Advocating for the Nursing Role In Program Design Assignment Paper

Advocating for the Nursing Role In Program Design Assignment Paper

To Prepare:
Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
Select a healthcare program within your practice and consider the design and implementation of this program.
Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
The Assignment: (2–4 pages)Advocating for the Nursing Role In Program Design Assignment Paper

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In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
Who is your target population?
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? Advocating for the Nursing Role In Program Design Assignment Paper
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Recurrent utilization of health care services by older patients places strains on hospitals and health care systems. Even when elderly patients are restored to post-admission health status, they are at a high risk of being readmitted Shorty after discharge. Reasons for readmission include poor overall condition, frailty, and failure to adhere to post discharge plan. A post-discharge follow-up program is a transitional care program with the potential to prevent and reduce problems after discharge from the hospital and limit readmission.

Interviewer: Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program? Advocating for the Nursing Role In Program Design Assignment Paper

Respondent: Post discharge follow up program for older adults is current healthcare in my practice.   This program will reach out to patients after their discharge from hospital to guide them through their transition care,  catch any red flags, remind them of medication adherence guidelines,  and reassure them about the recovery process. This program program will involve both telephonic follow-up calls and home visits. After discharge from the hospital, the initial contact will be a telephone call to bother the patient and followed by a home visit.   The healthcare organization will require money to train registered nurses, advanced practice nurses, and nurse case managers on how to contact patients and their and the type of questions to ask patients and how to monitor patient vital signs, symptoms; schedule in-person clinic visits and request laboratory and other diagnostic tests and schedule Also, the organization will require financial resources to fund the transportation of nurse case managers to and from patients’ homes Advocating for the Nursing Role In Program Design Assignment Paper.

The program is projected to reduce the readmission of older adults by improving older patients’ adherence to discharge plan adherence. Home visits can reduce spending by averting readmissions or assisting patients to adhere to discharge instructions and medications  Fraze et al. (2019) indicate that home visits are useful for addressing unpredictable challenges after discharge, like those related to understanding a care plan, obtaining support from caregivers, understanding the full spectrum of medications, and making essential adjustments to the home environment.

Interviewer: Who is your target population?

Respondent:  This program targets older adults who have been discharged from the hospital, Readmission of older patients shortly after hospitalization is a major public health issue. Older patients discharged from the hospital are at a heightened risk of readmission due to failure to adhere to the discharge plan, and lack of post- discharge support. As such, elderly patients discharged home from the hospital require adequate care transition from hospital to home and close medical surveillance.  According to Mwachiro et al. (2019)Advocating for the Nursing Role In Program Design Assignment Paper, hospital readmissions within thirty days of initial hospitalization are potentially avoidable and costly. Studies have revealed that in addition to patients’ discharge education and instructions, follow-up calls post discharge have the potential to contribute to significant readmissions within thirty days of initial stay in the hospital.

Interviewer: What is the role of the nurse in providing input for the design of this healthcare program?

Respondent: The nurse can play a crucial role in providing input on how the post discharge follow-up program will be designed and implemented.  Compared to other healthcare providers, nurse spends the majority of their working hours with patients and thus understands their needs.  Thus, the role of nurses in providing input involves offering suggestions on how the healthcare program will be designed to benefit the target population and achieve the projected outcomes.  For instance, nurses can propose the timing of making telephonic follow-up calls and conducting home visits and proposing the frequency and the number of telephone calls and home visits.

Interviewer: What is your role as an advocate for your target population for this healthcare program? Advocating for the Nursing Role In Program Design Assignment Paper

Respondent: As a nurse, it is my responsibility to advocate for post discharge follow-up interventions for older patients. As a nurse, I deal with older patients on during their hospital stays who frequently get readmitted within a month after discharge. I spend more time with older patients and I am knowledgeable about their healthcare needs and challenges that they might encounter at home following hospital discharge. As such, I am uniquely positioned to advocate for this patient population, and thus s improve health care outcomes, reduce readmissions and reduce healthcare spending. As indicated by Nsiah et al. (2019), the nurse is in a unique position to advocate for patients as a result of the strong patient-nurse relationship that exists in clinical settings. Nurses spend more hours with patients, which offers them the best chance to advocate for patients. . Nurses have historically advocated for patients because their focus is to care for the patient as a whole and not merely their physical health condition.

Interviewer: What is the role of the nurse in healthcare program implementation? Advocating for the Nursing Role In Program Design Assignment Paper

Respondent: The nurses play a crucial role in implementing the healthcare program. Nurses often incorporate a healthcare program into their clinical practices, thus improving care quality and patient safety.  The nurse’s role differs in the design and implementation of the healthcare program. The role of the nurse in the design of the program is to propose a program that will effectively address an issue of concern in the healthcare system. For example, the role of the nurse in the design of the post discharge follow-up program includes specifications of the program including scope, objective, stakeholders to be involved, needed resources, and costs. On the contrary, the role of the nurse in the implementation of a healthcare program entails integrating the program into clinical practice. For example, in the post discharge follow-up program, the role of the nurse is to make post discharge telephonic follow-up calls and follow-up home visits

Interviewer: Who are the members of a healthcare team that you believe are most needed to implement a program?

 Respondent: Registered nurses and nurse case managers are the members of a healthcare team that are most needed to implement the program.  This is because registered nurses and advanced practice nurses will conduct post discharge telephonic calls follow-up.  The telephone calls will act as reminders to schedule medical follow-ups and support adherence to discharge instructions, including medication guidelines.  The calls will be made two days post discharge followed by twice weekly telephone calls.  The nurse case manager will conduct a home visit approximately one week after discharge. Two more home visits will be conducted by the nurse case manager in the third and sixth weeks after discharge as a home visit.   During home visits, the nurse can manage and track patients’ vital signs and overall health condition,   understanding of and adherence to post-discharge instructions, and adherence to medications guidelines Advocating for the Nursing Role In Program Design Assignment Paper.

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References

Fraze, T. K., Beidler, L. B., Briggs, A. D., & Colla, C. H.  (2019). Eyes In The Home’: ACOs Use Home Visits To Improve Care Management, Identify Needs, And Reduce Hospital Use. Health Affairs, 38(6), 1021-1027.  https://doi.org/10.1377/hlthaff.2019.00003

Mwachiro, D. M., Baron-Lee, J., & Kates, R. R. (2019). Impact of Post-Discharge Follow-Up Calls on 30-Day Hospital Readmissions in Neurosurgery. Global Journal on Quality and Safety in Healthcare 2 (2): 46–52. https://doi.org/10.4103/JQSH.JQSH_29_18

Nsiah, C., Siaka, M., & Ninnoni, J. P.  (2019). Registered Nurses’ description of patient advocacy in the clinical setting. Nursing Open, 6(3), 1124-1132. doi: 10.1002/nop2.307 Advocating for the Nursing Role In Program Design Assignment Paper