Jul 22, 2017 Research papers

Developing an Implementation Plan (2)

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Developing an Implementation Plan (2)

INSTRUCTIONS:

Hi Team, Could you pls work with this assignment. I am a nurse working with hospital. Our professional Hierarchical Positions are Nurse-->Charge Nurse/Supervisor --> Nurse Manager ---->Nurse Director ---> CEO. For reference, I am sending my review of literature in Topic 2 work which is already submitted last week. Also I have attached assignment details and checklist too Here is the assignment details My Subject for Research: Anxiety of preoperative Cardiac surgery Patients FYI - PICOT question In adult patients age above 50 (P) in inpatient settings, using pharmacological (I) or non pharmacological measures (C), more effective in reducing anxiety (O) prier to cardiac surgery? (T) Assignment: Developing an Implementation Plan Details: Consider the population in which the solution is intended, the staff that will participate, and the key contributors that must provide approval and/or support for your project to be implemented. These stakeholders are considered your audience. Develop an implementation plan (1,350-1,750 words). The elements that should be included in your plan are listed below: 1. Method of obtaining necessary approval(s) and securing support from your organization`s leadership and fellow staff. 2. Description of current problem, issue, or deficit requiring a change. Hint: If you are proposing a change in current policy, process, or procedure(s) when delivering patient care, describe first the current policy, process, or procedure as a baseline for comparison. 3. Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit). 4. Rationale for selecting proposed solution. 5. Evidence from your review of literature in Topic 2 to support your proposed solution and reason for change. 6. Description of implementation logistics (When and how will the change be integrated into the current organizational structure, culture, and workflow? Who will be responsible for initiating the change, educating staff, and overseeing the implementation process?) 7. Resources required for implementation: Staff; Educational Materials (pamphlets, handouts, posters, and PowerPoint presentations); Assessment Tools (questionnaires, surveys, pre- and post-tests to assess knowledge of participants at baseline and after intervention); Technology (technology or software needs); Funds (cost of educating staff, printing or producing educational materials, gathering and analyzing data before, during, and following implementation), and staff to initiate, oversee, and evaluate change. Prepare this assignment according to the APA guidelines. An abstract is not required.

CONTENT:
Developing an Implementation PlanName:Institution:Date:Cardiac surgery is simply surgery on the heart or the large heart vessels. The need for cardiac surgery may be multiple. Therefore, apart from the cardiac surgeon, many other health professionals are involved in the profession starting from the initial diagnosis, patient care up to the point of surgical intervention. This is a multidisciplinary procedure involving nurses, cardiologists, interns, counselors, physicians, and physician assistants (American Association of Thoracic Surgery, 2014). Looking at the hierarchical structure of the hospital, to seek support for my plan an abstract that will act as a sample containing the most important details regarding the project will be prepared and issued to the most influential individuals in the organization (Houser & Oman, 2011). These will include the Chief Executive Officer (CEO), Nurse Director, Nurse Manager, and Nurse-in-charge. This group comprises the management of the hospital and leaders in health care provision; therefore, securing their support for the project will mean an almost automatic support for the project by the subordinates. However, the subordinate nursing staff will also be issued with the abstract to provide them with an idea of what the intended project comprises of and what role they will play in the project. A formal approval for implementing will be sought from the hospital CEO who is the overall head of all the staff.Cardiovascular diseases have the highest mortality rates in the world and the risks involved in cardiac surgery are often very high with minimal chances of survival. Therefore, according to Mathews et al. (1981), patients coming to hospital or preparing to undergo cardiac surgery often experience and suffer form a great deal of anxiety (Pritchard, 2009). The fears are manifested as uncertainty, low self-esteem, loss of control, anticipation of pain after the surgery, and the fear of being separated from family and loved ones. These symptoms could affect the postoperative outcomes and functioning of the patients and these are often related to lack of knowledge patients regarding the surgery (Akbarzadeh, Kouchaksaraei, Bagheri, & Ghezel, 2009). Per Bernier et al. (2003) and Elliot et al. (2003), as technical advances are being made in other areas of surgery, for example, anesthesia, the to provide day surgery to a larger number of patients is increasing and they estimate that 60% if future surgical interventions will be day procedures (Pritchard, 2009).This simply implies that nurses as health-care professionals will have an increasingly shorter duration to identify patients experiencing anxiety and provide the appropriate education including support that will enable the patient to effectively cope with the scares of surgery (Pritchard, 2009). Recently, interest has grown regarding the influence preoperative anxiety on the outcome of surgical procedures and the possible benefits of anxiety reducing in...


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