NURS 6051 Assignment: Advocating for the Nursing Role in Program Design and Implementation
NURS 6051 Assignment: Advocating for the Nursing Role in Program Design and Implementation
Nurses collaborate with other health professionals from various specialty areas to design effective programs. Nurses bring various specialties in designing and implementing programs that make them effective partners to professionals in such undertaking. Their involvement through leadership positions in the healthcare system allows them to deliver highly successful programs that meet set goals and objectives (Evripidou et al., 2019). The purpose of this essay is to demonstrate through an interview with a nurse leader the type of leadership required for nurses to advocate for a healthcare program. Based on a transcript of the interview, the assignment illustrates the critical role of these healthcare providers in design and implementation of programs.
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
Nurse Interviewee
Nurses play a vital role that include linking healthcare professionals and patients to offer effective treatment interventions, especially in mental and behavioral health areas. Caring for adults with mental health issues is challenging for families and even healthcare providers. The implication is that these challenges require stakeholders, especially healthcare providers like nurses, to design and implement effective programs that can lead to optimal care and better outcomes. An effective program that is being implemented in my practice is the use of home-based care interventions like meditation and dance therapy to enhance the psychological aspects of individuals with mental health issues. The program that was designed by the nursing team in the facility involves using meditation and dancing therapy as ways of helping the mentally sick individuals to enhance their cognitive functioning.
The facility implemented this program due to elderly patients over 60 years presenting with different types of mental disorders like Alzheimer’s disease, Parkinson disease, Schizophrenia, and dementia (Chiesi et al., 2021). The program aims at improving memory for this individuals, enhancing their cognition and coordination of activities. Mental health benefits of meditation are broad and include better focus and concentration, improved self-awareness and self-esteem as well as a reduction in stress and anxiety and fosters kindness. Dance movement therapy (DMT) is used in nursing care and practice as way of reducing symptoms linked to different mental health conditions. The average cost of the program whose duration is two hours; one hour for meditation and one hour for dance therapy, is $80. The program’s projected outcomes include enhancing coordination and cognition and reducing the adverse symptoms of mental health conditions.
Who is your target population?
Interviewee
The program targets mainly all individuals who are 60 years and above and have some form of mental health challenges, especially those presenting in the facility with dementia, and Alzheimer’s disease.
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
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Interviewee
The nurse plays a significant role in offering input for designing the healthcare program. Nurses possess extensive and hands-on knowledge about patient needs than other healthcare practitioners as they provide care and interact with more. Nurses’ input in the program is founded on using best practices from research findings. The implication is that nurses suggests the different aspects of the program. Nurses design communication approaches and strategies, different ways to implement the program, and various aspects of the initiative to enhance its effectiveness on the target population (Evripidou et al., 2019). Nurses are also critical in the program as they encourage patients to develop positive body image, have self-esteem and self-concept to ensure that they benefit from its approaches. For example, the nurses propose different approaches to implementing the program with the aim of meeting patient needs and expectations on outcomes.
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
Interviewee
Nurses are patient advocates in all their settings or practice environment as they seek better ways to help improve care outcomes. As an advocate for the target population, my role is to ensure that these individuals get quality care at their convenience. The care does not need to be hospital-based but can be private in the comfort of their homes. My role is to ensure that these individuals feel free and can express their feelings. Further, I ensure that they get sufficient resources and interact well with the providers for effective care delivery. I believe that their involvement in the program is critical to both the facility and communities where they live. Secondly, I have significant input in the design decisions as I am part of the team that recommended and developed the program for the target population. My suggestions include integrating the dance movement therapy with the meditation process that has proved successful for the target population based on positive outcomes attained since implementation. I impact the design by ascertaining that the program can also run in patients’ homes for those who cannot move to the facility.
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples.
Interviewee
The nurse plays a critical role in implementation of healthcare programs, not just this one. The initial role is program coordination that involves the monitoring of various patients and their care needs to ensure effective and quality performance of the expected outcomes. Nurses also link different healthcare professionals in their teams to provide a common approach to the health situation at hand. In this program, nurses are the pivot of the implementation as they execute the suggested strategies for patients in different settings, including at home and in the facility Innes et al., 2018). Nurses incorporate the proposed program into their clinical practices and offer patient-centered care to meet the individual needs of a patient. Nurses incorporate the individual specifications of the initiative to like personal or customized plans for different patients with mental health issues.
The role of nurses in implementation differs from the design as implementation entails executing aspects of the program and ascertaining that they meet patient’s needs. In design, a nurse suggests different approaches to the program that include scope and size and sustainability. However, in implementation, the nurse incorporates these specifications into clinical practice and hands-on execution to ascertain expected outcomes.
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Interviewee
Effective design and implementation of healthcare intervention programs requires collective efforts from different stakeholders and players. These include healthcare professionals, nurses in the practice, organizational managers and leaders and patients. In this case of this program and its implementation, the members of the healthcare team include nurse practitioners in the facility, the mental health professionals like psychologists, psychotherapists, and psychiatrists. The nurse practitioners and the mental health experts are essential for this program because of their role and experience in its overall success (Singh et al., 2019). As members of the team, they will ensure that all components of the program succeed and are tailored to meet the needs of the different patients in the facility and even those in home-based settings.
Conclusion
Nurses like other healthcare providers, play a critical role in the design and implementation of healthcare programs or initiatives focused on enhancing target populations based on their suggested interventions. The need to enhance mental health among elderly patients is essential since many suffer from mental health disorders. The program in this case will enhance their mental cognition and functions leading to better lifestyle experience for the target population.
References
Chiesi, F., Gori, E., Collini, F., Palfrader, A., Galli, R., Guazzini, A., … & Bonaccorsi, G. (2021).
Biodanza as a Nonpharmacological Dance Movement–Based Treatment in Older People with Alzheimer’s Disease: An Italian Pilot Study in 2 Tuscan Nursing Homes. Holistic Nursing Practice, 35(5), 264-272. DOI: 10.1097/hnp.0000000000000470
Evripidou, M., Charalambous, A., Middleton, N., & Papastavrou, E. (2019). Nurses’ knowledge
and attitudes about dementia care: Systematic literature review. Perspectives in psychiatric care, 55(1), 48-60. doi: 10.1111/ppc.12291.
Innes, K. E., Selfe, T. K., Brundage, K., Montgomery, C., Wen, S., Kandati, S., … & Huysmans,
Z. (2018). Effects of meditation and music-listening on blood biomarkers of cellular aging and Alzheimer’s disease in adults with subjective cognitive decline: An exploratory randomized clinical trial. Journal of Alzheimer’s Disease, 66(3), 947-970.
doi: 10.3233/JAD-180164.
Singh, N. N., Lancioni, G. E., Medvedev, O. N., Sreenivas, S., Myers, R. E., & Hwang, Y. S.
(2019). Meditation on the soles of the feet practice provides some control of aggression for individuals with Alzheimer’s disease. Mindfulness, 10(7), 1232-1242. https://digitalcommons.kennesaw.edu/facpubs/4362
Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care coordination: roles of registered nurses
across the care continuum. Nursing Economics, 37(6), 317-323. https://jdc.jefferson.edu/nursfp/101
