NURS 6050 Week 8 Assignment Advocating for the Nursing Role in Program Design and Implementation
Question 1
One of the most frequently handled infections in the nursing home is UTI. This infection poses problems regarding its proper treatment administration. I work for an organization with 36 long-term care facilities, all under the same upper corporate management, although they function differently. I have been in charge of my facilities’ infection control for the last three years, and in this period, I have witnessed the outrageous number of UTI infections reported. About 70% of all the total reported infection cases in my facility are UTI cases.
We are looking to develop a health care program that will ensure that there is a reduction of inappropriate antibiotics used to deal with these cases. This initiative achieved quite remarkable success when rolled out in my facility, significantly reducing the infections rates. Therefore, I am looking to have it rolled out in the rest of our facilities. The primary focus of this initiative is to ensure patients with UTI are prescribed the appropriate antibiotics as we rid the non-effective ones to decrease the number of UTI cases.
The costs projected in this project are traveling and training material costs as I will have to travel to all our 36 facilities and train all the nursing practitioners and staff.
Question 2
The program targets the elderly in our long-term care facilities. Several research studies indicate that they are the most at-risk populations to contracting urinary tract infections.
Question 3 &4
We, as nurses, will conduct assessment and Request (SBAR) for the patients with symptoms of UTI rather than randomly requesting physicians to provide urinalysis on the patient’s samples. In essence, the program will ensure that inappropriate antibiotics used to treat UTIs are disposed of, which will improve the effectiveness of the appropriate antibiotics among patients. In addition, nurses will work with other professionals in the healthcare facilities to prescribe the right antibiotics to UTI patients.
A design example is as follows:
All the nursing staff at each of our training facilities will be acquainted with UTI classic symptoms and told to watch out for any of these symptoms inpatient analysis.
- 100or 2.4 increase above baseline
- New delirium onset
- Rigors
- New Flank tenderness/pain
All NPs will submit their forms to me since I am the infection control nurse. I will ensure all criteria are adequately satisfied, after which the nurses can now notify the respective clinicians.
Question 5
As previously stated, my target population includes the older adults who are accommodated in nursing homes since these facilities top the list for harmful antibiotics resistant infection strain breeding grounds. We will eliminate the unneeded antibiotics that might become resistant and provide new and appropriate antibiotics for UTI.
Question 6
All tool kit forms for any potential UTI cases will be forwarded to me, after which my and health team members and I will discuss the appropriate follow-up for the cases.
I will ensure that every UTI case suspect will be properly and adequately assessed, after which the appropriate implementation will follow. For instance, if the resident exhibits behavior not linked or related to UTI, they will be thoroughly assessed, and possible implementation procedures identified before contacting the physicians.
The essential team members are the practitioners who prescribe the UTI antibiotics. We will email each practitioner to inform them that “based on recent clinical guidelines developed with the nursing home, some modifications will be made on the protocols around urinalysis for optimal antibiotic use in treating UTI. Nurses will be provided with a toolkit SBAR that will be followed before contacting clinicians.”
The nursing care team, Nursing Directors, registered nurses, nursing assistants, and licensed practical nurses are the target healthcare members involved in the program.
Question 8, 9 &10
The nurse will be tasked with coming up with a program that focuses on identifying the inappropriate antibiotics to which the patient can develop resistance and getting rid of them.
We will achieve it by working with other health care professionals to prescribe the correct antibiotic treatment to each UTI patient.
Question 11&12
Nursing staff will have to follow and implement the Suspected UTI SBAR toolkit. This toolkit form will include the initiated antibiotic’s minimum criteria. For example, if a patient does not show indwelling catheter signs, we will look at fever or at least one of the following new or worsening symptoms; costovertebral angle tenderness, suprapubic gross hematuria, and urinary incontinence. If the patient shows Indwelling catheters, we will look for fever, or at least one of the following; rigors, new costovertebral tenderness, new delirium onset. Resistant antibiotics can become harmful to a patient.
Finally, Strong leadership plays a critical role in transforming the health care system. In the nursing field, leaders need to perform and develop excellent and efficient health care programs. Leadership varies from the boardroom to bedside care. Therefore, Nurses should partner with health professionals with high-quality care delivery.
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
| Excellent | Good | Fair | Poor | |
|---|---|---|---|---|
| Program Design
In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions. · 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? |
41 (41%) – 45 (45%)
Response provides a clear and complete summary of the healthcare program, including an accurate and detailed description of the costs and projected outcomes of the program.
