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NURS FPX 6030 Assessment 5 Evaluation Plan Design

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    NURS FPX 6030 Assessment 5 Evaluation Plan Design

    Student Name

    Capella University

    NURS-FPX 6030 MSN Practicum and Capstone

    Prof. Name


    Design of the Evaluation Plan

    In the dynamic landscape of healthcare, the significance of patient education remains pivotal. The healthcare community faces challenges such as elevated readmission rates and fluctuating patient satisfaction. In response, a potential solution emerges through tailored interventions. This evaluation explores an intervention that focuses on implementing customized educational plans and telehealth services for patients post-cardiac catheterization discharge. The objective is to scrutinize its potential impact, considering the role of nursing in facilitating change, the broader implications for inter-professional collaboration, and the integration of emerging technologies and care models. Additionally, the evaluation aims to reflect on personal growth and the application of these insights across various healthcare settings.

    Assessment of the Intervention

    The intervention plan encompasses two primary strategies: the development of a tailored educational program and the integration of telehealth services for patients post-cardiac catheterization discharge. The targeted outcomes include improved patient understanding of post-discharge regimens, decreased hospital readmissions, and increased patient satisfaction. These outcomes underscore the core purpose of the intervention. By enhancing patients’ comprehension of their care regimen, the intervention anticipates a reduction in post-discharge complications and subsequent readmissions. This reduction signifies improved patient adherence, understanding, and alleviates the financial and logistical burdens on the healthcare system. Furthermore, heightened patient satisfaction underscores the commitment to individualized care, addressing each patient’s unique needs comprehensively (Tieu et al., 2023).

    The dual emphasis on tailored discharge education and telehealth services reflects the ambition to empower patients with knowledge and sustained access to healthcare professionals post-discharge. The intervention promises benefits across health outcomes and systemic improvements, establishing a framework for enhancing quality, safety, and the care experience. Personalized education serves as a cornerstone, bridging the knowledge gap and preparing patients for post-hospitalization care. Coupled with telehealth services, this approach provides continuity of care, promoting safety and a seamless healthcare experience from the comfort of patients’ homes.

    However, ambitious projects inevitably face challenges. Crafting tailored educational content can be resource-intensive and may introduce variations due to differing expertise among healthcare professionals. Additionally, the high level of personalization may lead to patients relying excessively on medical professionals for minor clarifications (Kim et al., 2022).

    Assumptions and Evaluation Plan

    The evaluation plan rests on two foundational assumptions to assess the efficacy of the intervention. Firstly, individualized discharge education and telehealth services will significantly improve patient comprehension and adherence post-discharge. Secondly, a measurable reduction in readmissions will indicate the successful implementation of the intervention (Tieu et al., 2023).

    The strategy begins with a comprehensive pre-intervention assessment, utilizing detailed questionnaires to gauge patients’ baseline understanding of discharge directives. This initial measure provides a reference for subsequent evaluations. Follow-ups at 1-month, 3-month, and 6-month intervals will assess the lasting effects of the intervention. The intervention will initially target a select group, maintaining a control group that continues to receive standard discharge instructions. This method facilitates a comparative study, elucidating the advantages or potential shortfalls of the approach. Data collection will include patient feedback forms for insights into their experiences and comprehension, along with hospital readmission records as a direct metric of intervention outcomes.

    To optimize data collection and monitoring, Electronic Health Records (EHRs) will be employed for real-time tracking of patient readmissions. Dedicated patient portals will be introduced to establish a two-way channel for disseminating tailored educational content and gathering feedback (Kim et al., 2022). Specialized software tools for data analysis will ensure accuracy and depth, processing both quantitative metrics (readmission rates) and qualitative data (patient feedback) for a comprehensive evaluation of the intervention’s impact on health promotion and education (Shastry & Shastry, 2023).


    Role of Nurses in Advocacy

    Nurses emerge as transformative leaders in the expansive healthcare landscape, particularly when innovation and change are integral. With close patient interactions, nurses gain insights into individual needs, identifying areas ripe for improvement. The intervention, focusing on a tailored educational strategy for discharged cardiac catheterization patients, positions nurses to amplify their role as knowledge brokers. Empowered by the intervention, nurses actively lead a shift towards bespoke patient education, ensuring complex medical directives are seamlessly translated into layman’s terms for post-cardiac path patients.

    This proactive shift enhances the quality and experience of care, with nurses guiding patients toward better health outcomes. Beyond immediate patient-nurse interaction, the intervention’s ripples enhance inter-professional dynamics. Tailoring educational content demands collaboration from diverse healthcare professionals, strengthening cooperation for comprehensive educational materials tailored to each patient’s unique recovery journey.

    NURS FPX 6030 Assessment 5 Evaluation Plan Design

    This collaborative endeavor underscores the pivotal role of nursing in patient education, establishing a cohesive, multidisciplinary approach to post-cardiac cath care. From a broader healthcare perspective, the intervention promises multifaceted benefits. Economically, a well-informed and educated patient reduces the likelihood of hospital readmission, enhancing trust and reputation for healthcare institutions embracing patient-centric approaches. Specifically, for the target demographic – post-cardiac cath patients – the intervention equips them with a robust understanding of their recuperation, empowering them to mitigate potential complications and ensure optimal long-term health.

