NRSG 413 Unit 4 – Individual Project
NRSG 413 Unit 4 – Individual Project
Innovation in healthcare, especially nursing, has been heightened by a number of factors that are impacting care delivery. The emergency of COVID-19 pandemic and its impacts illustrate the increased role of nurses and healthcare providers investing more in innovative models to enhance care delivery, balance costs, and attain expected reach. In their paper, Barr et al. (2021) assert that innovation is not only important for the success and sustainability of organizations but also the wellbeing of all stakeholders, including patients and nurses. Again, Giuliano et al. (2022) focus on how healthcare organizations and faculty can prepare nurses so that they become leaders in health care innovations. Patient-centered process innovations are key to improving engagement, developing evidence-based practice interventions and leveraging technologies, especially through health delivery technologies like telehealth, telemedicine, virtual health, and effective leadership support. The purpose of this paper is to present a proposed innovative strategy aimed at promoting quality patient care. Based on the nursing process as a guide, the paper presents a plan for an innovation in patient care delivery for a nursing department.
Innovative Care Delivery Model
Innovative care delivery that leverages technological trends is essential in helping organizations optimize resources and reduce overall costs while also enhancing patient experience and outcomes. A core aspect of innovation is to match or align with the needs of the community that comprise of caregivers like nurses and patients and their families (Snyder et al., 2020). Innovations do not need to be new technologies alone but also practices that enhance patient experience and improve their overall outcomes. Based on the nursing process model, that includes assessment, diagnosis, planning, implementation and evaluation, the selected innovative care delivery is enhancing patient engagement using automation. The facility will roll out automated patient engagement solutions to help improve efficiency and patient outcomes. These solutions will identify gaps in care, engage priority patients, and measure their progress based on their diagnoses and the types of interventions that they need in the entire nursing department.
Assessment
Patient engagement is a critical aspect of healthcare delivery and patients as well as their families want facilities that engage them and take them through the entire process, from when they set foot in the hospital to their departure time, when being discharged or transferred to another facility. At the core of the patient interactions and engagements are nurses as the first point of contact between patients and their healthcare organizations as well as the entire health system (Bombard et al., 2018). Nurses are patient advocates and spend more time with patients compared to other healthcare professionals or workers. Imperatively, the area that will require innovation is the entire nursing department and the services rendered by nurses in their different units, from those in emergency rooms to those in medical-surgical settings to those working in critical care areas like the intensive care units. Therefore, automation of patient engagement will be key to improving delivery of care to diverse patient populations in the facility, and even after their discharge.
Diagnosis
At the core of implementing the patient engagement automation approach is to help identify gaps in care delivery that lead to poor outcomes and unsatisfied patients who may come for readmissions for the same issue in less than 90 days after their discharge. Nurses are well-known for creativity and imagination un developing solutions to patient care situations (Newman et al., 2021). They can only attain these attributes when they develop and implement patient-centered technologies to enhance engagement of patients with a view of eliminating adverse events and effects like medication errors, ineffective communication, insufficient information and prescribing errors that may happen during the discharge process, and need to support patients navigate their treatment once they get to the facility (Lyles et al., 2021). For instance, the patient engagement automation will integrate different technologies and practices that nurses will implement to enhance their interactions and rapport with patients and their families with the aim of improving care outcomes. For example, the nurses will recommend the use of technologies that are patient-centered and automations that improve overall communication between providers and patients.
Again, patient engagement is key to attainment of recovery upon discharge. Imperatively, automation of patient engagement will enable nurses to narrow the gap between patients at risk for readmission and those on their way to full recovery through post-discharge follow ups that leverage technologies like telemedicine or telehealth. Through leveraging automated technology, healthcare organizations and providers can attain the Quadruple Aim through meaningful patient engagement and care team coordination (Meyer, 2020). Furthermore, when clinicians make follow ups with patients after their discharge, the added layer of support can enhance long-term patient outcomes by lowering the possibility of adverse events. Through automating patient outreach, organizations and providers can optimize the precious staff resources to those in need of such interventions.
Plan: Suggestions and Recommendations for Action
Patient engagement solutions are mainly cloud-based systems that enable healthcare providers to optimize the patient experience. Complex engagement automation deeply engages patients at each point of the journey, from scheduling to triage, to prescription of their medications to even follow-ups after their discharge (O’Hara et al., 2022). Complex patient engagement systems leverage artificial intelligence to automate, streamline and scale the engagement efforts of the stakeholder (Lilley et al., 2020). The most effective patient engagement software or interventions improve patient care, enhances patient-provider interactions, strengthens patient loyalty, and leads to better health outcomes.
