Proposed Solution, Implementation, And Evaluation Essay

Proposed Solution, Implementation, And Evaluation Essay

 Proposed Solution, Implementation, And Evaluation Essay

Cystic fibrosis (CF) is an autosomal recessive, genetically inherited disorder triggered by a mutant of the family’s autosomal CF gene. It is marked by inflammation, changes to the trachea, and a buildup of mucus. Modern medical technology has allowed people with CF to live much longer and get more therapies, such as prescription medicines, physical therapy, and genetic manipulation (Ding & Zhong, 2020). Exercise is often used to avoid or manage metabolic diseases like heart disease, diabetes, metabolic disorders, and obesity. Regular exercise is good for one’s lung health and aerobic fitness. People are very interested in exercise therapy now that they know it can assist patients with CF. Eliminating mucosal cilia can be facilitated by exercise alone, making it a viable airway clearance technique (ACT). Patients with CF can lead more typical lifestyles with the support of exercise therapy, which is less stigmatizing in the eyes of the general public (Ding & Zhong, 2020). This paper proposes to improve the health and well-being of people with cystic fibrosis who participate in physical activities. This program aims to inform healthcare professionals and CF patients about the evidence supporting this claim.

Implementation Plan

The first stage in putting this plan into action is unveiling the strategy that will be used to win over the organization’s senior leadership and get their enthusiastic backing for the intervention. Approval is necessary to guarantee that the research is handled ethically because the new proposal intends to utilize and assess human participants in the test program and to monitor medical information, literacy levels, clinical outcomes, and patient satisfaction. The plan will be submitted to the institutional review board (IRB), the organization in charge of vetting research protocols and giving their approval before interventions can move further. By reviewing study protocols, adverse occurrences, revisions, and other issues, the IRB ensures the safety and well-being of human participants and upholds ethical standards (Pearson, 2020). Likewise, it will also be crucial to present the plan to the other staff members participating in the study project.

Clients participating in physical activities must be in good health and take their medications as prescribed to participate in the program, among other prerequisites. The new intervention calls for a comprehensive examination of the patient’s medical history and current health state upon admission and an initial evaluation of the patient’s comprehension of the positive benefits of exercise on their illness and health. The nurses will explain to their clients why physical activity is crucial to their health and answer any concerns about their management in terms they can comprehend. A signed form attesting that the nurse offered instructional assistance to the individual and a signed consent form allowing the patient to engage in the research will need to be obtained to proceed further.

The proposed solution was chosen because it can potentially enhance patient health outcomes and the standard of care delivery by educating healthcare practitioners on the issue of physical activities for people with CF and improving health literacy in individuals (Radtke et al., 2022). There is excellent potential to make a difference with this study, and the patients are not in danger because no invasive procedures are involved (Radtke et al., 2022). In addition, the suggested plan will have a relatively low cost of implementation compared with numerous other studies being undertaken to help enhance the lives of people with CF. To reduce the risk of problems and improve the likelihood of a positive outcome, healthcare providers should actively involve their clients by providing relevant education.

Starting in April 2023, the planned plan will collect data for nine months. The initial step in the program is to choose the healthcare units that will actively engage in the pilot survey. Registered nurses joining the research will sign an informed consent form indicating their understanding of and agreement to the study’s increased responsibility, tasks, and expectations. The nurses will be expected to undergo a course on health education and physical exercises for people with CF and pass an exam on the content to prove their competence. As soon as the different parties are taught, the next step is to determine whether patients are eligible to join the study by giving them a questionnaire in person whenever the healthcare workers come into contact with people who have CF and little to no health literacy.

Those who are not interested in participating in physical activities will be excluded. As part of the research procedure, once patients have been identified, they will be asked to sign a consent form indicating they agree to participate. The nurse is responsible for checking the patient’s vital signs, medication records, and general well-being as elements of the admissions process. After this is determined, the new proposal requires the nurse to inform the patient of the health benefits of physical exercise. A designated nurse case manager will supervise the project implementation and assist in the data evaluation and interpretation. They will also coordinate the teaching timeline and guarantee that all records are signed and information is gathered according to the regulations of the research protocol.

