Developing an Implementation Plan for Reducing Mood Disorders
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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) using the "Topic 3: Checklist" resource. The elements that should be included in your plan are listed below:
1. Method of obtaining necessary approval(s) and securing support from your organization's leadership and fellow staff.
2. 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.
3. Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit).
4. Rationale for selecting proposed solution.
5. Evidence from your Review of Literature in Topic 2 to support your proposed solution and reason for change.
6. 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?)
7. 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. You are required to submit this assignment to Turnitin. Similarity Index must be less than 20%
This assignment is a series of assignments needed for NRS-441 Professional Capstone Project. Attached is the PICOT Question and Review of Literature from Topic 2 to use as a reference. This paper must support the PICO and use the resources defined in the Review of Literature.
**NOTE** Not all articles sources need to be used, however, the paper requires support of evidence from research so there must be intent citations and references used.
Developing an Implementation Plan
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Method of obtaining necessary approval and securing support for proposal
The success of this project greatly depends on the support of the key stakeholders. They comprise the hospital’s administration as well as colleagues including nurses, doctors, and other health professionals. All these stakeholders are important given that for this project to proceed as planned without being disrupted in any way, support and approval from them is crucial. Three methods would be used to obtain support as well as approval from the hospital’s administration and employees. The first method will entail consulting these stakeholders and ensuring that I involve them during the implementation. I will encourage them to give input and make contribution to the project as its implementation progresses. This is important as they would have a sense of ownership and a feeling of contribution to the project, which is essential to the project’s success (Goodman, 2009).
The second method entails informing these stakeholders of the underlying principle for this proposed change. I will explain to them clearly the reasons why the hospital should espouse and implement the change and how the hospital and employees will all benefit following successful implementation of the proposed change. The third method entails addressing any of their concerns satisfactorily. It is notable that if the stakeholders’ concerns are not addressed effectively and properly, they may exhibit resistance toward the project – something that would compromise the project’s success. Given that some physicians or nurses at the hospital might be concerned or worried about this proposed change, all their worries and concerns would be addressed clearly and sufficiently. This will ensure that they do not resist the project.
Description of current problem
As one may expect, patients who are waiting to undergo surgery in most cases experience high anxiety levels. This anxiety is significant and may have major impacts. Boni, Martinez and Saccomann (2013) stated that the pre-operative anxiety may lead to negative bodily responses, for instance increased heart rate and increased blood pressure, which may in turn result in slower healing of wound in addition to increased risk of infection postoperatively. In addition, this pre-operative anxiety can affect the start of anesthesia and slow patient recovery following the surgical operation (Guo, 2014).
At present, pre-operative anxiety of patients is reduced through the use of anti-anxiety medications and sedatives. The common drugs administered include midazolam, diazepam, and chlordiazepoxide HCI (Guo, East & Arthur, 2012). These drugs, which comprise the hospitals’ pharmacological intervention, are administered regularly prior to surgery. Nonetheless, these medications have negative side effects, for instance they cause breathing difficulties and drowsiness. Some of them can even interact with anesthetic medicines and extend the patients recovery as well as hospital discharge. Thus, mounting attention is being paid to non-pharmacological interventions such as pre-operative education and psychological support in order to reduce pre-operative anxiety (Berg et al., 2009).
Explanation of proposed solution
The proposed solution entails providing pre-operative education and psychological support in order to reduce the mood disorders – stress, anxiety, and depression – of cardiac surgery patients awaiting their operation. This proposed intervention is targeted at heart surgery patients aged between 50 years and 65 years. It is worth mentioning that age as well as extended pre-operative stay at the hospital or prolonged waiting period are seen as vital factors in the development of stress, anxiety, and depression. Mood disorders before a cardiac surgery increases the patient’s post-operative pain (Reed, 2008).
Rationale for selecting proposed solution
Coronary Artery Bypass Graft is a common surgical procedure for treating Coronary Artery Disease. Patients awaiting to undergo Coronary Artery Bypass Graft often exhibit psychological disturbances typified by symptoms of unipolar depression and anxiety. Depression and anxiety symptoms are linked to morbidity after CABG (King et al., 2014). A suitable intervention for these mood disorders amongst cardiac surgery patients is offering psychological support and pertinent information that pertains to the condition of the patient, and the surgery itself. In essence, pre-operative education and psychological support helps to prepare the patients and allows them to gain reassurance which is vital in decreasing their fear and anxiety levels (Mikosch et al., 2010).
Evidence from review of literature
Several researchers have reported about the efficacy of pre-operative education and psychological support in reducing anxiety levels in patients who are awaiting cardiac surgery. According to Nelson (2010), pre-admission preparation programmes should be initiated to reduce the stresses of patients by improving the provision of information. Some of the stresses include not surviving the surgical operation, successful outcome, and the surgery itself. In their research study, Mikosch et al. (2009) found that psychological support that includes respiratory-sinus-arrhythmia biofeedback teaching is actually an uncomplicated and effective tool that nursing staff members can employ to help decrease emotional stress and state-anxiety in patients who are undergoing coronary angiography.
According to Tully et al. (2008), patient education is a vital facet that can be used to empower patients with knowledge regarding Coronary Artery Bypass Graft surgical operation. Towell and Nel (2010) noted that quality and adequate patient education may shorten the duration of hospital stay. Moreover, it can improve self-management skills. It is important to include the family members of the patient in the education. Kiyohara et al. (2008) stated that the disease of one family member actually has an influence on every other family member. The family members act as agents that provide connection, cohesion, as well as closure, and help to promote well-being of the patient. Two days before the heart surgery, the patient can be presented with a brochure with the title: Let us talk about your cardiac surgery or coronary bypass operation.
Many patients await...