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The Intervention Plan Design Essay Paper

The Intervention Plan Design Essay Paper

Intervention Plan Components

Following the PICOT question identified in the first part, the target members of the population for the intervention plan are pregnant women in the San Diego area of California who are at a high risk of gestational diabetes. With the objective being to improve the healthcare outcome for this demographic, this second part of the report is a detailed intervention plan design. Key components of the plan include the proposed remote patient monitoring and associated support such as ensuring its use is evidence-based, its performance meets standards of care as envisaged in the health care policy in the United States, and persistent communication to stakeholders such as patients, policymakers, and provider organizations. Throughout, the intervention plan is guided by core nursing theories and principles. The Intervention Plan Design Essay Paper

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Major Components of an Intervention Plan for Health Promotion

The intervention plan proposed for pregnant women in the San Diego area of California at risk of gestational diabetes has three main components. The objective of this intervention plan is to improve the health outcomes of the identified population. The first component is the adoption of an evidence-based action which in this case is remote patient monitoring. Remote patient monitoring is defined by Polsky et al. (2020) as a technological telehealth digital tool that reports, collects, and transmits patient data to healthcare providers who then evaluate it and determine interventions required. In this particular case, the proposed remote patient monitoring tools could come in the form of wearables, mobile devices, and smartphone-based applications (Malasinghe, Ramzan & Dahal, 2019)The Intervention Plan Design Essay Paper. Pregnant women at risk of gestational diabetes will be constantly reminded through notification nudging to check important vital signs such as their weight and blood glucose levels and transfer them to their physicians for analysis. The second component is performance management. Aziz et al. (2020) advised that any intervention plan should be checked for effective performance with minimized negative impacts on patients. Following this, performance management of the proposed intervention is done through rigorous monitoring and evaluations in a bid to ascertain that it is a model that can be relied on and achieve the objective of improving health outcomes for patients. In addition to this, the healthcare provider adopting the proposed plan should be guided by the philosophy of continuous and persistent improvement which in this case implies telehealth program improvement. The third component is for the healthcare provider to make effective and constant communication to stakeholders on the intervention. The healthcare community and decision makers are keenly interested in changes taking place in the industry and they need to be kept abreast of new developments to keep them informed for one and secondly to ensure that the changes are in line with healthcare policy and standards of operation.

The Impact of Cultural Needs and Characteristics of a Target Population

The success of healthcare policy and innovations is impacted by culture and its components. In view of this, the use of the proposed telehealth tools, RPM, is expected to be received with a mixed reception by the target population. Su et al. (2020) stated that it must be understood that not everyone is savvy or conversant with the use of digital technology tools such as wearables and smartphone applications. San Diego is a multicultural community and people from different cultural backgrounds reside in the expansive city. Drawing from this, these different cultures have impacts on the way the target population perceives approaches to health promotion which in this case is telehealth. In truth, the collection and sharing of personal data collected using wearable devices and smartphones are not as easy for everyone and this is likely to offer a slight challenge to implementation. The characteristic of the target population that will have an impact on the intervention plan, probably acceptance, and adoption, is that they are at a relatively higher risk of gestational diabetes and would heed calls for using the RPM. The Intervention Plan Design Essay Paper

 Theoretical Foundations

The proposed intervention plan is advised or influenced by core nursing models and theories. One such model is the patient-centered model. Uecker and Kinnaman (2021) commented that the patient-centered model is based on the principle that all patients are unique and have different cultural backgrounds. What this means is that healthcare should not be based on a static set of routines but should rather be based on understanding the individual needs of patients. Patient-centered care is manifested through the demonstration of respect for the values needs and preferences of all patients. The implementation of the proposed RPM plan will be guided by the patient-centered theory where opinions and preferences for the type of device will be considered.

A second theory that offers insights to the proposed intervention model plan is the cultural care model. According to Lee, Greenfield and Pappas (2018), the effectiveness and efficiency of healthcare to patients is best achieved when the providers acknowledge that cultural differences exist in society and among patients and use this diversity to develop a care plan for each patient. What this simply means is that healthcare interventions and approaches to care that providers issue and develop should be congruent with different cultures. As a priority, therefore, the proposed implementation should be guided by the cultural care theory in the sense that the cultural and religious practices of the patients should be highly prioritized. The Intervention Plan Design Essay Paper

Since the proposed remote patient monitoring technology requires support resources, it is important to mention that access to digital gadgets, the internet, and computers will be a huge plus. In California metropolitan areas of San Diego, Los Angeles, Santa Barbara, and San Francisco have very high smartphone and personal computer ownership at 86% and 81% respectively. These support technologies will make it more convenient for remote patient monitoring to be rolled out en masse.