    However, embracing a tailored educational paradigm presents challenges, necessitating robust training for nurses to deliver personalized content effectively. Consistent delivery of quality education across diverse medical cases remains an intricate task, requiring persistence, feedback, and continual refinement for the intervention to herald a new era in patient care and education.

    Future Steps

    In healthcare interventions, the aspiration is to further enrich strategies for better patient service. While the intervention for post-cardiac catheterization patients is robust, there is room for expansion to align with emerging technologies and care models. The educational content could benefit from more nuanced personalization, and the current telehealth model could be augmented with Augmented and Virtual Reality (AR/VR) systems for a more immersive patient education experience. This three-dimensional, interactive approach allows patients to visualize and understand post-surgery care and potential complications more effectively.

    Regarding care models, adopting the Chronic Care Model (CCM) emphasizes proactive and prepared health systems, placing the patient at the center. Our intervention can align with this model by fostering stronger relationships and transparent communication between healthcare providers and patients. This creates an environment where patients are more involved, informed, and empowered in their recovery process, with institutionalized feedback sessions ensuring dynamic and evolving interventions.

    The intervention can also integrate advanced AI-driven patient monitoring systems, going beyond AR/VR. These systems can predict potential issues before they become severe, significantly enhancing patient safety. Immediate alerts can be sent to patients and healthcare providers upon detecting deviations from the optimal recovery path, enabling early interventions and corrections. In conclusion, proposed enhancements are anchored on two primary assumptions: technology, especially AR/VR and AI-driven systems, will foster a deeper understanding and commitment to post-discharge instructions, and a shift towards a more feedback-intensive, patient-centric approach promises improved patient outcomes and enhanced safety protocols (Faulkner et al., 2023).

    Reflection on Leading Change and Improvement

    Engaging deeply with this capstone project has profoundly influenced my ability to lead change in my current care setting and personal practice. It has revealed the critical nature of individualized patient care and how this approach can shape better health outcomes. Introducing and managing a customized educational plan has highlighted the magnitude of responsibility leaders hold in championing such initiatives. Every step taken in this project has enhanced my confidence and capability in spearheading similar change-driven tasks in the future. The challenges and successes of the project have provided invaluable lessons that I will carry into future leadership roles.

    My understandingof adaptive patient care, bolstered by this project, will be instrumental in guiding teams, strategizing healthcare initiatives, and ensuring that the patient remains at the core of all decisions. My primary objective is to remain a lifelong learner, constantly updating my knowledge base and skills. I also aim to address the gaps identified during this project, especially in ensuring effective delivery and comprehension of patient education.

    Translating Plans to Personal Practice for Quality Improvement

    Completing this project has provided a highly transferable framework for my existing practice. The essence of the project, a bespoke patient-centric approach, can be integrated across various facets of patient care. The methodology of implementing a tailored educational plan, the feedback mechanisms, and the evaluation methods can all be adapted to different scenarios within my current care setting, ensuring consistent quality improvement. While the project was designed for a specific purpose, its foundational elements have universal relevance.

    Considering its application to other care settings and contexts, its principles can drive improvements across the board. Whether in outpatient care, specialized clinics, or community health setups, the focus on customized care, informed by this project, can be the cornerstone of impactful interventions. However, it is essential to remain receptive to alternative perspectives and conflicting evidence, ensuring that the strategies adopted are grounded in evidence-based practices and cater to the diverse needs of the patient population.


    Faulkner, S. D., Somers, F., Boudes, M., Nafria, B., & Robinson, P. (2023). Using patient perspectives to inform better clinical trial design and conduct: current trends and future directions. Pharmaceutical Medicine.

    Kim, M. T., Heitkemper, E. M., Hébert, E. T., Hecht, J., Crawford, A., Nnaka, T., Hutson, T. S., Rhee, H., & Radhakrishnan, K. (2022). Redesigning culturally tailored intervention in the precision health era: Self-management science context. Nursing Outlook, 70(5), 710–724.

    Richardson, S., Lawrence, K., Schoenthaler, A. M., & Mann, D. (2022). A framework for digital health equity. Npj Digital Medicine, 5(1).

    NURS FPX 6030 Assessment 5 Evaluation Plan Design

    Shastry, K. A., & Shastry, A. (2023). An integrated deep learning and natural language processing approach for continuous remote monitoring in digital health. Decision Analytics Journal, 8, 100301.

    Chan, R. J., Milch, V. E., Crawford-Williams, F., Agbejule, O. A., Joseph, R., Johal, J., Dick, N., Wallen, M. P., Ratcliffe, J., Agarwal, A., Nekhlyudov, L., Tieu, M., Al-Momani, M., Turnbull, S., Sathiaraj, R., Keefe, D., & Hart, N. H. (2023). Patient navigation across the cancer care continuum: An overview of systematic reviews and emerging literature. CA: A Cancer Journal for Clinicians.

    Zhou, X., Wang, Y., Dou, C., Tian, X., Su, J., Chen, Y., Yan, F., Yang, Q., & Wang, W. (2022). Evaluating the effects of simulated interprofessional teaching on the development of clinical core competence in nursing students: A mixed methods study. BMC Nursing, 21(1).