NURS FPX 6030 Assessment 4 Implementation Plan Design

Name

Capella university

NURS-FPX 6030 MSN Practicum and Capstone

Prof. Name

Date

Implementation Plan Design

Chronic Heart Failure (CHF) is the primary reason for hospital stays and readmissions among adult patients (Bamforth et al., 2021). The prior assessment focused on developing an intervention plan for adult chronic care CHF patients, using the Patient, Intervention, Comparison, Outcome, and Time (PICOT) questioning to acquire recent data for CHF patients’ management. This assessment examines the implementation of an intervention plan to enhance the quality of life of adult CHF patients, focusing on management, leadership, nursing practices, change implications, delivery methodologies, technologies, and stakeholder interactions.

Management and Leadership

The intervention plan focuses on developing an integrated care system employing various approaches, including personalized self-management, coordinating care, and managing medications through awareness and education. Effective inter-professional teamwork is significant when implementing an intervention strategy to improve the quality of life for adult CHF patients (Veronese et al., 2021). Successful implementation of plans requires adapting transformational leadership, quality improvement management, and procedures based on best practices, requiring multidisciplinary coordination.

Transformational leaders can implement strategies including interdisciplinary training, empathy, respect, and regular meetings to enhance team understanding, foster collaboration, and address challenges effectively. Fostering a culture of teamwork, open communication, and feedback are the quality enhancement management strategies for implementing interventions through multidisciplinary collaboration (Geese & Schmitt, 2023). 

Inter-Professional Collaborative Practice (IPCP) encourages nurses to collaborate with other medical personnel to identify and resolve issues during intervention implementation and improve quality (Davidson et al., 2022). Regular nurse education and training can integrate self-care, medication management, and coordinated care interventions, providing updated techniques and effective communication and cooperation skills (Takeda et al., 2019). Research indicates that patient-centered care is significantly enhanced by effective communication between patients and medical staff (Kwame & Petrucka, 2021). Education programs ensure personalized self-care and medication management interventions for patients, improving adherence and care coordination within the healthcare team for holistic care. (Griffin et al., 2019). 

Conflicting Data

The leadership and management strategies and nursing practices are intended to assist intervention plans to succeed and enhance inter-professional collaboration. However, there are concerns about the practical approaches of leading, management strategies, and executing professional nursing practices for implementing interventions. For example, conflicting perspectives about inadequate resources, reluctance to change, outcomes of intervention multidisciplinary interactions, and regulatory impediments must be addressed (Kwame & Petrucka, 2021).

Implications of Change in Care Quality, Care Provider, and Cost-Effectiveness

Interventions, such as self-management education, medication management, and care coordination, can significantly enhance the care for CHF patients (Griffin et al., 2019). The proposed intervention plan significantly impacts patient care, enhancing the standard and experience of care for CHF patients. Through education and open discussion, medication adherence and self-care can improve patient safety and quality enhancement (Son et al., 2020). It is critical to assess proposed interventions’ possible benefits and hazards and ensure that patients are well-informed and supported during the process (Griffin et al., 2019).

Innovative interventions significantly impact medical personnel in managing and enhancing the life quality of CHF patients. Transformational leaders and medical professionals must adapt to new guidelines or technologies for these interventions, which can significantly influence their work procedures and productivity. Training and education are needed to strengthen the expertise and skills of nurses and other medical professionals to give efficient care to CHF patients (Chi et al., 2022).

Telehealth services facilitate efficient transitions from inpatient to residential settings, empowering patients to self-manage and adhere to medication (Toukhsati et al., 2019). Furthermore, well-coordinated care enabled efficient disease management and empowered patients to conserve the cost of hospital readmissions. The financial resources can be utilized to make necessary adjustments to improve healthcare quality and patient outcomes (Nick et al., 2021).

Knowledge Gaps

More knowledge is needed to evaluate the impact of change on stakeholders in adopting intervention plans for managing adult CHF patients. The intervention strategy must include essential stakeholders such as CHF patients, their families, medical personnel, and legislators in employing intervention measures. It is critical for effective adoption and efficacy to consider their perspectives and resolve their concerns (Toukhsati et al., 2019).

Delivery and Technology

Delivery Methods

Care-coordinated self-management and medication management interventions can be delivered in various ways to enhance the standard of treatment for adult patients with heart failure. Telehealth technology offers remote counseling and awareness sessions for CHF patients, bridging the gap between medical professionals and patients and ensuring accessibility and tailored consultation (Nick et al., 2021). Training workshops and educational sessions can enhance self-care awareness and medication adherence by providing individuals with knowledge from medical professionals on general health approaches.

Telehealth and educational methods can enhance the accessibility and effectiveness of interventions for CHF patients, reducing barriers to medical care (Griffin et al., 2019). Considering assumptions like target-audience preferences, resource accessibility, and affordability is crucial for creating compelling, practical, and consistent implementation techniques for an intervention strategy (Griffin et al., 2019).

