Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
Advocating for the Nursing Role in Program Design and Implementation
In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:
- Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
- Who is your target population?
- What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
- What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
- What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
- Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Expert Answer and Explanation
Advocating for the Nursing Role in Program, Design, and Implementation
The fact that nurses have more direct contact with patients than anyone else in the healthcare industry means that they have an upper hand in making decisions that influence the overall health of patients. For instance, nurse leaders are responsible for making programs that advocate for improved care of patients in both inpatient and outpatient setups (Tinetti, 2016).
Chronic diseases are among the common cases that nurses are faced with, hence setting up a program that is responsible for solving chronic health issues is appropriate for nurses in any health set up. The following interview transcript describes the responses that show the position of nurses in program design and implementation.
- Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
The healthcare program in the practice entails a precise accounting for all the chronic health issues that affect different populations. At least 40% of the US population today have one chronic disease, which raises a challenge in the way people handle possible causative agents of these diseases (Fougère et al., 2018).
The geriatric patients, for instance, are often misinformed about the factors that increase their likelihood of getting chronic disease. The nursing program entails having a pool of information about chronic diseases as well as a method of educating geriatrics about diabetes, asthma, cancer, HIV/AIDS, as well as other chronic diseases (Crawford et al., 2016). Depending on the size of a facility, the cost of implementing this program can range from $200 to $1000 for a basic unit.
- Who is your target population?
The target population for this program is people who are above 65 years of age. This is because they are the people who often have numerous misconceptions about how to prevent or treat chronic diseases in case of occurrence.
- What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
The nurse, in this program, helps to directly provide education to the patients about certain chronic diseases that are likely to affect them, and also train other care givers who come into contact with these patients about the best ways of imparting various information to the patients.
For instance, upon identification of a patient to be having pre-diabetes, it is necessary to explain to them the specific diet that is recommended as well as to teach them about some of those that may not affect their system entirely.
- What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
In a large way, I believe that as an advocate, I have a large role to play in the design decisions since it was my idea about the program. For instance, it should be understood that the program has more emphasis in helping geriatric patients to understand that lifestyle conditions are barely affected by communicable disease agents, and management should be specific on the condition.
- What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
The nurse is expected to play a key part in healthcare design and implementation as they have been trained on how to handle evidence-based information in a way that is probably better than any other healthcare giver (Crawford et al., 2016). In implementation, however, nurses are required to follow the decision of their superiors, which could also be appraised by their nurse leaders.
- Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
All healthcare givers are needed for the successful implementation of any program. However, nurses are more required since they often have a longer contact time with the patients, and they understand the patient needs more than anyone else (Crawford et al., 2016). Besides, most of these healthcare programs need to have monitoring and feedback collection, which can be done efficiently by the nurses.
Conclusion
A program to help chronic geriatric patients to have more information about their conditions can prove to be a life saver as it entails the passing of vital information about various chronic conditions to both the patients and to other healthcare givers. The target population is patients of chronic diseases who are above 50 years. Nurses play a crucial role in program design and implementation as they always have first-hand information about the reaction of patients to such programs.
References
Crawford, C. L., Boller, J., Jadalla, A., & Cuenca, E. (2016). An integrative review of pain resource nurse programs. Critical care nursing quarterly, 39(1), 64-82.
Fougère, B., Morley, J. E., Arai, H., Bauer, J. M., Bernabei, R., Cherubini, A., & Mañas, L. R. (2018). Precision Medicine: The Future Management of Geriatric Conditions. The journal of nutrition, health & aging, 1-4.
Tinetti, M. (2016). Mainstream or extinction: can defining who we are save geriatrics? Journal of the American Geriatrics Society, 64(7), 1400-1404.
Alternative Answer
Advocacy and Nurse’s Role in Program Design and Implementation
Nosocomial infections lead in terms of the factors which contribute to the increase in the length of hospitalization. Nursing professionals can help prevent the spread of these infections by participating in programs focused on optimizing clinical outcome. Nurse’s roles may range from designing the program to implementing it, and the capacity of the nurse to contribute to the success of such a program depends on how well they are informed about their role as far as the program is concerned (Salmond & Echevarria, 2017).
It is therefore important to interview a nurse to understand their perspective regarding the design and implementation of a program aimed at preventing hospital acquired infections (HAIs).
