Nursing Research Utilization Project Proposal Implementation

Nursing Research Utilization Project Proposal Implementation Planob

Nursing Research Utilization Project Proposal: Implementation Plan Objectives Content Describe the methods to be used to implement the proposed solution The methods that will be utilized in the implementation of the proposed solution are through coordination, collaboration, and brainstorming. Coordination is the process wherein stakeholders work together effectively in achieving goals of care while collaboration is where stakeholders are willing to assist each other in order to attain objectives. Brainstorming on the other hand is the exchange of ideas, expertise, and experiences necessary to produce a well-planned care for patients. Ensuring that each patient receives a patient-centered care is the primary objective of any healthcare organization.

The involvement of stakeholders in creating measures to capture individualized care aligns perspectives on what’s important and how it is attained (Epstein & Street, 2011). Develop a plan for implementing the proposed solution A plan is a product of a strategic thinking process (Nunn & McGuire, 2010). The formulation of a judicious plan is a crucial step in any given project. The initial step is to identify and engage the stakeholders that will comprise the Interdisciplinary team (IDT) such as physicians, nurses, case managers, social workers, therapists, and dieticians. Second step is to present to the IDT the objectives of the project which is to facilitate a patient-centered care discharge plan for patients post-hospitalization.

When the goals are known, IDT meets and discusses the plan of care of the patient through brainstorming and then presents the details to the patient and support system. The IDT will involve the patient and family in the finalization of the care plan. When all has been agreed upon among the IDT, patient, and support system, then implementation of the objective is initiated. Incorporate a theory to develop the implementation plan and explain how it is used to develop the plan. The theory that will be incorporated with the implementation of the plan is the theory of reasoned action (TRA).

The theory associates norms, behaviors, attitudes, and intentions to perform an action (Hill, 1977). It is the intention and goal of healthcare organizations to provide patient-centered care to their patients. Therefore, those involved with the care of the patient need to have the same belief and intention to make patient safe and be well. The TRA theory will pave a way to propel stakeholders in ensuring that the patients they serve receive individualized plan of care that they do deserve. Identify resources needed for the proposed solution’s implementation and how you plan to gather and incorporate them.

The resources needed for the implementation of the proposed solution are as follows: manpower, access to electronic records, writing materials, and available conference room space to facilitate the meeting. In order to obtain all resources needed, the Executive Manager of the organization needs to buy-in with the proposed solution and the benefits of its implementation. If a project has the support of upper management, the acquisition of resources is favorable. Leadership endorsement is essential in any project success (Ur Rehman Khan, et al., 2014). Describe outcome measures aligned with planned outcomes The intent of the project is for 85% of patients will have a patient-centered care discharge plan post-hospitalization following an IDT conference on patient’s care plan.

The conference will focus on a plan suited for the patient’s needs, which will be carried over to the next level of care. A staff or a third-party vendor will initiate a post-discharge call within 24 hours of the patient’s discharge from the hospital. The aim of this call is to ensure that the patient is safe and confirm that the care plan, which was established in the hospital, was carried over by the patient (and support system) at home or other post-hospital destination. Discuss the feasibility of the implementation plan. Patients are readmitted to the hospital sometimes due to poor and individualized discharge planning.

The effects of a patient returning to the hospital not only affect the institution financially but the comfort and safety of the patient is at stake as well. The proposed solution to this issue is to involve stakeholders in formulating a plan to promote patient-centered care. With the knowledge and participation of upper management and staff on the initiative of personalized care, project objectives can be attained significantly. Therefore, implementing an IDT conference

Paper For Above instruction

Implementing patient-centered discharge planning in healthcare settings is a complex yet essential strategy to improve patient outcomes, reduce readmission rates, and enhance overall care quality. The proposed project focuses on establishing a structured, interdisciplinary approach that involves coordination, collaboration, and stakeholder engagement, driven by a theoretical framework that ensures consistency and shared commitment across all members involved.

Introduction

Effective discharge planning remains a cornerstone of quality healthcare delivery, especially for patients transitioning from hospital to home or other care settings. Poorly managed discharge processes often lead to adverse events, medication errors, and unnecessary readmissions, impairing patient safety and increasing healthcare costs (Coleman et al., 2004). This project aims to develop and institutionalize a patient-centered discharge plan through an interdisciplinary team (IDT), grounded in the theory of reasoned action (TRA), to enhance communication, coordination, and shared responsibility among healthcare providers, patients, and families.

Methods for Implementation

The implementation strategy relies on three primary methods: coordination, collaboration, and brainstorming. Coordination involves aligning efforts among stakeholders to achieve shared care goals efficiently. Collaboration extends this by encouraging mutual assistance and resource sharing among team members, fostering a culture of collective responsibility. Brainstorming sessions facilitate the exchange of ideas, insights, and expertise necessary to develop tailored care plans that address individual patient needs (Epstein & Street, 2011). Together, these methods promote a comprehensive, patient-centered approach that supports improved outcomes.

