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.
Evaluation Plan
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.
Discussion: Advocacy
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.
Future Steps
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.
Conclusion
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.
References
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.
Assessment 5 Instructions: Evaluation Plan Design
This assignment is related to the previous two
Develop a 4-6 page plan that will allow you to evaluate your intervention.
You will also be required to submit your completed practicum hours using CORE ELMS. You must submit a minimum of 20 confirmed hours with each assessment deliverable to receive a grade for the entire assessment.
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.
Once an intervention is planned and implemented it is important to evaluate the degree to which the outcomes of the project were achieved. By evaluating the desired outcomes of an intervention, it is possible to make more informed decisions about opportunities for continuous improvement. It is also possible to identify strategies and approaches that could be useful in improving one\'s personal practice in other contexts or care areas.
Preparations
Read Guiding Questions: Evaluation 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 specific piece or pieces of technology did you propose using in your implementation plan?
How did the type of technology you chose impact the development of your implementation plan?
How will the incorporation of the technology you propose make your implementation plan more successful?
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.
Your evaluation plan design will be the forth section of your final project submission. The goal for this is to finalize the outcomes that your plan is seeking to achieve and to create a plan to evaluate the degree to which those outcomes would have been achieved if your intervention plan has been implemented. This will allow you to determine the degree to which the plan was successful in addressing the identified need of your target population and setting.
You will also discuss ways in which your role allows you to lead change and drive quality improvement, and to potentially improve the project in the future. In addition, you will reflect on how the project will leave you better prepared for success in other aspects of your current and future career. Provide enough detail so that the faculty member assessing your implementation plan design and discussion will be able to provide substantive feedback that you will be able to incorporate 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 the Guiding Questions: Evaluation Plan Design [DOC] document 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, your planned intervention, and how you intended to implement your intervention (this should only be a single paragraph).
Reminder: These instructions are an outline. Your heading for this this section should be Evaluation of Plan and not Part 1: Evaluation of Plan.
Part 1: Evaluation of Plan
Define the outcomes that are the goal of an intervention plan.
Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.
Part 2: Discussion
Advocacy
Analyze the nurse\'s role in leading change and driving improvements in the quality and experience of care.
Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.
Future Steps
Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety.
Reflection on Leading Change and Improvement
Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions.
Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts.
Address Generally Throughout
Integrate resources from diverse sources that illustrate support for all aspects of an evaluation plan for an intervention, as well as for professional discussion about the plan.
Communicate evaluation plan and discussion of the project in a professional way that helps the audience to understand how the outcomes will be evaluated, as well as what was learned through the project process.
Practicum Hours Submission
You have been tracking your completed practicum hours each week using the CORE ELMS. By placing the hours into CORE ELMS, you will ensure you are accumulating all hours that are needed to meet the requirements for your specialization and degree.
Submit your CORE ELMS practicum hours tracking log showing a minimum of 20 confirmed hours per assessment. Reminder: Only confirmed hours will be considered for grading.
You will not receive a grade for this assessment without a practicum hours log showing a minimum of 20 confirmed hours for the time period of this assessment. Your faculty will review your hours to date and will contact you if he or she has any questions or concerns.
Additional Requirements
Length of submission: 4–6 double-spaced pages.
Number of resources: 3–6 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 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.
Reflect on how the project has impacted one\'s ability to lead change in personal practice and future leadership positions.
Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into one\'s personal practice to drive quality improvement in other contexts.
Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.
Analyze the nurse\'s role in leading change and driving improvements in the quality and experience of care.
Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.
Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.
Competency 4: Design patient- and population-centered care to improve health outcomes.
Define the outcomes that are the goal of an intervention plan.
Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care.
Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.
Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost.
Explain how the current project could be improved upon to create a bigger impact in the target population as well as take advantage of emerging technology and care models to improve outcomes and safety.
Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.
Integrate resources from diverse sources that illustrate support for all aspects of an evaluation plan for an intervention, as well as for professional discussion about the plan.
Note: You will also be assessed on two additional criteria unaligned to a course competency:
Communicate evaluation plan and discussion of the project in a professional way that helps the audience to understand how the outcomes will be evaluated, as well as what was learned through the project process.
Demonstrate completion of hours toward the practicum experience.
See the scoring guide for specific grading criteria related to these additional requirements.