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
The healthcare program our hospital is working on is an anti-HAIs program in which the hospital seeks to lower the rates of nosocomial infections in order to reduce expenses on health, adequately utilize healthcare resources, and reduce the time patients are hospitalized. The program involves educating the clinical staff about the infection control measures, and evaluating how much they get to know following the implementation of the education program.
The program is expected to cost $120,000, and this money will go towards purchasing training resources for the staff, and paying the trainers (Haque et al., 2018). The hospital will be able to save up to 800,000 every year if it implements the program. This is because treating a single HAI case costs more than $12,000.
Who is your target population?
The population targeted by this program includes nurses especially those working in the critical care unit, and elderly care nurses. These nurses are chosen for the program because they work with vulnerable individuals. They are vulnerable due to low immunity, and susceptibility to developing conditions such as pressure ulcer when hospitalized.
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
The nurse plays a vital role during the design of the program because they can share their experience regarding what they know about the units with the most risk. They can also provide other details such as the costs incurred in treating a single case of HAI, and the average time a patient spends in the hospital if they have HAI. This information is then used to come up with a program design that takes into account the cost of the clinical problem, and the nurse’s role in implementing it.
What is your role as an advocate for your target population for this healthcare program? Do you have input into decisions? How else do you impact design?
As an advocate, my role involves championing for allocation of the adequate resources to help the nursing staff to learn how they can control and manage infections. My advocacy role also entails calling for those in leadership positions to provide nurses with the right resources so that they can effectively control infections. For example, I can advocate for them to be provide with sanitizers so that they can observe effective hand-hygiene practices (Luca,, Cavicchioli, & Bianchi, 2021).
Yes, I can make decisions on matters concerning the program, and I can for instance, share information on priority areas so that necessary actions can be taken during decision-making.
I can equally impact the design by disseminating research-based knowledge to guide the design process.
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
The nurse can lead efforts focused on the implementation of a healthcare program. They can also evaluate clinical conditions to ensure that providers work in conducive and hygienic environments. Furthermore, they can provide support to their colleagues by recommending HAI prevention measures. The difference noticeable between the two is that a nurse can assume leadership role during the implementation of a healthcare program.
When it comes to design and implementation, the nurse’s role entails providing input to help facilitate program development and implementation. With implementation, for example, a nurse can mobilize colleagues around a common goal of creating hygienic conditions within the hospital (Semachew, 2018).
Who are members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Although it is important to involve everyone during the implementation of a program, it is important to involve nurses more because they are often in close contact with patients, more than any other group of providers. Given that they have adequate experience of working with patients, their participation is necessary for the program implementation to succeed (Risling & Risling, 2020).
Conclusion
What one can learn from the interview is that the nurse’s role is vital when it comes to designing and implementing a HAI-prevention program. Other than leading others to implement the program, a nurse can advocate for establishment of conditions which make it possible for the nurses to work. They can equally advocate for hospital’s leadership to allocate enough resources into the HAI-prevention program. The difference in the nurse’s role in the program is seen if one compares design and implementation, and implementation of the program. In the latter, the nurse can be a leader.
References
Haque, M., Sartelli, M., McKimm, J., & Abu Bakar, M. (2018). Health care-associated infections – an overview. Infection and drug resistance, 11, 2321–2333. Doi: https://doi.org/10.2147/IDR.S177247.
Luca, C. E., Cavicchioli, A., & Bianchi, M. (2021). Nurses Who Assume the Role of Advocate for Older Hospitalized Patients: A Qualitative Study. SAGE open nursing, 7, 23779608211030651. Doi: https://doi.org/10.1177/23779608211030651.
Risling, T. L., & Risling, D. E. (2020). Advancing nursing participation in user-centred design. Journal of research in nursing : JRN, 25(3), 226–238. Doi: https://doi.org/10.1177/1744987120913590.
Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopedic nursing, 36(1), 12–25. Doi: https://doi.org/10.1097/NOR.0000000000000308.
Semachew, A. (2018). Implementation of nursing process in clinical settings: the case of three governmental hospitals in Ethiopia, 2017. BMC research notes, 11(1), 173. Doi: https://doi.org/10.1186/s13104-018-3275-z.
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