developing an Implementation plan

Max Points: 150 Details: 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: 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. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. 5 NRS 441v.11R.Module 3_Checklist.doc The World of Catheter Associated Urinary Tract Infection (CAUTI): A Nurse-Driven Protocol Somnay Williams Grand Canyon University<Capstone> November 15, 2015 The World of Catheter Associated Urinary Tract Infection (CAUTI): A Nurse-Driven Protocol Implementation is the act of putting an instrument or plan into action (Medical Dictionary for the Health Professions and Nursing, 2012). During the process of implementation the plan of action is tested for its effectiveness. This step is very important in the nursing process as interventions and plans of action are put in place which help the nursing team achieve the goal desired. This paper will discuss how the development of a nurse-driven protocol for urinary catheter removal can enable nurses to remove catheters sooner which may help prevent catheter associated urinary tract infections and reduce the use and dwell time of indwelling urinary catheters (The Source, 2013). Implementation of the proposed plan action may provide nurses with a sense of empowerment that may contribute to high quality patient care that”s evidence by positive patient outcomes and the reduction of catheter associated urinary tract infection rates. Method of Approval To achieve approval of the proposed plan, the author would first take her idea to the Unit Director once the problem has been identified. After the Unit Director reviews the plan of proposal, the idea will then be communicated to the shared governance committee, Quality and Safety, of the unit. During this review with the shared governance, engagement and feedback from other nursing colleagues will also considered. From here it would be presented to the Nurse executive council then to the executive body where the decision would be made in regards for the plan of action to be tested during a brief pilot period on this unit. Problem Identified It has been noticed that there has been an increase in urinary tract infection on the unit. These urinary tract infections are most noticeable in patients that have indwelling urinary catheters. “The significant awareness of urinary tract infection associated with catheterization is growing due to staggering prevalence and infection rates” (Mori, 2014). According to the Institute for Healthcare Improvement, up to 80% of hospital acquired urinary tract infections are associated with the use of indwelling urinary catheters (Mori, 2014). Catheter associated urinary tract infections can increase hospital cost, prolong a patient”s hospital stay, and complicate the recovery of those who are critically ill as well as increase morbidity and mortality rates (Mori,2014). Nurse driven protocols are being developed and implementing in reduce the incidence of indwelling catheter usage, prevent urinary tract infections and reduce catheter associated urinary tract infection rates. Proposed Solution Catheter associated urinary tract infection was the problem identified in the proposed action plan. The following are steps that will be taken to ensure a high quality of care and best patient outcomes related to catheter associated urinary tract infection (CAUTI) reduction by means of nurse-driven protocols in the early removal of urinary catheters: – Identify catheter associated urinary tract infection as a problem – Present proposal to appropriated stakeholders (unit director, nursing colleagues, shared governance, executive council, executive body) – Brief pilot period (60 days) – Collection of data and its effectiveness – Present to stakeholders findings and importance and benefits in implementing the plan of action; approval – Implementation of nurse-driven protocols within the health care organizations policies and procedures – Integrate new policy into IT – Ensure appropriate training of staff; designate champion of CAUTI – Assessment and Documentation of reason for use – Early removal if criteria for maintenance isn”t indicated, documentation of removal – Documentation of care of indwelling urinary catheter if use deemed necessary – Monthly auditing and monitoring of use and removal of urinary catheters; engagement and feedback from staff Rationale The proposed is to minimize the inappropriate use of indwelling urinary catheters, prevention of urinary tract infections and decrease the prevalence of catheter associated urinary tract infections with the use of nurse-driven protocols. Implementing nurse driven protocols in regards to early catheter removal gives the nurses empowerment to provide optimal and safe patient care. Nurse driven protocols may also foster and promote positive patient health outcomes by preventing infection and decreasing the patient”s hospital stay. The implementation of this action may also help reduce the financial burdens of the health care organization. Evidence of Literature Review The evidence of literature review that provides support and guidance of this implementation plan is “A-Voiding