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One of the major components of the intervention plan is the introduction of remote patient monitoring. While its implementation will involve a lot of capital layout for providers and for patients, its long-term benefits are immense. Commenting on the proliferation of telehealth and telemedicine, Vora et al. (2020) have pointed out two important issues. Basing their findings during the height of the novel Covid-19, the researchers have mentioned that telehealth lessens the risk of disease transmission. When outpatient pregnant mothers adopt the use of RPM, they reduce the risks of being exposed to communicable diseases that are sometimes acquired in health care settings. The second issue that the researchers commented on is the freeing up of hospital resources. With an increase in the use of remote patient monitoring using the technologies mentioned, hospital resources are freed up enabling the providers to serve the neediest patients more and better. According to Malasinghe, Ramzan and Dahal (2019)The Intervention Plan Design Essay Paper, the use of remote patient monitoring technology helps providers gain faster access to patient data and in effect respond to emerging trends and issues sooner.

 

Stakeholders, Policy, and Regulations

The implementation of any health promotion plan is impacted by external and internal elements. These elements are the stakeholders, healthcare policies, and regulations. To this end, there are a handful of stakeholder needs that prevail and the stakeholders that are referred to in the context of this implementation are patients, providers, and policymakers. Su et al. (2020) mentioned that while the patient’s need which in this case is pregnant women is to maintain good health and deliver babies with minimal health complications, care providers have a need to improve health outcomes for all their patient groups. For the policymakers, their interest is that healthcare resources and benefits be equitably distributed. Collectively looking at all these needs, they all point towards health practices that are modeled to address the different groups within the population. In the United States, provider organizations are compensated by third-party payers which in this case are private and public insurance companies. According to Zahmatkeshan et al. (2021), health policy in the country has been pushing towards increased coverage by insurance companies in an effort to provide care to as many people as possible including the less affluent. Drawing from this, regulations have been set for providers on all interventions intended at improving healthcare outcomes in the country. Suffice it to say, the promotion of remote patient monitoring as a component of telehealth will be analyzed from the perspective of meeting key standards of practice and use.

Ethical and Legal Implications

Whenever a change is proposed or considered in healthcare, consideration must be put into the ethical and legal issues. Following this, key ethical and legal issues related to telehealth and specifically the use of remote patient monitoring, are rules and standards. The rationale for this is that such an implementation should at all times guarantee equitability of access, quality of care, and realistic costs. The fact that the RPM is intended at facilitating care means that it should a better alternative than the traditional physical visits to provider institutions. An equally important ethical issue is the privacy of patients (Polsky et al., 2020). Even as providers are called upon to increase the use of remote technological tools, they must at all times be respectful of patient privacy. On this, a legal issue that emerges is data privacy. It is crucial that providers put in place systems that guarantee that patient data breach likelihood is lessened. It is suggested that the transmitted data is fully encrypted to protect it from unauthorized persons. The Intervention Plan Design Essay Paper

References

Aziz, A., Zork, N., Aubey, J. J., Baptiste, C. D., D’alton, M. E., Emeruwa, U. N., … & Friedman, A. M. (2020). Telehealth for High-Risk Pregnancies in the Setting of the COVID-19 Pandemic. Amerfican journal of perinatology, 37(08), 800-808. https://doi.org/10.1055/s-0040-171212

Lee, P. A., Greenfield, G., & Pappas, Y. (2018). The impact of telehealth remote patient monitoring on glycemic control in type 2 diabetes: a systematic review and meta-analysis of systematic reviews of randomised controlled trials. BMC health services research, 18(1), 1-10. https://doi.org/10.1186/s12913-018-3274-8

Malasinghe, L. P., Ramzan, N., & Dahal, K. (2019). Remote patient monitoring: a comprehensive study. Journal of Ambient Intelligence and Humanized Computing, 10(1), 57-76. https://doi.org/10.1007/s12652-017-0598-x