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Required Resources

Funding for the proposed strategy is the first step in gathering the resources needed to implement this program; if federal aid is unavailable, private funds will need to be acquired. The funds allotted to this initiative will be used to pay for staff training and the printing and distribution of instructional materials for staff and patients.  Various printed study materials will also be used to gauge patients’ knowledge and comprehension, such as patient education assessments, eligibility checklists, informed consent forms, and pre and post-intervention surveys. There will be no additional out-of-pocket expenses for purchasing and implementing any hardware or software needed to collect, store, and analyze data before, during, or after the research project. To conclude, the program will require a committee of devoted individuals to launch, monitor, and evaluate the necessity of modification in the initial proposal, in addition to a committed nurse case manager who will be in charge of the day-to-day activities linked to the project’s execution and achievement.

Evaluation

Each potential success of a proposed strategy requires an accompanying assessment framework. Several aspects of this program will be used to evaluate how effective this intervention has been. In the first evaluation, participants will be asked to compare their baseline healthcare literacy scores with those they received after completing the suggested intervention. In the second round of assessment, the potential negative consequences of these individuals’ increased exercise routines will be monitored. The final evaluation will monitor patients’ reports of contentment and hospital readmissions after they begin physical exercise. Patient perception of care delivery will be evaluated before and after implementing efforts to raise patient knowledge and understanding.

In general, this approach is predicted to have favorable results; nevertheless, its effectiveness will be measured by the degree to which patients’ health literacy scores improve, the number of CF complications diminishes, and the number of adverse reactions to exercise reported remains low. Its secondary objective is to improve patients’ views on the quality of care they get. While assessing and analyzing the information gathered from the suggested intervention, several factors must be considered. Older patients will have more difficulty with intense physical workouts and retaining information through patient education; thus, this variable requires meticulous evaluation. Because of this age disparity, it is possible that the predicted results for this program evaluation will differ.

The research will also evaluate the degree to which nurses receive formal training and ongoing professional development opportunities. The healthcare practitioners responsible for treating, managing, and educating CF patients have a crucial role in ensuring patient safety and involvement, and the program should support their professional growth. Every three months, we will conduct an intermediate review to see how well the program is being implemented and collect data for further study when the project is finished. All significant stakeholders engaged through this process will receive a comprehensive review and analysis of the study’s outcomes from the committee that manages the research.

Conclusion

One of the main reasons projects fail is because of poor planning. Unfortunately, many projects’ lack of proper strategy development results in a shaky foundation for the subsequent stages. As a result, achieving any project’s goals depends heavily on the strategy’s execution. Evaluation is a methodical investigation into the efficacy of a project, technique, initiative, or intervention. Assessing the strengths and weaknesses of a project or program is possible with an evaluation. Project evaluation can help seek funding, especially if the intervention has been proven effective, suggest alternative actions, and demonstrate its impacts on the sponsors. The project workforce must also make ethical considerations such as patient confidentiality and seeking informed consent from the participants.

References

Ding, S., & Zhong, C. (2020). Exercise and cystic fibrosis. Advances in Experimental Medicine and Biology, 1228, 381–391. https://doi.org/10.1007/978-981-15-1792-1_26

Pearson, S. (2020). Institutional review board. Journal of the American Psychiatric Nurses Association, 26(6), 523–524. https://doi.org/10.1177/1078390320965244

Radtke, T., Smith, S., Nevitt,  J., Hebestreit, H., & Kriemler, S. (2022). Physical activity and exercise training in cystic fibrosis. Cochrane Database of Systematic Reviews, 2022(8). https://doi.org/10.1002/14651858.cd002768.pub5

