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    Capella 4900 Assessment 5

    Capella 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

    Student Name

    Capella University

    NURS-FPX 4900 Capstone Project for Nursing

    Prof. Name

    Date

    Introduction 

    Hello everyone, I hope you are all doing well. I’m ______ working as a registered nurse in the Holy Valley Hospital and I’m here to present you all my video presentation. In this video presentation, I’ll be sharing an evidence-based intervention that I have developed in my capstone project and made an effort to implement as well. This intervention plan is targeted at my patient John who I happened to check during my hospital duty hours. John is dianoged with COPD for a few years and had worsen condition due to frequent exacerbations. For this purpose, I developed an intervention plan that best suited his health needs and preferences. So, let’s begin to see how this intervention made a significant difference in John’s health condition.

    Contribution of an Intervention to Patient Satisfaction and Quality of Care

    Patient satisfaction and quality of care are two important goals that every healthcare professional aims to achieve. Patient satisfaction comes from the overall experience regarding the healthcare services that patients’ receives during their hospital visit. There are various factors that impact patient satisfaction such as effective communication, empathy and respect, access to care, hospital environment, and patient involvement. Quality of care can be defined as the degree to which the provided healthcare services are fulfilingl the standards of practices to achieve desired & targeted healthcare outcomes. This is measured through different indicators including patient outcomes, adherence to clinical guidelines and standards, patient safety, and hospital readmission rates (MacGillivray, 2020).

    In John’s case, the intervention developed and implemented was telehealth and remote monitoring of vital signs, symptoms, and medication adherence along with self-management education. These interventions were designed considering patient satisfaction and quality of care into account. Before this intervention plan, John faced various complications including shortness of breath and low-oxygen saturation due to uncontrolled COPD symptoms and frequent exacerbations. This patient-centered intervention for John brought positive health outcomes as telehealth and remote monitoring proved to be effective for John.

    Capella 4900 Assessment 5

    John reported that he was feeling healthier by staying at home and acquiring care treatment through telehealth. Furthermore, in his feedback report, John said that remote monitoring was the best strategy in this intervention plan as he needed timely reminders and consistent monitoring by nurses about lifestyle changes, medication adherence, and daily symptoms related to COPD. There were a few unfortunate scenarios where telehealth was not possible due to some technical issues at John’s end. But overall telehealth made a significant difference in John’s COPD condition. 

    Lastly, his feedback on self-management education was equally positive in which he said he was more aware of his disease, its risk factors and progression causes. He was consciously living in a tobacco-free environment and did daily walk while trying to eat healthy as much as possible. His improved health with fewer exacerbations showed that the quality of care delivered was adequate and enhanced patient satisfaction as a result of the proposed intervention implementation. 

    Use of Evidence & Peer Reviewed Literature to Plan and Implement Capstone Project

    In John’s case of COPD, I made sure that the intervention I choose to plan and implement is evidence-based and inspired by peer-reviewed literature, as the evidence-based and peer-reviewed literature give us correct and credible data on the basis of research data. Therefore, this intervention brought positive and effective outcomes in John’s health. Due to this reason, one must use evidence and peer-reviewed literature to always plan and implement a capstone project. In my capstone project, various evidence-based practices informed me about the aforementioned interventions that were effective for COPD management.

    For example, in a study report by Scully and colleagues (2021), telehealth and remote monitoring for COPD patients were reviewed in COVID-19 and its future aspects were shared. This study showed that COPD was well managed during COVID-19 with the help of telehealth and remote monitoring of symptoms and medication adherence. The study further said that similar positive effects are possible with thoughtful planning of implementation of COPD telehealth & remote monitoring Another study reviewed the effectiveness of self-management education in COPD patients which included physical activity, smoking cessation, dyspnea, self-efficacy about mental health, quality of life, and medication adherence.

    The study promoted the implementation of self-management education on COPD due to its effective results of reduced hospital readmissions and improved quality of life in COPD patients (Shnaigat et al., 2021). This similar strategy was part of John’s intervention plan which resulted in his improved quality of life and enhanced patient satisfaction & safety. Therefore, the use of evidence and peer-reviewed literature in planning and implementing a capstone project ensures that your project is well grounded in current knowledge, informed by evidence-based practices, and capable of producing positive and relevant outcomes.

    Leveraged Health Technology to Improve Outcomes or Communication in Capstone Project

    In this modern era where technologies have the potential to replace or augment human tasks in different areas of life, health technologies are impacting lives positively while creating ease for patients and health systems. These health technologies can be artificial intelligence technologies for diagnosing and interpreting medical images such as X-ray and MRI, telehealth, and remote monitoring which facilitate remote consultations between patients and healthcare professionals. Remote monitoring devices like wearable sensors have the potential to gather patient data and deliver it to physicians’ and nurses’ portals which are in sync with these sensors.

    These health technologies and more are progressively mitigating health problems and promoting patient safety. In my capstone project, health technologies were used to the fullest in John’s case. As telehealth and remote monitoring were primary interventions in my capstone project, these technologies promoted health outcomes by improving the one-on-one communication between patients and healthcare providers.

    The patient was able to raise his health-related queries comfortably in remote clinical sessions and the undivided attention of healthcare professionals resulted in keen involvement which ensured appropriate and authentic provision of clinical guidance to the patient. John was further educated on self-management education via telehealth sessions through educational brochures and infographics. Hence, the health information technologies were leveraged maximally in my capstone project to improve health outcomes and communication with John.

