Intervention Plan Design Assignment Paper

Guiding Questions

Intervention Plan Design

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

Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need.

• What are the major components of your intervention plan?
• How will these components lead to improvements related to your identified need?
• Why are these components the best option to address your identified need?

Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components. Intervention Plan Design Assignment Paper

• What are the cultural needs and characteristics of your target population for this project?
  • How will the cultural needs of the population impact the development of your intervention plan components?
  • What aspects of the target population’s cultural characteristics impact the development of your intervention plan components?
• What are the cultural needs and characteristics of your setting for this project?
  • How will the cultural needs of the setting impact the development of your intervention plan components?
  • What aspects of the setting’s cultural characteristics impact the development of your intervention plan components?
    

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Part 2: Theoretical Foundations

Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan.

• What theoretical nursing models are relevant to your intervention plan?
  • Which of these models will most impact the design of the intervention plan components?
• What strategies from other disciplines are relevant to your intervention plan?
  • Which of these strategies will most impact the design of the intervention plan components?
• What health care technologies are relevant to your intervention plan?
  • Which of these technologies will most impact the design of the intervention plan components?

Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices.

• How will the theoretical nursing models you referenced help justify your design decisions regarding intervention plan components?
• How will the strategies from other disciplines you referenced help justify your design decisions regarding intervention plan components?
• How will the health care technologies you referenced help justify your design decisions regarding intervention plan components?

Part 3 – Stakeholders, Policy, and Regulations

Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan.

• Who are the relevant stakeholders?
  • How will the needs of these stakeholders impact your intervention plan components?
• What are the relevant health care policies?
  • How will these health care policies impact your intervention plan components?
• What are the relevant health care regulations?
  • How will these health care regulations impact your intervention plan components?
• What are the relevant governing bodies?
  • How will these governing bodies impact your intervention plan components?

Part 4 – Ethical and Legal Implications

Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan.

• What are the relevant ethical issues related to your project?
  • How will these ethical issues affect the health care practice considerations that are relevant to your intervention plan?
  • How will these ethical issues affect any organizational change considerations that are relevant to your intervention plan?
  • How will these ethical issues affect one or more specific components of your intervention plan?
• What are the relevant legal issues related to your project?
  • How will these legal issues affect the health care practice considerations that are relevant to your intervention plan?
  • How will these legal issues affect any organizational change considerations that are relevant to your intervention plan?
  • How will these legal issues affect one or more specific components of your intervention plan?

Address Generally Throughout

Communicate intervention plan in a professional way that helps the audience to understand the proposed intervention and the implications of the plan that must be taken into account.

• Is your writing clear and professional?
• Does your writing effectively communicate you proposed intervention plan?
• Does your writing effectively communicate how you will address the implications that you uncovered?
• Is your writing free from errors?
• Is your submission 4–6 pages?
• Did you cite a minimum of 5–10 resources? (You may use resources previously cited in your literature review to contribute to this number.)
• Does your submission conform to current APA style standards?

A project intervention is complex and entails numerous considerations. Thus, it is essential to have an intervention plan to ensure that the project implementation is smooth and that nothing is left out. An intervention plan design is a blueprint of how the project or intervention will be carried out, including the timelines, strategies, goals, objectives, and methods used to monitor the intervention’s progress. The proposed intervention, in this case, is the introduction of an educational program that aims at teaching nurses and patients how to take the necessary precautionary measures to prevent patient falls. The target population is elderly hospitalized patients, and the setting of the focus is RML specialty hospital long-term care facility. This paper presents the intervention plan design aimed at implementing the project. The design intervention plan design will include the major components of the intervention, the impact of the cultural needs and characteristics of the target population, theoretical nursing models that are relevant to the intervention, justification of the intervention components, impact of stakeholders, policy, and regulations, and the ethical and legal implications of the intervention plan components. Intervention Plan Design Assignment Paper

Intervention Plan Components

Generally, the intervention is an educational program that will create awareness and enhance the knowledge of the patients and the nurses on properly taking precautionary measures to prevent patient falls. The major elements of the intervention are setting the goal, identifying an intervention strategy, setting a timeline for implementation, and devising a method to monitor the intervention progress. The project and intervention aim to reduce the number of patient fall cases recorded at RML specialty hospital. There has been an increased number of reported patient fall cases in the institution, which is worrying, given that patient falls are among the nursing care quality indicators. Most patients suffering this fate are elderly in the acute care specialty unit. These patients have poor health-related quality of life, chronic pain, and increased healthcare spending. Additionally, despite the current intervention and falls risk assessment, the number of patient fall cases was still high. Hence, there was a need to set a goal to address the issue,

As mentioned earlier, the intervention strategy selected is an educational program for the nurses and the patients. The previous intervention that has been implemented to address the patient falls need is the fall risk assessment tool. The educational program was selected over the falls-risk assessment tool since patients must also be involved in preventing patient falls for better outcomes. Research shows that patient involvement in fall prevention through patient education programs effectively reduces the number of patient fall cases (Heng et al., 2020).

