NURS FPX 6030 Assessment 3 Intervention Plan Design

Name

Capella university

NURS-FPX 6030 MSN Practicum and Capstone

Prof. Name

Date

Intervention Plan Design

Chronic Heart Failure (CHF) is a chronic and challenging illness characterized in patients primarily by difficulty in breathing, exhaustion, and edema (Lizarraga et al., 2022). It is characterized by significant morbidity and deaths, a poor standard of life, and an enormous burden on medical systems concerning resource consumption and expenses (Becher et al., 2022). The focus is designing an intervention plan for adult chronic care heart failure patients, employing a Patient, Intervention, Comparison, Outcome, and Time (PICOT) question to gather current information. Developing efficient strategies to care for CHF patients has become a significant concern. This assessment investigates the intervention strategy for CHF patients, considering cultural demands, nursing models, stakeholder responsibilities, and ethical concerns to address cultural disparities and ethical issues.

Intervention Plan Component

The intervention strategy focuses on enhancing the quality of life in adult CHF patients by employing various intervention approaches. The intervention strategy centers on establishing an extensive care model using several tactics, such as customized self-management assistance, care coordination, and managing medications. Patient education and awareness are also part of the intervention strategy. Self-administration and educational awareness contribute to a decrease in CHF incidence by enhancing life quality (Jaarsma et al., 2021).

Intervention Plan Component Improve Health Outcomes

The intervention plan specifically targets a significant requirement for CHF patients’ health promotion. Self-management programs can reduce the frequency of readmission in CHF patients, boost patients’ self-management competence, and enhance their quality of life (Feng et al., 2022). Coordinated care approaches, such as periodic follow-ups and patient awareness, have been demonstrated in studies to be essential in reducing complications. It enhances the health of CHF patients (Charais et al., 2020).

Self-care training interventions are reported to enhance CHF patients’ compliance with self-care guidelines and medication management, resulting in lower hospitalizations and improved patient safety (Dessie et al., 2021). It has been observed that appropriate disease knowledge is an excellent strategy for preventing future disease complications and enhancing health outcomes. It also contributes to disease prevention (Baeez & Younis, 2019).

Evaluating Success Criteria for Intervention Plan 

The successful implementation of the intervention plan enhances the patient’s health and reduces CHF outcomes. The intervention plan’s success criteria include significantly decreasing CHF complications and fatality rates. The intervention’s effectiveness can be determined by evaluating readmission rates before and following the intervention plan through medical records and patient follow-up information (Li et al., 2021). The intervention strategy is centered on the patient’s health outcomes and quality of life. Feedback from medical experts, patients, and questionnaires can be utilized to assess the intervention plan’s progress (Ijaz et al., 2022).

Impact of Cultural Needs and Characteristics of Population and Setting

Heart failure patients’ distinct cultures and customs demand an extensive therapeutic approach consistent with their fundamental values. Cultural beliefs significantly influence adult heart failure patients’ health opinions, treatment preferences, and medical decisions (Osokpo & Riegel, 2021). Heart patients’ cultures have distinct principles, opinions, and conduct that influence their understanding of CHF, affecting their ability to adapt and implement treatment strategies (Osokpo & Riegel, 2021). Cultural factors influence self-care practices among African Americans, who believe prayers can improve health, while non-Western patients are eager to regulate their condition and seek healthcare when necessary. Patients from various cultures must be motivated or equipped with the essential skills and knowledge to care for themselves (Alassoud et al., 2020).

Most people consider their cultural norms to contribute to deprived health self-management. However, they oppose Westernized lifestyles as a cure. To overcome this gap, culturally competent heart failure therapies and education are required (Alassoud et al., 2020). Cultural competency is crucial for patient-centered care, enabling medical professionals to provide high-quality, culturally sensitive implementation of the treatment to varied patient population and their families. The intervention plan should be personalized to heart failure patients’ awareness to improve the health plan’s effectiveness and value (Alassoud et al., 2020).

Assumptions 

The intervention strategy assumes that the adult CHF population is deeply rooted in their cultural views. It also assumes that involving cultural aspects in interventions enhances outcomes (Alassoud et al., 2020). The focus should also be on evidence-based, clinically validated heart failure treatments. It is expected that a partnership strategy among doctors, patients, and cultural and spiritual authorities must be employed to support the adoption of self-care practices (Osokpo & Riegel, 2021).

Theoretical Nursing Models, Strategies from Other Disciplines, and Healthcare Technologies

The Health Belief Model is valuable for quality improvement and illness prevention programs. It anticipates self-management behaviors, including medication adherence, throughout treatment. It is a commonly employed framework for examining health-related activities (Bakhshi et al., 2023). Patients ‘ ideas about their health problems and interventions are critical to the Health Belief Model, and these beliefs impact their health-related activities. However, the Health Belief Model neglects social acceptance and behaviors that influence adherence to medical professional guidelines (Bakhshi et al., 2023).

