NURS FPX 8040 Assessment 4 Project Charter Part 4: Poster Presentation

Part 1

Project Overview

Project Name 

Initiating Fight against Coronary Artery Disease through Awareness.

Gap Analysis 

Awareness regarding Coronary Artery Disease (CAD) is essential for early detection, prevention, and treatment. Awareness leads to better health outcomes for the population and tends to reduce the economic burden caused by CAD. In 2020, about 697,000 people died from heart disease (Centers for Disease Control and Prevention, 2022). This disease has cost the US about $229 billion from 2017 to 2018. It is estimated that about 20.1 million adults have CAD (Centers for Disease Control and Prevention, 2022). The quantifiable desired condition for the US would be a reduction in the incidences of CAD, with an increased number of people recognizing the symptoms and seeking medical attention due to increased awareness of the disease. The desired situation would be more people, by 30%, adopting healthier lifestyles, a decrease in the incidence of CAD by 10%, and a 20% increase in the number of people seeking medical conditions. All of this must be achieved in the two years of the intervention of awareness programs. This improvement is essential to reduce the rate of heart failure, heart attacks, and mortality prevailing due to CAD. The methods that can be utilized to identify the gap and measure the improvements can be through surveys to assess the knowledge of adults aged 20 and above. There can be an analysis of the hospital data, like the mortality and hospitalization rates, to identify the gaps in awareness. Focus groups can be organized for the adults to discuss their attitudes, perceptions, and experiences, including their knowledge of the disease and how it has impacted their lives. According to the literature, a community educated on CAD can be beneficial in reducing heart failures or heart attacks (Aminde et al., 2017).

Current State

Desired State

Identified Gap

Methods used to identify the Gap

Implications/Relevance to Identified Population

Unawareness of CAD and related complications and mortality.

Enhanced awareness of CAD, its symptoms,  complications if left untreated, self-management, and treatment options.

Unawareness of CAD, its risk factors, symptoms, management, treatment, and prevention factors.

Surveys, focus groups, and analysis of hospital data 

Improve living standards

Evidence to Support the Need

According to a credible resource, CAD is the most common cause of mortality among adults in the US.

Healthcare services for CAD cost more than 200 billion dollars annually (Brown et al., 2022). Lack of awareness and understanding of CAD leads to further complications due to delayed diagnosis and treatment. Education and counseling are known to mitigate the risks of this disease leading to prevention (Brown et al., 2022). According to the research, CAD is highly associated with lifestyle, and preventable risk factors are related to dietary patterns. Increases in urbanization have led to unhealthy lifestyle modifications leading to CAD (Maleki et al., 2019). An increase in awareness can lead to healthier lifestyle modifications. The primary factor affecting mortality and Disability Adjusted Life Years (DALY) loss is CAD. The stressors include high blood pressure, obesity, drinking, intoxication, sedentary lifestyle, and improper dietary practices. The literature supports public health strategies, risk factor prevention programs, and mass media campaigns to promote healthy behaviors and address the prevalence of this disease (Ralapanawa & Sivakanesan, 2021).

Problem Statement

Lack of awareness regarding CAD and its complications among adults is a serious health challenge resulting in delayed diagnosis and treatment, leading to increased complications and mortality rates among the population. Developing educational programs targeted to the adult population can improve awareness resulting in earlier diagnosis, effective management, and better prevention.

SMART Objectives

SMART goals are essential to lay out the objective that would clarify what needs to be achieved with greater accountability, focus, and motivation. 

• Specific: Increase awareness of CAD, its risk factors, symptoms, self-management, and treatment or prevention options.
• Measurable: A pre-and post-education survey would be used to measure the change in knowledge.
• Achievable: It is realistic with the usage of social media resources and other forms of outreach through campaigns to improve awareness is realistic.
• Relevant: It is essential, meaningful, and aligns with the organizational mission and values to improve prevention, early diagnosis, and self-management. This will improve the health outcomes for adults in the US. Time: This project will begin in the year of June and will be ending precisely a year later to achieve at least a 35% increase in awareness.