    Some prospective improvements in healthcare technology use can be the use of electronic health records in healthcare systems. EHR are evidence-based health technologies that have the potential to share patient data within healthcare systems, to promote effective, prompt, and timely sharing of health data among healthcare professionals which will facilitate shared and informed decision-making for patients Tsai et al. (2020). 

    Influence of Health Policy on Planning and Implementation of Capstone Project

    Health policies are developed by government or health organizations such as WHO, ANA, CDC, American Lung Association, etc. for the betterment of patients by providing financial facilities for patients and guidelines on healthcare practices for healthcare providers. My capstone project was influenced by some of the guidelines and policies provided by the American Lung Association and the HITECH Act. The guidelines provided by American Lung Association influenced the planning and implementation of this capstone project.

    For example, ALA promoted the use of telehealth policy by National Committee for Quality Assurance (NCQA) for COPD patients as it is a great opportunity to expand their healthcare access (NCQA, n.d.). Moreover, the HITECH Act has provisions for securing patient data while utilizing telehealth has guided me in the proper implementation of this project by following this health policy on privacy and confidentiality of patient data (Kruse et al., 2019). This will enhance patient experience as John was skeptical about leaking his health information through digital health but this policy assured him about these uncertainties. 

    This capstone project has also made its contribution to policy development in our hospital. Telehealth and remote monitoring led to the establishment of a policy to enhance health coverage of patients who live in rural areas and are unable to travel for physical checkups at clinics. This policy ensures that such people have their health problems covered by improved access to healthcare facilities through telehealth and remote monitoring. The baccalaureate-prepared nurses play a vital role in policy implementation and development with their vast knowledge of patient care treatment, they can evaluate the impact of health policies on patient care and health outcomes as well as collaborate with policymakers and health administrators by providing their valuable insight on health policies. 

    Project Outcomes

    This capstone project was developed with the aim of reducing hospital readmission rates for John by controlling his chronic condition. Moreover, exacerbation rates needed to be declined by this capstone project. Therefore, the interventions were developed to fulfill these aims and objectives which included self-management education as John was not much aware of his condition and required deeper insights on COPD, its risk factors, complications, and appropriate treatments. This self-management education fulfilled this goal as the initial prediction was obtained. Furthermore, telehealth facilitated John as he could not travel for follow-ups and required remote consultations. Above all, the outcomes of the capstone project matched the initial predictions that we created while designing this intervention plan for John. 

    This intervention is best suited for all COPD patients, particularly for people who live far from the hospitals and are unable to travel to hospitals or those who have financial constraints as telehealth and remote monitoring can reduce costs incurred by patients. Therefore, it can be implemented for patients other than John who have been suffering from similar conditions like John’s. I have also documented the practicum hours spent with John in the Capella Academic Portal Volunteer Experience Form, as I spent a total of nine hours of practicum time with John.

    Personal and Professional Growth

    Throughout this capstone project and the RN- to-BSN program, I grew both personally and professionally as I spent my time with John, and seeing him suffer from the chronic condition of COPD with symptoms of worsening exacerbations and shortness of breath made me more empathetic and kind as a person and as a registered nurse. I was more conscious of his condition and was able to serve him even during my off hours. Moreover, my knowledge about COPD further grew as I followed various guidelines by the COPD Foundation and American Lung Association. Before this capstone, my overall performance and growth were not as great as it was after this capstone project implementation as my knowledge continuously grew throughout this journey of treating John’s condition of COPD.

    Conclusion    

    We have reached the conclusion of this video presentation in which we discussed the contribution of this intervention to improved patient satisfaction and quality of life. Later, we discussed the use of evidence and peer-reviewed literature to plan and implement of capstone project as it gives an estimate of the outcomes of the proposed intervention through research. The health technologies were used maximally in this capstone project in the form of telehealth technology and the use of applications and sensors for remote monitoring. Furthermore, ALA and HITECH policies influenced the planning and implementation of this capstone project. Lastly, we discussed the initial predictions and matched John’s health outcomes with these initial predictions. 

    References

    Kruse, C., Pesek, B., Anderson, M., Brennan, K., & Comfort, H. (2019). Telemonitoring to manage chronic obstructive pulmonary disease: Systematic literature review. JMIR Medical Informatics, 7(1), https://doi.org/10.2196/11496   

    MacGillivray, T. E. (2020). Advancing the culture of patient safety and quality improvement. Methodist DeBakey Cardiovascular Journal, 16(3), 192–198. https://doi.org/10.14797/mdcj-16-3-192 

    NCQA. (n.d.). Taskforce on Telehealth Policy. https://www.ncqa.org/programs/data-and-information-technology/telehealth/taskforce-on-telehealth-policy/ 

    Sculley, J. A., Musick, H., & Krishnan, J. A. (2021). Telehealth in chronic obstructive pulmonary disease: Before, during, and after the coronavirus disease 2019 pandemic. Current Opinion in Pulmonary Medicine, 28(2), 93–98. https://doi.org/10.1097/mcp.0000000000000851 

    Shnaigat, M., Downie, S., & Hosseinzadeh, H. (2021). Effectiveness of health literacy interventions on COPD self-management outcomes in outpatient settings: A systematic review. COPD: Journal of Chronic Obstructive Pulmonary Disease, 18(3), 1–7. https://doi.org/10.1080/15412555.2021.1872061 

    Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: A scoping review and qualitative analysis of the content. Life, 10(12), 327. https://doi.org/10.3390/life10120327 

    Capella 4900 Assessment 5