Tuesday, March 12, 2019

Nursing Research Utilization Project Essay

Plans to Decide the Future of Your SolutionThis evidence-based practice manner impart be employ as a proposed solution to decrease heart loser (HF) readmission rate. Transitional anguish activities ensure health awe continuity, reduce risk of poor health outcomes, and facilitate safe steer between levels of cargon or health care settings (Naylor et al., 2011).Methods and Specific Plans to hold up a Successful jut out Solution Methods and Specific Plans to Extend a Successful bulge SolutionThis proposal forget be implemented as a pilot computer program between the Heart infirmary and the Norfolk branch of the folk care dresser. If this transitional care program is self-made in reducing HF readmission rates, additional sites will be precondition the opportunity to participate. Preference will be given to those potency locations that adopt a large HF population served by the Heart Hospital. The cat squad will reach out to the branch administration and clinical educat ors to share program details and current data related to readmission rates as a result of program implementation. The team will in like manner assess whether this program proposal is feasible at other hospitals at bottom the health system.The team will gather input from hospital administrators and the informatics department to decide which hospitals would be best suited to pilot this program. In addition, there must be a home health agency that is part of the system located within 25 miles of the hospital. The end cultivation of this proposal is to achieve system wide implementation of the transitional care program at all 12 acute care facilities and 19 home health branches in Virginia.Methods and Specific Plans to Revise an Unsuccessful Project SolutionOngoing monitoring of the transitional care program for HF readmissions will be performed by the representatives of the hospital and home health agency. On the hospital side, a clinical nurse specialist on the cardiac unit and a program analyst will ensure that referrals are made to appropriate tolerants and discharge purposes include the transitional care activities. On the home health side, the Norfolk branch team leader, clinical informaticist, and information applied science data specialist will monitor program operations. This team will collaborate closely to ensure that program implementation is successful. If the program is non yielding the expected outcomes then a strengths, weaknesses, opportunities, and threats (SWOT) analysis will be performed.All barriers identified will be addressed in a timely manner and changes may be made to the initial plan to promote success. In addition, staff and patients will be surveyed to ascertain challenges not readily apparent to the implementation team. These surveys will be designed and organizeed by the clinical education department for the hospital and home health agency. The timeframe for conducting patient surveys will occur within seven days of admissio n into the program and then any 60 days. Since patients will need to be reassessed every 60 days for continuation of home health services, it is feasible to conduct the transitional care program survey concurrently.The team reserves the ripe(p) to conduct additional patient surveys if a patient is readmitted to the hospital at any time during program participation or opts out of the transitional care program. Staff at the hospital and home health agency will be surveyed 90 days from their training date on the transitional care program and then every six months. Results of these surveys will be shared with the project team implementation coordinators during the monthly team meeting. Methods and Specific Plans to Terminate an Unsuccessful Project Solution Specific Plans for Feedback in the Work Setting and for Communicating the Project and its Results to Professional Groups External to the Project ConclusionDespite its high prevalence, HF care is often confused and uncoordinated. T he transitional care program proposed by the team seeks to address these gaps in care and to reduce HF readmission rates.Discussion QuestionsReferencesMelnyk, B.M., & Fineout-Overholt, E. (2011). Evidence-based practice in care for & healthcare A guide to best practices. (2nd ed.). Philadelphia, PA Wolters Kluwer Health/Lippincott Williams & Wilkins. Retrieved from University of capital of Arizona eBooks. Russell, D., Rosati, R.J., Sobolewski, S., Marren, J., & Rosenfeld, P. (2011). Implementing a transitional care program for high-risk heart failure patients Findings from a community- based partnership between a certified home healthcare agency and regional hospital. Journal for Healthcare Quality, 33(6), 17-24. Retrieved from EBSCOhost.

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