Assessment 5 Evaluation Plan Design
Individuals with mental illnesses are prone to metabolic syndrome due to their medications, particularly second-generation antipsychotics. This quality improvement plan hypothesizes that among patients with mentally ill patients, therapy changes from first-generation antipsychotics and second-generation antipsychotics will reduce the prevalence and incidences of metabolic disorders.
Minority blacks and Hispanics with mental health issues living in a community in the Bronx have been the focus of the quality improvement project. The incidences and prevalence of metabolic syndrome have been the focus of this study. This study focuses on patients newly diagnosed with a mental illness and those with ongoing treatment who have developed metabolic disorders. This plan outlines the process through which the intervention will be evaluated.
Evaluation of Plan
Outcomes of the Intervention Plan
The intervention outcomes are decreased prevalence and incidence of metabolic disorders and remission from the metabolic disorder. The quality improvement initiative will be evaluated for both clinical and statistical significance. The other significant objective is the clinical changes following the decision that is not captured in the evaluation. These will include deterioration and remission in a paranormal manner and reports of changes in the quality of life.
The evaluation plan will be based on the objectives and the implementation plan developed earlier in this project’s development. Objective evaluation matches the project expectations, and actual outcomes evaluate the study’s problems and provide recommendations for future improvement (Rico-Olarte et al., 2018).
Evaluation will be different in the two groups of patients. The first group, newly diagnosed patients, will be randomized into two groups. Each group will be assessed for metabolic syndrome and their vital parameters (Waist size, triglyceride level, cholesterol, blood pressure, and blood sugars) (Hirode & Wong, 2020).
The measurements will be analyzed and compared against the normal values. These measurements will then be collected every month during the visit and analyzed. The data will be analyzed for clinical significance (semi-structured interview) and statistical significance for the six months.
The same data will be analyzed for the groups with metabolic syndrome. For clinical significance, the healthcare providers will ask questions using a semi-structured interview on the changes in the quality of life. The analysis will be done using data previously collected for every month. During the last month of evaluation, the data will be analyzed based on the results of other months and the baseline assessment results. Other issues of interest are the drop rate and the contributing factors to determine the confounders of the quality improvement.
Nurse’s Role in Leading Change and Driving Improvements in the Quality and Experience of Care
Nurses play vital roles in leading change, driving improvements, and leading change. Their primary roles include contributing their knowledge and skills the developing innovations, implementing and influencing change, and evaluating these changes interventions (Sherwood & Barnsteiner, 2021). Nurses possess leadership and team-playing skills relevant to quality care delivery.
According to Huber (2022), interprofessional teams are liked with better care quality, patient safety, and job satisfaction among professionals and their leaders. Nurses play a vital role in a team by completing assigned roles in quality improvement. They also mobilize other nurses by educating them on the need for change and their roles in the quality improvement project.
Nurses are the closest professionals to patients and are vital to assessing patient problems and sensitizing other professionals. They observe the daily details, such as patient response to medication and other factors affecting their health. They provide vital perspectives to the interprofessional team that helps them improve care quality. Nurses possess knowledge and skills that they present to interprofessional teams, which help enhance the quality of care and patient safety, the primary basis for change and quality improvement projects.
Nurses also play vital roles in facilitating change. They implement most change interventions. They deliver most care interventions, such as medication administration, patient assessment, and patient education (Huber, 2022). Nurses constitute the largest group of healthcare professionals and thus contribute to the most significant task force in healthcare.
They facilitate change through interventions such as patient education. Informed consent and patient-nurse relationships are vital to patient involvement and the success of interventions. Nurses are thus critical to quality improvement projects, delivering quality and
Intervention’s Effects in Nursing, Interprofessional Collaboration, and Benefits to the Healthcare Field
The plan will have various effects on nursing and interprofessional collaboration. Nurses will collaborate with other care professionals in assessing, diagnosing, and following up on patients. They will also evaluate the intervention plan and how it will work. Plan evaluation ensures it achieves the desired outcomes while minimizing costs and improving patient safety (Rico-Olarte et al., 2018). The plan will thus increase nurses’ involvement and their workload.
The nurses will work with various professionals such as pharmacists, doctors, and nutritionists due to the nature of the interventions. They will collaborate with these professionals hence improving collaboration. The plan will ensure the quality and safety of nursing procedures. In addition, it will ensure precision in care delivery, better patient outcomes, and the nursing profession’s reputation.
The healthcare field will gain from the plan. Healthcare is a dynamic field that continually changes to accommodate new patient needs and improve care outcomes. The plan will contribute to the body of knowledge in healthcare, useful for planning and implementing change. Evidence-based and planned interventions are the basis for healthcare change, and the plan will be integral.