The set timeline for implementing the intervention is ten weeks. During this timeline, the patients and the nurses will have sessions to cover the preventive measures for fall prevention. The patients and the nurses will have different sessions since their roles in patient fall prevention are also different. The criteria that will be used to evaluate the plan’s success is comparing the patient falls cases recorded in the institution before and after the educational program. A reduction in the patient fall cases reported will translate to the success of the intervention plan. The patient fall records will be essential for the evaluation.

Impact of Cultural Needs and Characteristics of the Target Population and Setting on the Development of the Intervention Plan Components

Walters et al. (2020) note that consideration of cultural needs and characteristics helps enhance the acceptance of an intervention. The target population includes elderly hospitalized patients at RML specialty hospital and the nurses caring for these patients. The two groups have different cultural characteristics and needs, which should be considered in the intervention plan to enhance acceptance of the intervention. RML mainly cares for patients with complex medical conditions requiring extended hospitalization. More so, the majority of the patients in the institution are elderly. Most cultures believe that age is associated with knowledge, respect and calmness. Some of the target population’s cultural needs include the desire for respect and communication using a language they understand. On the other hand, the nurses’ cultural needs include confidence, achievement and morality.

These cultural needs significantly impact the development of the intervention plan. For instance, the nurses’ need to have confidence, a sense of achievement and morality in their work led to the goal of reducing the number of patient falls, which is a measure of nursing care quality. The intervention and timing should also strive to enable them to meet these needs. The selection of the educational intervention was also guided by the target population’s cultural need for respect and decent communication to ensure that they will embrace and accept the intervention. The issue of cultural needs for the target population is based on the assumption that the patients and the nurses share common cultural characteristics and needs.

Theoretical Foundations, Interdisciplinary Strategies, and Healthcare Technology Relevant to the Intervention Plan  Intervention Plan Design Assignment Paper

Every healthcare intervention plan based on nursing theories and interprofessional strategies supported by healthcare technology will most likely succeed. The theoretical nursing models relevant to the developed intervention plan include the self-regulation theory and King’s theory of goal attainment. The former theory stipulates that patients should be active in their care, while the latter holds that a patient grows and develops to attain certain goals (Hawley-Hague et al., 2021). King’s theory of goal attainment is the nursing model that will most impact the intervention plan components. As mentioned earlier, involving patients in fall prevention is vital in enabling them to take the necessary precautions to prevent falls. Additionally, the goal that will be attained is preventing falls, thus reducing the number of patient falls in the target settings. The strength of using this model as the framework is the higher chances of success due to patient involvement. The weakness is that elderly patients may not follow the process of achieving the goal diligently due to age-related limitations (Park, 2021).

The interdisciplinary strategies that will impact the intervention plan design are project management planning strategies that include defining success, finalizing a plan before getting started with a project, and setting achievable goals. As seen in the intervention plan elements above, these project management strategies heavily influenced the plan’s development. Project management and planning strategies may consume time, but they promote the success of the intervention’s implementations and outcome achievement.

Healthcare technology also impacts the intervention plan design. For instance, the materials used in implementing the educational program include augmented and visual reality for patient education. Hawley-Hague et al. (2021) note that video conferencing can be used in patient falls prevention programs to enhance education for the nurses and the patients. Although using these technologies may require more resources, they are likely to produce a better educational experience for the target population.

Intervention Plan Design Components Justification

The intervention plan design components are deemed necessary in reducing the number of patient falls reported at RML specialty hospital. The components of the intervention plan design include the timeframe, the intervention strategy and the goal, and the progress monitoring plan. The ten weeks time frame is adequate to deliver the educational program and evaluate the outcomes. According to LeLaurin and Shorr (2019), educational programs on awareness creation and improving patient fall prevention knowledge are among the most effective strategies. A recent review showed that a ten-week time frame is adequate for an educational program on patient fall prevention, especially for elderly patients (Cattaneo et al.., 2019). However, there are conflicting views on using educational programs to prevent falls among elderly patients. Bet et al. (2019) note that instead of educational programs, which need time and may be ineffective due to elderly patients’ educational limitations related to age, other preventive measures, such as wearable sensors, should be used for fall prevention in these populations.