Catastrophe: Implementing a Nurse Driven Protocol. The author of this article, Mori, attempts to evaluate the effectiveness of the nurse driven protocol for the early removal of the indwelling urinary catheter. “A retrospective chart review allowed measurement of prevalence of catheter usage, dwell time, and CAUTIs before and after implementation of the protocol” (Mori, 2014). Pre implementation, the protocol revealed catheter usage at 37.6%, dwell time 3.35 days and a CAUTI rate of 0.77%. Post implementation of the nurse driven removal protocol, catheter use was 27.7%, dwell time 3.46 days and a CAUTI prevalence of 0.35% (Mori, 2014). Findings in the literature concluded and supported the use of nurse driven protocols to reduce the usage and duration of indwelling urinary catheterization and to decrease the rates of CAUTI. Implementation Logistics After the problem has been identified a collection of data will first show how much the inappropriate use of indwelling urinary catheters affect the unit before and after nurse-driven protocols for early removal of catheters. After the initial proposed has been approved and supported by the data collected, a trail period/pilot will roll out on the unit, with data and feedback being collected over a 60 day period. Once the pilot has been completed, then data and feedback will be reviewed for its effectiveness pre and post implementation for improvements that may have an impact on the quality of care. All data will then be presented back to the shared governance, then the Nurse Executive Council and executive body for implementation of the plan within the organizations policies and procedures. The shared governance council on the unit, along with the unit director and clinical nurse specialist will be those who help initiate the policy in other departments/units in the hospital as well as educate nurses and other health care providers. This change will require a continuum of monthly auditing and monitoring of catheter use and catheter associated urinary tract infection rates and feedback from nursing staff that will be the responsibility of the catheter associated urinary tract infection champion (a registered nurse who is designated to serve as the unit CAUTI champion). Resources of Implementation Resources of implementation for the nurse-drive protocol related to the reduction of catheter use and incidence of catheter associated urinary tract infection would be to education of staff, resources, and IT technology. Education of staff will consist of pamphlets that explain what catheter associated urinary tract infection is, and how to minimize catheter use, prevent urinary tract infection and drive down the prevalence of catheter associated urinary tract infection. This will also entail information on how to maintain and properly care for patient in which use of an indwelling urinary catheter may be indicated. Pre-surveys will be given out to test the staff”s knowledge of catheter associated urinary tract infection. Implementation of nurse-driven protocols, such as indicators that deem the use or removal of the urinary catheter will be integrated by IT into the hospitals computer system. As nurses and other staff perform their daily charting there will also be reminders integrated by IT for those in which the use of the catheters meets criteria such as reason for maintenance of the catheter and pericare/catheter care. “The cost of implementing a CAUTI prevention program will vary based on the level of technology used (e.g., computerized vs. preprinted catheter orders, and whether portable bladder ultrasounds are purchased) and the time invested in implementing and evaluating the interventions” (Meddings, Krein, Fakih, Olmsted, & Saint, 2013). Conclusion In conclusion, the problem identified in the proposed was catheter associated urinary tract infections. A research study was conducted and provided support and evidence from a review of literature in how the implementation of nurse-driven protocols related to early removal of urinary catheters could help prevent and reduce urinary tract infections and decrease the rates of catheter associated urinary tract infections. The education of nurses and other health care providers would be noted imperative if the action of plan is to be successful. The benefits of this proposal would outweigh the cost of implementing the protocol as implementation of the nurse-driven protocol for early urinary catheter removal could surely promote and foster positive patient outcomes and reduce the financial constraints of the health care organization. References Meddings, J., Krein, S., Fakih, M., Olmsted, R., & Saint, S. (2013). Reducing Unnecessary Urinary Catheter Use and Other Strategies To Prevent Catheter-Associated Urinary Tract Infections: Brief Update Review. