evaluation Plan Design Assignment Discussion.

Implementation into Personal Practice

The completed intervention, implementation, and evaluation plans can be transferred into my practice to drive quality improvement in other contexts. For instance, the same educational program intervention can be transferred to the care of patients with chronic illnesses, such as diabetes, to enable them to manage their conditions more effectively. Additionally, the evaluation plan can be applied in different contexts to enhance learning and improvement of similar future interventions. However, conflicting evidence shows that diabetes outcomes can be improved using Diabetes Self-Management Education, compared to regular educational programs suggested in this project (Navaneethan et al., 2021).

Conclusion

Evaluation of an intervention is essential in identifying whether the outcomes were met and enhanced learning for improvement in similar future interventions. The evaluation plan developed above will be used in the educational program intervention to assess the degree to which the outcomes were achieved. The project has helped me appreciate the role of advocacy in nursing. Additionally, it has improved my skills and confidence in leading and managing change and improvement in different care settings and contexts Evaluation Plan Design Assignment Discussion.

References

Bedwell, J. R., Pandian, V., Roberson, D. W., McGrath, B. A., Cameron, T. S., & Brenner, M. J. (2019). Multidisciplinary Tracheostomy Care: How Collaboratives Drive Quality Improvement. Otolaryngologic Clinics of North America, 52(1), 135–147. https://doi.org/10.1016/j.otc.2018.08.006

Fliedner, M., Halfens, R. J. G., King, C. R., Eychmueller, S., Lohrmann, C., & Schols, J. M. G. A. (2021). Roles and Responsibilities of Nurses in Advance Care Planning in Palliative Care in the Acute Care Setting: A Scoping Review. Journal of Hospice and Palliative Nursing: JHPN: The Official Journal of the Hospice and Palliative Nurses Association, 23(1), 59–68. https://doi.org/10.1097/NJH.0000000000000715

Ha, V. T., Nguyen, T. N., Nguyen, T. X., Nguyen, H. T. T., Nguyen, T. T. H., Nguyen, A. T., Pham, T., & Vu, H. T. T. (2021). Prevalence and Factors Associated with Falls among Older Outpatients. International Journal of Environmental Research And Public Health, 18(8), 4041. https://doi.org/10.3390/ijerph18084041

Navaneethan, S. D., Zoungas, S., Caramori, M. L., Chan, J. C. N., Heerspink, H. J. L., Hurst, C., Liew, A., Michos, E. D., Olowu, W. A., Sadusky, T., Tandon, N., Tuttle, K. R., Wanner, C., Wilkens, K. G., Lytvyn, L., Craig, J. C., Tunnicliffe, D. J., Howell, M., Tonelli, M., Cheung, M., & Khunti, K. (2021). Diabetes Management in Chronic Kidney Disease: Synopsis of the 2020 KDIGO Clinical Practice Guideline. Annals of Internal Medicine, 174(3), 385–394. https://doi.org/10.7326/M20-5938

Shaw, L., Kiegaldie, D., Heng, H., & Morris, M. E. (2023). Interprofessional education to implement patient falls education in hospitals: Lessons learned. Nursing Open, 10(1), 36-47. https://doi.org/10.1002/nop2.1276

Skivington, K., Matthews, L., Simpson, S. A., Craig, P., Baird, J., Blazeby, J. M., Boyd, K. A., Craig, N., French, D. P., McIntosh, E., Petticrew, M., Rycroft-Malone, J., White, M., & Moore, L. (2021). A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ (Clinical Research ed.), 374, n2061. https://doi.org/10.1136/bmj.n2061 Evaluation Plan Design Assignment Discussion

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?

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? Evaluation Plan Design Assignment Discussion

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? Evaluation Plan Design Assignment Discussion

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? Evaluation Plan Design Assignment Discussion

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? Evaluation Plan Design Assignment Discussion

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?

