The Evaluation Plan Design Assignment Paper
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)The Evaluation Plan Design Assignment Paper. 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. The Evaluation Plan Design Assignment Paper
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
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 Evaluation Plan Design Assignment Paper. 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.
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)The Evaluation Plan Design Assignment Paper, 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. The Evaluation Plan Design Assignment Paper
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), 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. The Evaluation Plan Design Assignment Paper
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). Therefore, extending the focus to include elderly adults in these settings would improve outcomes and safety among a broader population.
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. The Evaluation Plan Design Assignment Paper
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.
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 The Evaluation Plan Design Assignment Paper
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 The Evaluation Plan Design Assignment Paper
Health Promotion Discussion
Promoting and maintaining good health is essential for people to live fulfilling lives. Access to preventative health care and addressing safety concerns are critical in facilitating persons’ participation in health promotion initiatives. Societies may empower individuals to take ownership of their health by removing obstacles and providing fair access to healthcare services, addressing safety issues, boosting well-being, and decreasing the strain on healthcare systems. In this discussion, I will highlight the significance of addressing access to preventative health care and safety issues in facilitating individuals’ engagement in health promotion activities.
Nurses can be crucial in educating people on the detrimental effects of alcohol, tobacco, and drug use. This education can be done through various means, such as one-on-one counseling sessions, community workshops, or informational campaigns. Nurses can also help people understand the risks associated with substance use and encourage them to make informed decisions about their health (World Health Organization, 2022). Regular health checkups are also essential for the early detection and prevention of diseases. As a nurse, I would advocate for regular health checkups by emphasizing their benefits during patient interactions. This can include discussing the importance of preventive screenings, such as mammograms, Pap smears, and cholesterol checks. Additionally, I would collaborate with other healthcare professionals and community organizations to organize health fairs and clinics that provide accessible and affordable health checkups to underserved populations.
Promoting positive health attitudes early in childhood is crucial for establishing lifelong habits contributing to overall well-being. Schools play a vital role in providing an ideal platform for instilling health-promotion behaviors and attitudes. As Pulimeno et al. (2020) pointed out, schools can implement comprehensive health education programs that include various aspects of well-being, including nutrition, physical activity, mental health, and healthy relationships. Schools can also empower students to make informed decisions about their health and develop positive attitudes toward maintaining a healthy lifestyle by integrating health education into the curriculum. The Evaluation Plan Design Assignment Paper
Fortunately, I observe several positive indicators in my community that support health promotion efforts. We have well-maintained parks and recreational areas encouraging physical activity and allowing individuals to exercise outdoors. Additionally, local initiatives have led to establishing farmers’ markets and community gardens, offering healthy alternatives to food and promoting a balanced diet. Furthermore, neighborhood safety has been enhanced through increased surveillance, improved lighting, and community engagement.
References
Pulimeno, M., Piscitelli, P., Colazzo, S., Colao, A., & Miani, A. (2020). School is an ideal setting to promote health and well-being among young people. Health Promotion Perspectives, 10(4), 316–324. https://doi.org/10.34172/hpp.2020.50
World Health Organization. (2022). Health promotion. World Health Organization. https://www.who.int/westernpacific/about/how-we-work/programmes/health-promotion#:~:
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?
- What data do you need to fully evaluate the outcomes?
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? The Evaluation Plan Design Assignment Paper
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?
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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? The Evaluation Plan Design Assignment Paper
