Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
Select a healthcare program within your practice and consider the design and implementation of this program.
Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
The Assignment: (2–4 pages)
In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:
Tell us about a healthcare program, within your practice (Hospital). What are the costs and projected outcomes of this program?
Who is your target population?
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Advocating for the Nursing Role in Program Design and Implementation
The following conversation is a transcript of an interview with a registered nursing supervisor, regarding the design and implementation of a healthcare program at her current facility.
Tell us about a healthcare program within your practice.
I want to go over the healthcare program of purposeful rounding for patient safety and medical safety. Patients are on an hourly rounding schedule; however, nurses get overwhelmed with their job load, and a lot of times, they don’t get to check on patients as they should. Without rounding, the patient safety issues would include mental health patients who wouldn’t need to be in restraints, patients who may decide to elope from the facility, and elderly who experience falls. Medical safety, such as increased IV infiltrations, increased incontinence episodes for the bed-bound or non-verbal and elderly who aren’t able to ask to use the bathroom. These patients would experience an increase in skin breakdown, which could lead to hospital-acquired infections. With a new rounding system in place, it would allow nurses to anticipate patient needs and adjust the time to address them (American Nurses Association, 2020). Rounding has been like this for quite some time; still, the nurses are finding themselves tied up in individual patient rooms for extended periods. They are unable to get anything else done because as soon as they are complete, they have to begin rounds again.
What are the costs and projected outcomes of this program?
There are no additional costs involved with this program. All it would take is rearranging their time management skills. The solution and outcome of this are to have nurse and nurses aids to do alternate rounds. Nurses would begin the rounds so that they can do their shift assessments. The aids would follow every other hour. By checking on the patients every hour enables the staff to ensure patient safety and patient satisfaction. By letting them know that you are there to care for their immediate needs, then reassure them by letting them know someone will be back in the hour to check again will let them know they are cared about, and everything will be ok.
Who is your target population?
The target population for this program could be any patient at risk such as mental illness, medical conditions such as dementia, or stroke; however, in reality, the target population could be any hospital inpatient. Everyone experiences some kind of anxiety while being in the hospital and especially during the current pandemic when visitors aren’t allowed. By having scheduled rounds, it would give the patients a sense of comfort and security.
What is the role of the nurse in providing input for the design of this healthcare program?
The nursing staff’s role would be to obtain information needed such as frequently asked questions, or most needed shift supplies such as hygiene kits in the morning, or sleeping aids at night. It would be beneficial also to know what the common complaints are and the general timing of those complaints to see if there is a link to the time of day or night that there is a grievance. A useful item to create would be a utilization tool where the staff could initial off that they have been in the room and have addressed the patient’s needs.
Can you provide examples?
By knowing and anticipating these needs, the staff can document baseline assessments and set realistic goals regarding fall prevention and other primary nursing care to obtain their patient satisfaction goal (National Library of Medicine, 2016).
What is your role as an advocate for your target population for this healthcare program?
As a medical professional, you have taken an oath to be a patient advocate. By maximizing your limited time with your patients, you have the opportunity to understand their needs better. You will improve your relationship with them and thus improving patient communication, which will ultimately improve patient satisfaction.
Do you have input into design decisions?
I am fortunate to be a supervisor who works directly for nursing administration, and it gives me the best scenario for the implementation of new or revised programs. Even if you are not in a supervisory position, most organizations welcome ideas to better themselves and provide for the patients’ safety.
How else do you impact design?
Because I am very much involved with nurses who provide bedside care and provide meal relief when they need it, I can see how the shift runs and if there is room for improvement. Being the primary staff member at night who discusses complaints and concerns also gives me a unique insight into what can improve from the patient’s point of view.
What is the role of the nurse in healthcare program implementation?
Nurses are vital parties when it comes to addressing the conditions needed for the change to occur. They can also provide examples of the standards and processes required to establish what is required in order to deliver quality care (Laureate education, 2018). The bedside staff is the ones who will be taking the program plan and putting it into motion. They will need to get with the other members of their team and coordinate their duties to run efficiently for the program.
How does this role vary between the design and implementation of healthcare programs?
During the design phase, the nurse would meet with the leadership team, provide the necessary information, and devise the program to be most beneficial according to the evidence-based practices that you are aiming to improve. During the implementation period, the nurse would act as a data collector and use this to communicate with her staff and assist with support.
Can you provide examples?
The charge nurse should be able to speak with staff respectfully and understand the importance of hourly or purposeful rounding. By providing easy to understand education, this will project to the team to help out with rounds should that nurse become overwhelmed with her duties.
Who are the members of a healthcare team that you believe is most needed to implement a program?
The healthcare team that will be my primary implementers would be the bedside nurse, the nurses’ aides, and the floor charge nurses. These are the ones who are with the patient most of the time unless they leave the floor for a specialty procedure or activity.
Can you explain why?
The staff who are caring for the patients are the ones who will be making the implementation comparison and giving the necessary and much-needed feedback. These valuable team members will be relaying information to the administration team about the relative effectiveness and corresponding measurable indicators that the program is successful with its intended results or needs amendments (Center for Disease Control and Prevention, 2020).
This concludes the interview. Thank you for taking the time out to explain how programs are designed and implemented in healthcare facilities. This gives more insight to those who may be unfortunate to be inpatients but will give comfort to those who experience anxiety about their pending stay.
American Nurses Association. (2020, July 14). The value of purposeful rounding. American Nurse. https://www.myamericannurse.com/value-purposeful-rounding/
Center for Disease Control and Prevention. (2020). Purposes of policy implementation evaluation. Centers for Disease Control and Prevention. https://www.cdc.gov/injury/pdfs/policy/Brief%201-a.pdf
Laureate Education (Producer). (2018). Design and Implementation [Video file]. Baltimore, MD: Author.
National Library of Medicine. (2016, January 14). Purposeful and timely nursing rounds: a best practice implementation project. PubMed. https://pubmed.ncbi.nlmnih.gov/26878929/
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