Question

Identification of Capstone Paper Topic

Instructions
Objective: Throughout this program, you have examined a variety of leadership and change theories used in nursing practice, discovered ways to utilize research to provide safe, evidence-based patient care, and learned about the differences between an associate degree and a baccalaureate degree.

The purpose of this final Capstone project is to demonstrate your ability to apply the concepts learned throughout this degree program.

Steps
Identify a health problem, need, or opportunity for growth in your current practice environment, community, or another clinical area that you feel may be improved
(I am a nurse liaison, so I admit many rehab patients to my facility that return to the hospital quickly. I would like to discuss a new process improvement strategy “Preventing rehospitalization for orthopedic patients”)

Topics may include but are not limited to falls reduction, new policy or procedure, best practice initiative, communication protocol, new equipment/tool, development of a new process improvement strategy, hand washing, bedside rounding, prevention initiative, etc..

Additional information or details about this step

Provide an overview of the issue or problem and why you feel it is important.

Identify the stakeholders.

Briefly discuss the economic, social and ethical concerns and implications associated with the practice change.

This paper must be 2-3 pages long.

APA format is required – including title page, introduction, conclusion, and reference page.

Must include at least 2 peer-reviewed, scholarly sources. All sources for this project must be less than 5 years old.

Answer 1

Cancer and awareness among nurses

Description of current problem, issue, or deficit requiring a change There has been an increase in cases of deaths attributed to cancer. Such high motility death has been attributed to the lack of qualified nursing professionals to take care of the escalating number of patients who have been diagnosed with cancer. The role of nursing professionals cannot be ignored when it comes to treating and taking care of cancer patients. Research indicates that cancer can only be effectively controlled and managed if the government and society at large commit their resources and efforts towards training and employing highly qualified nursing staffs. Besides, lack of proper education in managing cancer has led to an increase in cases of cancer. Lack of proper public awareness on early detection and prevention of cancer has increased the cases of cancer deaths because most people are not aware of the importance of early detection and prevention of cancer at an early stage before it has become chronic. In addition, lack of adequate funding to manage and curb the spread of cancer has been a big problem Lack of necessary funds has made it impossible to acquire the required machines to test and detect cancer before the patient’s condition worsen. Majority of the patients have not been in a position to fully access the medicine and treatment and hence, causing the management of the disease to become a challenging task (Fishman, Lowe, & Ryan, 2016).

A detailed explanation of the proposed solution

There needs to establish a reliable policy, process, procedures and also provide necessary education to address the problem of cancer. The government should establish credible institutions to train professional nurses. Besides, the government should work collaboratively with the society to ensure that members of the public are provided with necessary education that gives them awareness on measures that can be put forth to curb the escalating cases of cancer. The members of the public should be encouraged to seek medical attention to solve the problem of cancer. The policies that address the various types of cancers independently should be established. Besides, there should be proper amendments on the policies to ensure that some types of cancers have been a factor in and address properly. The new policies will help to ensure that the various types of cancers are analyzed into details, this will help to ensure that the implementation of the nursing program become a success.

Another proposed solution to the problem is to avail the necessary financial support to ensure that, nursing professionals have proper access to the medical equipment. Besides, the cost of treating cancer has been significantly high, the government should subside such cost by providing cancer patients with medical insurance that may help to cater to the high treatment cost. Another solution may involve creating public awareness such that members of the public can seek medical attention at an early stage before cancer become chronic at the late stages (Buchanan, Geerling, & Davies, 2014).

The rationale for selecting the proposed solution

The above-proposed solutions were a solution was made because in order to fight cancer and curb its spread. There should be a collaboration between the government, non-governmental organization, individuals members of the public and society at large to ensure that the problem of cancer is addressed successfully. The establishment of educational institutions will play an imperative role in ensuring that the necessary knowledge and skills to fight against cancer has been passed to the members of the society. Besides, the establishment of the cancer awareness campaigns will help in early detection and prevention of cancer cases (Buchanan, Geerling, & Davies, 2014).

Evidence from a review of the literature

The literature has also played a role in shedding right to the problem of cancer. According to Borglin and Gustafsson, the theory of education given to the nurses is imperative because it equips nurses with vital knowledge to alleviate pain among cancer patients.

Borglin and Gustafson further asserted that approximate sixty-eight percent of the nurses who have received theoretical education tend to be less competent when carrying out their routine functions. It implies that the nurses should not only be provided with theoretical knowledge but rather they should also be equipped with practical skills so that they can handle cancer cases with a lot of competence. Besides, Buchanan asserted that cancer can be treated and managed only if there is the availability of competent and qualified personnel’s. He also asserted that the diseases can be curbed if there is an availability of competent medical practitioners such as nurses and doctors. Besides, financial aid should be provided when dealing with cancer cases, lack of adequate funding especially in Africa countries have caused a serious problem of having numerous cases of cancer conditions. Majority of the people in those areas cannot afford to meet medical expenses for cancer (Buchanan, Geerling, & Davies, 2014).

