NURS FPX9100 Assessment 6 Project Charter

NURS FPX9901 Assessment 3 Doctoral Project Implementation Plan

            NURS FPX9901 Assessment 3 Doctoral Project Implementation Plan: For the staff caring for in-patients diagnosed with COPD (P), how do nutritional and telehealth interventions (I) compare to standard care/ current practices affect lung function values and reduced readmission rate (O) over ten weeks (T)?

Project Description

            The project is related to staff education on nutritional and telehealth intervention for improving lung function and reducing readmission rates in COPD patients because staff unawareness about adequate interventions causes a delay in treatment. The project aims to reduce the readmission rate by utilizing the proposed interventions for Chronic Obstructive Pulmonary Disease (COPD) patients. Nutritional and telehealth-based interventions allow staff to deliver dietary modification with nutritional and remote service through telehealth intervention (Konstantinidis et al., 2022). The evidence-based studies have been incorporated into this project, which provided adequate guidelines for implementing these interventions on COPD patients.

            The proposed project’s target population is the staff caring for in-patients diagnosed with COPD (P). Get NURS FPX9901 Assessment 3 Doctoral Project Implementation Plan by interventions being investigated are nutritional and telehealth interventions (I). Nutritional interventions may involve dietary modifications, specialized meal plans, or nutritional supplements tailored to COPD patients. Telehealth interventions may include remote monitoring, video consultations, or digital platforms for communication and support (Wong et al., 2022).

NURS FPX9901 Assessment 3 Doctoral Project Implementation Plan 

            This project’s primary outcomes of interest are improved lung function values and reduced readmission rates (O). Lung function values can be measured using spirometry tests, which assess lung capacity, airflow, and other respiratory parameters. Readmission rates indicate the frequency of patients returning to the hospital within a specific period after their initial discharge (Wong et al., 2022). The proposed project aims to compare the effects of nutritional and telehealth interventions with standard care/current practices on lung function values and readmission rates among in-patients with COPD (C). The duration of the study is ten weeks (T).

            The nutritional interventions will be implemented as part of staff education. For this purpose, a need assessment will be conducted to assess the specific educational need of the staff, which can be done through surveys, questionnaires, and interviews to identify knowledge gaps and areas where additional education is required. Based on the needs assessment findings, a comprehensive curriculum will be developed that covers essential topics related to nutrition and COPD. This curriculum should include information on the role of nutrition in COPD management, dietary assessment methods, principles of creating personalized dietary plans, and strategies for nutrition counseling. The conduct of training sessions or workshops for the staff, led by nutrition experts or registered dietitians, will be needed. These sessions can include lectures, case studies, interactive discussions, and hands-on exercises to enhance understanding and practical application of nutrition principles. Provide staff with relevant resources and educational materials to support their learning. The data can include handbooks, manuals, guidelines, and reference materials on nutrition and COPD.

Doctoral Project Implementation Plan 

            Telehealth intervention learning is also important, and part of the project is to improve lung function and reduce readmission rates in COPD patients. For this purpose, telehealth technologies and platforms will be utilized in the project, including video conferencing software, remote monitoring devices, digital communication tools, and electronic health record systems. Provide training sessions to staff on the fundamentals of telehealth, including the benefits, limitations, and best practices. The sessions will cover virtual consultations, remote patient monitoring, data security, and privacy considerations. Conduct demonstrations of telehealth workflows to familiarize staff with scheduling virtual consultations, conducting remote assessments, and documenting telehealth encounters.

Offer opportunities for staff to gain hands-on experience with telehealth technologies. The opportunities can involve practice sessions where they engage in virtual consultations with mock patients, use remote monitoring devices, or explore digital communication tools. Feedback and guidance should be provided to enhance their proficiency. Grant staff access to resources and educational materials related to telehealth and collaborate closely with the organization’s IT department to address technical aspects of telehealth implementation.