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Mar. (Evidence Reports/Technology Assessments, No. 211.) Chapter 9. Available from: https://www.ncbi.nlm.nih.gov/books/NBK133354/ Medical Dictionary for the Health Professions and Nursing. (2012). Retrieved November 15 2015 from https://medical-dictionary.thefreedictionary.com/implementation Mori, C. (2014). A-Voiding Catastrophe: Implementing a Nurse-Driven Protocol. MEDSURG Nursing, 23(1): 15-28. (14p) The World of Catheter Associated Urinary Tract Infection (CAUTI): A Nurse-Driven Protocol Somnay Williams Grand Canyon University<Capstone> November 15, 2015 The World of Catheter Associated Urinary Tract Infection (CAUTI): A Nurse-Driven Protocol Implementation is the act of putting an instrument or plan into action (Medical Dictionary for the Health Professions and Nursing, 2012). During the process of implementation the plan of action is tested for its effectiveness. This step is very important in the nursing process as interventions and plans of action are put in place which help the nursing team achieve the goal desired. This paper will discuss how the development of a nurse-driven protocol for urinary catheter removal can enable nurses to remove catheters sooner which may help prevent catheter associated urinary tract infections and reduce the use and dwell time of indwelling urinary catheters (The Source, 2013). Implementation of the proposed plan action may provide nurses with a sense of empowerment that may contribute to high quality patient care that”s evidence by positive patient outcomes and the reduction of catheter associated urinary tract infection rates. Method of Approval To achieve approval of the proposed plan, the author would first take her idea to the Unit Director once the problem has been identified. After the Unit Director reviews the plan of proposal, the idea will then be communicated to the shared governance committee, Quality and Safety, of the unit. During this review with the shared governance, engagement and feedback from other nursing colleagues will also considered. From here it would be presented to the Nurse executive council then to the executive body where the decision would be made in regards for the plan of action to be tested during a brief pilot period on this unit. Problem Identified It has been noticed that there has been an increase in urinary tract infection on the unit. These urinary tract infections are most noticeable in patients that have indwelling urinary catheters. “The significant awareness of urinary tract infection associated with catheterization is growing due to staggering prevalence and infection rates” (Mori, 2014). According to the Institute for Healthcare Improvement, up to 80% of hospital acquired urinary tract infections are associated with the use of indwelling urinary catheters (Mori, 2014). Catheter associated urinary tract infections can increase hospital cost, prolong a patient”s hospital stay, and complicate the recovery of those who are critically ill as well as increase morbidity and mortality rates (Mori,2014). Nurse driven protocols are being developed and implementing in reduce the incidence of indwelling catheter usage, prevent urinary tract infections and reduce catheter associated urinary tract infection rates. Proposed Solution Catheter associated urinary tract infection was the problem identified in the proposed action plan. The following are steps that will be taken to ensure a high quality of care and best patient outcomes related to catheter associated urinary tract infection (CAUTI) reduction by means of nurse-driven protocols in the early removal of urinary catheters: – Identify catheter associated urinary tract infection as a problem – Present proposal to appropriated stakeholders (unit director, nursing colleagues, shared governance, executive council, executive body) – Brief pilot period (60 days) – Collection of data and its effectiveness – Present to stakeholders findings and importance and benefits in implementing the plan of action; approval – Implementation of nurse-driven protocols within the health care organizations policies and procedures – Integrate new policy into IT – Ensure appropriate training of staff; designate champion of CAUTI – Assessment and Documentation of reason for use – Early removal if criteria for maintenance isn”t indicated, documentation of removal – Documentation of care of indwelling urinary catheter if use deemed necessary – Monthly auditing and monitoring of use and removal of urinary catheters; engagement and feedback from staff Rationale The proposed is to minimize the inappropriate use of indwelling urinary catheters, prevention of urinary tract infections and decrease the prevalence of catheter associated urinary tract infections with the use of nurse-driven protocols. Implementing nurse driven protocols in regards to early catheter removal gives the nurses empowerment to provide optimal and safe patient care. Nurse driven protocols may also foster and promote positive patient health outcomes by preventing infection and decreasing the patient”s hospital stay. The implementation of this action may also help reduce the financial burdens of the health care organization. Evidence of Literature Review The evidence of literature review that provides support and guidance of this implementation plan is “A-Voiding Catastrophe: Implementing a Nurse Driven Protocol. The author of this article, Mori, attempts to evaluate the effectiveness of the nurse driven