MSN Writing Services

NURS FPX 6030 Assessment 3 Intervention Plan Design

Student Name Capella University NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date Intervention Plan Design This assessment presents an interventional plan based on the PICO(T) statement developed for patients discharged from Manatee Memorial Hospital in Bradenton, Florida. Our PICO(T) approach compares the implementation of a comprehensive and personalized post-discharge education program with the provision of basic discharge instruction in post-cardiac catheterization patients. The desired outcomes from this research are reduced 30-day hospital readmission rates and improved patient outcomes within a year of implementation.  Intervention Plan Components  The intervention plan for improving post-discharge outcomes is based on providing comprehensive and individualized discharge education. The major components of this plan include customized educational programs and telehealth services.  Customized Educational Plans: The first step of this component is to perform patients’ assessments and profiling, where we will understand and evaluate patients’ health literacy levels, their learning needs and preferences, and other socio-cultural factors that may impede the learning and self-management process. This step is essential to tailoring our educational program, integrating patient-centeredness, and leading to better patient governance (Krook et al., 2020). After the assessment, individualized discharge instructions will be developed, considering patients’ cultural beliefs, health needs, language preferences, and health practices. A holistic training of procedural details, medication management, and dietary and physical activity advice is essential. This component of the intervention plan will result in patient engagement in their healthcare process and shared decision-making, thus enabling patients to adhere to the instructions. Ultimately improving health conditions and reducing readmission rates.  Telehealth Services: Another component is integrating technological communication methods and digital health services for effective discharge education and post-discharge adherence to the instructions. Since the advent of telemedicine, a significant improvement in achieving quintuple aims has been observed. This includes improvement in patient experiences, cost-effectiveness, enhanced health outcomes, healthcare equity, and well-being of the providers (Chen et al., 2023). In our intervention plan, telehealth services can be used for post-discharge patient education, monitoring, and measuring outcomes. A multimodal education delivery approach can be used, whereby various technological tools, such as audiovisual, remote-monitoring devices, and communication tools, can be utilized for delivering important information and addressing patients’ concerns. This component is essential for our intervention plan so patients can be monitored and constantly guided for treatment adherence and self-management of health issues, eventually reducing hospital visits and readmission rates. The criteria to assess the plan’s success are improved patient outcomes, enhanced knowledge about self-care practices, patients’ adherence to the care plan, and the rate of 30-day hospital readmissions. The tools for evaluating are remote monitoring, patient feedback, and hospital databases for the number of hospital visits and admissions.  Cultural Needs and Characteristics of Population and Care Setting  The target population for this capstone project is the patients undergoing cardiac catheterization at Manatee Memorial Hospital in Bradenton, Florida. Generally, the cultural needs of the patient population significantly influence the development of an intervention care plan as it assists the providers in developing personalized care based on individual needs and preferences, considering the social and cultural barriers. This aspect of care is vital for prioritizing public interest while providing healthcare services (Getha-Taylor et al., 2020). The statistics presented by the U.S. Census Bureau reveal that the total population in Bradenton city is 56,961, belonging to different ethnic and racial groups. The population comprises 74.3% White Americans, Black or African alone constitute 14.8%, Hispanic/Latino is 21.4%, and the rest are in traces (U.S. Census Bureau, n.d.). This diverse population advocates the need for a culturally competent intervention plan where the customized educational plans, as a component of our intervention, focus on respecting patients’ language preferences, cultural beliefs, and health practices. This will further ensure patients’ inclusivity and effectiveness of care. NURS FPX 6030 Assessment 3 Intervention Plan Design Moreover, customized communication strategies in multimodal educational delivery will ensure patients are fully engaged and involved in the interventional plan using easy-to-understand language, catering to their literacy levels and language differences. In the organizational setting, the corporate culture of Manatee Memorial Hospital (MMH) plays a crucial role in developing our intervention plan. Cultural awareness among healthcare professionals about their own and patients’ cultural beliefs facilitates communication between patients and providers (Kaihlanen et al., 2019). Within the MMH care setting, the established cultural competence training programs for healthcare professionals impact the development of our intervention plan, whereby the objectives are to improve interprofessional teamwork, patient engagement, and patient-centered discharge planning and education for post-cath patients. The underlying assumption is the importance of culturally competent care as the studies support the development of culturally tailored interventions for the patients to observe effective health outcomes and patient satisfaction. Moreover, studies also promote the integration of cultural factors in discharge planning and education to reduce hospital readmission rates (Handtke et al., 2019; Santacroce, 2019).  Theoretical Foundations  Of several nursing theories, Dorothea Orem’s Self-Care Theory is primarily applicable in designing our intervention plan. The theory’s strength is that it accentuates patients’ role in managing their health conditions. Comprehensive discharge education for post-operative cardiac patients is aligned with the goal of this theory to encourage patient engagement in their recovery through appropriate self-care practices. A study by Khademian et al. (2020) concluded that education on self-care using this theory showed positive patient outcomes and improved quality of life for hypertensive patients. Thus, the theory can be effectively used for post-surgery patients. Using this theory, healthcare providers can develop a comprehensive discharge education that includes information about medication plan compliance and lifestyle modifications. One of the weaknesses of this model is that it assumes patients’ motivation and ability to adhere to the treatment plans, which may not match the reality, and several factors may impede, such as education levels and socio-cultural and economic barriers.  NURS FPX 6030 Assessment 3 Intervention Plan Design Secondly, motivational interviewing (MI), as a strategy from other disciplines, can influence patients’ behavioral changes (Bischof et al., 2021). In discharge education for post-cardiac catheterization patients, this strategy enormously helps healthcare providers evaluate patients’ readiness for the change, adhere to the treatment