MSN 6030 Unit 4 Assignment Intervention Plan Design
Chronic illnesses have devastating effects on people’s health and overall productivity, and healthcare providers should use evidence-based interventions to reduce their impacts. For nurses involved in primary care, illness prevention and continuous empowerment of people to live healthily are highly recommended. Type 2 diabetes mellitus poses a significant threat to people’s health as its prevalence increases in the United States. Considering that it exposes the affected population to other conditions such as heart attack, kidney failure, and hyperglycemia, timely and practical interventions are critical. Such interventions should be ethical and legal and designed in a patient-centered way, among other considerations. This section of the project described the intervention plan design. It explains the intervention plan components, theoretical foundations, stakeholders, policy and regulations, and ethical and legal implications.
Intervention Plan Components
After an in-depth analysis of the population of interest and its needs, the most suitable intervention is using nursing informatics to facilitate self-care management education for the diabetic population. Nursing informatics is a broad area incorporating health information technologies and nursing science to enhance health outcomes. In the same effect, it can be instrumental in enabling the diabetic population to be more responsible towards its health and achieve better self-care management outcomes. One of the vital components of nursing informatics is electronic health records (EHRs). In patient care, EHRs provide complete and accurate information about the patients’ conditions and progress, enabling healthcare providers to customize the information that patients receive according to their specific needs. EHRs can be used alongside integrated self-management systems to improve quality and efficiency outcomes.
The other key component of nursing informatics useful in education provision for self-management is telehealth. Lee et al. (2018) found that telehealth plays a critical role in improving glycemic control, implying that patients’ risk to other deliberating conditions reduces significantly. Telehealth would be critical in remote access of patients, monitoring, and providing remote advice. The technology also supports the virtual participation of patients in the illness management process. Patients are engaged on time, and the information is delivered conveniently and in ways specific to their needs. For better outcomes, patients can also be encouraged to use smart home applications such as wearable devices and motion sensors. Remotely monitoring the patients and engagement through patient portals can jointly ensure that patient issues are addressed on time, and diabetic patients are actively involved in illness management to reduce the overall burden of type 2 diabetes mellitus. Over time, the prevalence of the disease would lessen, hospital visits reduce, and the population takes a more proactive health approach, serving as the indicators of a successful intervention plan.
Impact of Cultural Needs and Characteristics
Several factors influenced the development of intervention plan components. Concerning cultural needs, the patient population is culturally diverse, implying that the proportion of any ethnic group is not predetermined. Accordingly, it is crucial to use intervention components that are not culture-specific. Concerning characteristics, patients with type 2 diabetes are at a considerable risk of reduced quality of life. The illness burden is also high due to the high costs associated with treating diabetes, lost productivity, and even disability (Fredriksen-Goldsen et al., 2017). Enabling this population to better manage the illness remotely and in other ways is crucial. Regarding the setting, the acute care hospital is the most suitable as the treatment center for many patients with chronic conditions. High technology adoption in the setting provides a great promise for the success of EHRs and telehealth, and nursing informatics at large.
Theoretical nursing models were instrumental in developing the intervention plan. The first model was team nursing, where senior nurses delegate tasks to a group and jobs assigned according to skill level and experience (Havaei et al., 2019). It is a suitable model when applying nursing informatics in care since nurses with limited experience can learn from experienced care. The other applicable model was the Four Component Model involving sensitivity, judgment, motivation, and action. McBride et al. (2018) described the model as an approach based on recognizing an ethical problem and moral implications of health care decisions and how health care providers’ actions affect other people. Accordingly, the ethical implications of the appropriate intervention plans were evaluated before settling on nursing informatics. Adverse outcomes on patients should be as low as possible. On strategies from other disciplines, counseling can be used to help diabetic patients live better. Support groups also help in coping, albeit not as effective as improving self-management through nursing informatics. Technologies to supplement outcomes include integrated self-management systems for diseases, as earlier mentioned, smart caring homes, and smartphone applications.
Nursing informatics’ components improve health outcomes on diabetic patients profoundly, justifying their adoption to facilitate self-care management education. Polonsky et al. (2020) posited that nursing informatics supports the virtual participation of patients in care plans by facilitating remote self-management programs. A suitable example of such a program is telehealth that also enables remote monitoring. Mobile-based informatics plays an essential role in promoting behavior change (Sun et al., 2019). Since education on self-care management focuses on improving people’s understanding, Lee et al. (2018) found that technologies and tech-based communication provide knowledge on safety and guidelines and information on patient conditions. Such information is better analyzed and understood using various technologies interchangeably or jointly, such as electronic health records and patient portals. They help to offer patient-centered care besides informing the patient population on the interventions necessary to improve self-care.
Stakeholder, Policy, and Regulations
Stakeholders influence decision-making in healthcare, and their needs must be adequately addressed. Key considerations when developing the intervention plan include the financial position of the hospital and the impacts of the plan on stakeholder relationships. On health care policy, nursing informatics and associated technologies limit patient risks and are critical to process improvement. Remote education and monitoring of diabetic patients improve access to health care services and meet the criterion of health care policy as plans and actions undertaken to achieve specific (self-care management) goals within a society. On regulations relevant to practice and components of the plan, health care providers should adopt interventions that protect the privacy and security of patient populations. They should avoid putting patients at further risks as much as possible. The U.S. Department of Health and Human Services plays an integral role in developing such regulations as preserved under the HIPAA rule (Sen & Ahmed, 2021). Since nursing informatics deals with data exchange at some points, privacy and security must be prioritized.