NURS FPX9901 Assessment 3 Doctoral Project Implementation Plan 

            Quality/Performance Improvement (QI/PI) practices are also implemented to improve lung functions and reduce COPD patient readmission rates by enhancing staff education on proposed interventions. The QI/PI framework model used is the PDSA (Plan-Do-Study-Act) cycle. PDSA explains the scenario and project implementation process (Freedman, 2019). The data collected to be analyzed related to lung function values and readmission rates of COPD patients for the staff. The COPD Knowledge Questionnaire (CKQ) tool is used to help validate the knowledge and progress toward QI/PI objectives related to improving COPD management practices (Freedman, 2019). By examining the abovementioned factors, the project intends to provide insights into whether nutritional and telehealth interventions can improve lung function values and reduce readmission rates compared to the current practices (Freedman, 2019). The results of this study could inform future interventions and practices aimed at enhancing the care and outcomes of COPD patients.

Objective(s)

Key Action Step(s)

Expected Outcome(s)

Data Evaluation and Measurement(s)

Person/Area Responsible(s)

Staff education on Nutritional and telehealth intervention to reduce the readmission rate and improve lung functions of COPD patients

 

Meet with respective staff that will deliver education to staff about the intervention.

The educational needs of the staff caring for COPD patients require identifying nutritional and telehealth interventions.

The hands-on sessions will be organized to familiarize the staff with practical aspects of implementing nutritional interventions, such as meal planning, dietary modifications, and supplementation recommendations.

Training on utilizing telehealth platforms, remote monitoring devices, and communication tools effectively for telehealth interventions will be provided.

The meeting will improve the awareness of staff regarding interventions for COPD patients.

Staff competency will be improved for implementing nutritional and telehealth interventions.

Staff confidence will be increased in delivering patient education and support for both interventions.

Improved adherence to evidence-based practices for COPD management.

Collaboration and communication among staff will be improved.

Surveys or questionnaires like CKQ can be administered to assess staff confidence, competence, and perceived effectiveness in implementing nutritional and telehealth interventions (Hu et al., 2022).

Educational materials such as training modules, guidelines, and resources will be developed to educate the staff.

Pre- and post-training assessments will be conducted to measure the knowledge gain and retention among the staff.

Comparison of readmission rates and improvement in lung function values to assess the impact of interventions (Kwon et al., 2020).

The staff handling COPD patients will sign the sheet, representing they have received the education regarding intervention implementation (Freedman, 2019).

Ms Erica is the project’s team leader specializing in COPD care management. She can provide expert guidance and leadership in implementing proposed interventions such as nutritional counselling and telehealth services. 

  NURS FPX9901 Assessment 3 Doctoral Project Implementation Plan

Assess the impact of nutritional interventions on lung function values and readmission rates in COPD patients.

Collaborate with a nutritionist or dietitian to develop individualized nutritional plans tailored to the specific needs of COPD patients.

Implement the nutritional interventions, which include dietary modifications, nutritional counselling, and specialized COPD-friendly meals or supplements.

Monitor and record changes in lung function values, such as Forced Expiratory Volume In One Second (FEV1) and Forced Vital Capacity (FVC), at baseline and regular intervals throughout the intervention period (Kwon et al., 2020).

Track and document readmission rates of COPD patients during the intervention period and collect data on the reasons for readmission.

 

Improved lung function values, including increased FEV1 and FVC, among COPD patients receiving nutritional interventions (Kwon et al., 2020).

Reduced readmission rates among COPD patients who have undergone nutritional interventions.

Increased patient satisfaction and perceived improvements in overall well-being related to the nutritional interventions.

Better nutritional status, as indicated by improvements in Body Mass Index (BMI), muscle strength, and serum nutrient levels.

Descriptive statistical analysis will be performed to compare lung function values, readmission rates, and nutritional states between the baseline and intervention period (Freedman, 2019).

Patient medical records and hospital databases can be utilized to track readmission rates and reasons for readmission (Freedman, 2019).

The feasibility and acceptability of implementing the nutritional interventions will be assessed through feedback from staff through surveys, questionnaires, or interviews (Hu et al., 2022).

 

Saleena is a Registered Dietitian who can provide nutritional counselling expertise for patients with COPD. Jade is a Respiratory Therapist who can help develop respiratory care for patients with COPD. He can brief about respiratory care techniques and educate staff about respiratory breathing practices.

Assess the impact of telehealth intervention on lung function values and readmission rates in COPD patients.

