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Assessment 5: Evaluation Plan Design

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Student Name

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Capella University

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Course Name
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Nov 8, 2023
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Evaluation Plan Design
In the constantly evolving healthcare landscape, the significance of patient education cannot be
overstated. Amid challenges such as high readmission rates and variable patient satisfaction,
customized interventions emerge as a promising solution. This assessment explores an
intervention focusing on tailored educational plans and telehealth services for patients
discharged post-cardiac catheterization. The aim is to analyze its potential impact, examining
nursing's intricate role in facilitating change, broader implications on inter-professional
collaboration, and the integration of emerging technologies and care models. Additionally, we

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will reflect on personal growth and the application of these learnings to various healthcare
settings.

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Evaluation of Plan

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The intervention plan combines two primary strategies: developing a tailored educational
program and integrating telehealth services for post-cardiac catheterization patients. The
targeted outcomes are enhanced patient comprehension of post-discharge regimens, reduced

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hospital readmissions, and heightened patient satisfaction. These outcomes delineate the core
purpose of the intervention, anticipating a decline in post-discharge complications and reducing
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the burden on the healthcare system. Elevated patient satisfaction indicates a commitment to
individualized care. However, challenges such as resource intensity and potential over-reliance
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on professionals are anticipated (Tieu et al., 2023).
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Evaluation Plan and Assumptions


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The evaluation plan is based on two foundational assumptions. Firstly, individualized discharge
education and telehealth services will significantly improve patient comprehension and
adherence post-discharge. Secondly, a measurable reduction in readmissions will indicate the
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successful implementation of the intervention (Tieu et al., 2023). The plan includes a
pre-intervention assessment, follow-ups at intervals, and incorporates patient feedback forms
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and electronic health records for data collection and analysis.

Discussion
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Nursing Advocacy: Nurses play a transformative role in healthcare, especially during innovation
and change. The tailored educational strategy for post-cardiac catheterization patients
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enhances the nurse's role as a knowledge broker. This proactive shift augments the quality of
care and strengthens inter-professional dynamics.

Challenges: Crafting tailored content may be resource-intensive, and over-reliance on


professionals is a potential challenge (Kim et al., 2022).

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Future Steps
Future steps include expanding the intervention's reach, enhancing educational content through
AR/VR, adopting the Chronic Care Model, and integrating AI-driven patient monitoring systems.
These enhancements are anchored in the belief that technology and a patient-centric approach
will improve outcomes (Faulkner et al., 2023).

Reflection on Leading Change and Improvement

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This capstone project has deepened my understanding of leading change in healthcare. The
challenges and successes have equipped me to champion similar initiatives, emphasizing the
critical nature of individualized patient care.

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Translating Plans to Personal Practice for Quality Improvement

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The project provides a transferable framework for integrating a bespoke patient-centric
approach across various facets of patient care. The principles of tailored education, feedback

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mechanisms, and evaluation methods can be adapted to different scenarios within current care
settings. gn
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References
Faulkner, S. D., Somers, F., Boudes, M., Nafria, B., & Robinson, P. (2023). Using patient
perspectives to inform better clinical trial design and conduct: current trends and future
directions. Pharmaceutical Medicine. https://doi.org/10.1007/s40290-022-00458-4

Kim, M. T., Heitkemper, E. M., Hébert, E. T., Hecht, J., Crawford, A., Nnaka, T., Hutson, T. S.,
Rhee, H., & Radhakrishnan, K. (2022). Redesigning culturally tailored intervention in the
precision health era: Self-management science context. Nursing Outlook, 70(5), 710–724.

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https://doi.org/10.1016/j.outlook.2022.05.015

Richardson, S., Lawrence, K., Schoenthaler, A. M., & Mann, D. (2022). A framework for digital

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health equity. Npj Digital Medicine, 5(1). https://doi.org/10.1038/s41746-022-00663-0

Shastry, K. A., & Shastry, A. (2023). An integrated deep learning and natural language

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processing approach for continuous remote monitoring in digital health. Decision Analytics
Journal, 8, 100301. https://doi.org/10.1016/j.dajour.2023.100301

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Chan, R. J., Milch, V. E., Crawford-Williams, F., Agbejule, O. A., Joseph, R., Johal, J., Dick, N.,
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Wallen, M. P., Ratcliffe, J., Agarwal, A., Nekhlyudov, L., Tieu, M., Al-Momani, M., Turnbull, S.,
Sathiaraj, R., Keefe, D., & Hart, N. H. (2023). Patient navigation across the cancer care
continuum: An overview of systematic reviews and emerging literature. CA: A Cancer Journal
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for Clinicians. https://doi.org/10.3322/caac.21788
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Zhou, X., Wang, Y., Dou, C., Tian, X., Su, J., Chen, Y., Yan, F., Yang, Q., & Wang, W. (2022).
Evaluating the effects of simulated interprofessional teaching on the development of clinical core
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competence in nursing students: A mixed methods study. BMC Nursing, 21(1).


https://doi.org/10.1186/s12912-022-01108-
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