It is necessary to analyze the relevance of Orem’s Self-Care Model in the intervention plan. This approach emphasizes the elderly’s self-determination, allowing them to participate actively in their health management. It can enhance independence and proactive self-care management for CHF patients. Orem’s Self-Care Model is limited to certain heart failure patients, particularly those with severe health issues requiring comprehensive care (Khademian et al., 2020).

NURS FPX 6030 Assessment 3 Intervention Plan Design

Interventions from other disciplines, such as cultural competence training, aid medical professionals in understanding patients’ cultural values. It enables them to tailor therapies to their specific needs and preferences. However, culturally competent intervention can be time-consuming and nees more resources (Velarde et al., 2023). Research has suggested that nutrition can impact the prevention of CHF. Nutritionists promote the Dietary Approaches to Stop Hypertension (DASH) diet to prevent heart failure. However, research suggests that the benefits of the DASH diet in treating heart failure are limited (Wickman et al., 2021).

 Telehealth programs provide remote monitoring and assistance, benefiting patients with mobility challenges or those living in isolated regions. Telemedicine can decrease CHF patients’ hospitalizations (Williams et al., 2020). However, telehealth requires a stable technological framework and patient technology knowledge. Multiple specialists’ involvement can cause coordination issues and overburden patients with complicated schedules and appointments (Williams et al., 2020).

Major Components of Intervention Plan

Research has shown that Knowledge is essential to enhancing patient outcomes and maintaining patient health in medical facilities and outpatient settings. According to studies, most of patients with CHF who have been re-hospitalized can avoid re-admission if they continue with their recommended treatment and medication management (Baeez & Younis, 2019). Patients’ comprehension and knowledge are crucial for adherence to care plans and self-management, as they are instrumental in effectively managing their disease. Cases of CHF necessitate educating patients and their families to advance their understanding of self-management and medication adherence (Baeez & Younis, 2019). Koikai and Khan (2023), asserted that self-care management involving strategies and activities that promote mental and physical health is crucial for enhancing patients’ quality of life.

Continuous care coordination entails effective collaboration among medical professionals and patients, ensuring holistic and adaptive treatment strategies. Effective coordination and collaboration are crucial in managing adult CHF patients’ complex therapy plans and tracking their requirements, thereby minimizing hospital visits (Zhao et al., 2021). Evidence-based research highlighted the efficiency of systematic management of medications in outpatient clinics, resulting in lower adverse drug events in CHF patients (Zazzara et al., 2021). The research supports the intervention plan, highlighting its significant impact on patient outcomes, but identifies a need for cultural competency inclusion. The breach of cultural differences can be overcome through awareness of cultural competency strategies (Velarde et al., 2023).

Impact of Stakeholder Needs, Health Care Policy, Regulations, and Governing Bodies

The intervention plan aims to boost the standard of life for CHF patients in community settings, involving stakeholders including patients, families, medical professionals, and administrators (Mamataz et al., 2023). The preferences and concerns of patients and families significantly influence the therapies’ safety and efficacy. Practical instructions, the requisite training, and frequent feedback are critical for healthcare providers (Heidenreich et al., 2020). Considering these criteria is critical because it determines the intervention’s feasibility, acceptability, and success.

Medical regulations and legislation significantly affect the treatment of heart failure patients. The policy of Disease Management Programs (DMPs) has a significant impact on enhancing care of chronic illness, especially CHF patients. It plays a role in enhancing quality of life and patient safety. This legislation results in a reduction in healthcare expenses. DMPs effectively improve care and medication adherence, reducing resource consumption (Habeeb, 2022). The Heart Failure Society of America (HFSA) established standards, including thorough counseling and education for the needs of individual patients. The program also encourages self-care, such as self-adjustment of medication by the patient. Additionally, the HFSA advocated boosting adherence through behavioral techniques, optimizing medical treatment, expanding access to medical professionals, and supporting social and economic issues (Habeeb, 2022).

Assumptions 

The assumption being undertaken is that health policy and regulation have a significant effect on self-care and medication management for CHF. The therapy for adult heart failure patients requires stakeholder collaboration to ensure effectiveness. When developing an intervention strategy for adult heart failure patients, the intervention plan considered HFSA guidelines (Habeeb, 2022).

Ethical and Legal Implications

 Medical professionals are legally and ethically obligated to uphold patient confidentiality while adhering to principles like autonomy, beneficence, and nonmaleficence. Medical professionals must implement robust measures to safeguard patient information from unwanted access (Sapna et al., 2023). According to the principle of autonomy, health professionals should consider CHF patients’ preferences and requirements when designing personalized care plans (Ebrahimi et al., 2021). Implementing required protections to ensure privacy and taking proper action to avoid information breaches improve patient safety (Chowdhury et al., 2020).

Telehealth technology effectively delivers medical care, including developing intervention plans for heart failure patients. According to Health Insurance Portability and Accountability Act (HIPAA) guidelines, medical professionals must verify that the telehealth system is private. Violation of the rules of HIPAA when providing telehealth services can have serious consequences, such as sanctions and legal action. It severely impacts patient care plans (Chowdhury et al., 2020).