Technological Options

Telemedicine is crucial to delivering medical services online and can assist patients with CHF with quicker access to healthcare services. Telemedicine can reduce barriers to care, such as geographical and transportation concerns, by allowing patients to connect with medical professionals remotely. However, there can be difficulties with telemedicine acceptance, including the requirement for training and support for healthcare providers and the possibility of technology difficulties or privacy violations (Cardoso et al., 2021).

Health monitoring apps and software programs that provide medical data and services can also assist CHF patients in self-management. These apps can connect patients to various services, such as guidance, monitoring equipment, and assistance from medical professionals. However, there can be issues with the accessibility and efficiency of mobile health applications and possible security problems (Giordan et al., 2022).

Knowledge Gaps

Evaluating uncertainties is crucial for enhancing the efficiency of the proposed delivery techniques. The plan suggests using telemedicine services for CHF management interventions but does not address efficiency or security issues. Further research is required to evaluate the effectiveness of educational and telemedicine interventions compared to in-person therapy and to address safety concerns (Cardoso et al., 2021).

Stakeholders, Policy, and Regulations

Assessing various stakeholders and regulatory implications are crucial to managing CHF patients effectively. It ensures an efficient execution process for the intervention strategy.

A successful intervention plan for adult CHF patients involves stakeholders, including patients, families, healthcare professionals, policymakers, and administrators, to ensure effective medication management and self-care (Mamataz et al., 2023). The intervention strategy for CHF patients must consider all stakeholders’ perspectives, issues, and requirements. Patient preferences and family issues influence therapy security and effectiveness. Practical guidelines, education, and feedback techniques are crucial for medical personnel to implement intervention plans effectively (Heidenreich et al., 2020). Stakeholders’ involvement in treatments and initiative feedback can help adapt the plan to their needs and enhance their health (Mamataz et al., 2023).

NURS FPX 6030 Assessment 4 Implementation Plan Design

It is necessary to consider a CHF quality improvement plan with regulatory consequences. Compliance with the Health Insurance Portability and Accountability Act (HIPAA), confidentiality obligations, and obtaining necessary approvals for intervention can lead to regulatory implications. Telehealth for self-management intervention must adhere to federal and state anonymity, data safety, and informed permission standards. Addressing and actively dealing with regulatory consequences can aid in implementing the intervention plan (Rangachari et al., 2021).

Federal organizations, for instance, the Heart Failure Society of America (HFSA), offer resources and financing to assist with executing intervention plans. They can offer education, instruction, and support services to assist the intervention strategy in engaging and influencing more people. Furthermore, medical professionals can provide competence, training, and assistance to ensure that interventions are delivered effectively to CHF patients (Habeeb, 2022). The analysis implies that stakeholders can support and implement the proposed intervention strategy. Stakeholder engagement is crucial for the effectiveness of an intervention plan, but concerns, conflicts of interest, or opposing viewpoints can impact its implementation and efficacy (Mamataz et al., 2023).

Policy Consideration

The Affordable Care Act (ACA) and the Medicare and Medicaid services’ regulations for heart failure care can assist with adopting a coordinated care intervention strategy for CHF. The act can assist in lowering costs related to medical care and ensuring CHF patients have the opportunity to receive quality medical care. Sufficient funding and insurance coverage can assist patients in overcoming economic obstacles when obtaining health care (Wolfe & Joynt, 2019). Medicaid can assure cost-effective and high-quality medical services, encouraging intervention plan implementation.

It is reported that approximately 20 million patients are eligible to avail health insurance (Angier et al., 2020). Although policies can facilitate the implementation of an intervention strategy for CHF adult patients, they can also impede it. Regulations that neglect the education and support of medical professionals implementing self-management interventions can also reduce the intervention plan’s effectiveness and efficacy. Identifying policy shortcomings is critical for effectively implementing the CHF patient management intervention plan. (Angier et al., 2020). 

Timeline

A six-month timeframe is required to implement an individualized self-management education, coordinated care, and medication management intervention strategy for CHF patients. It entails recognizing and involving stakeholders, accomplishing needs evaluations, and preliminary testing of the intervention plan (Mamataz et al., 2023). The implementation timeline can influence financial supply, policy requirements, stakeholder participation, and resource availability. Regular evaluation and tracking can assist in identifying appropriate changes and ensuring the effective execution of the intervention plan.

I will conduct a needs assessment in the first two months to determine CHF patients’ health promotion requirements and preferences. In the third and fourth months, I will work on analyzing an initial patient response through implementing self-management education, care coordination, and medication management intervention plans using specific delivery methods. In addition, by the fourth month, I will assist in evaluating the effectiveness and acceptability of the intervention plan and making any required changes based on feedback. In the fifth and sixth months, I will assist in the ongoing evaluation and refining of the intervention plan. I will look for potential funding sources, meet regulatory needs, and work for the long-term viability of the intervention plan. 

