Professional Documents
Culture Documents
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Capella University
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NURS-FPX 6030 MSN Practicum and Capstone
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MAR 24, 2024
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Intervention Plan Overview
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In this assessment, we propose an intervention plan based on the PICO(T) statement
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tailored for patients discharged from Manatee Memorial Hospital in Bradenton, Florida.
Our approach compares the effectiveness of a comprehensive and personalized
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Our intervention plan for enhancing post-discharge outcomes revolves around providing
comprehensive and individualized discharge education. The key components of this
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Initially, we will conduct patient assessments and profiling to evaluate health literacy
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levels, learning needs, preferences, and socio-cultural factors that may affect the
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learning and self-management process. This step is crucial for tailoring our educational
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program to integrate patient-centeredness, fostering better patient governance.
Subsequently, individualized discharge instructions will be developed, taking into
account cultural beliefs, language preferences, and health practices. This holistic
approach includes training on procedural details, medication management, and dietary
and physical activity advice. By engaging patients in their healthcare process and
fostering shared decision-making, we aim to improve health conditions and reduce
readmission rates.
Telehealth Services:
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Telehealth services have shown significant improvement in achieving various aims,
including enhanced patient experiences, cost-effectiveness, improved health outcomes,
healthcare equity, and provider well-being. Utilizing telehealth for patient education,
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monitoring, and outcome measurement, we aim to reduce hospital visits and
readmission rates by providing constant guidance for treatment adherence and
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self-management of health issues.
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The success of our intervention plan will be assessed based on improved patient
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outcomes, enhanced knowledge about self-care practices, patient adherence to the
care plan, and the rate of 30-day hospital readmissions. We will utilize remote
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Cultural Considerations
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The target population for our intervention is the diverse group of patients undergoing
cardiac catheterization at Manatee Memorial Hospital. Understanding the cultural needs
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of this population is crucial for developing personalized care plans that respect
individual preferences and address social and cultural barriers. Our intervention plan
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among healthcare professionals plays a vital role in developing our intervention plan.
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Cultural competence training programs for healthcare professionals aim to improve
interprofessional teamwork, patient engagement, and patient-centered discharge
planning. By integrating cultural factors into discharge planning and education, we aim
to reduce hospital readmission rates and improve patient satisfaction.
Theoretical Framework
Dorothea Orem’s Self-Care Theory serves as a primary theoretical foundation for our
intervention plan. Emphasizing patients' role in managing their health conditions aligns
with our goal of encouraging patient engagement in their recovery through self-care
practices. Additionally, motivational interviewing and telecommunication methods
complement our intervention plan by addressing patients' readiness for change and
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enhancing communication and monitoring post-discharge.
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Several studies support the effectiveness of our intervention plan components. For
instance, research has shown positive outcomes for patients with hypertension
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undergoing self-care education based on Orem’s nursing theory. Similarly, motivational
interviewing has been effective in patient-centered instructions, and telehealth has
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shown promise in enhancing patient education and treatment adherence.
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Stakeholders, Policy, and Regulations
Our intervention plan considers the needs of patients, families, hospital management,
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HIPAA ensures patient privacy and data security in the implementation of telehealth
services. Additionally, adherence to regulations from governing bodies like CMS and
state medical boards ensures standardized protocols and quality care.
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to patient care preferences and provider obligations. Legal implications under HIPAA
highlight the importance of maintaining patient privacy and data security in telehealth
implementation.
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Conclusion
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In conclusion, our intervention plan aims to improve post-discharge outcomes for
cardiac catheterization patients through comprehensive discharge education and
telehealth services. By considering cultural needs, theoretical frameworks,
evidence-based practices, and ethical and legal implications, we strive to achieve
improved patient outcomes and reduce hospital readmission rates.
References
Bischof, G., Bischof, A., & Rumpf, H.J. (2021). Motivational interviewing: An
evidence-based approach for use in medical practice. Deutsches Ärzteblatt
International. https://doi.org/10.3238/arztebl.m2021.0014
Chen, A., Ayub, M. H., Mishuris, R. G., Rodriguez, J. A., Gwynn, K., Lo, M. C., Noronha,
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C., Henry, T. L., Jones, D., Lee, W. W., Varma, M., Cuevas, E., Onumah, C., Gupta, R.,
Goodson, J., Lu, A. D., Syed, Q., Suen, L. W., Heiman, E., … Schmidt, S. (2023).
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Telehealth policy, practice, and education: A position statement of the society of general
internal medicine. Journal of General Internal Medicine, 1–8.
https://doi.org/10.1007/s11606-023-08190-8
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Getha-Taylor, H., Holmes, M. H., & Moen, J. R. (2020). Evidence-based interventions
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for cultural competency development within public institutions. Administration & Society,
52(1), 57–80. https://doi.org/10.1177/0095399718764332
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Handtke, O., Schilgen, B., & Mösko, M. (2019). Culturally competent healthcare – a
scoping review of strategies implemented in healthcare organizations and a model of
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https://doi.org/10.1371/journal.pone.0219971
Khademian, Z., Kazemi Ara, F., & Gholamzadeh, S. (2020). The effect of self-care
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education based on Orem’s nursing theory on quality of life and self-efficacy in patients
with hypertension: A quasi-experimental study. International Journal of Community
Based Nursing and Midwifery, 8(2), 140–149.
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https://doi.org/10.30476/IJCBNM.2020.81690.0
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Kovac, M. (2021). HIPAA and telehealth: Protecting health information in a digital world.
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Krook, M., Iwarzon, M., & Siouta, E. (2020). The discharge process—from a patient’s
perspective. SAGE Open Nursing, 6, 2377960819900707.
https://doi.org/10.1177/2377960819900707
Santacroce, D. (2019). Culturally diverse discharge planning and education. Iris Journal
of Nursing & Care, 1(2), 1–6.
https://irispublishers.com/ijnc/fulltext/culturally-diverse-discharge-planning-and-educatio
n.ID.000509.php
U.S. Census Bureau. (n.d.). U. S. Census Bureau quickfacts: Bradenton City, Florida.
https://www.census.gov/quickfacts/fact/table/bradentoncityflorida/PST045222
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Yu, H., Zhang, P., Wang, X., Wang, Y., & Zhang, B. (2019). Effect of health education
based on behavioral change theories on self-efficacy and self-management behaviors in
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patients with chronic heart failure. Iranian Journal of Public Health, 48(3), 421–428.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6570802/
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