Existing literature is emphatic that having positive patient experience is a critical part of not only attracting but also retaining patients and enhancing their outcomes. Close to 68% of healthcare consumers prefer healthcare organizations that allow them to book, change and even cancel their appointments online (Campbell et al., 2020). Imperatively, adopting innovative technologies and automated systems in healthcare is essential to improving patient journeys and driving both patient volume and retention. As such, through the implementation of the patient engagement automation, the nursing department will improve patient care, care coordination and planning, and increase the overall revenue by the facility.
The initial step in implementing this strategy is to identify a change model and implementation protocol. The most appropriate change model in this case would be Lewin’s three-step approach that include unfreezing, change implementation, and refreezing. The three step process would allow all stakeholders to understand the need for change, and be aware of the benefits that the organization will derive from these technologies (Abd El-Shafy et al., 2019). Implementing change is not easy and having a buy-in from all the players is a critical aspect as it increases collaboration and coordination to attain the set goals and objectives. Therefore, the three step process will ensure that there is effective communication of the change and engage all stakeholders to accept the need to automate patient engagement at different levels through leveraging different technology-powered interventions and tools.
Steps to Implement the Innovation
The next step would be the use of the systems development life cycle (SDLC) since the automations are technology-based and they will require deliberate steps to implement by leveraging on artificial intelligence. The use of SDLC process will ensure that each technology is implemented based on the planning and requirement definition, design and analysis, implementation and evaluation (Sen et al., 2021). The automated patient engagement will implement a host of interventions that include patient portal and appointment management, patient education, digital medical billing and AI-powered patient outreach. It will also boast of holistic provider-patient communication channels, accessible patient data and painless patient registration process (Meyer, 2020). Another core aspect of the automated engagement will be post-appointment surveys that will allow patients to rate the level of services offers, from their initial point of interaction to the moment they left the facility and even the requisite follow-ups by nurses and other providers.
Evaluation
The evaluation of the effects of the implemented automated patient engagements would be critical to ascertaining the overall effectiveness and efficacy. Therefore, evaluation will seek to determine the aspects of the engagement that are working and those that need improvements. The evaluation will be carried out concurrently as outlined in the systems development life cycle model. Through the process providers will be keen on identifying effective interventions and their impact on overall patient satisfaction and outcomes. Two critical questions within this context will be important:
a). What are the effects of automated patient engagement innovations as deployed in the facility?
b). What areas or aspects need improvements and require more resources to actualize their potential?
Conclusion
The implementation of patient engagement automation demonstrates the innovative role of nurses in healthcare delivery and the need for organizations to leverage technologies to improve outcomes and lower adverse events. The proposed interventions are based on evidence and will lead to better patient outcomes while helping organizations to improve care quality and revenues. The engagement of patients in an automated manner is critical to entrenching innovations on healthcare.
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NRSG 413 Unit 4 – Individual Project References
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Decreased pediatric trauma length of stay and improved disposition with implementation of Lewin’s change model. Journal of Trauma Nursing| JTN, 26(2), 84-88.
DOI: 10.1097/JTN.0000000000000426.
Barr, T. L., Malloch, K., Ackerman, M. H., Raderstorf, T., & Melnyk, B. M. (2021). A blueprint
for nursing innovation centers. Nursing Outlook, 69(6), 969-981. https://doi.org/10.1016/j.outlook.2021.05.006
Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., … & Pomey, M. P.
(2018). Engaging patients to improve quality of care: a systematic review. Implementation Science, 13, 1-22. DOI: https://doi.org/10.1186/s13012-018-0784-z
Campbell, K., Louie, P., Levine, B., & Gililland, J. (2020). Using patient engagement platforms
in the postoperative management of patients. Current reviews in musculoskeletal medicine, 13, 479-484. DOI: 10.1007/s12178-020-09638-8.
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Preparing Nurses to Be Health Care Innovation Leaders. Nursing administration quarterly, 46(3), 255. DOI: 10.1097/NAQ.0000000000000529
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Book. Elsevier health sciences.
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DOI: 10.7326/M19-0876.
Meyer, M. A. (2020). COVID-19 pandemic accelerates need to improve online patient
engagement practices to enhance patient experience. Journal of patient experience, 7(5), 657-664. DOI: 10.1177/2374373520959486
Newman, B., Joseph, K., Chauhan, A., Seale, H., Li, J., Manias, E., … & Harrison, R. (2021). Do
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A verification. International Journal of Healthcare Management, 13(1), 58-64. https://doi.org/10.1080/20479700.2019.1616385
Description
You are the manager of a nursing department. A new chief executive officer (CEO) has taken over the top leadership position and is requiring every nurse manager to develop at least one innovative strategy to promote quality patient care. Utilizing the nursing process as your guide, you will formulate a plan for an innovation in patient care delivery for an entire nursing department or unit. You are charged with the responsibility of developing a comprehensive and complete plan that addresses all technology services in your nursing department or unit.
