NURS FPX 6030 Assessment 5 Evaluation Plan Design

Name

Capella university

NURS-FPX 6030 MSN Practicum and Capstone

Prof. Name

Date

Evaluation Plan Design

Outcomes of the Intervention Plan

The outcomes targeted by the intervention plan centered on telemedicine services offering remote monitoring and consultations for elderly individuals above 65 with hypertension serve two key objectives. The aim is to reduce 30-day hospital readmission rates, indicating a pivotal aspect of the intervention’s purpose: enhancing hypertension management. By mitigating the need for hospital readmissions due to hypertension-related complications, the intervention strives to demonstrate improved control over the condition, thus preventing potential exacerbations and associated hospitalizations. This outcome lays the groundwork for enhancing the quality and safety of care by alleviating strain on healthcare facilities and minimizing the risks linked with repeated hospital stays (Caballero et al., 2023).

Secondly, the intervention seeks to bring about an improvement in hypertension management overall. This broader outcome encapsulates the overarching goal of the intervention and project, which is to empower elderly individuals to manage their hypertension through telemedicine services better. This outcome will involve improving the patients’ average systolic and diastolic blood pressure readings. This will be measured through regular remote monitoring data collected via telemedicine devices. The intervention aims to equip patients with the tools and resources necessary for enhanced blood pressure control and improved overall health outcomes by facilitating remote monitoring and consultations. Such an outcome not only paves the way for achieving better health outcomes but also establishes a framework for enhancing care quality, safety, and experience (Li et al., 2022).

Evaluation Plan for Intervention Impact

The telemedicine-based hypertension management intervention evaluation plan for elderly individuals focuses on measuring the 30-day hospital readmission rates for hypertension. Utilizing telemedicine platforms, electronic health records, and patient surveys will facilitate data collection. This will be followed by comparing it with the baseline data for this metric, accounting for 8.5% of hypertensive patients (Brunner-La Rocca et al., 2020). Moreover, on average, the baseline data of systolic and diastolic blood pressure are 140 mmHg and 90 mmHg.

Statistical analyses, including descriptive and inferential methods, will be employed to compare pre-intervention and post-intervention data, assessing the significance of observed changes (Horn et al., 2021).  Overall, the evaluation plan offers a thorough comprehension of the influence of the intervention on hypertension management and reduction in hospital readmission rates by enhancing healthcare access among elderly individuals. Assumptions underlying the evaluation plan include the availability of necessary technological infrastructure and the validity and reliability of collected data sources (Caballero et al., 2023).

Discussion

Advocacy

Nurse’s Role in Leading Change and Driving Improvements

Nurses are essential in generating improvements and leading change when it comes to utilizing telemedicine to manage hypertension. Nurses can serve as champions for telemedicine adoption, advocating for its integration into practice and providing education and support to patients and interdisciplinary healthcare teams. Their role involves facilitating communication and collaboration among team members and ensuring that telemedicine technologies are utilized effectively to optimize patient outcomes (Choi et al., 2021).

Nurses also play an essential role in patient education, empowering individuals to actively engage in their hypertension management through telemedicine platforms. Additionally, nurses contribute to the ongoing evaluation and refinement of telemedicine interventions, providing valuable insights into their feasibility, effectiveness, and impact on patient care. Assumptions underlying this analysis include nurses’ willingness and ability to adapt to telemedicine technologies, commitment to patient-centered care, and capacity to effectively lead change initiatives within healthcare settings (Choi et al., 2021).

Impact on Nursing and Interprofessional Collaboration

The intervention plan of implementing telemedicine services for hypertension management among elderly individuals aged 65 and above significantly impacts nursing and interprofessional collaboration within the healthcare field. Firstly, it enhances nursing by expanding nurses’ roles beyond traditional care settings, empowering them to leverage telemedicine technologies to deliver comprehensive care remotely. Nurses become pivotal in facilitating patient education, medication management, and lifestyle counseling through telemedicine platforms, thereby improving efficiency and access to care (Choi et al., 2021).

Moreover, the intervention plan strengthens interprofessional collaboration by fostering communication and teamwork among healthcare professionals in hypertension management. Physicians, pharmacists, dietitians, and other specialists can collaborate seamlessly through telemedicine platforms, sharing real-time patient data and coordinating care plans effectively. This interdisciplinary approach ensures a holistic and coordinated approach to patient care, improving outcomes for the target population (Mabeza et al., 2022).

Additionally, the healthcare field gains several benefits from the intervention plan. It enhances healthcare accessibility for elderly individuals, particularly those in rural or underserved areas, by overcoming geographic barriers through telemedicine. Furthermore, it optimizes healthcare resources by reducing pointless hospital stays and optimizing how care is delivered (Mabeza et al., 2022). However, uncertainty and knowledge gaps exist, including telemedicine interventions’ long-term effectiveness and sustainability and patient acceptance and adherence to telemedicine technologies. Further research and evaluation are needed to address these uncertainties and inform future telemedicine implementations effectively.

Future Steps

To enhance the current telemedicine project for hypertension management among the elderly, several improvements can be implemented to maximize impact and leverage emerging technology and care models. Integrating Artificial Intelligence (AI) and predictive analytics could refine risk assessment and personalize interventions. This advancement could proactively determine who will experience problems and adjust treatment regimens accordingly, assuming reliable data sources and infrastructure (Ahmed & Al-Bagoury, 2022). Additionally, expanding the use of remote monitoring devices, such as wearable biosensors, could give healthcare providers access to real-time data, enabling the early diagnosis of changes in blood pressure and reducing cardiovascular risks, assuming patient acceptance and compliance (Ahmed & Al-Bagoury, 2022).