Project AIM

The project aims to improve the awareness of CAD among the adult population with the specific goal of achieving an increase of 35% in knowledge regarding CAD through targeted educational campaigns within one year. Pre- and post-educational campaign surveys will be provided to measure the outcomes. Adults who are at high risk or already diagnosed would be the primary beneficiaries of this project. These adults would benefit from enhanced knowledge through professionals and evidence-based educational campaigns through healthcare outreach channels, social media, and the community. The educational campaigns would target adults at risk or already diagnosed in the region’s urban and rural areas. This project will start around June 2023 and end exactly a year later, around June 2024. The surveys would be conducted in a targeted group before and after implementing this program to measure the change. The educational campaigns would be clear, concise, and visually appealing for enhanced communication to engage the adults. The campaigns would be prepared by the relevant healthcare professionals of CAD, community partners, and researchers. All of these members would have expertise in CAD management and prevention. Get free NURS FPX 8040 Assessment 4 Project Charter Part 4: Poster Presentation

Aminde, L. N., Takah, N. F., Ngwasiri, C., Noubiap, J. J., Tindong, M., Dzudie, A., & Veerman, J. L. (2017). Population awareness of cardiovascular disease and its risk factors in Buea, Cameroon. BMC Public Health, 17(1). https://doi.org/10.1186/s12889-017-4477-3

Brown, J., Gerhardt, T., & Kwon, E. (2022). Risk Factors For Coronary Artery Disease. https://www.ncbi.nlm.nih.gov/books/NBK554410/

Centers for Disease Control and Prevention. (2022a, October 14). Heart Disease Facts | cdc.gov. https://www.cdc.gov/heartdisease/facts.htm

Maleki, A., Ghanavati, R., Montazeri, M., Forughi, S., & Nabatchi, B. (2019). Prevalence of Coronary Artery Disease and the Associated Risk Factors in the Adult Population of Borujerd City, Iran. The journal of Tehran Heart Center, 14(1), 1–5.

Ralapanawa, U., & Sivakanesan, R. (2021). Epidemiology and the Magnitude of Coronary Artery Disease and Acute Coronary Syndrome: A Narrative Review. Journal of Epidemiology and Global Health, 11(2), 169. https://doi.org/10.2991/jegh.k.201217.001

Part 2

Project Team

Title

Department

Role

Executive Sponsor

Office Manager

Cardiovascular services at Vila Health

Executive sponsors are senior leaders who oversee all the relevant projects and services regarding the department (Van Dam et al., 2020). They have all the briefing of the program at regular intervals. Alan has been working for Vila Health for several years, a nonprofit academic center. This clinic is famous for providing quality care services to patients with enhanced research and promoting health education, maintaining a significant presence in the US. Alan oversees several operations in the cardiology departments, the important ones being raising awareness. Alan has experience leveraging his expertise and allocating resources to implement a comprehensive awareness campaign.

Team Members 

Title/Department and/or Affiliation

The Rationale for Selection/Contribution to the Project

Registered Cardiac Nurses

Amy has 10 years of experience working as a cardiac nurse in Vila Health. She has been working closely with the patients, educating them and the other nursing staff, and orienting them on care coordination.

Project Manager

John has been overseeing all the projects in the Vila Healthcare organization for over 13 years. He works closely with the members of other departments coordinating their efforts. His responsibility is to ensure that the project stays on track and meets its goals.

Coming from a background African-American, John knows diversity and the provision of culturally competent care.

Cardiologist

Dr. Jenna has 30 years of experience in medicine and is the most integral part of the Vila Health to promote awareness of Coronary Artery Disease (CAD) to prevent the sufferings of the people of the community who may be at risk.

Marketing Director

Charles, having a 5-year of experience as a marketing director, is responsible for developing and implementing the marketing strategy on CAD awareness. He would work closely with John, the project manager, to develop a message that resonates well with the target audience.

