Name
Capella University
NURS-FPX 6030 MSN Practicum and Capstone
Prof. Name
Date
The outcomes that serve as the goals of an intervention plan of a nurse-led care transition program focusing on improving resource management efficiency are multifaceted and interrelated. The overarching aim is to enhance the utilization of healthcare resources effectively. By optimizing the allocation of staff time, equipment, and supplies, the program strives to ensure that the right resources are available at the right time to meet the needs of postpartum mothers of preterm infants. This improved resource management is expected to lead to a more coordinated approach to care delivery (Depla et al., 2021). Streamlining communication and collaboration among healthcare providers involved in the care of these vulnerable populations can facilitate seamless transitions between care settings, ultimately enhancing the overall patient experience. In addition to improving coordination and resource allocation, the intervention plan also targets cost efficiency (Lyu et al., 2021).
By identifying waste areas, reducing unnecessary expenditures, and optimizing resource utilization, the program aims to generate cost savings for healthcare organizations and payers. Simultaneously, the goal is to increase patient satisfaction by improving access to care, minimizing wait times, and enhancing the quality of services provided to mothers of preterm infants. This focus on patient-centred care aims to ensure that the needs and preferences of patients and their families are met throughout the care delivery process (Kaiser et al., 2022).
On the positive side, the program is promising in enhancing resource utilization efficiency, promoting coordinated care delivery, achieving cost savings, boosting patient satisfaction, and driving better health outcomes for mothers and infants. These outcomes can transform care delivery processes, optimize resource allocation, and elevate the overall experience of patients and healthcare providers. However, implementing such interventions may encounter obstacles such as resistance from staff, resource constraints, sustainability concerns, increased staff workload, and data management complexities (Depla et al., 2021). Striking a balance between the benefits and challenges of these alternative outcomes is crucial in assessing the effectiveness and sustainability of the intervention program in achieving its overarching goal of enhancing resource management in the care of postpartum mothers of preterm infants.
Our comprehensive evaluation plan for assessing the impact of the nurse-led transition care program on health promotion and quality improvement is designed to provide a clear and detailed assessment of the intervention’s effectiveness. Combining quantitative and qualitative measures, we aim to capture a holistic view of how the program influences staff and mothers’ satisfaction and well-being. The quantitative aspect of the evaluation will focus on tracking improvements in health outcomes post-intervention by comparing data against a baseline. Hospital resource efficiency and cost-effectiveness will be measured to assess the program’s impact on healthcare utilization (Depla et al., 2021).
Qualitative feedback sessions will offer valuable insights into staff and mothers’ perceptions of the program and overall satisfaction with the intervention. By incorporating both data types, we seek a nuanced understanding of the program’s success. Utilizing specialized software for data analysis will aid in interpreting quantitative data accurately and efficiently, while qualitative data analysis tools will help derive patterns and insights from feedback (Samardzic et al., 2021). Through this evaluation plan, we aim to showcase the meaningful impact of the intervention, demonstrating improvements in health promotion, quality improvement, hospital resource efficiency, and cost-effectiveness (Depla et al., 2021). Assumptions guiding this plan include active participation in feedback sessions by staff and mothers, the reliability of monitoring tools, and effective communication among healthcare providers throughout the evaluation process.
Nurses play a crucial role as catalysts for positive change in healthcare. Positioned at the forefront of patient care, they are adept at identifying areas for enhancement and driving improvements. Through their close interactions with patients, nurses are uniquely positioned to lead initiatives that enhance the overall patient experience. When implementing new care approaches, nurses ensure that interventions are clinically effective and address patients’ holistic needs (Lyu et al., 2021). In multidisciplinary teams, nurses act as connectors, bridging diverse healthcare perspectives to deliver integrated care for patients. This collaborative approach, guided by the nurse’s expertise, forms the foundation of high-quality care where all healthcare professionals work together towards a shared goal (LaDonna et al., 2020). The underlying assumption is that nurses know current best practices and have the authority to advocate for and enact necessary changes.
The proposed intervention plan profoundly affects nursing and interprofessional collaboration within the healthcare system. Empowering nurses to lead these programs enhances their practice by allowing them to provide comprehensive care, education, and emotional support to mothers of preterm infants. Expanding their role improves the quality of care and utilizes their expertise in maternal and neonatal health more effectively. Moreover, implementing nurse-led care transition initiatives strengthens interprofessional collaboration by fostering communication, coordination, and understanding among healthcare team members caring for preterm infants and their mothers (Carron et al., 2021). Nurses act as facilitators, bridging the gap between professionals and ensuring that care is well-coordinated, holistic, and patient-centered.
This collaborative approach enhances the overall care experience and optimizes patient outcomes by addressing the diverse needs of both the mother and the infant. The healthcare field benefits significantly from nurse-led care transition programs through improved patient outcomes, reduced readmission rates, better resource management, and enhanced well-being for postpartum mothers and preterm infants. Additionally, these programs contribute to cost-effectiveness by promoting efficient care transitions, preventing complications, and minimizing healthcare utilization. By emphasizing evidence-based practices, patient-centered care, and continuous quality improvement, nurse-led care transition programs elevate the standard of care delivery and drive innovation in healthcare settings (Samardzic et al., 2021).