Assessment 5 Instructions: Evaluation Plan Design
• PRINT
• Develop a 4-6 page plan that will allow you to evaluate your intervention.
You will also be required to submit your completed practicum hours using CORE ELMS. You must submit a minimum of 20 confirmed hours with each assessment deliverable to receive a grade for the entire assessment.
Introduction
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
Once an intervention is planned and implemented it is important to evaluate the degree to which the outcomes of the project were achieved. By evaluating the desired outcomes of an intervention, it is possible to make more informed decisions about opportunities for continuous improvement. It is also possible to identify strategies and approaches that could be useful in improving one’s personal practice in other contexts or care areas.
Preparations
• Read Guiding Questions: Evaluation Plan Design [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
• As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
o What specific piece or pieces of technology did you propose using in your implementation plan?
o How did the type of technology you chose impact the development of your implementation plan?
o How will the incorporation of the technology you propose make your implementation plan more successful?
Instructions
Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.
Your evaluation plan design will be the forth section of your final project submission. The goal for this is to finalize the outcomes that your plan is seeking to achieve and to create a plan to evaluate the degree to which those outcomes would have been achieved if your intervention plan has been implemented. This will allow you to determine the degree to which the plan was successful in addressing the identified need of your target population and setting.
You will also discuss ways in which your role allows you to lead change and drive quality improvement, and to potentially improve the project in the future. In addition, you will reflect on how the project will leave you better prepared for success in other aspects of your current and future career. Provide enough detail so that the faculty member assessing your implementation plan design and discussion will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project. Evaluation Plan Design Assignment Discussion
At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Evaluation Plan Design [DOC] document to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, your planned intervention, and how you intended to implement your intervention (this should only be a single paragraph).
Reminder: These instructions are an outline. Your heading for this this section should be Evaluation of Plan and not Part 1: Evaluation of Plan.
Part 1: Evaluation of Plan
• Define the outcomes that are the goal of an intervention plan.
• Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.
Part 2: Discussion
Advocacy
• Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.
• Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.
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.

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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.
• 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.
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.
• 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. Evaluation Plan Design Assignment Discussion
Practicum Hours Submission
You have been tracking your completed practicum hours each week using the CORE ELMS. By placing the hours into CORE ELMS, you will ensure you are accumulating all hours that are needed to meet the requirements for your specialization and degree.
Submit your CORE ELMS practicum hours tracking log showing a minimum of 20 confirmed hours per assessment. Reminder: Only confirmed hours will be considered for grading.
You will not receive a grade for this assessment without a practicum hours log showing a minimum of 20 confirmed hours for the time period of this assessment. Your faculty will review your hours to date and will contact you if he or she has any questions or concerns.
Additional Requirements
• Length of submission: 4–6 double-spaced pages.
• Number of resources: 3–6 resources. (You may use resources previously cited in your literature review to contribute to this number. Your final project will require 12–18 unique resources.)
• Written communication: Written communication is free of errors that detract from the overall message.
• APA formatting: Resources and citations are formatted according to current APA style. Header formatting follows current APA levels.
• Font and font size: Times New Roman, 12 point.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
• Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
o Reflect on how the project has impacted one’s ability to lead change in personal practice and future leadership positions.
o Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into one’s personal practice to drive quality improvement in other contexts.
• Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.
o Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.
• Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.
o Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.
• Competency 4: Design patient- and population-centered care to improve health outcomes.
o Define the outcomes that are the goal of an intervention plan.
• Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care.
o Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan. Evaluation Plan Design Assignment Discussion
• Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost.
o Explain how the current project could be improved upon to create a bigger impact in the target population as well as take advantage of emerging technology and care models to improve outcomes and safety.
• Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.
o 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.
Note: You will also be assessed on two additional criteria unaligned to a course competency:
• 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.
• Demonstrate completion of hours toward the practicum experience.
See the scoring guide for specific grading criteria related to these additional requirements Evaluation Plan Design Assignment Discussion