Description of implementation logistics

The change will be integrated into the current organization structure culture and workflow via six steps discussed. The first step for effective implementation will entail obtaining necessary approval both formal and informal approval from the board of institutional review (IRB). The second implementation phase entails planning and projects design; under this resources to be used to implement the nursing programme are harnessed. The third implementation phase entails carting out the research to identify whether the project will be viable. It involves finding out whether the project benefits will outweigh the disadvantages. The fourth step entails, providing the staff with relevant education so that they can easily implement the program. It may help the staff members to learn what they are expected to do. Normally, the phase takes a duration of 6 months to be complete. The fifth step entails overseeing the launch of the project. The actual implementation exercise takes place at this stage and recommendation made on whether or not to continue with the program (Buchanan, Geerling, & Davies, 2014).

Resources required for implementation

Resources will be needed to make the program become a success. The education materials such as PowerPoint, handouts, pamphlet, and posters will be needed in order to educate the employees about the program. Besides, staffs will be assessed to see whether they have a gain value from education. It implies that questionnaires, surveys, and posters will be needed. Funding will also be avail to finance employee’s salaries and purchase of necessary equipment (Buchanan, Geerling, & Davies, 2014).

Evaluation Plan:

Discuss methods to evaluate the effectiveness of your proposed solution.

A number of methods will be utilized to see whether the proposed solution was effective. Some of the methods that will be employed include; staff turnover rates, surveys, comparison methods to mention just but a few. The turnover rates will be used to determine whether there is a reduction in staff turnover rate after implementation of the new proposed solution. In case there is a decrease it will imply that the proposed solution is effective. A decrease in the staff turnover rate implies more nurses are satisfied and are willing to work in their respective health centers and are less likely to leave. Surveys will be utilized to evaluate whether there have been changes in employees attitude toward job satisfaction after the new changes were established. The comparison method will help to determine whether there has been a change in the number of patients discharged from the hospital. If there is an increase it will imply that the proposed solution was effective and should be reinforced. On the contrary, if there is a decrease it implies that the proposed solution was not effective and therefore, new methods should be adopted.

Describe what your projected outcomes will be and what variables will be assessed.

The anticipated project will be a reduction in the cases of cancer cases because members of the public will be able to use the education and knowledge acquired to manage and control the prevalence of the diseases. Besides, there will be more competent and qualified nursing staff to deal with cases of cancer at different levels. In addition, there will be a few cases of cancer to be reported as more nursing staffs will be able to create public awareness on early detection and treatment. Moreover, there will be few incidences of death as a result of cancer because patients will be fully aware of how to deal with the cancer problem. The variables that will be assessed include the attitude and perception of the patient, and employees each of them independently. Besides, the turnover rate of nursing staffs will also be assessed accordingly.

Conclusion

Based on the study it can be scrutinized that an implementation plan in nursing entails comprehensive steps that will be followed in developing a nursing project. It can be observed that for the nursing implementation plan to be effective, all the seven elements discussed must be taken into consideration.

The first element entails obtaining necessary approval(s) and securing support needed to implement the project effectively, the support entails both informal and formal support. Some of the ways to get support include; showing the peers the benefits that they will obtain by accept to support the project and also obtain support from the institutional review board to mention just but few. The second element entails problem description; it can be observed that cancer has been a big challenge in the world and especially in most African countries due to lack of highly qualified nursing staffs and lack of funding. The third element has provided a detail explanation of the proposed solution and literature evidence has also been discussed. Implementation logistics and resource needed to implement the program have also been put forth. Conclusively, the methods for evaluating the solutions proposed have been discussed as well as the outcomes and the variables to be involved.

References:

• Buchanan, A., Geerling, J., & Davies, A. (2014). Breakthrough cancer pain: the role of the nurse. International Journal of Palliative Nursing, 20(3), 126-129.
• Fishman, N. W., Lowe, J. I., & Ryan, S. F. (2016). Promoting an Alternative to Traditional Nursing Home Care: Evaluating the Green House Small Home Model. An Introduction from the Funders and the Green House Project. Health Services Research, 51(S1), 344-351.
• Orto, V., Hendrix, C. C., Griffith, B., & Shaikewitz, S. T. (2015). Implementation of a Smart Pump Champions Program to Decrease Potential Patient Harm. Journal of nursing care quality, 30(2), 138-143.
• Bulechek, G. M., Butcher, H. K., & Dochterman, J. M. (Eds.). (2008). Nursing interventions classification (NIC). Mosby.