For this assignment, prepare a report of 3–5 pages that describes the plan for innovation in patient care delivery in the nursing department or unit. It should include all of the following:
Title page
Introduction: This should explain what the paper is about, including the purpose of your report.
Assessment: Identify the area, service, or product requiring innovation. Describe how you will approach an inventory of technology for your nursing department or unit and how you will prioritize your findings.
Diagnosis: Diagnose (identify) problems, and discuss how and why innovation is needed.
Plan: Provide your suggestions and recommendations for action. You may wish to include the following:
Examine the literature surrounding and supporting your area of innovation.
Recommend the strategies and processes needed to effectively complete this innovation in the organization while protecting patient safety and quality of care.
Outline the steps that are needed to put the innovation into practice.
Evaluation: Suggests 2–3 questions that will measure the innovation’s effectiveness.
Conclusion: Summarize your report.
Citations and references: Use at least 2–3 current (from within the last 5 years) peer-reviewed journals, and cite them in APA format.
Please click on this APA Style for CTU Students link for help with APA formatting. Use the CTU Writing Style Guide (templates provided)—not the Introductory Writing Style Guide.
Please submit your assignment.
For assistance with your assignment, please use your textbook and all course resources.
NRSG 413 Unit 4 – Individual Project Rubric
The Individual Project (IP) Grading Rubric is a scoring tool that represents the performance expectations for the IP. This Individual Project Grading Rubric is divided into components that provide a clear description of what should be included within each component of the IP. It is the road map that can help you in the development of your IP. Individual Project Grading Rubric
Assignment : NRSG413-U4IP- Task 2_Technology Innovation
Level of Achievement Exemplary – exceeds expectations Proficient – meets expectations Fair – needs improvement Poor – does not meet expectations Score:
Total points possible: 175 90-100% 80-89% 73-79% 72 or less%
Criteria percent of score
Identify the area, services, and/or products requiring innovation in a nursing department or unit, including how these innovations will be prioritized. (Max 52.5 points) 30% Clearly identifies the area, services, and/or products requiring innovation in a nursing department or unit, including how these innovations will be prioritized. (48-52.5 points) Clarity is lacking in identifying the area, services, and/or products requiring innovation in a nursing department or unit, including how these innovations will be prioritized. (43-47 points) One of the criteria is not addressed: Identify the area, services, and/or products requiring innovation in a nursing department or unit, including how these innovations will be prioritized.. (38-42 points) More than one criteria is not addressed: Identify the area, services, and/or products requiring innovation in a nursing department or unit, including how these innovations will be prioritized. (37 points or less)
Explain the plan and recommendations for action by including an examination of the literature discussing strategies and processes needed to effectively complete the innovation while protecting patient safety and quality of care. (Max 52.5 points) 30% Clearly explains the plan and recommendations for action by including an examination of the literature discussing strategies and processes needed to effectively complete the innovation while protecting patient safety and quality of care. (48-52.5 points) Clarity is lacking in explaining the plan and recommendations for action by including an examination of the literature discussing strategies and processes needed to effectively complete the innovation while protecting patient safety and quality of care. (43-47 points) One of the criteria is not addressed: Explain the plan and recommendations for action by including an examination of the literature discussing strategies and processes needed to effectively complete the innovation while protecting patient safety and quality of care. (38-42 points) More than one of the criteria is not addressed: Explain the plan and recommendations for action by including an examination of the literature discussing strategies and processes needed to effectively complete the innovation while protecting patient safety and quality of care. (37 points or less)
Provide 2-3 questions that will measure the effectiveness of the innovation plan. Provide a conclusion (summary) of the report. (Max 52.5 points) 30% Clearly provides 2-3 questions that will measure the effectiveness of the innovation plan. Provide a conclusion (summary) of the report. (48-52.5 points) Clarity is lacking in providing 2-3 questions that will measure the effectiveness of the innovation plan. Provide a conclusion (summary) of the report. (43-47 points) One of the criteria is not addressed: Provide 2-3 questions that will measure the effectiveness of the innovation plan. Provide a conclusion (summary) of the report. (38-42 points) More than one criteria is not addressed: Provide 2-3 questions that will measure the effectiveness of the innovation plan. Provide a conclusion (summary) of the report. (37 points or less)
Spelling, Grammar, APA format; 3-5 pages excluding title and reference pages. References in APA format with the headings listed in the model answer for this assignment. (Max 17.5 points) 10% No spelling or grammatical errors. Less than 2 errors in APA formatting. (13-17.5 points) 1-2 spelling or grammatical errors. Less than 4 errors in APA formatting. (8-12 points) 4-5 spelling or grammatical errors. 4-6 errors in APA formatting. (6-9 points) More than 5 spelling or grammatical errors. More than 6 errors in APA formatting. (5 points or less)
100%