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Proposed Solution, Implementation, and Evaluation
The final capstone project is a series of written research-based assignments completed throughout this course that culminate in a final evidenced-Based Proposal paper and presentation. Students are encouraged to share their completed proposals with a health care organization that could benefit from the proposal. For this fourth assignment, you will present the proposed solution for your evidence-based intervention and outline the implementation and evaluation plan.
Proposal
In 100 -200 words, present a detailed explanation of your proposed solution (new policy, process, procedure, or education that addresses the problem or issue you identified for your project). Include rationale for why you selected proposed solution. The proposed solution should be based on the support indicated in the literature review.
Preparing an Implementation Plan
Develop an implementation plan (500-750 words). The elements that should be included in your plan are listed below:
1. Strategies for obtaining necessary approval(s) and securing support from your organization’s leadership and fellow staff. If you are proposing a change in current policy, process, or procedure, first describe the current policy, process, or procedure as a baseline for comparison.
2. Description of implementation. (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?)
3. Resources required for implementation: stakeholders; assessment tools (questionnaires, surveys, pretests and posttests to assess knowledge of participants at baseline and after intervention); technology (technological 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.
Evaluation Plan
Prepare an evaluation plan (500-750 words) supported by your critical analysis of the literature.
1. Discuss methods to evaluate the effectiveness of your proposed solution.
2. Describe what your projected outcomes will be and what variables will be assessed.
General Requirements
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.

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Proposed Solution, Implementation, and Evaluation – Rubric                                                                                                                                                                           Total 100 points

Criterion                             1. Unsatisfactory                2. Less Than Satisfactory  3. Satisfactory                      4. Good                                   5. Excellent

Implementation Plan: Resources Required Implementation Plan: Resources Required	0 points   Resources required for implementation are not discussed.	6.5 points Resources required for implementation are only partially discussed.	7.5 points Resources required for implementation are outlined. Some aspects related to stakeholders,	8.5 points Resources  required  for implementation are discussed. Aspects related to stakeholders, assessment	10 points A well-developed description of the implementation plan is presented. The narrative includes when and how the
			assessment tools, technology, funds and staff needed to initiate, oversee, and evaluate change are outlined. The narrative demonstrates a general understanding of resources needed for implementation.	tools, technology, funds and staff needed to initiate, oversee, and evaluate change are discussed. The narrative demonstrates understanding of resources needed for implementation.	change will be integrated into the current organizational structure, culture, and workflow, and who will be responsible for initiating the change, educating staff, and overseeing the implementation process. The narrative demonstrates a clear understanding of the implementation process.
					Resources required for implementation are thoroughly discussed. Aspects related to stakeholders, assessment tools, technology, funds and staff needed to initiate, oversee, and evaluate change are detailed. The narrative demonstrates a clear understanding of
					resources needed for implementation.
Implementation Plan: Strategies for Approval Implementation Plan: Strategies for Approval	0 points Proposed strategies and a baseline comparison for any proposed changes are not discussed.	6.5 points Proposed strategies are incomplete. Current policy, process, or procedure is only partially discussed and a	7.5 points General strategies for obtaining the necessary approvals and securing support from organizational	8.5 points Key strategies for obtaining the necessary approvals and securing support from organizational leadership	10 points Clear strategies for obtaining the necessary approvals and securing support from organizational leadership
		baseline comparison for any proposed changes to these areas cannot be made.	leadership and fellow staff are proposed. For any proposed change to current policy, process, or procedure an outline of the current policy, process, or procedure is presented for a baseline comparison. Some areas are vague. Some support is needed.	and fellow staff are proposed. For any proposed change to current policy, process, or procedure a description of the current policy, process, or procedure is presented for a baseline comparison. The narrative has adequate support.	and fellow staff are proposed. For any proposed change in current policy, process, or procedure an informative description of the current policy, process, or procedure is presented for a baseline comparison. The narrative is thorough and well-supported.
Argument Logic and Construction	0 points	5.2 points	6 points	6.8 points	8 points
Argument Logic and Construction	Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument	Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the	Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of	Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression	Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All
	is incoherent and uses noncredible sources.	logic. Some sources have questionable credibility.	claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.	of claims from introduction to conclusion. Most sources are authoritative.	sources are authoritative.

