Guiding Questions
Implementation Plan Design
This document is designed to give you questions to consider and additional guidance to help you successfully complete the Implementation 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: Management and Leadership
Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan.
What leadership strategies are most relevant to successfully implementing your intervention plans?
How will these strategies help to ensure interprofessional collaboration?
What management strategies are most relevant to successfully implementing your intervention plan?
How will these strategies help to ensure interprofessional collaboration?
What professional nursing practices are most relevant to successfully implementing your intervention plan?
How will these practices help to ensure interprofessional collaboration?
Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs.
How will your proposed leadership strategies change the care setting in which your intervention plan will be implemented?How will these changes impact the quality of care?How will these changes impact the experience of care?
How will these changes help to control the costs of care?
How will your proposed management strategies change the care setting in which your intervention plan will be implemented?How will these changes impact the quality of care?How will these changes impact the experience of care?
How will these changes help to control the costs of care?
How will your proposed professional nursing practices change the care setting in which your intervention plan will be implemented?How will these changes impact the quality of care?How will these changes impact the experience of care?
How will these changes help to control the costs of care?
Part 2: Delivery and Technology
Propose appropriate delivery methods to implement an intervention which will improve the quality of the project.
What delivery methods are appropriate for implementing your intervention plan?Why are the proposed methods appropriate for implementing your intervention plan?
How will the proposed methods improve the quality of your project?
Evaluate the current and emerging technological options related to the proposed delivery methods.
What are the current technological options that are relevant to support and improve your proposed delivery methods?How will these current technological options help make your delivery methods more effective?
Which of the current relevant technological options will likely have the largest positive impact?
What are the emerging technological options that are relevant to support and improve your proposed delivery methods?How might these emerging technological options help make your delivery methods more effective?
Which of the emerging relevant technological options could have the largest positive impact?
Part 3: Stakeholders, Policy, and Regulations
Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan.
Who are the relevant stakeholders?
How will the needs of relevant stakeholders impact the implementation of your intervention plan?
What are the relevant health care regulations?
How will health care regulations impact the implementation of your intervention plan?
What other support considerations are relevant to implementing your intervention plan?
How will these additional considerations impact the implementation of your intervention plan?
Propose existing or new policy considerations that would support the implementation of an intervention plan.
What are the existing policy considerations that would support the implementation of your intervention plan?
How will the existing policy positively impact your implementation efforts?
What are one or more new policy considerations that could support the implementation of your intervention plan?
How would the new policy considerations positively impact your implementation efforts?
Part 4: Timeline
Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation.
What is the time frame for implementing your intervention?Is this time frame realistic?
What are the specific factors that will impact the timing of implementation?
To what degree will these factors impact the timeline?
Address Generally Throughout
Integrate resources from diverse sources that illustrate support for all aspects of an implementation plan for a planned intervention.
Do the resources cited support all aspects of your implementation plan?
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?
Communicate implementation plan in a way that clearly illustrates the importance of interprofessional collaboration to create buy-in from the audience.
Is your writing clear and professional?
Does your writing effectively communicate your proposed implementation plan?
Does your writing effectively communicate the importance of interprofessional collaboration to successful implementation?
Is your writing free from errors?
Is your submission 4–6 pages?
Does your submission conform to current APA style standards?
Description
Target population: Hispanic located in Baja, CA.
Your application of the PICOT approach to developing your problem statement and the research that you conducted and synthesized in your literature review are the foundation and framework that you will need to successfully build your intervention plan. This plan will lay out specific components of the intervention you are planning to address the need you have identified for the target population and setting. You will justify your approach to the intervention plan by integrating appropriate theoretical foundations. You will also analyze and address the needs of stakeholders, requirements of regulatory bodies, and ethical and legal considerations. It is important to have a sound intervention plan design in place before trying to work on the details of implementation and evaluation.
Intervention Plan Component
Nurses play a critical role in the intervention of diabetes. As it is known, diabetes is caused by excess insulin levels in the blood. Therefore, to manage it well, nurses need to educate people on dietary issues. Research results indicate that diabetes is a global problem with over 415 million patients (Ross et al., 2018). The number is projected to rise significantly over the next twenty years, and this is because of eating habits and the food that people consume (Powers et al., 2016). The disease may also lead to complications. Patients are more worried about the condition and not the difficulties that may arise with uncontrolled glucose levels. Nursing interventions can help people affected by the disease. The nursing intervention entails creating awareness of the role of uncontrolled diabetes, instruction on proper dietary modifications, and the importance of regular exercise.