Stakeholders, Policy and Regulations’ Impact on the Intervention Plan Design

the relevant stakeholders in implementing the proposed intervention include the institution’s leaders, nurses, physicians, patients, and unit managers. Each of these stakeholders may have different needs regarding the intervention, thus negatively impacting the intervention plan design. The stakeholders’ roles, needs, and priorities will be clarified to avoid confusion and enhance maximum cooperation. The institutional and government policies on educational health promotion programs may also impact the implementation of the intervention by providing directions and specifications for implementation. For instance, policies on patient education stipulate that patients’ health literacy should be first assessed and provided with education that fits their learning needs (Heng et al., 2020). Such policies will impact the timeframe and intervention delivery. The analysis assumes that the policies and regulations are well laid out and understood before implementing the intervention. Another assumption is that all the stakeholders know their roles concerning the educational program and show interest in participating. Intervention Plan Design Assignment Paper

Ethical and Legal Implications of the Intervention Plan

Different legal and ethical issues impact the development of an intervention plan design. The ethical issues in the educational program include an authoritarian progression on the patient’s autonomy and implementing education in the patient’s best interests. To avoid these issues, the patients and nurses were consulted on the best ways to deliver the educational program, thus ensuring that it is based on the patients’ and nurses’ best interests and avoiding authoritarian progression. Legal issues such as negligence were considered in developing the educational content for the nurses. For example, since patients may have an increased risk for falls based on the current medications, nurses should assess the risks of patient falls before administering these medications. Failure to do that would be a legal issue of negligence. Therefore, awareness creation on such issues was included in the proposed educational program. A major area of uncertainty in the implementation plan design is the sustainability of the outcomes of educational programs on patient prevention, especially for the patients. Further information would help inform the programs to make the outcomes sustainable.

Conclusion

The implementation plan design entails the goal, intervention, timeframe, and progress monitoring. The considerations in developing the plan include the theoretical foundations, stakeholders and policies, and the legal and ethical implications. The theory of goal attainment was the theoretical framework used to develop the plan. The stakeholders will be involved in every step of the implementation. Institutional policies and health practices should also be considered in planning an intervention design to increase acceptance of the intervention. Intervention Plan Design Assignment Paper

References

Bet, P., Castro, P. C., & Ponti, M. A. (2019). Fall detection and fall risk assessment in older person using wearable sensors: A systematic review. International Journal Of Medical Informatics, 130, 103946. https://doi.org/10.1016/j.ijmedinf.2019.08.006

Cattaneo, D., Gervasoni, E., Pupillo, E., Bianchi, E., Aprile, I., Imbimbo, I., Russo, R., Cruciani, A., Turolla, A., Jonsdottir, J., Agostini, M., Beghi, E., & NEUROFALL Group (2019). Educational and Exercise Intervention to Prevent Falls and Improve Participation in Subjects With Neurological Conditions: The NEUROFALL Randomized Controlled Trial. Frontiers in Neurology, 10, 865. https://doi.org/10.3389/fneur.2019.00865

Hawley-Hague, H., Tacconi, C., Mellone, S., Martinez, E., Chiari, L., Helbostad, J., & Todd, C. (2021). One-to-One and Group-Based Teleconferencing for Falls Rehabilitation: Usability, Acceptability, and Feasibility Study. JMIR Rehabilitation and Assistive Technologies, 8(1), e19690. https://doi.org/10.2196/19690

Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. (2020). Hospital falls prevention with patient education: a scoping review. BMC Geriatrics, 20, 1-12. https://doi.org/10.1186/s12877-020-01515-w

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing Falls in Hospitalized Patients: State of the Science. Clinics in Geriatric Medicine, 35(2), 273–283. https://doi.org/10.1016/j.cger.2019.01.007

Park B. M. (2021). Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study. Healthcare (Basel, Switzerland), 9(6), 715. https://doi.org/10.3390/healthcare9060715

Walters, K. L., Johnson-Jennings, M., Stroud, S., Rasmus, S., Charles, B., John, S., Allen, J., Kaholokula, J. K., Look, M. A., de Silva, M., Lowe, J., Baldwin, J. A., Lawrence, G., Brooks, J., Noonan, C. W., Belcourt, A., Quintana, E., Semmens, E. O., & Boulafentis, J. (2020). Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities. Prevention Science: The Official Journal of the Society for Prevention Research, 21(Suppl 1), 54–64. https://doi.org/10.1007/s11121-018-0952-z Intervention Plan Design Assignment Paper