Conclusion

A self-management, coordinated care, and medication management intervention plan can benefit CHF patients. More significant funding for healthcare and the involvement of stakeholders can help apply the intervention plan. The intervention plan can offer CHF patients excellent healthcare by dealing with knowledge gaps, legislative consequences, and stakeholder concerns.

References

Angier, H., Marino, M., Springer, R., Schmidt, T., Huguet, N., & DeVoe, J. E. (2020). The Affordable Care Act improved health insurance coverage and cardiovascular‐related screening rates for cancer survivors seen in community health centers. Cancer, 126(14), 3303–3311. https://doi.org/10.1002/cncr.32900

Bamforth, R. J., Chhibba, R., Ferguson, T. W., Sabourin, J., Pieroni, D., Askin, N., & Rigatto, C. (2021). Strategies to prevent hospital readmission and death in patients with chronic heart failure, chronic obstructive pulmonary disease, and chronic kidney disease: A systematic review and meta-analysis. Plos One, 16(4), e0249542. https://doi.org/10.1371/journal.pone.0249542

Cardoso, S. J., Juanatey, J. R. G., Comin-Colet, J., Sousa, J. M., Cavalheiro, A., & Moreira, E. (2021). The future of telemedicine in the management of heart failure patients. Cardiac Failure Review, 7. https://doi.org/10.15420%2Fcfr.2020.32

Chi, S. Y., Soh, K. L., Raman, R. A., Ong, S. L., & Soh, K. G. (2022). Nurses’ knowledge of heart failure self‐care education: A systematic review. Nursing in Critical Care, 27(2), 172-186. https://doi.org/10.1111/nicc.12758

Davidson, A. R., Kelly, J., Ball, L., Morgan, M., & Reidlinger, D. P. (2022). What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: An integrative review. BioMed Central Primary Care, 23(1), 1-12. https://doi.org/10.1186/s12875-021-01595-6

NURS FPX 6030 Assessment 4 Implementation Plan Design

Geese, F., & Schmitt, K. (2023). Interprofessional collaboration in complex patient care transition: A qualitative multi-perspective analysis. Healthcare, 11(3), 359–359. https://doi.org/10.3390/healthcare11030359

Giordan, L. B., Ronto, R., Chau, J., Chow, C., & Laranjo, L. (2022). Use of mobile apps in heart failure self-management: Qualitative study exploring the patient and primary care clinician perspective. Journal of Medical Internet Research Cardio, 6(1), e33992. https://doi.org/10.2196%2F33992

Griffin, D. S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PloS One, 14(8), e0220116. https://doi.org/10.1371/journal.pone.0220116

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 4 Implementation Plan Design

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BioMed Central Nursing, 20(1), 1-10. https://doi.org/10.1186/s12912-021-00684-2

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

Nick, J. M., Roberts, L. R., & Petersen, A. B. (2021). Effectiveness of telemonitoring on self-care behaviors among community-dwelling adults with heart failure: A quantitative systematic review. Journal of Biomedical Informatics Evidence Synthesis, 19(10), 2659. https://doi.org/10.11124%2FJBIES-20-00329

Rangachari, P., Mushiana, S. S., & Herbert, K. (2021). A narrative review of factors historically influencing telehealth use across six medical specialties in the United States. International Journal of Environmental Research and Public Health, 18(9), 4995. https://doi.org/10.3390/ijerph18094995

Son, Y. J., Choi, J., & Lee, H. J. (2020). Effectiveness of nurse-led heart failure self-care education on health outcomes of heart failure patients: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 17(18), 6559. https://doi.org/10.3390/ijerph17186559

NURS FPX 6030 Assessment 4 Implementation Plan Design

Takeda, A., Martin, N., Taylor, R. S., & Taylor, S. J. (2019). Disease management interventions for heart failure. Cochrane Database of Systematic Reviews, 1. https://doi.org/10.1002/14651858.CD002752.pub4

Toukhsati, S. R., Jaarsma, T., Babu, A. S., Driscoll, A., & Hare, D. L. (2019). Self-care interventions that reduce hospital readmissions in patients with heart failure; towards the identification of change agents. Clinical Medicine Insights: Cardiology, 13, 1179546819856855. https://doi.org/10.1177/1179546819856855

Veronese, E. T., Pomerantzeff, P. M. A., & Jatene, F. B. (2021). Improving the heart team: An interdisciplinary team and integrated practice unit. World Journal of Cardiology, 13(12), 650. https://doi.org/10.4330%2Fwjc.v13.i12.650

Wolfe, J., & Joynt, K. E. (2019). Heart failure and the Affordable Care Act. JACC: Heart Failure, 7(9), 737–745. https://doi.org/10.1016/j.jchf.2019.04.021

 

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