Educating the Patients
In the nursing intervention program, the first thing is to give patients educational knowledge on uncontrolled diabetes in developing more complicated health problems. Informing the patient on how uncontrolled diabetes can result in other health complications, the patients may become more educated and may be motivated to keep up with their care. For instance, acute diabetes can result in health complications such as hypoglycemia, hyperglycemia, and hyperosmolar hyperglycemic state. To avoid these complications, the patient must remain aware of their health status, informed on how to prevent further complications and be willing to modify important aspects to better their overall health. Also, advanced diabetes can result in retinopathy, neuropathy, and nephropathy. The intervention’s educational part is to ensure the patient’s self-management and responsibility to control their diabetic care (Testerman & Chase, 2017). The education’s importance is to inform the patients on the possible complications that might result if the diabetic condition is not well handled and managed. The health complexities resulting from the chronic diseases of diabetes can cause loss of toes, feet, or even legs. Additionally, the conditions can lead to blindness, heart failure, and myocardial infarction. Explaining all these dangers to the patients can act as an eye-opener, and therefore, the patient may be more committed to taking care of his or her condition.
Teaching Patients the Signs and Symptoms of Related Conditions
It is imperative to teach the patients the symptoms of the related conditions of diabetes, such as hyperglycemia. Notably, hyperglycemia results when patients miss their oral medications, incorrectly take their insulin dose, and increase food intake or eat foods that increase glucose levels significantly. The signs and symptoms associated with this condition include increased glucose level in the blood, fatigue, blurred vision, the patient loses body weight, polyuria, polyphagia, and polydipsia (Mayberry et al., 2017). The patients should be made aware of these signs and symptoms so that if any of the symptoms appear, the patient can seek medical attention.
Quality Improvement Plan
As earlier asserted, diabetes results from unhealthy eating, being overweight or obese, and participating in little to no exercise. The intervention plan should entail using patients to improve nutrition (Gilis-Januszewska et al., 2017). The patients should be educated on what type of food to consume with the respective amounts. As earlier seen, increased food intake can result in hyperglycemia, and for this reason, the patient should be aware when it comes to food intake. It is recommended that the patient should use the plate method as a simple method of meal planning and maintaining healthy nutrition (Pot et al., 2019). Information should be given to the patient regarding the food groups to be taken with their rightful amount. For instance, a diabetes patient should be provided with a paper plate divided into quarter sections and respective food groups provided in each quarter. For example, half of the plate should have non-starchy vegetables, another quarter section should have protein such as meat, beans, fish, and eggs, and the remaining quarter section should be filled with good carbohydrates such as rice, potatoes, pasta, and bread. Notably, the patient should be provided with a cup of skimmed milk and fruit. Advisably, the patient should limit the intake of fat, which can be achieved by avoiding fried foods. Equally important, the patient should be advised to take in water and avoid diet soda, sugar drinks should be avoided at all costs. The patient should be sure to eat breakfast every morning along with lunch and dinner. The reason for all this is to help maintain normal blood glucose levels. It should be noted that an individualized meal plan depends on the patient’s health assessment and needs since no one individual is the same.
It is important to note that in many Hispanic cultures, food and family is respective in their heritage and identity. Hispanic culture combines hearty and heavy meals, ensuring no one leaves hungry or goes to bed on an empty stomach. It is common for family dinners to include the entire family, it is seen as bonding, spiritual, and inclusive. “Hispanics tend to have closer personal space and value physical contact. Appearance and group memberships are especially important. Latinos will work hard for the goals of a group and will work hard for the needs of the community” (BYU, 2021). It is also common for food and medicine to fuse together in Hispanic culture. Hispanics use hot/cold method in regard to illnesses and treat them respectively with its opposite. For instance, if a family member has a cold, they take in something hot to combat the illness. “Consequently, the medications, remedies, and foods that are used to treat them are assigned descriptors accordingly. Therefore, the treatment recommended for any condition will usually have the opposite classification or properties. For instance, cold diseases are treated with hot remedies, while hot diseases are treated with cool or cold remedies (Ortiz, et al, 2007). Given this information, dietary planning should be done around the patient and close family members. Meals should be inclusive of their culture, but the importance of portion control should be emphasized.
Lastly, exercise is important to maintain a healthy weight and decrease complications associated with diabetes. Many Hispanic cultures incorporate holidays in family parties. A big asset in Hispanic culture is dancing. As a nurse, it is critical to incorporate heritage and culture into lifestyle modifications. Given the information, designing an exercise program that is family inclusive and takes an aspect of their culture and makes it more enjoyable is key. As an example, it is common for the Hispanic culture to engage in dancing. Creating an exercise that incorporates movement, such as dancing may make the goal more obtainable and enjoyable for the patient.
Given the time frame of 12 weeks, the following holistic plan will gauge the patient’s willingness to adapt to changes to support health. The 12-week plan will incorporate education, meal modification plans, and exercise plans specific to the Hispanic population in Baja, California.