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Documentation of Sources   Citations, footnotes, references, bibliography, etc., as appropriate to assignment and style.	0 points   Sources are not documented.	3.25 points   Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	3.75 points   Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	4.25 points   Sources are documented, as appropriate to assignment and style, and format is mostly correct.	5 points   Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Implementation Plan: Description of Plan Implementation Plan: Description of Plan	0 points   The description of the implementation plan is omitted.	9.75 points   The description of the implementation plan is incomplete.	11.25 points A summary of the implementation plan is presented. The narrative includes some aspects of when and	12.75 points A description of the implementation plan is presented. Overall, narrative includes when and how the change will	15 points A well-developed description of the implementation plan is presented. The narrative includes when and how the
			how the change will be integrated into the current organizational structure, culture, and workflow, and who will be responsible for initiating the change, educating staff, and overseeing the implementation process. The narrative demonstrates a general understanding of the implementation process.	be integrated into the current organizational structure, culture, and workflow, and who will be responsible for initiating the change, educating staff, and overseeing the implementation process. The narrative demonstrates an adequate understanding of the implementation	change will be integrated into the current organizational structure, culture, and workflow, and who will be responsible for initiating the change, educating staff, and overseeing the implementation process. The narrative demonstrates a clear understanding of the implementation process.
				process.
Proposed Solution	0 points   A proposed solution is not presented. The solution is not supported by the findings in the literature review.	9.75 points   A partial summary of the proposed solution is outlined. It is unclear whether the solution is supported by the findings in the literature review.	11.25 points   A summary of the proposed solution is presented. The solution is generally based on the support indicated in the literature review.	12.75 points   An explanation of the proposed solution is presented. Overall, the solution is based on the support indicated in the literature review.	15 points   A detailed explanation of the proposed solution is presented and is based on the support indicated in the literature review.
Proposed Solution
Paper Format	0 points   Template is not used appropriately, or documentation format is rarely followed correctly.	3.25 points   Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.	3.75 points   Appropriate template is used. Formatting is correct, although some minor errors may be present.	4.25 points   Appropriate template is fully used. There are virtually no errors in formatting style.	5 points   All format elements are correct.
Use of appropriate style for the major
and assignment.
Evaluation Plan: Projected Outcomes and Variables for Assessment	0 points   Projected outcomes and variables to be assessed are not discussed. The narrative is not supported by the findings in the literature analysis.	6.5 points   Projected outcomes are outlined and the variables to be assessed are only partially discussed. The narrative is sometimes supported by the findings in the literature analysis.	7.5 points   Projected outcomes are outlned and the variables to be assessed are summarized. The narrative is generally supported by the findings in the literature analysis.	8.5 points   Projected outcomes variables to be assessed are discussed. Overall, the narrative is supported by the findings in the literature analysis.	10 points   The projected outcomes and the variables to be assessed are thoroughly described. The narrative is strongly supported by the findings in the literature analysis.
Evaluation Plan: Projected Outcomes
and Variables for Assessment
Evaluation Plan: Methods for Evaluation Evaluation Plan: Methods for Evaluation	0 points Methods to evaluate the effectiveness of the proposed solution are not discussed. The proposed methods are	6.5 points Methods to evaluate the effectiveness of the proposed solution are only partially discussed. The methods are	7.5 points General methods to evaluate the effectiveness of the proposed solution are summarized. The methods	8.5 points Adequate methods to evaluate the effectiveness of the proposed solution are discussed. The methods presented	10 points Realistic and effective methods to evaluate the effectiveness of the proposed solution are detailed. The
	not supported by the findings in the literature analysis.	sometimes supported by the findings in the literature analysis.	presented are generally supported by the findings in the literature analysis.	are supported by the findings in the literature analysis.Projected outcomes variables to be assessed are discussed. Overall, the narrative is supported by the findings in the literature analysis.	methods presented are strongly supported by the findings in the literature analysis.

 

Thesis Development and Purpose Thesis Development and Purpose	0 points   Paper lacks any discernible overall purpose or organizing claim.	4.55 points   Thesis is insufficiently developed or vague. Purpose is not clear.	5.25 points   Thesis is apparent and appropriate to purpose.	5.95 points   Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.	7 points   Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Mechanics of Writing	0 points	3.25 points	3.75 points	4.25 points	5 points
Includes spelling, punctuation, grammar, language use.	Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or	Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice	Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and	Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective	Writer is clearly in command of standard, written, academic English.
	sentence construction is used.	(register) or word choice are present. Sentence structure is correct but not varied.	varied sentence structure and audience-appropriate language are employed.	sentence structures and figures of speech.