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Assessment 5: Evaluation Plan Design

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Student Name

Capella University

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Course Name

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Prof Name

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MAR 26, 2024
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Evaluation Plan Design:
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In the ever-evolving landscape of healthcare, patient education emerges as a fundamental
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aspect for enhancing outcomes. To address persistent challenges such as high readmission
rates and variable patient satisfaction, this assessment delves into an intervention centered on
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customized educational plans and telehealth services for patients discharged post-cardiac
catheterization. The goal is to evaluate the potential impact of this intervention, focusing on
nursing's pivotal role in facilitating change, its broader implications for inter-professional
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collaboration, and the integration of emerging technologies and care models. Additionally,
personal growth and the application of acquired insights to diverse healthcare settings will be
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reflected upon.
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Evaluation Approach:
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The intervention plan incorporates two primary strategies: developing tailored educational
programs and integrating telehealth services for post-cardiac catheterization patients. The
targeted outcomes include improved patient comprehension of post-discharge regimens,
reduced hospital readmissions, and heightened patient satisfaction. These outcomes signify the
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core purpose of the intervention, aiming for a decrease in post-discharge complications and
alleviation of strain on the healthcare system. Elevated patient satisfaction reflects a
commitment to personalized care. However, challenges such as resource intensity and potential
over-reliance on professionals are anticipated.

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Assumptions and Evaluation Plan:

The evaluation plan operates on two foundational assumptions. Firstly, it assumes that
personalized discharge education and telehealth services will notably enhance patient
comprehension and adherence post-discharge. Secondly, it assumes that a measurable
decrease in readmissions will indicate the successful implementation of the intervention. The
plan encompasses pre-intervention assessments, follow-ups at intervals, and integrates patient
feedback forms and electronic health records for comprehensive data collection and analysis.

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Discussion:

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Nursing Advocacy: Nurses play a transformative role in healthcare, especially amidst innovation
and change. The tailored educational strategy for post-cardiac catheterization patients
enhances nurses' roles as knowledge brokers, elevating the quality of care and fortifying

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inter-professional dynamics.

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Challenges: Developing tailored content may prove resource-intensive, and there's a risk of
over-reliance on professionals.

Future Steps: vi
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Future steps involve expanding the intervention's scope by enhancing educational content
through augmented reality/virtual reality (AR/VR), adopting the Chronic Care Model, and
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integrating AI-driven patient monitoring systems. These enhancements are grounded in the
belief that technology and a patient-centric approach will yield improved outcomes.
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Reflection on Leading Change and Improvement:


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


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Translating Plans to Personal Practice for Quality Improvement:

The project furnishes a transferable framework for integrating a bespoke patient-centric


approach across various dimensions of patient care. The principles of tailored education,
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feedback mechanisms, and evaluation methods can be adapted to different scenarios within
existing care settings.

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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.,

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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.,
Wallen, M. P., Ratcliffe, J., Agarwal, A., Nekhlyudov, L., Tieu, M., Al-Momani, M., Turnbull, S.,
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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

Zhou, X., Wang, Y., Dou, C., Tian, X., Su, J., Chen, Y., Yan, F., Yang, Q., & Wang, W. (2022).
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Evaluating the effects of simulated interprofessional teaching on the development of clinical core
competence in nursing students: A mixed methods study. BMC Nursing, 21(1).
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https://doi.org/10.1186/s12912-022-01108-
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