Nursing Research and Evidence – Based: Implementation Phase of Research

Nursing Research and Evidence – Based: Implementation Phase of Research

The treatment of congestive heart failure requires more effort than just the provision of physical relief. A key focus in implementing a program that will be to the effective management of the chronic condition. Some of the aspects involved in the implementation include monitoring the patient’s condition and the education of the general public about the disease through various sensitization strategies. Additionally, the program will focus on providing the needed emotional support to those who have been affected. There is a need to collaborate between the program and the patient’s primary care provider, including the physician and cardiologist. When any of the patients are enrolled in the program, a cardiovascular educator will be allocated to be provided with the required materials, which are a part of the implementation. They include a booklet on heart failure issues, weigh diary that they will use to monitor their progress, a sodium checkbook to closely evaluate the level in the body, and a medication card that they will use to record information on the medicines that they will be using. The program’s implementation is crucial since it will determine the level of adoption and the anticipated outcomes.

Step 1: Assessment of the Situation

Seven main steps will be included in the implementation phase. One of the stages is self-assessment. The main consideration in the phase will be to determine the needs of the program. The main consideration is assessing the community to realize the need for having a congestive heart failure plan. In the plan, the aim will be to make the various stakeholders who will be a part of the program complete a worksheet that will identify the current process taking place in the community that is being used to assist those who are suffering from congestive heart failure. The action is necessary since it will make it possible to track the progress and ensure that the communication process is effective and efficient (Nikpour, 2017). A key consideration in the phase will be reviewing the identification of team meetings, huddles that are likely to be encountered during the implementation, the structures used for communication, and the risk encountered in the process. The program facilitator will play a crucial role in the stage where the main responsibility will be to provide the needed guidance to the team on how best to identify the gaps that exist for the implementation (Kabeyi, 2019). On-time reports will be essential in the first phase, especially since there will be a need to track progress.

Step 2: Allocation of Duties and Responsibilities

After the need for implementing the program has been realized, the second phase of the implementation will be on the allocation of duties and responsibilities to all those involved. The main focus will be on ensuring that the level of performance is high since each player will know what is expected of them in terms of contribution. The contribution of the health care providers, physicians, and those affected with congestive heart failure is to ensure public participation in the implementation process. They need to collect information from the grass-root level and present the suggestion to the committee responsible for crafting the project (Donna, 2010). Additionally, they have a role in passing a bill by ensuring equality in representation so that all those affected at the community level can help all gain. In the political process, their obligation is towards sensitization of the people in the various communities on the presence of the program and its level of efficiency. The stage aims to ensure an increase in the quality of services delivered through efficient staffing of the various health care facilities and those who will offer the needed support in the program (Kabeyi, 2019). The focus is on increasing the number of nurses only to address the needs of a specific number of patients. It will impact the nursing practices by increasing the quality of service delivered and improving the outcomes of each patient.

Step 3: Launch the program

After all the other aspects are in place and everyone knows their role, the next implementation phase will be to launch the program. All the physical materials will not be put in place for the program to start running. The main focus will be on creating a system that will ensure the effective delivery of the set goals and objectives (Nikpour, 2017). In this phase, the program starts running, and congestive heart failure patients will realize the gains. The development and implementation of policies in the phase are crucial, and it requires the contribution of all the relevant stakeholders. Information gathering while assessing the problem is a critical element of consideration during the launch (Donna, 2010). However, the influence in the process is through sensitization. If the health care workers or the policymakers are not well informed of the situation, the program’s level of effectiveness in the health care environment will be compromised. The procedure needs to be strategic, where one step is accomplished at a time. A key factor for inclusion is the participation of all the relevant parties. In the end, the level of acceptance will be high, and there will be an increase in solving the issue at hand.