Development of a Strategic Plan

The initial phase involves identifying and engaging key stakeholders, including physicians, nurses, case managers, social workers, dietitians, and therapists, forming an interdisciplinary team. Engaging leadership at this stage ensures organizational support and resource allocation. The focus of the plan centers on establishing a standardized yet flexible discharge process that incorporates a patient and family involvement component. During initial meetings, the team discusses patient cases, leveraging brainstorming to identify potential gaps and solutions. These discussions culminate in a clear, actionable discharge plan tailored to each patient's needs, preferences, and support systems (Nunn & McGuire, 2010).

Theoretical Framework: Theory of Reasoned Action (TRA)

The TRA posits that individual behaviors are driven by behavioral intentions, which are influenced by attitudes and subjective norms (Hill, 1977). Applying this to healthcare, the theory emphasizes that providers and stakeholders must share positive attitudes toward patient-centered discharge planning and perceive organizational norms that support such practices. When stakeholders believe in the value of individualized care and feel that their colleagues and organization endorse it, their collective behavioral intentions strongly favor implementing patient-centered discharge processes (Ajzen, 1991). Therefore, this theory informs strategies to foster shared beliefs and norms among team members, promoting adherence to the care plan and continuous engagement.

Resources and Resource Utilization

Key resources for implementing the discharge planning process include qualified personnel, access to electronic health records (EHR), meeting facilities, and clinical documentation tools. Securing these resources necessitates organizational leadership support. To gather support, the project team will present evidence of potential improvements in patient outcomes and cost savings, emphasizing the organizational benefits. Securing funding for additional staffing or technology upgrades might involve grant applications or reallocating existing resources (Ur Rehman Khan et al., 2014). Incorporating staff training modules on patient-centered communication and discharge procedures ensures sustainability and fidelity to the intervention.

Outcome Measurement

The primary outcome measure is the proportion of patients receiving a comprehensive, patient-centered discharge plan, targeted at 85%. Secondary outcomes include the rate of 30-day readmissions, patient satisfaction scores, and the completeness and accuracy of discharge documentation. Post-discharge follow-up calls within 24 hours serve as a process measure to assess whether the care plan was effectively transferred and understood by the patient and support system (Coleman et al., 2004). These metrics align with the project’s overarching goal of improving discharge quality and reducing avoidable admissions.

Feasibility of Implementation

The feasibility of this initiative hinges on organizational commitment, stakeholder buy-in, and resource availability. Involving leadership early ensures commitment and facilitates resource allocation. Additionally, the collaborative nature of the project fosters shared ownership and accountability. Addressing potential barriers such as staff workload, communication gaps, and resistance to change is critical; these can be mitigated through targeted training, stakeholder engagement, and incremental implementation. The evidence that structured, patient-centered discharge planning reduces readmissions and enhances patient satisfaction supports the feasibility of this approach (Naylor et al., 2011). Moreover, technology integration through EHRs streamlines information sharing, making the process more manageable and sustainable.

Conclusion

Implementing a patient-centered, interdisciplinary discharge planning process grounded in the theory of reasoned action offers a promising pathway to improving post-hospital care. By engaging stakeholders through strategic planning, resource support, and continuous outcome evaluation, healthcare organizations can better meet the needs of patients and reduce costly readmissions. The success of this initiative depends on strong leadership endorsement, effective communication, and a shared commitment to delivering individualized, safe, and efficient care transitions.

References

• Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.
• Coleman, E. A., Parry, C., Chalmers, S., & Min, S. J. (2004). The Care Transitions Intervention: results of a randomized controlled trial. Archives of Internal Medicine, 164(11), 1265–1274.
• Epstein, R. M., & Street, R. L. (2011). The values and value of patient-centered care. Annals of Family Medicine, 9(2), 100-103. doi:10.1370/afm.1239
• Hill, R. (1977). Contemporary Sociology, 6(2).
• Naylor, M. D., Aiken, L. H., Kurtzman, E. T., Olds, D. M., & Hirschman, K. B. (2011). The care span: The importance of transitional care in achieving health reform. Health Affairs, 30(4), 746–754.
• Nunn, L., & McGuire, B. (2010). The importance of a good business plan. Journal of Business & Economics Research, 8(2), 95-105.
• Ur Rehman Khan, S., Sang Long, C., & Muhammad Javed Iqbal, S. (2014). Top management support, a potential moderator between project leadership and project success: A theoretical framework. Research Journal of Applied Sciences, Engineering and Technology, 11(8). doi:10.19026/rjaset.8.1109