Patient Service Representative

Emma is the first point of contact for the individuals getting in touch. She is vital in connecting families, recording data, and keeping the families’ experiences as records.

Research Analyst

Henry has five years of experience as a research analyst and would be an integral part of the team. He would be collecting and analyzing all the data on CAD, like the prevalence rate, risk factors, hospitalizations, success of the program, and prevention rates. Henry would work closely with all the team members to ensure the data was correct and communicated effectively.

Team Leader

Primary care physicist 

Jack has been a primary care physician for about 20 years at Vila Health; being a family doctor, he has enhanced communication and collaboration skills, striving to recognize the needs of patients and their families. Jack is skilled in coordinating care, making him suitable for the leadership role. He is responsible for the day-to-day management of CAD in patients. He has expertise in evaluating risk factors, making treatment plans, doing tests, and looking for signs of other diseases (Government of Alberta, n.d.). Jack can utilize two types of leadership to benefit this project. One is transformational leadership which incorporates evidence-based practices through extensive research. This leadership inspires the staff members at Vila Health and helps them adapt to any changes that may take place in the project. Transformational leadership is a role model that motivates all the other team members to do their best, positively impacting their performances (Charalambous & Kelly, 2018). This will help Jack lead a successful campaign by effectively addressing any obstacles that may arise through effective change management and motivational strategies (Charalambous & Kelly, 2018).

Another is the strategic leadership to improve all the practices in the frontline and prepare the workforce for meeting the community’s needs through awareness campaigns. The specialty of strategic leadership is that they think and plan, keeping the future in mind. There is a promotion of corporate spirits through the provision of directions and building partnerships (Sritoomma & Wongkhomthong, 2021). This sort of leadership works towards the objective of the organization of Vila Health and the program even better by keeping all the factors of the future in check when planning. Changes are managed, and resources are used effectively (Sritoomma & Wongkhomthong, 2021). The goals with this sort of leadership will be measurable to improve and evaluate the future.

Stakeholders

NURS FPX 8040 Assessment 4 Project Charter Part 4: Poster Presentation

All the stakeholders mentioned below have an essential connection with the project’s success, that is, for the targeted population of adults who may be at risk or diagnosed with CAD. This project will raise awareness of the disease, its symptoms, risk factors, treatment, self-management, and complications if left untreated. This promotes knowledge for early diagnosis and treatment of CAD, which will avoid heart attacks, heart failures, or even death.

Title/Role or Affiliation

Connection to the Project

How Affected/Impacted by the Project?

Contribution to the Project

Patients with CAD: Louis, James, and Chloe

Primary Stakeholders

Directly impacted by the project as it aims to improve their knowledge.

Their knowledge will be measured to evaluate the success of the project. These patients come from diverse age groups, gender, and ethnic backgrounds giving a better idea of the patients of CAD to assess the best strategies for most patients.

Government agencies:

Centers for Disease Control and Prevention (CDC) (Centers for Disease Control and Prevention, 2023)

Secondary stakeholders

Critical for the project’s success.

May provide funding to the project, support the education campaigns, and monitor the progress. They can also develop policies on CAD prevention.

Nursing Staff:

Rachel, Angelo, and Mark

Primary stakeholders

Work closely with the patients and other nursing staff.

They will regularly observe and communicate with the participants to highlight any challenges or conflicts so the organization can be aware. 

Patients with CAD: Louis, James, and Chloe

Primary Stakeholders

Directly impacted by the project as it aims to improve their knowledge.

Their knowledge will be measured to evaluate the success of the project. These patients come from diverse age groups, gender, and ethnic backgrounds giving a better idea of the patients of CAD to assess the best strategies for most patients.

Government agencies:

Centers for Disease Control and Prevention (CDC) (Centers for Disease Control and Prevention, 2023)

Secondary stakeholders

Critical for the project’s success.

May provide funding to the project, support the education campaigns, and monitor the progress. They can also develop policies on CAD prevention.

Nursing Staff:

Rachel, Angelo, and Mark

Primary stakeholders

Work closely with the patients and other nursing staff.