Reflection on Leading Change and Improvement

Engaging in the capstone project of telemedicine for hypertension management has profoundly shaped my ability to lead change, offering valuable insights into navigating the complexities of integrating innovative healthcare technologies. This experience has enhanced my critical thinking and problem-solving skills, empowering me to address challenges and adapt to evolving healthcare landscapes. Reflecting on future leadership roles, I am inspired to continue cultivating these leadership capabilities through ongoing professional development and learning opportunities. Setting goals for personal growth, I aim to deepen my understanding of emerging healthcare technologies, refine my communication and collaboration skills, and expand my knowledge of change management theories and practices, ultimately striving to influence the healthcare landscape positively.

Transferability of Project Outcomes

The capstone project’s procedures and lessons learnt have great potential for use in a variety of healthcare contexts to promote quality improvement. Firstly, the emphasis on interdisciplinary collaboration and patient-centered care inherent in the intervention plan can be applied across various healthcare settings. By fostering open communication and teamwork among healthcare professionals and prioritizing patient needs and preferences, similar interventions can enhance the quality and effectiveness of care delivery. However, it’s essential to acknowledge conflicting evidence or perspectives that may arise regarding the feasibility or effectiveness of specific strategies, such as the integration of telemedicine technologies.

While telemedicine offers opportunities for improving access to care and patient outcomes, issues with digital literacy, access to technology, and patient preferences must be carefully addressed to ensure successful implementation and acceptance. Therefore, while the principles underlying the intervention plan are transferable, adapting strategies based on different contexts’ unique needs and characteristics is essential, considering conflicting evidence and diverse perspectives to drive meaningful quality improvement initiatives.

Conclusion

In conclusion, the telemedicine-based hypertension management intervention offers promising avenues for improving healthcare delivery for elderly adults. While the plan outlines comprehensive strategies for enhancing access, patient outcomes, and quality of care, challenges such as technology acceptance and interdisciplinary cooperation must be addressed. By embracing emerging technologies and fostering personal growth, healthcare professionals can drive transformative changes in practice. Moving forward, continued innovation and adaptation will be key to realizing the full potential of telemedicine in improving patient care across diverse contexts.

 References

Ahmed, R. A. A., & Al-Bagoury, H. Y. H. E. (2022). Artificial intelligence in healthcare enhancements in diagnosis, telemedicine, education, and resource management. Journal of Contemporary Healthcare Analytics, 6(12), 1–12. https://publications.dlpress.org/index.php/jcha/article/view/55

Brunner-La Rocca, H.-P., Peden, C. J., Soong, J., Holman, P. A., Bogdanovskaya, M., & Barclay, L. (2020). Reasons for readmission after hospital discharge in patients with chronic diseases—Information from an international dataset. PLOS ONE, 15(6), e0233457. https://doi.org/10.1371/journal.pone.0233457 

Caballero, M. Q. -, García, A. C., Peña, S. C., Caballero-Mateos, A. M., Martín, O. F., Cañadas-De la Fuente, G. A., & Romero-Bejar, J. L. (2023). Telemedicine in elderly hypertensive and patients with chronic diseases during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Clinical Medicine, 12(19), 6160. https://doi.org/10.3390/jcm12196160 

Choi, W.-S., Kim, N.-S., Kim, A.-Y., & Woo, H.-S. (2021). Nurse-coordinated blood pressure telemonitoring for urban hypertensive patients: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(13), 6892. https://doi.org/10.3390/ijerph18136892

NURS FPX 6030 Assessment 5 Evaluation Plan Design

Fujiwara, T., McManus, R. J., & Kario, K. (2022). Management of hypertension in the digital era: Perspectives and future directions. Hipertensión Y Riesgo Vascular, 39(2), 79–91. https://doi.org/10.1016/j.hipert.2022.01.004

Horn, M. E., Reinke, E. K., Mather, R. C., O’Donnell, J. D., & George, S. Z. (2021). Electronic health record–integrated approach for collection of patient-reported outcome measures: A retrospective evaluation. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06626-7

Li, Q., Yang, L., Zheng, T., Han, S., Yang, S. X., Lin, P., Liang, J., Zhang, T., Liu, S., Zhang, W., & Zhen Jian-cun. (2022). Pharmacist-led telemedicine disease management based on mobile application for elderly patients with hypertension: A self-controlled case series study. Research Square. https://doi.org/10.21203/rs.3.rs-2019517/v1 

Mabeza, R. M. S., Maynard, K., & Tarn, D. M. (2022). Influence of synchronous primary care telemedicine versus in-person visits on diabetes, hypertension, and hyperlipidemia outcomes: A systematic review. BMC Primary Care, 23(1). https://doi.org/10.1186/s12875-022-01662-6 

Omboni, S., McManus, R. J., Bosworth, H. B., Chappell, L. C., Green, B. B., Kario, K., Logan, A. G., Magid, D. J., Mckinstry, B., Margolis, K. L., Parati, G., & Wakefield, B. J. (2020). Evidence and recommendations on the use of telemedicine for the management of arterial hypertension. Hypertension, 76(5), 1368–1383. https://doi.org/10.1161/hypertensionaha.120.15873 

NURS FPX 6030 Assessment 5 Evaluation Plan Design