Knowledge Deficits

The evaluation addresses the legislative and ethical needs of a medical setting. However, it neglects privacy, security, education, and training for medical personnel for data safety (Chowdhury et al., 2020).

Conclusion

In conclusion, an extensive intervention plan is essential to boost CHF patients’ standard of life. By combining self-care and medication management strategies, medical professionals can provide an integrated approach to healthcare. The plan deals with legal and ethical issues while utilizing evidence-based approaches. Healthcare providers must protect patient privacy and security.

References

Alassoud, B., Johnston, B., & Hogg, K. (2020). Culture and the understanding of advanced heart failure: A mixed-methods systematic review. Collegian, 27(4), 459–470. https://doi.org/10.1016/j.colegn.2020.02.008

Baeez, Y. K., & Younis, Y. M. (2019). Effect of a health educational program on patients knowledge regarding heart failure: A quasi-experimental study. Erbil Journal of Nursing and Midwifery, 2(2), 125-131. http://dx.doi.org/10.15218/ejnm.2019.16

Bakhshi, S., Heidari, S., Seifollah Zanjirani, & Mohammad Ali Zakeri. (2023). The effect of health belief model-based education on empowering cardiovascular patients for medication adherence. Journal of Nursing and Midwifery Sciences, 10(1). https://doi.org/10.5812/jnms-134214

Becher, P. M., Lund, L. H., Coats, A. J., & Savarese, G. (2022). An update on global epidemiology in heart failure. European Heart Journal, 43(32), 3005–3007. https://doi.org/10.1093/eurheartj/ehac248

Charais, C., Bowers, M., Do, O. O., & Smallheer, B. (2020). Implementation of a disease management program in adult patients with heart failure. Professional Case Management, 25(6), 312-323. https://doi.org/10.1097/NCM.0000000000000413

Chowdhury, D., Hope, K. D., Arthur, L. C., Weinberger, S. M., Ronai, C., Johnson, J. N., & Snyder, C. S. (2020). Telehealth for pediatric cardiology practitioners in the time of COVID-19. Pediatric Cardiology, 41(6), 1081-1091. https://doi.org/10.1007/s00246-020-02411-1

NURS FPX 6030 Assessment 3 Intervention Plan Design

Dessie, G., Burrowes, S., Mulugeta, H., Haile, D., Negess, A., Jara, D., & Khanam, R. (2021). Effect of a self-care educational intervention to improve self-care adherence among patients with chronic heart failure: A clustered randomized controlled trial in Northwest Ethiopia. BioMed Central Cardiovascular Disorders, 21(1), 1-11. https://doi.org/10.1186/s12872-021-02170-8

Ebrahimi, Z., Patel, H., Wijk, H., Ekman, I., & Olaya-Contreras, P. (2021). A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings. Geriatric Nursing, 42(1), 213-224. https://doi.org/10.1016/j.gerinurse.2020.08.004

Feng, C., Wang, Y., Li, S., Qu, Z., & Zheng, S. (2022). Effect of self‐management intervention on prognosis of patients with chronic heart failure: A meta‐analysis. Nursing Open, 10(4), 2015–2029. https://doi.org/10.1002/nop2.1489

Habeeb, A. W. (2022). Heart failure disease management program: A review. Medicine, 101(31). https://doi.org/10.1097%2FMD.0000000000029805

Heidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., & Yancy, C. W. (2022). 2022 AHA/ACC/HFSA guideline for the management of heart failure: A report of the American college of cardiology/American heart association joint committee on clinical practice guidelines. Journal of the American College of Cardiology, 79(17), e263-e421. https://doi.org/10.1016/j.jacc.2021.12.012

NURS FPX 6030 Assessment 3 Intervention Plan Design

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Jaarsma, T., Hill, L., Bayes‐Genis, A., La Rocca, H. P. B., Castiello, T., Čelutkienė, J., & Strömberg, A. (2021). Self‐care of heart failure patients: Practical management recommendations from the heart failure association of the European society of cardiology. European Journal of Heart Failure, 23(1), 157-174. https://doi.org/10.1002/ejhf.2008

Khademian, Z., Ara, F. K., & Gholamzadeh, S. (2020). The effect of self care education based on Orem’s nursing theory on quality of life and self-efficacy in patients with hypertension: A quasi-experimental study. International journal of Community Based Nursing and Midwifery, 8(2), 140. https://doi.org/10.30476%2FIJCBNM.2020.81690.0

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NURS FPX 6030 Assessment 3 Intervention Plan Design

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Mamataz, T., Fowokan, A., Hajaj, A. M., Asghar, A., Abrahamyan, L., McDonald, M., & Grace, S. L. (2023). Factors affecting referral and patient access to heart function clinics in Ontario: A qualitative study of stakeholders. Canadian Journal of Cardiology Open, 5(6), 421-428. https://doi.org/10.1016/j.cjco.2023.03.002

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NURS FPX 6030 Assessment 3 Intervention Plan Design

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