protocol for the early removal of the indwelling urinary catheter. “A retrospective chart review allowed measurement of prevalence of catheter usage, dwell time, and CAUTIs before and after implementation of the protocol” (Mori, 2014). Pre implementation, the protocol revealed catheter usage at 37.6%, dwell time 3.35 days and a CAUTI rate of 0.77%. Post implementation of the nurse driven removal protocol, catheter use was 27.7%, dwell time 3.46 days and a CAUTI prevalence of 0.35% (Mori, 2014). Findings in the literature concluded and supported the use of nurse driven protocols to reduce the usage and duration of indwelling urinary catheterization and to decrease the rates of CAUTI. Implementation Logistics After the problem has been identified a collection of data will first show how much the inappropriate use of indwelling urinary catheters affect the unit before and after nurse-driven protocols for early removal of catheters. After the initial proposed has been approved and supported by the data collected, a trail period/pilot will roll out on the unit, with data and feedback being collected over a 60 day period. Once the pilot has been completed, then data and feedback will be reviewed for its effectiveness pre and post implementation for improvements that may have an impact on the quality of care. All data will then be presented back to the shared governance, then the Nurse Executive Council and executive body for implementation of the plan within the organizations policies and procedures. The shared governance council on the unit, along with the unit director and clinical nurse specialist will be those who help initiate the policy in other departments/units in the hospital as well as educate nurses and other health care providers. This change will require a continuum of monthly auditing and monitoring of catheter use and catheter associated urinary tract infection rates and feedback from nursing staff that will be the responsibility of the catheter associated urinary tract infection champion (a registered nurse who is designated to serve as the unit CAUTI champion). Resources of Implementation Resources of implementation for the nurse-drive protocol related to the reduction of catheter use and incidence of catheter associated urinary tract infection would be to education of staff, resources, and IT technology. Education of staff will consist of pamphlets that explain what catheter associated urinary tract infection is, and how to minimize catheter use, prevent urinary tract infection and drive down the prevalence of catheter associated urinary tract infection. This will also entail information on how to maintain and properly care for patient in which use of an indwelling urinary catheter may be indicated. Pre-surveys will be given out to test the staff”s knowledge of catheter associated urinary tract infection. Implementation of nurse-driven protocols, such as indicators that deem the use or removal of the urinary catheter will be integrated by IT into the hospitals computer system. As nurses and other staff perform their daily charting there will also be reminders integrated by IT for those in which the use of the catheters meets criteria such as reason for maintenance of the catheter and pericare/catheter care. “The cost of implementing a CAUTI prevention program will vary based on the level of technology used (e.g., computerized vs. preprinted catheter orders, and whether portable bladder ultrasounds are purchased) and the time invested in implementing and evaluating the interventions” (Meddings, Krein, Fakih, Olmsted, & Saint, 2013). Conclusion In conclusion, the problem identified in the proposed was catheter associated urinary tract infections. A research study was conducted and provided support and evidence from a review of literature in how the implementation of nurse-driven protocols related to early removal of urinary catheters could help prevent and reduce urinary tract infections and decrease the rates of catheter associated urinary tract infections. The education of nurses and other health care providers would be noted imperative if the action of plan is to be successful. The benefits of this proposal would outweigh the cost of implementing the protocol as implementation of the nurse-driven protocol for early urinary catheter removal could surely promote and foster positive patient outcomes and reduce the financial constraints of the health care organization. References Meddings, J., Krein, S., Fakih, M., Olmsted, R., & Saint, S. (2013). Reducing Unnecessary Urinary Catheter Use and Other Strategies To Prevent Catheter-Associated Urinary Tract Infections: Brief Update Review. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Mar. (Evidence Reports/Technology Assessments, No. 211.) Chapter 9. Available from: https://www.ncbi.nlm.nih.gov/books/NBK133354/ Medical Dictionary for the Health Professions and Nursing. (2012). Retrieved November 15 2015 from https://medical-dictionary.thefreedictionary.com/implementation Mori, C. (2014). A-Voiding Catastrophe: Implementing a Nurse-Driven Protocol. MEDSURG Nursing, 23(1): 15-28. (14p) can you use this paper, as the guide.