Theoretical Foundations
Nursing professionalism is quite challenging, and for this reason, many philosophies and theories have been put forward to guide nursing practices, education, and research. Nursing practices have been changing over time. Notably, some of the initial guidelines in the nursing practices have remained intact today. For instance, nurses who serve in places with limited resources conform to the biomedical model of nursing to manage their patients. The Nightingale model of nursing, which Florence Nightingale developed during her time as a nurse during the Crimean war, states that nurses should be sure to manipulate and mediate the environment to ensure that the patients are in optimal condition. For instance, this model can be used in the diabetes intervention in Baja, CA. The direct impact of diabetes on Hispanics in this region is increasing. Following a model that can be molded to fit the culture and traditions of a specific group is important and will better improve the outcomes of the community.
Stakeholders, Policy, And Regulations
First and foremost, stakeholders play a critical role in ensuring the implementation of healthcare evidence (Pozgar, 2019). Stakeholders’ support in the health sector cannot be underestimated. For instance, stakeholders provide the necessary resources, skills, and the needed knowledge to implement health projects. Furthermore, stakeholders influence public opinion regarding the anticipated health change. Health stakeholders act as ambassadors of research since they take part in collecting and analyzing qualitative data that helps develop and implement a health policy or health program (Byrne, 2019). The health stakeholders decide the health reforms and the intervention policies. In retrospect, health stakeholders are an important part of the intervention of Diabetes disease. The presence of policy and regulations are vital tools in diabetes interventions. Key stakeholders in this specific case are the patient’s family members, since there is big emphasis on family when it comes to change and decision-making. Other stakeholders specific to the plan are nutritionists and physical and occupational therapists who will guide meal planning and exercise programs over the next 12-week period. All stakeholders need be included in the plan to help guid patient improvement.
Ethical and Legal Implications
Since patient safety is multidimensional and grounded in ethical and legal imperatives, nurses should consider both the ethical and legal challenges. First and foremost, nurses’ priority is ensuring the patient’s safety and therefore preventing further injuries and complicated conditions to the patient. This issue has been emphasized many times by the quality of health care services globally. As earlier stated, the nurses and healthcare providers should educate the diabetic patients on the relevant information required for them to keep off from translating their conditions to even worse health complexities such as hyperglycemia. This practice is among the ethical imperatives that demand patients’ safety from further injuries. The nurse along with other specialties such as nutritionists, physical and occupational therapists will work within their own scope of practice, being sure to promote the overall health of the individuals at hand.
References
Byrne, M. (2019). Increasing the impact of behavior change intervention research: Is there a role for stakeholder engagement?. Health Psychology, 38(4), 290.
BYU. (2021). BYU David O. McKay School of Education. Hispanic and Latino American diversity cultural information. Retrieved from https://education.byu.edu/diversity/culture/hispanicamerican.html
Gilis-Januszewska, A., Lindström, J., Tuomilehto, J., Piwońska-Solska, B., Topór-Mądry, R., Szybiński, Z., … & Hubalewska-Dydejczyk, A. (2017). Sustained diabetes risk reduction after real-life and primary health care setting implementation of the Diabetes in Europe prevention using lifestyle, physical activity, and nutritional intervention (DE-PLAN) project. BMC public health, 17(1), 1-7.
Mayberry, L. S., Mulvaney, S. A., Johnson, K. B., & Osborn, C. Y. (2017). The MEssaging for diabetes intervention reduced barriers to medication adherence among low-income, diverse adults with type 2. Journal of Diabetes science and technology, 11(1), 92-99.
Ortiz, B., PharmD, Shield, K., PharmD, Clauson, K., PharmD, Clay, P., PharmD. The Annals of Pharmacotherapy. 2007;41(6):994-1004
Pot, G. K., Battjes-Fries, M. C. E., Patijn, O. N., Pijl, H., Witkamp, R. F., de Visser, M., van der Zijl, N., de Vries, M., & Voshol, P. J. (2019). Nutrition and lifestyle intervention in type 2 diabetes: A pilot study in the Netherlands shows improved glucose control and glucose-lowering medication reduction. BMJ Nutrition, Prevention & Health, 2(1), 43–50. https://doi.org/10.1136/bmjnph-2018-000012
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Hess Fischl, A., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2016). Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Journal of the Academy of Nutrition and Dietetics, 115(8), 1323–1334. https://doi.org/10.1016/j.jand.2015.05.012
Pozgar, G. D. (2019). Legal and ethical issues for health professionals. Jones & Bartlett Learning.
Ross, J., Stevenson, F., Dack, C., Pal, K., May, C., Michie, S., … & Murray, E. (2018). Developing an implementation strategy for a digital health intervention: an example in routine healthcare. BMC health services research, 18(1), 1-13.
Testerman, J., & Chase, D. (2017). Influences on Diabetes Self-Management Education Participation in a Low-Income, Spanish-Speaking, Latino Population. Diabetes Spectrum, 31(1), 47–57. https://doi.org/10.2337/ds16-0046