They will regularly observe and communicate with the participants to highlight any challenges or conflicts so the organization can be aware. 

Communication Plan

The communication plan would keep all the stakeholders, team members, and the executive sponsor in the loop. The purpose of the communication plan would be to keep them informed on the project’s challenges, progress, and success. The executive sponsor will receive monthly progress updates with a quarterly project review. Whereas the team members and stakeholders would be part of weekly meetings in person or through social media, emails, zoom, or Skype. The content of the communication with the executive sponsor would be on key performance indicators (KPIs), project updates, strategic recommendations, and action items to engage the stakeholders. The content of the communication with the team members would be the project timeline, tasks, deadlines, and other updates related to the project. The executive sponsor and team members will ensure that the project aligns with the organization’s mission. The objective of the communication plan is to keep a smooth flow of information among the stakeholders and team members, encourage the participation and engagement of stakeholders, and keep the stakeholders informed on the project (Elwy et al., 2022). This communication plan will keep all the cultural and ethical considerations in check. The communication will be clear and concise for better understanding. The communication must be sensitive to language differences with translation options and ensure they are culturally appropriate. The timing of this communication plan would be regular during the week among the stakeholders and the team members. For the executive sponsor, there will be monthly presentations, progress reports, and meetings with the team.

References

Centers for Disease Control and Prevention. (2023, March 7). CDC Division for Heart Disease and Stroke Prevention (DHDSP) Home. https://www.cdc.gov/dhdsp/index.htm

Charalambous, A., & Kelly, D. (2018). Promoting a safety culture through effective nursing leadership in cancer care. European Journal of Oncology Nursing, 36, vi–vii. https://doi.org/10.1016/j.ejon.2018.10.002

Elwy, A. R., Maguire, E. M., Kim, B. Y., & West, G. N. (2022). Involving Stakeholders as communication partners in research dissemination efforts. Journal of General Internal Medicine, 37(S1), 123–127. https://doi.org/10.1007/s11606-021-07127-3

Government of Alberta. (n.d.). Coronary Artery Disease: Roles of Different Doctors. https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=ue4694abc

Sritoomma, N., & Wongkhomthong, J. (2021). The strategic leadership competencies of chief nurse executives in private hospitals in Thailand. Journal of Nursing Management, 29(7), 2047–2055. https://doi.org/10.1111/jonm.13361

Van Dam, P. J., Griffin, P., Peterson, G. M., Reeves, N., Kirkwood, L., & Prior, S. L. (2020). Organizational Support in Healthcare Redesign Education: A Mixed-Methods Exploratory Study of Expert Coach and Executive Sponsor Experiences. International Journal of Environmental Research and Public Health, 17(15), 5308. https://doi.org/10.3390/ijerph17155308. 

Part 3

Intervention

Planned Intervention

The planned intervention is an awareness program that will be on a community level while collaborating with neighborhood groups like churches and schools. The change strategy will include development and spreading of culturally sensitive educational materials to improve the awareness of Coronary Artery Disease (CAD) (Hassen et al., 2022). The campaign will be marketed using social media, channels, and newsletters to spread facts, prevalence, prevention measures, and risk factors on CAD. The team members that will be involved are nursing staff, cardiologists, community leaders, patients, government bodies, project manager, executive sponsor, and marketing manager. The implementation of this awareness program will be through workshops in Vila Health, community events, and online resources on the Vila Health website. The community events will include educational sessions, interactive workshops, and health screenings. These events can be held in the Vila Health and public spaces. The timeline for this project would be 12 months with monthly meetings among the stakeholders and community events. The success of this project will be evaluated through pre and post-awareness sessions.

Measurement: Proposed Outcomes

Develop outcome, process, and counter/balancing measures for your project.

Outcome Measure 

• What is the desired outcome in measurable terms?
• Compare to the SMART objective you developed that is stated in measurable terms.
• This is the desired outcome after the intervention has been implemented and is stated in very specific and measurable terms with time parameters.