Collaborate with healthcare professionals and IT experts to develop a telehealth infrastructure that meets the specific needs of COPD patients and the healthcare facility.

Provide training to healthcare staff on effectively using telehealth platforms, devices, and communication tools.

Implement telehealth interventions, including remote monitoring of lung function, regular video consultations with healthcare professionals (Rush et al., 2018), and digital platforms for communication and support.

Monitor and record changes in lung function values

Track and document readmission rates of COPD patients during the telehealth intervention period (Freedman, 2019)

 

Improved lung function values, including increased FEV1 and FVC, among COPD patients receiving telehealth interventions.

Reduced readmission rates among COPD patients undergoing telehealth interventions (Freedman, 2019).

Enhanced access to care, as indicated by improved patient outcomes and reduced barriers to healthcare services.

Increased patient satisfaction and perceived improvements in overall well-being related to telehealth interventions.

Statistical descriptive analysis can be performed to compare lung function values and readmission rates.

Adherence to telehealth interventions, such as the frequency of video consultations or remote monitoring utilization, can be measured and recorded (Rush et al., 2018).

 

Anna is a registered nurse that can provide effective leadership and guidance to ensure project objectives align with organizational goals. She can contribute to remote patient monitoring through telehealth. The nurse technician, Lina, can provide support by assisting with patient care. She can provide feedback for the improvement of intervention implementations.

Budget Allocation

The eligible stakeholders, including insurance companies and American Lung Association, will corporate in this project to attain the desired goals and provide funding.

Gain information and knowledge from insurance companies about the program and policies related to telehealth and nutrition for COPD patients (Freedman, 2019).

The healthcare costs associated with COPD management and readmissions will be reduced (Freedman, 2019).

Insurance companies will enhance financial stability and profitability by reducing patients’ expenses.

Statistical descriptive statistics will be applied

Patient satisfaction and perceived improvements in overall well-being can be assessed through surveys or questionnaires (Hu et al., 2022).

Qualitative feedback from participants and healthcare staff involved in the interventions can be gathered through interviews or focus groups to identify challenges and successes.

Insurance Companies and the members of the American Lung Association

Nutritional interventions and telehealth interventions will lead to improved lung function values and reduced readmission rates over ten weeks

Coordinate with eligible in-patients diagnosed with COPD and obtain their consent to participate in the study.

Randomly assign participants to nutritional and telehealth interventions and the control group (Lunney et al., 2018).

Develop and implement nutritional interventions, including personalized dietary plans, nutritional counselling, and provision of specialized COPD-friendly meals or nutritional supplements.

Implement telehealth interventions, which may involve remote monitoring of lung function, regular video consultations with healthcare professionals, and digital platforms for communication and support (Rush et al., 2018).

Provide standard care to the control group using the prevailing practices in the healthcare facility.

Track and document the readmission rates of participants during the ten weeks and collect data on the reasons for readmission (Freedman, 2019).

Improvement in lung function values, as indicated by increased FEV1 and FVC, among participants in the nutritional interventions and telehealth interventions group compared to the control group (Lunney et al., 2018).

Reduction in readmission rates among participants in the nutritional and telehealth interventions group compared to the control group.

Variation in lung function improvements and readmission rates in the nutritional and telehealth intervention groups (Lunney et al., 2018).

Positive patient satisfaction and perceived improvements in overall well-being in the intervention group.

  NURS FPX9901 Assessment 3 Doctoral Project Implementation Plan. Relevant tests and statistical analysis can be performed to compare the changes in lung function values and readmission rates among the nutritional and telehealth interventions and control groups.

Adherence to interventions can be measured and recorded, potentially using self-reporting or tracking of dietary intake for the nutritional interventions and tracking utilization of telehealth services for the telehealth interventions (Lunney et al., 2018).

Patient medical records and hospital databases can be utilized to track readmission rates and reasons for readmission.

Liam and Mary Smith (COPD patients and his caregiver), Ms Erica (COPD care specialist), and Team members (Jade, Saleena, Anna, Lina)

Educational materials, including supplies, posters, flyers, and other collateral

Create educational content, including written materials, visuals, and multimedia resources, related to the nutritional and telehealth interventions for improving lung function in COPD patients (Navarro et al., 2021).