The healthcare field will benefit from the plan because it will use it to implement the desired change (Antonacci et al., 2018). Antonacci et al. (2018) note that process mapping, a project outline that includes the evaluation plan, ensures the institution is aware of all resources and processes, which helps implement projects efficiently and without wastage of scarce healthcare resources. It will steer quality care change and continuous healthcare improvement.
The plan will also serve as a reference to other improvement plans and will help guide the professionals in developing plans. Its success and shortcomings will help professionals improve future studies and projects and will thus help achieve better patient outcomes. Therefore, the plan is significant to the healthcare field.
The project could be improved using various change interventions to have a more significant impact on the population. Future improvements should consider other medications that could be sued to improve health in the population. More research on preventing metabolic disorders in the population should be employed (Chouinard & Öngür, 2020).
In addition, more studies should be conducted to understand the exact causes of metabolic disorders and address them while ensuring patients receive the best care interventions and are not limited to using one class of drugs. Current technologies such as CPOE and barcode medication administration can help address issues such as polypharmacy and reduce medication errors occurring when handling these medications.
The current project will also benefit from other care models and interventions developed to manage weight gain, such as remote patient monitoring technologies. For example, Sajan et al. (2021) propose a screening tool embedded in the health systems to improve metabolic syndrome screening in individuals with psychiatric disorders. Increased follow-up from these technologies will help improve healthcare delivery further and promote better patient outcomes.
Reflection on Leading Change and Improvement
The project has impacted my skills significantly. It has improved my skills in assessing and diagnosing problems and developing interventions to change them. The project has improved my view of problems and my knowledge of policies, ethical and legal implications, and the overacting role of stakeholders in any project.
The project has helped me appreciate the role and significance of interprofessional collaboration in healthcare and other projects. It has also helped me appreciate the role of team playing because leaders rely on the implementing professionals to achieve objectives. In addition, I have learned to appreciate the role of leadership and extensive planning and preparation in enhancing the success of projects. As a leader in the future, I will respect all professionals and ensure purposeful and objective planning, with extensive consultation of all stakeholders before implementing any project.
In addition, I will utilize existing literature to gain insights into best practices and promote my thinking abilities for a better and more effective leadership tenure. The project has changed my view of leadership and will significantly influence my decisions and actions in personal practice and as a leader.
The completed plans have increased insights into problem-solving in personal practice. I have gained knowledge in various ways, such as evaluating current practice for areas for improvement. The knowledge gained will help me evaluate myself to help drive improvement in personal practice.
The theories, leadership and management strategies, delivery models, and evaluation plan have significantly increased my knowledge and skills in leading change and promoting the development of QIs. The knowledge can be transferred to nursing education and professional development. The knowledge and skills utilized can be used to assess nursing education and plan its improvement for better learner outcomes and skills impaction.
Individuals can use the skills also to identify their personal needs and plan their improvement through education and other interventions. The plans can also help incorporate recommended evidence-based interventions in other areas, such as adding professional roles and opening for-profit service lines. Thus, the plans will be integral to my practice in driving quality improvement in other contexts.
An evaluation plan helps understand how an intervention will be evaluated, the time frame, and its basis. The evaluation plan for this intervention follows the objective-based evaluation model. The objectives created during the intervention and implementation plan development form the basis for the implementation plan. During the project development, I have learned a lot that will be useful for my future personal and professional development. I will use the knowledge learned to transform practice and drive change in the future in leadership and professional practice.
Antonacci, G., Reed, J. E., Lennox, L., & Barlow, J. (2018). The use of process mapping in healthcare quality improvement projects. Health Services Management Research, 31(2), 74-84. https://doi.org/10.1177/0951484818770411
Chouinard, V. A., & Öngür, D. (2020). Metabolic Syndrome Across Psychiatric Disorders. Psychiatric Annals, 50(8), 324-324. https://doi.org/10.3928/00485713-20200709-02
Hirode, G., & Wong, R. J. (2020). Trends in the prevalence of metabolic syndrome in the United States, 2011-2016. JAMA, 323(24), 2526-2528. https://doi.org/10.1001/jama.2020.4501\
Huber, C. (2022). Interprofessional Collaboration in Health Care. Praxis, 110(1), 3-4. https://doi.org/10.1024/1661-8157/a003808
Rico-Olarte, C., López, D. M., & Kepplinger, S. (2018, July). Towards a conceptual framework for the objective evaluation of user experience. In International Conference of Design, User Experience, and Usability (pp. 546-559). Springer, Cham. https://doi.org/10.1007/978-3-319-91797-9_39
Sajan, S. (2021). Implementation of metabolic screening tool to improve metabolic monitoring and reduce metabolic syndrome in psychiatric patients taking second-generation antipsychotic medications. (Doctoral dissertation, Rutgers University-RBHS School of Nursing). https://doi.org/10.7282/t3-74rb-3n07
Sherwood, G., & Barnsteiner, J. (Eds.). (2021). Quality and safety in nursing: A competency approach to improving outcomes. John Wiley & Sons.