Step 4: Monitoring

In this phase, the main idea is to observe the progress made in the project. A key effort is to make sure that everything is taking place according to plan. There is a need to create strategies that will assist with the monitoring process. A key strategy that can be effective and efficient in fostering political action by Advanced Practice Nurse (APN) through inclusion (Kabeyi, 2019). The focus of the approach is to ensure that the opinion of each participant is included in the decision-making process. The procedure will be applicable in situations where there is a need to make adjustments to the program to realize the end goals. Inclusion will make the monitoring process easy since everyone will feel like a part of the process and some of the changes that are taking place. Inclusivity is vital in ensuring that all the needs of the congestive heart failure patients have been included and the adjustments that are made reflect their contribution (Nash et al., 2015). The executive team managing the program must get involved in the political process to address their needs. The action can make it easy to address issues of understaffing and compensation. If the requirement of the nurses has been discussed, then the standards of operation in the entire health care facility will increase. There will be high-quality services being offered and an increase in patient outcomes through monitoring the process.

Step 5: Evaluation

The last step in the implementation plan is to evaluate.  A key activity that will take place in the phase is to compare the goals and objectives that were set at the start and those that have been realized at the end. Some of the factors that have hindered the attainment of the goals will be highlighted and discussed in the evaluation (Madsen and Stenheim, 2015). Educational attainment is one economic variable that will affect the program’s level of effectiveness at the local, state, and international levels. The creation of a policy requires public participation. In situations where the illiteracy level is high, there will be minor inclusion, and very few people will be able to understand the contribution of the health program towards their well-being. Another element is income level. Congestive heart failure programs and promotion aim to increase access to care and reduce the cost of medications (Donna, 2010). However, there is a distinction in the income earned by different households in the community. Those who have high salaries and wages will afford the care that is of good quality. However, there is still a limitation to the low-income earners since the affordability of high standards health care services will still be a challenge.

Time Frame for the Project

Duration (Months)	1	2	3	4	5	6	7
Milestones
Selection of the region of operation
Identification of the issue to be addressed with the program
Self- assessment
Conduct an analysis on possible challenges to be encountered
Decide on the model to use
Select the appropriate local partner
Creates a launch plan
Draft an agreement with the employees and other stakeholders to take part in the program
Monitor the progress
Evaluate the Outcomes

 

Budget and Financial Projections

Month:
			Previous Year
INCOME			Previous Year Annualized $	Budget $		Actual Income $
	Government Funds		12,000	13,200		13,860
	Grants		10,000	11,000		11,550
	Donations		12,000	13,200		13,860
	Other		5,000	5,500		5,775
	Total Budgeted Income:				42,900		45,045
EXPENSES						Actual Spent
Set	Salaries		4,000	4,400		4,620
	Instrument Cost		2,000	2,200		2,310
	Government Tax 15%		1,000	1,100		1,155
	Rental Expenses for Running the Program		2,000	2,200		2,310
	Compensation of Participants		500	550		577.50
	Support Staff		400	440		462
	Other		900	990		1,039.5
Credit	Long Term Loan interest + payable		3,000	3,300		3,465
	Operating Loan interest + payable		2,000	2,200		2,310
	Other		1,000	1,100		1,155
	Total Set Expenses:				21,230		22,291.5

 

Resources and Statistical Tools Required

Key resources in the entire implementation process are the employee working closely with congestive heart failure patients. They will play an essential role in ensuring success in the program, and there is a need for compensation to increase their morale and level of performance. Another key resource is the finances that the program expects to get as support from the government, through donations and some as grants. Funds are essential resources because they contribute to making sure all the operations are taking place according to play, and there is no delay. The only statistical tool that is required in the situation is a Gantt chart. So, it will be easy to track the progress being made using the device by determining the predecessors and successors of each activity. In general, it will make it easy for operations to run smoothly without any interference. A combination of all the resources available will make it easy to meet the deadline indicated in the schedule and offer the needed support to the congestive heart failure patient. Each of the operations that are supposed to take place will have to be timely. Some of the metrics that will be used to measure the implementation’s level of success include soliciting feedback and the rate of readmission among the target patients. Positive feedback will be good, but negative feedback will also be considered to improve weaknesses.