Process Measure

State 1–2 process measures that address:

• Are you doing the right things to get to the outcome? 
• Are the steps in the process leading to the planned outcome? 
• These should be specific and in measurable terms.

Counter/Balancing Measure 

As you are not implementing the project, develop counter/balancing measures that might be anticipated if the planned intervention is implemented.

• Consider the potential for the changes being made to cause problems in other areas that may not be anticipated.

The most crucial objective of this project would be to increase the number of people who are aware of CAD symptoms, risk factors, self-management, and preventive measures by at least 38% of the current situation. It can be measured through records maintained by Vila Health over the years.

Developing and spreading educational materials that are clear, concise, and culturally sensitive through presentations, videos, and brochures. It can be measured through feedback from the patients.

Developing and spreading educational materials that are clear, concise, and culturally sensitive through presentations, videos, and brochures. It can be measured through feedback from the patients.

Increase in the number of people seeking medical help for the symptoms of CAD.

Organizing monthly community events, interactive workshops, and health screenings for adults at risk and diagnosed.

Despite fostering enhanced communication and collaboration among the team members, there can be limited participation from the target population of adults in the activities being held. This would lead to a decreased impact than expected.

Increase in the number of people adopting a healthier lifestyle.

Conducting pre and post-surveys from the intervention to assess the changes in behavior and health.

Cultural differences among adults can impact the effectiveness of the intervention. As people from different cultures can have different perceptions on lifestyle modifications and be less receptive to certain educational materials.

Data Collection & Management

Use the table below to develop a plan for the collection, management, and stewardship of the data you will collect for your Project Charter. Use at least one source/citation to support your data collection plan.

Data Collection

• What data will be collected? Be specific!

Data Collector

• Who will collect the data? Explain their role and why this person(s) is selected.

Collection Timeline

• When will data be collected?  Provide a beginning and ending time frame.

Data Storage/Protection

• How will the data be stored?
• How will it be protected? Consider security, de-identification, confidentiality, and anonymity.

Diversity, Equity, and Inclusion  

• How will the data be interpreted? Do you have any concerns about how bias might affect data collection, interpretation, or application?

Baseline Knowledge of CAD: Assessed through a survey before the implementation.

Survey Administrators: This person will be experienced in data management and survey administration.

Pre-implementation of the project: Methodological approach to gathering all the necessary information that can be compared later on.

Encrypted and password-protected electronic databases are only accessible to authorized users.

Any patterns or trends will be noted. It will be ensured that all the participants are provided to eliminate any bias.

Rate of Participation: Measured by dividing the number of people invited by the people who came.

Project Manager: The role of engaging the participants, inviting them, and analyzing the number of participants who made it.

On a weekly basis during the implementation: Data on participants will be monitored, recorded, stored, and assessed.

Encrypted and password-protected electronic databases are only accessible to authorized users.

Numerous analysts will participate to reduce any bias in data collection. The team must communicate and be transparent to avoid any bias or limitations.

Gain in knowledge: Assessed through survey after intervention.

Survey Administrator: They will also know how to gauge the understanding of the participants and their opinions.

Post-implementation of the project: Data will be evaluated after the project is concluded in a year to create a summary.

Encrypted and password protected electronic databases: They will be only accessible to authorized users. There needs to be compliance with policies like HIPAA (Moore & Frye, 2019). 

Statistical analysis to determine the effectiveness of the project. Standardized survey questions will be used to reduce bias.

Feedback: Feedback will be requested from participants through questionnaires on areas that need to be maintained and improved.

Survey Administrator: They will also be responsible for distributing questionnaires.

Post-implementation of the project: To identify any gaps in the project with carefully designed questions that can summarize the project well covering all aspects.

Encrypted and password protected electronic databases only accessible to authorized users.

The similarities in the responses will be noted to analyze what was the most helpful elements or the most conflicting. 