Polsky, S., Garcetti, R., Pyle, L., Joshee, P., Demmitt, J. K., & Snell-Bergeon, J. K. (2020). Continuous glucose monitor use with and without remote monitoring in pregnant women with type 1 diabetes: A pilot study. PloS one, 15(4), e0230476. https://doi.org/10.1371/journal.pone.0230476

Su, D., Michaud, T. L., Estabrooks, P., Schwab, R. J., Eiland, L. A., Hansen, G., … & Siahpush, M. (2019). Diabetes management through remote patient monitoring: the importance of patient activation and engagement with the technology. Telemedicine and e-Health, 25(10), 952-959. https://doi.org/10.1089/tmj.2018.0205

Uecker, M., & Kinnaman, J. (2021). A Comprehensive Analysis of the Importance and Implementation of Telehealth Behavioral Services in Rural Areas & Schools.

Vora, N. L., Hardisty, E., Coviello, E., & Stuebe, A. (2020). Telehealth to provide prenatal genetics services: Feasibility and importance revealed during global pandemic. Prenatal diagnosis, 40(8), 1040. https://doi.org/10.1002/pd.5716

Zahmatkeshan, M., Zakerabasali, S., Farjam, M., Gholampour, Y., Seraji, M., & Yazdani, A. (2021). The use of mobile health interventions for gestational diabetes mellitus: a descriptive literature review. Journal of medicine and life, 14(2), 131. https://doi.org/10.25122/jml-2020-0163 The Intervention Plan Design Essay Paper

Instructions: Intervention Plan Design

Develop a 5 page holistic intervention plan design to improve the quality of outcomes for your target population and setting.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Your application of the PICOT approach to developing your problem statement and the research that you conducted and synthesized in your literature review are the foundation and framework that you will need to successfully build your intervention plan. This plan will lay out specific components of the intervention you are planning to address the need you have identified for the target population and setting. You will justify your approach to the intervention plan by integrating appropriate theoretical foundations. You will also analyze and address the needs of stakeholders, requirements of regulatory bodies, and ethical and legal considerations. It is important to have a sound intervention plan design in place before trying to work on the details of implementation and evaluation.

Preparations

  • Read Guiding Questions: Intervention Plan Design [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    • What theoretical nursing models, strategies from other disciplines, and health care technologies could help support or justify your approach to the intervention plan?
    • What evidence from the literature or best practice supports the intervention plan components you identified?
    • What, if any, potential is there for technology to help in the development or implementation of the intervention plan components?
    • What is the impact of stakeholders, health care policy, or regulations?
    • Are there any ethical or legal considerations related to the development or implementation of the intervention plan components that need to be kept in mind? If so, what are they?

Instructions

Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.

You intervention plan design will be the second section of your final project submission. The goal for this is to design a holistic plan that should be able to improve the quality of outcomes for your target population and setting. Provide enough detail so that the faculty member assessing your intervention plan design will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as into the final draft of your project.

At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and Guiding Questions: Intervention Plan Design document (linked above) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement and the setting and context for this intervention plan.

Reminder: these instructions are an outline. Your heading for this this section should be Intervention Plan Components and not Part 1: Intervention Plan Components.

Part 1: Intervention Plan Components

  • Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need.
  • Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components.

Part 2: Theoretical Foundations

  • Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan.
  • Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices.

Part 3: Stakeholders, Policy, and Regulations

  • Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan.

Part 4: Ethical and Legal Implications

  • Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan.

Address Generally Throughout

  • Communicate intervention plan in a professional way that helps the audience to understand the proposed intervention.

Additional Requirements

  • Length of submission: 5 double-spaced pages.
  • Number of resources: 8 resources. (You may use resources previously cited in your literature review to contribute to this number. Your final project will require 12–18 unique resources.)
  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to current APA style. Header formatting follows current APA 7th edition levels.
  • Font and font size: Times New Roman, 12 point.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
    • Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components.
  • Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.
    • Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan.
    • Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan.
  • Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.
    • Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need.
  • Competency 4: Design patient- and population-centered care to improve health outcomes.
    • Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components.
  • Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost.
    • Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices.
  • Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.
    • Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan.

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Note: You will also be assessed on two additional criteria unaligned to a course competency:

  • Communicate intervention plan in a professional way that helps the audience to understand the proposed intervention and the implications of the plan that must be taken into account.
  • Demonstrate completion of hours toward the practicum experience.

See the scoring guide for specific grading criteria related to these additional requirements.