Integrating emerging technology and advanced care models is crucial to enhancing nurse-led care transition programs’ impact on preterm mothers of preterm infants. Incorporating telehealth and remote monitoring systems can establish continuous connections between caregivers and healthcare professionals, enabling real-time assessment and support for preterm infants (Sarik & Matsuda, 2023). Furthermore, comprehensive education programs focusing on the unique needs and behaviors of preterm babies, as well as peer support networks for mothers, can provide holistic support. However, these improvements are based on assumptions regarding the accessibility and acceptance of technology by preterm mothers and the effectiveness of early detection systems in predicting complications and improving outcomes (Scott et al., 2021).
Leading the nurse-led care transition program for post-partum mothers of preterm infants has significantly impacted my ability to lead change in my practice and future leadership positions. The experience has allowed me to develop a deeper understanding of the complex needs of preterm infants and their mothers, the importance of holistic care, and the integration of technology in healthcare. This has empowered me to advocate for innovative and patient-centered care models, driving positive change within my practice and inspiring a vision for future leadership roles.
My goals for future personal growth include furthering my knowledge of emerging healthcare technologies and their application in improving patient outcomes. Additionally, I aim to enhance my leadership and communication skills to influence stakeholders and effectively drive meaningful change within healthcare organizations. Furthermore, I aspire to expand my expertise in patient education and support programs, focusing on empowering caregivers and improving the overall experience of preterm infant care.
The knowledge gained from this intervention plan goes beyond its original context and holds significant value for diverse settings. Combining established practices and advanced technology ensures the plan’s flexibility in different healthcare scenarios. This adaptable approach, which prioritizes personalized care supported by evidence-based practices and strong interprofessional collaboration, can act as a model for interventions in various healthcare environments. However, it is essential to consider conflicting evidence and perspectives impartially, recognizing the challenges and limitations outlined in the literature, such as the necessity for well-designed studies to demonstrate the effectiveness of quality improvement practices. This balanced approach will facilitate the seamless integration of intervention, implementation, and evaluation plans into my practice while remaining receptive to diverse viewpoints and evidence.
Carron, T., Rawlinson, C., Arditi, C., Cohidon, C., Hong, Q. N., Pluye, P., Gilles, I., & Peytremann-Bridevaux, I. (2021). An overview of reviews on interprofessional collaboration in primary care: Effectiveness. International Journal of Integrated Care, 21(2). https://doi.org/10.5334/ijic.5588
Depla, A. L., Crombag, N. M., Franx, A., & Bekker, M. N. (2021). Implementation of a standard outcome set in perinatal care: A qualitative analysis of barriers and facilitators from all stakeholder perspectives. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06121-z
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022). Interprofessional collaboration and patient-reported outcomes in inpatient care: A systematic review. Systematic Reviews, 11(1). https://doi.org/10.1186/s13643-022-02027-x
LaDonna, K. A., Watling, C. J., Cristancho, S. M., & Burm, S. (2020). Exploring patients’ and physicians’ perspectives about competent health advocacy. Medical Education. https://doi.org/10.1111/medu.14408
Lyu, Q., Huang, J., Li, Y., Chen, Q., Yu, X., Wang, J., & Yang, Q. (2021). Effects of a nurse led web-based transitional care program on the glycemic control and quality of life post hospital discharge in patients with type 2 diabetes: A randomized controlled trial. International Journal of Nursing Studies, 119, 103929. https://doi.org/10.1016/j.ijnurstu.2021.103929
Sarik, D. A., & Matsuda, Y. (2023). Baby steps: Improving the transition from hospital to home for neonatal patients and caregivers through a nurse-led telehealth program. Springer EBooks, 25–50. https://doi.org/10.1007/978-3-031-22152-1_3
Sarik, D. A., Matsuda, Y., Terrell, E. A., Sotolongo, E., Hernandez, M., Tena, F., & Lee, J. (2022). A telehealth nursing intervention to improve the transition from the neonatal intensive care unit to home for infants & caregivers: Preliminary evaluation. Journal of Pediatric Nursing, 67, 139–147. https://doi.org/10.1016/j.pedn.2022.09.003
Scott, I. A., Carter, S. M., & Coiera, E. (2021). Exploring stakeholder attitudes towards AI in clinical practice. BMJ Health & Care Informatics, 28(1), e100450. https://doi.org/10.1136/bmjhci-2021-100450
Wei, H., Horns, P., Sears, S. F., Huang, K., Smith, C. M., & Wei, T. L. (2022). A systematic meta-review of systematic reviews about interprofessional collaboration: Facilitators, barriers, and outcomes. Journal of Interprofessional Care, 36(5), 735–749. https://doi.org/10.1080/13561820.2021.1973975
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