Ethical Leadership

This project aims to raise awareness of CAD to reduce the hospitalizations related to heart failures and reduce the mortality rate ensuring a healthy life for the people of the community and the patients of CAD. This project aims to benefit the target audience of this project which are adults of 20 years old and above of all genders and ethnic backgrounds. There is no harm associated with this project whatsoever, but there is a risk of harm in cases of any false information that may cause misunderstandings. If this project fails to include vulnerable people, for example, people from lower socio-economic groups, it may lead to unequal health outcomes or health disparities. This project aims to include all the adults who are at risk of CAD including minorities and people of low socio-economic backgrounds. Since this project focuses on adults above 20 years old, it will exclude individuals under the specified age. This aligns with ethical leadership as it tends to promote accurate evidence-based information to the community to promote wellness and health equity. This project ensures that all the resources are provided to the people in need, especially the vulnerable population with culturally competent educational materials. Leadership styles like transformational and strategic leadership would be utilized. Transformational leadership will be practiced by promoting motivation, promoting collaboration, and leader being an inspiration to empower the team members (Charalambous & Kelly, 2018). Strategic leadership will ensure that the needs of vulnerable populations are prioritized, and everything being developed and practiced must be workable for the future as well (Sritoomma & Wongkhomthong, 2021). The specialized skills that will be utilized for this are cultural competency, communication, collaboration, and community engagement. Practices like community-based participatory research will also be implemented to ensure that the project meets all the needs on a community level. The well-being of the participants will be ensured by allowing effective change management strategies through transformational leadership, the provision of adequate resources, and the provision of accurate and reliable evidence-based information. There will be regular evaluations and a process of feedback to ensure that the participants are not facing any challenges and that there are no conflicts.

SWOT Analysis

Strengths

Some of the assets of Vila Healthcare facility that will be useful for this project are the healthcare professionals with expertise the field of cardiology. The support of the stakeholders in the organization will provide the necessary resources and motivation required for this project to take off. The collaboration of the organization of Vila Health with several governmental agencies can provide additional support and resources.

Weaknesses 

The organization lacks financing and leadership roles. Due to lack of leadership, the organization has struggled with changes being implemented through policies and projects in the past. The lack of funding and staff is another weakness of Vila Health which may hinder the project to be successful. Problems like technical difficulties and difficult in usage of technologies have arisen in the past which need to be overcome so the quality of the intervention is not compromised.

Opportunities

The expertise and engagement of the stakeholders is something that may help the project to be successful with maximum participation. Collaborative partnerships with other agencies will broaden the exposure and allow more funding so financing the project is not a challenge.

Threats

The potential threats can be some of the external factors that will not be in the control of Vila Health. These factors can include public health emergencies, economic crises, and natural disasters. This may hinder the project to meet its objectives. For this, Project Management Institutes (PMI) can help provide resources to risk management which includes courses, articles, and webinars (Project Management Institute, 2023).

References 

Charalambous, A., & Kelly, D. (2018). Promoting a safety culture through effective nursing leadership in cancer care. European Journal of Oncology Nursing, 36, vi–vii. https://doi.org/10.1016/j.ejon.2018.10.002

Hassen, H. Y., Ndejjo, R., Van Geertruyden, J., Musinguzi, G., Abrams, S. A., & Bastiaens, H. (2022). Type and effectiveness of community-based interventions in improving knowledge related to cardiovascular diseases and risk factors: A systematic review. American Journal of Preventive Cardiology, 10, 100341. https://doi.org/10.1016/j.ajpc.2022.100341

Project Management Institute. (2023). PMI. https://www.pmi.org/

Moore, W., & Frye, S. (2019). Review of HIPAA, Part 1: History, protected health information, and privacy and security rules. Journal of Nuclear Medicine Technology, 47(4), 269–272. https://doi.org/10.2967/jnmt.119.227819

Sritoomma, N., & Wongkhomthong, J. (2021). The strategic leadership competencies of chief nurse executives in private hospitals in Thailand. Journal of Nursing Management, 29(7), 2047–2055. https://doi.org/10.1111/jonm.13361