Ethical and Legal Implications
Broadly, nursing informatics use in the health practice is associated with the exchange of private patient information and new roles for healthcare providers. Data loss, mismanagement, and issues to do with patient privacy and confidentiality can lead to misuse of health care data and expensive legal cases due to data breaches (Kasperbaeur, 2020; Keshta & Odeh, 2020). On new roles for healthcare providers, it is unethical to assign new roles that increase workload. Increased workload is among the leading causes of nurse burnout, implying that equivalent compensation should be considered (Dall’Ora et al., 2020). Accordingly, organizational change must occur within the established ethical and legal frameworks while considering how patient populations and healthcare providers will be affected. All technological tools and information support components, including telehealth and EHRs, should be as user-friendly as possible. Such considerations can help avoid legal and ethical issues associated with organizational change and the use of nursing informatics for the education of self-care management for the diabetic population.
In conclusion, type 2 diabetes mellitus increases the overall illness burden to diabetic patients and reduces their productivity profoundly. Evidence-based interventions are vital to reducing the disease’s prevalence. Nursing informatics can be used to promoting self-care management by using several technological components jointly or interchangeably. Such technologies include EHRs, telehealth, integrated self-management systems, and patient portals. Their use is the foundation of improving outcomes of care for patients with type 2 diabetes.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human Resources for Health, 18, 1-17. https://doi.org/10.1186/s12960-020-00469-9
Fredriksen-Goldsen, K. I., Kim, H.-J., Shui, C., & Bryan, A. E. B. (2017). Chronic Health Conditions and Key Health Indicators Among Lesbian, Gay, and Bisexual Older US Adults, 2013–2014. American Journal of Public Health, 107(8), 1332–1338. https://doi.org/10.2105/AJPH.2017.303922
Havaei, F., Dahinten, V. S., & MacPhee, M. (2019). Effect of nursing care delivery models on registered nurse outcomes. SAGE Open Nursing, 5. https://doi.org/10.1177%2F2377960819869088
Kasperbauer, T. J. (2020). Protecting health privacy even when privacy is lost. Journal of Medical Ethics, 46(11), 768-772. http://dx.doi.org/10.1136/medethics-2019-105880
Keshta, I., & Odeh, A. (2020). Security and privacy of electronic health records: Concerns and challenges. Egyptian Informatics Journal, 22(2), 177-183. https://doi.org/10.1016/j.eij.2020.07.003
Lee, P. A., Greenfield, G., & Pappas, Y. (2018). The impact of telehealth remote patient monitoring on glycemic control in type 2 diabetes: A systematic review and meta-analysis of systematic reviews of randomised controlled trials. BMC Health Services Research, 18(1), 495. https://doi.org/10.1186/s12913-018-3274-8
McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and addressing ethical issues with use of electronic health records. Online J Issues Nurs, 23(1). doi: 10.3912/OJIN.Vol23No01Man05
Polonsky, W. H., Layne, J. E., Parkin, C. G., Kusiak, C. M., Barleen, N. A., Miller, D. P., Zisser, H., & Dixon, R. F. (2020). Impact of Participation in a Virtual Diabetes Clinic on Diabetes-Related Distress in Individuals With Type 2 Diabetes. Clinical Diabetes, 38(4), 357–362. https://doi.org/10.2337/cd19-0105
Sen, D., & Ahmed, R. (2021). Privacy concerns surrounding personal information sharing on health and fitness mobile apps. IGI Global.
Sun, C., Sun, L., Xi, S., Zhang, H., Wang, H., Feng, Y., Deng, Y., Wang, H., Xiao, X., Wang, G., Gao, Y., & Wang, G. (2019). Mobile phone–based telemedicine practice in older Chinese patients with type 2 diabetes mellitus: Randomized controlled trial. JMIR MHealth and UHealth, 7(1), e10664. https://doi.org/10.2196/10664
application of the PICOT approach to developing your problem statement and the
research that you conducted and synthesized in your literature review are the
foundation and framework that you will need to successfully build your
intervention plan. This plan will lay out specific components of the
intervention you are planning to address the need you have identified for the
target population and setting. You will justify your approach to the
intervention plan by integrating appropriate theoretical foundations. You will
also analyze and address the needs of stakeholders, requirements of regulatory
bodies, and ethical and legal considerations. It is important to have a sound
intervention plan design in place before trying to work on the details of
implementation and evaluation.
intervention plan design will be the second section of your final project
submission. The goal for this is to design a holistic plan that should be able
to improve the quality of outcomes for your target population and setting.
Provide enough detail so that the faculty member assessing your intervention
plan design will be able to provide substantive feedback that you will be able
to incorporate into the other project components in this course, as well as
into the final draft of your project. At minimum, be sure to address the bullet
points below, as they correspond to the grading criteria. You may also want to
read the scoring guide and Guiding Questions: Intervention Plan Design document
(both linked in the Resources) to better understand how each criterion will be
assessed. In addition to the bullet points below, provide a brief introduction
that refreshes the reader’s memory about your problem statement and the setting
and context for this intervention plan.
These instructions are an outline. Your heading for this this section should be
Intervention Plan Components and not Part 1: Intervention Plan Components.
Intervention Plan Components
major components of an intervention plan for a health promotion, quality
improvement, prevention, education, or management need.
impact of cultural needs and characteristics of a target population and setting
on the development of intervention plan components.
theoretical nursing models, strategies from other disciplines, and health care
technologies relevant to an intervention plan.
major components of an intervention by referencing relevant and contemporary evidence
from the literature and best practices.
Stakeholders, Policy, and Regulations
impact of stakeholder needs, health care policy, regulations, and governing
bodies relevant to health care practice and specific components of an intervention
Ethical and Legal Implications
relevant ethical and legal issues related to health care practice,
organizational change, and specific components of an intervention plan.
intervention plan in a professional way that helps the audience to understand
the proposed intervention and the implications of the plan that must be taken
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
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Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
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Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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