Develop visually appealing and informative materials such as posters, flyers, brochures, and other collateral that effectively convey the key messages and educational content.

Print the educational materials in sufficient quantities and distribute them to the healthcare facility, staff members, and other stakeholders involved in the project (Navarro et al., 2021).

Provide training to the staff on effectively utilizing the educational materials during their educational sessions and patient interactions.

The distribution of educational materials aims to enhance the reach and dissemination of key information related to nutritional and telehealth interventions for COPD patients.

The availability of visually appealing and informative materials can enhance the quality and effectiveness of staff education sessions.

By providing educational materials to patients, they can access relevant information about COPD management, nutrition, and the benefits of telehealth interventions.

Track the distribution and utilization of educational materials, including the number of materials distributed to staff and patients (Navarro et al., 2021).

Gather feedback from staff members regarding the usefulness and effectiveness of the educational materials.

Evaluate staff members’ knowledge retention and understanding of the educational content by administering pre- and post-tests or quizzes (Navarro et al., 2021).

Healthcare providers and

staff

(Dr Johnson, Nurse

Anne, and Respiratory

Therapist Lee). They provide funding, resources, and support for the project in raising awareness about the interventions through educational materials.

 

 

References

Freedman, N. (2019). Reducing COPD readmissions. Chest, 156(4), 802–807. https://doi.org/10.1016/j.chest.2019.06.005

Hu, W., Li, T., Cao, S., Gu, Y., & Chen, L. (2022). Influence of nurse-led health education on self-management ability, satisfaction, and compliance of elderly patients with Chronic Obstructive Pulmonary Disease Based on knowledge, belief, and practice model. Computational and Mathematical Methods in Medicine, 2022, https://doi.org/10.1155/2022/1782955

Konstantinidis, A., Kyriakopoulos, C., Ntritsos, G., Giannakeas, N., Gourgoulianis, K. I., Kostikas, K., & Gogali, A. (2022). The role of digital tools in the timely diagnosis and prevention of acute exacerbations of COPD: A comprehensive review of the literature. Diagnostics, 12(2), 269. https://doi.org/10.3390/diagnostics12020269

Kwon, D. S., Choi, Y. J., Kim, T. H., Byun, M. K., Cho, J. H., Kim, H. J., & Park, H. J. (2020). FEF25-75% values in patients with normal lung function can predict the development of Chronic Obstructive Pulmonary Disease. International Journal of Chronic Obstructive Pulmonary Disease, 15, 2913–2921. https://doi.org/10.2147/COPD.S261732

Lunney, M., Lee, R., Tang, K., Wiebe, N., Bello, A. K., Thomas, C., Rabi, D., Tonelli, M., & James, M. T. (2018). Impact of telehealth interventions on processes and quality of care for patients with ESRD. American Journal of Kidney Diseases, 72(4), 592–600. https://doi.org/10.1053/j.ajkd.2018.02.353

Navarro, O., Escrivá, M., Faubel, R., & Traver, V. (2021). Empowering patients living with chronic conditions using video as an educational tool: A scoping review. Journal of Medical Internet Research, 23(7). https://doi.org/10.2196/26427

Rush, K. L., Howlett, L., Munro, A., & Burton, L. (2018). Videoconference compared to telephone in healthcare delivery: A systematic review. International Journal of Medical Informatics, 118, 44–53. https://doi.org/10.1016/j.ijmedinf.2018.07.007

Rzadkiewicz, M., & Nasiłowski, J. (2019). Psychosocial interventions for patients with severe COPD—An up-to-date literature review. Medicina, 55(9), 597. https://doi.org/10.3390/medicina55090597

Wong, A. K. C., Bayuo, J., Wong, F. K. Y., Yuen, W. S., Lee, A. Y. L., Chang, P. K., & Lai, J. T. C. (2022). Effects of a nurse-led telehealth self-care promotion program on the quality of life of community-dwelling older adults: Systematic review and meta-analysis. Journal of Medical Internet Research, 24(3). https://doi.org/10.2196/31912

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