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NURS FPX 6030 Assessment 6 Final Project Submission

Student Name Capella University NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date Final Project Submission Abstract The objective of the capstone project was to improve patient understanding of post-discharge regimens, diminish hospital readmissions, and enhance patient satisfaction following cardiac catheterization. This was achieved through a tailored educational program and the integration of telehealth services. The initiative aimed to address knowledge gaps and continuity of care for post-cardiac catheterization patients, ensuring well-informed individuals with sustained post-discharge support. The approach included individualized discharge education and the incorporation of multimodal education delivery, utilizing audiovisual, remote monitoring devices, and communication tools. Two key findings emphasized the transformative role of nurses as knowledge brokers and the positive correlation between patient education and reduced hospital readmissions, offering potential cost savings for healthcare institutions. Introduction The capstone project addressed the high 30-day hospital readmission rates among Coronary Artery Disease (CAD) patients discharged after cardiac catheterization at Manatee Memorial Hospital in Bradenton, Florida. The emphasis was on enhancing post-discharge patient education, incorporating individualized discharge education, and telehealth services to reduce readmissions. The intervention plan focused on transformational leadership, adherence to regulatory guidelines (HIPAA and HRRP), and a 12 to 18-month implementation timeline. Problem Statement The need statement addressed the impact of a comprehensive and personalized post-discharge education program compared to basic discharge instructions on 30-day hospital readmission rates and patient outcomes. Citing a study by Madan et al. (2019), the urgency to minimize readmission rates for PCI patients was highlighted. Population and Setting The target population was patients discharged after cardiac catheterization at Manatee Memorial Hospital. The tailored approach aimed to reduce complications, readmission rates, and improve patient satisfaction within a culturally diverse population. Intervention Overview Two central interventions were proposed: tailored discharge education and telehealth services. The Plan-Do-Check-Act (PDCA) cycle guided the development of an individualized post-cardiac catheterization education program. The components included medication management, lifestyle modification guidance, symptom recognition education, and early follow-up appointments. Comparison of Approaches Inter-professional collaboration was emphasized for comprehensive care. Customized education plans were compared with alternative approaches, such as standardized education plans and group education sessions led by inter-professional teams. Initial Outcome Draft The goal was to reduce 30-day readmission rates by 20%, increase medication adherence by 15%, achieve a 30% increase in follow-up appointments, and a 25% increase in prompt symptom reporting. Time Estimate The estimated timeframe for developing and implementing the education program was approximately 12 months, divided into planning, platform development, pilot testing, and full-scale implementation phases. Literature Review The review highlighted the effectiveness of tailored post-procedure patient education, emphasizing individual health literacy and cultural background. Current telehealth policies and remote monitoring tools were identified as valuable for continuous, tailored patient support. Interventional Plan The intervention plan focused on comprehensive and individualized discharge education, including customized educational programs and telehealth services. Cultural needs and characteristics, along with theoretical foundations like Dorothea Orem’s Self-Care Theory, were considered. Stakeholders, Policy, and Regulations Stakeholders included patients, healthcare professionals, administrators, and external entities like insurance providers. Policies such as HIPAA and HRRP were relevant, ensuring patient privacy, data security, and adherence to regulatory guidelines. Ethical and Legal Implications Ethical implications included balancing autonomy and beneficence, while legal considerations involved adherence to HIPAA regulations during telehealth services. Implementation Plan Leadership strategies, management strategies, and nursing practices focused on transformational leadership, interdisciplinary training, project planning, and patient-centered care. Implications of Change to Improve Outcomes and Cost-effectiveness Anticipated changes included improved patient satisfaction, reduced readmission rates, and efficient care coordination, leading to cost savings for healthcare institutions. Delivery and Technology A combination of in-person and digital delivery methods, including traditional methods, augmented reality (AR), virtual reality (VR), digital resources, virtual platforms, personalized apps, and wearable devices, were considered for comprehensive education. Current and Emerging Technological Options Current technologies like PowerPoint presentations and interactive videos were contrasted with emerging options like AR, VR, personalized apps, and wearable devices, acknowledging potential challenges. Stakeholders, Policy, and Regulations Stakeholders, including patients, healthcare professionals, administrators, and external entities, were identified, along with the impact of policies such as HRRP and HIPAA on the implementation plan. Ethical and Legal Implications In our intervention plan, the ethical consideration revolves around the tension between autonomy and beneficence. Balancing patients’ right to care based on their preferences requires navigating the ethical dilemma of respecting autonomy while fulfilling the healthcare provider’s duty to act in the patient’s best interest. Addressing this ethical concern involves implementing customized educational plans that adhere to the moral principle of informed decision-making. This approach allows healthcare providers to provide comprehensive information on risks and benefits, respecting patients’ choices in their healthcare decisions. On the legal front, organizations must be mindful of the Health Insurance Portability and Accountability Act (HIPAA), particularly regarding patient privacy and data security when implementing telehealth services (Rahim & Alshahrani, 2023). Compliance with HIPAA policies, stringent data protection security measures, patient information disclosure practices, and authorized data access become imperative for organizations to avoid legal issues. Implementation Plan Management and Leadership For our intervention centered on comprehensive and personalized discharge education, effective coordination across disciplines is crucial, necessitating leadership, management, and nursing practices. Leadership Strategies: Adopting a transformational leadership style, characterized by a clear vision and goals, is vital for successful intervention implementation. Clearly defining project goals ensures a shared direction for the interprofessional team, enhancing their understanding of the initiative’s value and objectives. Interdisciplinary training is another effective leadership strategy to foster understanding among team members about their respective roles, promoting empathy, and facilitating collaboration through regular meetings (Mistretta et al., 2023). Management Strategies: Project planning and execution serve as management strategies to establish well-defined milestones and deadlines, ensuring that the interprofessional team stays on track and works towards long-term goals. Feedback and monitoring mechanisms enhance interdisciplinary collaboration, providing a platform for team members to contribute insights, monitor performance, and collectively strive towards shared goals (Mistretta et al., 2023). Nursing Practices: Embracing patient-centered care, tailored to individual patient needs, is crucial for customizing our intervention of comprehensive discharge education. This approach improves patient adherence