Response provides a clear and accurate description that fully describes the target population. Response provides a clear and accurate explanation of the role of the nurse in providing input for the design of the program, including specific examples. Response provides an accurate and detailed description of the role of the nurse advocate for the target population for the healthcare program selected. Response provides an accurate and detailed explanation of how the advocate’s role influences design decisions as well as fully explaining impacts to program design. |
36 (36%) – 40 (40%)
Response provides a summary of the healthcare program, including a description of the costs and project outcomes of the program.
Response provides an accurate description of the target population. Response provides an accurate explanation of the role of the nurse in providing input for the design of the program, including some examples. Response provides an accurate description of the role of the nurse advocate for the target population for the healthcare program selected. Response provides an accurate explanation of how the advocate’s role influences design decisions and somewhat explains impacts to program design. |
32 (32%) – 35 (35%)
Response provides a summary of the healthcare program that is vague or incomplete or does not include costs or projected outcomes of the program.
Description of the target population is vague or inaccurate. Explanation of the role of the nurse in providing input for the design of the program is vague, inaccurate, or does not include specific examples. Description of the role of the nurse advocate for the target population for the healthcare program selected is vague or inaccurate. Explanation of how the advocate’s role influences design decisions and impacts to program design is vague or inaccurate. |
0 (0%) – 31 (31%)
Response provides a summary of the healthcare program that is vague and inaccurate, does not include costs or projected outcomes of the program, or is missing.
Description of the target population is vague and inaccurate or is missing. Explanation of the role of the nurse in providing input for the design of the program, and specific examples is vague and inaccurate, or is missing. Description of the role of the nurse advocate for the target population for the healthcare program selected is vague and inaccurate or is missing. Explanation of how the advocate’s role influences design decisions and impacts to program design is vague and inaccurate, or is missing. |
| Program Implementation · What is the role of the nurse in healthcare program implementation? How does this role vary between design and implantation 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 you think this? |
36 (36%) – 40 (40%)
Response provides a clear, accurate, and complete explanation of the role of the nurse in healthcare program implementation.
Response provides an accurate and detailed explanation of how the role of the nurse is different between design and implementation of healthcare programs, including specific examples. Response provides an accurate and detailed description of the members of a healthcare team needed to implement the program selected. |
32 (32%) – 35 (35%)
Response provides an accurate explanation of the role of the nurse in healthcare program implementation.
Response provides an accurate explanation of how the role of the nurse is different between design and implementation of healthcare programs and may include some specific examples. Response provides and accurate description of the members of a healthcare team needed to implement the program selected. |
28 (28%) – 31 (31%)
Explanation of the role of the nurse in healthcare program implementation is vague, inaccurate, and/or incomplete.
Explanation of how the role of the nurse is different between design and implementation of healthcare programs is vague or inaccurate and/or does not include specific examples. Description of the members of a healthcare team needed to implement the program selected is inaccurate or incomplete. |
0 (0%) – 27 (27%)
Explanation of the role of the nurse in healthcare program implementation is vague and inaccurate or is missing.
Explanation of how the role of the nurse is different between design and implementation of healthcare programs is vague and inaccurate or is missing. Description of the members of a healthcare team needed to implement the program selected is vague and inaccurate, incomplete, or is missing. |
| Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, low logically, and demonstrate continuity of ideas. |
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. |
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. |
3 (3%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic. |
0 (0%) – 2 (2%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
Purpose, introduction, and conclusion of the assignment is incomplete or missing. |
| Written Expression and Formatting – English Writing Standards:
Correct grammar, mechanics, and proper punctuation |
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
|
4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
|
3 (3%) – 3 (3%)
Contains several (3-4) grammar, spelling, and punctuation errors.
|
0 (0%) – 2 (2%)
Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
|
| Written Expression and Formatting:
The paper follows correct APA format for title page, font, spacing, margins, indentations, parenthetical/in-text citations, and reference list (if sources are cited). |
5 (5%) – 5 (5%)
Uses correct APA format with no errors.
|
4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
|
3 (3%) – 3 (3%)
Contains several (3-4) APA format errors.
|
0 (0%) – 2 (2%)
Contains many (≥5) APA format errors.
|
| Total Points: 100 |
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