Developing an Implementation Plan
the identified problem is Obstructive Sleep Apnea (OSA) and the proposed solution is that if surgery is performed during the early stage of the disease, it will be effective in preventing or reducing the occurrence of complications associated with OSA. 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 (1,500-2,000 words). The elements that should be included in your plan are listed below: Method of obtaining necessary approval(s) and securing support from your organization's leadership and fellow staff. 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. Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit). Rationale for selecting proposed solution. Evidence from your review of literature in Topic 2 to support your proposed solution and reason for change. 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?) 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 found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Explains method(s) of obtaining necessary approval(s) and securing support for proposal.
- Provides thorough description of current problem, issue, or deficit requiring change.
Provides detailed explanation of proposed solution.
Discusses rationale for selecting proposed solution.
Incorporates evidence from review of literature in Module 2 to support proposed solution.
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Developing an Implementation Plan
An implementation plan is developed in this paper taking into account the population in which the solution is intended, the staff members who would take part, as well as the key stakeholders that have to provide approval and/or support for the project to be implemented. This implementation consists of the method of obtaining that would be used to obtain the necessary approvals and securing support from the top leadership of my organization, as well as colleagues. Description of the current problem is provided along with the proposed solution. Evidence from literature review in Topic 2 is used to support the proposed solution. Moreover, this paper provides a description of the implementation logistics and people responsible in the implementation process. Lastly, the resources, including tools and technology that would be required for the implementation process are described comprehensively in this paper.
Method of obtaining necessary approvals
Success of this project depends vastly on the support and approval from the staff that will partake and the major contributors who have to provide approval and/or support for my project to be implemented. The audiences for this project essentially include the adults with Obstructive Sleep Apnea (OSA) who make up the population in which the solution is intended, my colleagues at the healthcare institution, as well as the hospital’s administration. The best way of obtaining support from these groups will entail explaining to them overtly the underlying principle as to why the proposed solution is appropriate, necessary and why it must be implemented. I will inform them the significance of the change; why the change is essential and how it would be beneficial to them and the healthcare institution. Each of the parties affected in one way or another would be communicated explicitly regarding the merits of accepting the change and being receptive to it. In essence, carrying out surgical therapy during early stage of this condition will help to reduce or prevent the occurrence of complications associated with obstructive sleep apnea. This prevention will, in the long-run, save the patients’ and healthcare provider’s costs of medication. It will also enable the patient to have an improved quality of life (Weaver, 2009; American Academy of Otolaryngology, 2011).
My colleagues and the hospital administration will also be offered a chance of voicing their worries regarding the change and their concerns and worries would be addressed sufficiently and cleared. By telling them the underlying principle behind the change and the potential benefits of the change, as well as responding to their worries/concerns regarding the change, I will be able to successfully convince them to be receptive to the change and they will easily approve and support it. It is of note that the proposed solution in my project is performing surgery during the early stage of OSA syndrome in order to reduce or prevent the occurrence of complications linked to this syndrome. To obtain support from the administration and employees of the health care organization, I will also ensure that I involve and consult them whenever necessary. When they see that they are being consulted and involved in the change process, their likelihood of resisting and/or hindering the change process will reduce significantly (Caples et al., 2010; Ephros, Madani & Yalamanchili, 2010).
Description of the current problem
The problem is Obstructive Sleep Apnea (OSA) in adults. OSA is a potentially grave sleep disorder and occurs when breathing repetitively stops and starts as one sleeps (Woodson, 2009). OSA is the most prevalent type of apnea and is a condition in which there are recurring episodes of partial or complete blockage of the upper airway as one is sleeping. In an episode of sleep apnea, the diaphragm and the chest muscles will work harder in opening the obstructed airway and draw air into the lungs. In most cases, breathing will resume with a loud gasp, body jerk or snort (Wayne State University Division of Research, 2013; Boyd et al., 3014). It is notable that episodes of sleep apnea could interfere with sound sleep, and could also decrease the flow of oxygen to essential organs and result in irregular rhythms of the heart. Holty and Guilleminault (2010) stated that OSA symptoms are as follows: headaches in the morning; daytime fatigue or sleepiness; night sweats, sore throat or dry mouth when the person awakes in the morning; and sexual dysfunction. Others are abrupt awakenings with a feeling of choking or gasping; restlessness during sleep; forgetfulness, irritability, depression or trouble concentrating; as well as difficulty to get up in the mornings. Obstructive sleep apnea occurs in every age group and gender and over 18 million adults in the United States have this condition. Of the total, over half are obese and the condition is more common amongst men aged 40 years to 65 years (Riley, 2009).
Proposed solution and rationale
For this problem, the proposed solution as the appropriate intervention is to perform surgery during early stage of the disease in order to reduce or prevent the occurrence of complications associated with obstructive sleep apnea. At present, continuous positive airway pressure (CPAP) is usually used as the first option for people with this condition (Steward, 2009). However, the problem with CPAP, a non-surgical procedure, is that there is always a problem with patients complying with this procedure. In essence, not all patients with obstructive sleep apnea can tolerate CPAP (Mehra & Wolford, 2009). Thus, surgical treatment is the most appropriate treatment since continuous positive airway pressure is not tolerated by all patients.
Evidence from review of literature to support the proposed solution
Several researches conducted in different times by different investigators have again and again confirmed that surgical treatments of obstructive sleep apnea are effective in reducing or preventing complications associated with this condition. Morgan and Myers (2013) pointed out that there are a number of surgical therapies that can be utilized in managing obstructive sleep apnea, and the most commonly applied therapy is certainly uvulopalatopharyngoplasty (UPPP) or UP3. Mehra and Wolford (2009) conducted a research study on the results of othognathic surgery performed in 72 patients. The findings revealed reduction in significant symptoms of OSA and this clearly shows that the surgical intervention was effective. In his study to compare the effectiveness of continuous positive airway pressure versus uvulopalatopharyngoplasty, Weaver (2009) found out that only 3.4% of patients who had undergone the surgical intervention UPPP died relative to 7.1% of them who took the non-surgical procedure CPAP. Further analysis revealed that CPAP patients had a greater risk of death. This shows that surgical interventions such as UPPP are more effective in treating OSA patients relative to CPAP. Steward (2009) in his research study explored the effectiveness of using radio frequency – a surgical...