In a 2 to 4 page paper, create an interview transcript of your responses to the following interview questions:
1. Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
2. Who is your target population?
3. What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
4. 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?
5. What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
6. Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? Advocating for the Nursing Role in Program Design and Implementation
Advocating for the Nursing Role in Program Design and Implementation
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
I am currently a management nurse assigned a role of reviewing how healthcare services are provided while observing quality, compliance and cost efficiency within my workplace healthcare organization. One of the programs is the Milliman (MCG guidelines) program which is a type of management programs that helps me to achieve my objectives as a nurse manager. The MCG is a program that guide nurses during major decision making through the use of various evidence based practices (Synhorst et al., 2020). The costs of the program are usually not disclosed by the hospital’s management team hence not displayed to nurses. These costs also differ from one healthcare setting to the other making the management team not disclose any information concerning the program’s costs to nurses. According to Gay et al (2020), some of the quality projected outcomes of the program include healthcare costs reduction, reduction of the hospital’s readmission rate, reduction of the length hospital stays, reduction of waste and maximization of safety.
Who is your target population?
The target population of the program include both patients seeking healthcare services from this facility as well as the healthcare providers such as nurses and physicians who provide services to patients.
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What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
Any nurse willing to provide an input in the program should first get themselves familiar with the program. After gaining a proper understanding of the program’s design, the nurse should then reach the medical directors of the program and inform them of their opinions and perspectives concerning the program’s design (Vitale et al., 2019). For example, during my daily routine of programs management, I realized that most patient visits approval stayed for a very long time without being approved. I therefore engaged the medical director who provided the legal protocols and I was able to approve a significant number of patients’ visits. There was however some approval that had stayed pending for more than two weeks and hence required the medical director’s direct engagement. After raising the issue to the medical director, he immediately organized a meeting with the hospital’s stakeholders where matters concerning efficient and immediate patient visits approval were discussed. Advocating for the Nursing Role in Program Design and Implementation
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?
Nurses play an important role of advocating for patients’ needs since they spend most of their time with patients (Vitale et al., 2019). I have role in the organization as an advocate of ensuring that patients receive safe, quality and cost effective healthcare services in accordance with the guidelines of the organization. My aim is to advocate for these roles through auditing and reviewing all the files of patients to ensure that they pass through organizational legal procedures, receive cost effective treatment and finally reduce long hospital stays. I will also engage my skills of critical thinking to ensure maximized hospital hygiene to prevent hospital acquired infections mostly for the admitted patients. I currently do not have any input to make in the design of the program. However, I am planning to make a positive impact to the design through developing proposals should I observe any negative patterns in future.
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
Nurses have sufficient knowledge of patient’s needs and hence play a vital role in implementation process (Salmond & Echevarria, 2017). In this particular program I have a major role of implementing changes made in the program’s design. I also have a role of striving to understand all the changes to ensure that they are beneficial to patients, healthcare providers and the entire organization. Different patients have different specific health needs which require individualized care (Kane et al., 2017). As a nurse, I therefore have a mandate of advocating for the needs of patients during the implementation of the facility’s program. My role may therefore differ between implementation and design, because the facility’s top management is more concerned with the design of the program. The responsible department in dealing with compliance also plays an important role in ensuring policy, regulations and laws adherence of the program. Advocating for the Nursing Role in Program Design and Implementation
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
I believe that all the healthcare providers within this healthcare facility are required for the success of this program. To start with, the administration of the facility is essential in providing a conducive environment for the program’s implementation (Lacerenza et al., 2018). Medical directors on the other hand are important in helping the nurses toward quality decision making concerning health facility and resource utilization. For example, if a need for interdisciplinary team arises among nurses, interdisciplinary collaboration should be observed for positive and quality outcomes to be achieved. The utilization committee and the medical directors also play a crucial role in proposals formulation during critical decisions concerning patient care.
References
Gay, J. C., Hall, M., Morse, R., Fieldston, E. S., Synhorst, D., & Macy, M. L. (2020).
Observation encounters and length of stay benchmarking in children’s
hospitals. Pediatrics, 146(5). https://doi.org/10.1542/peds.2020-0120
Kane, R. L., Huckfeldt, P., Tappen, R., Engstrom, G., Rojido, C., Newman, D., … & Ouslander,
- G. (2017). Effects of an intervention to reduce hospitalizations from nursing homes: a
randomized implementation trial of the INTERACT program. JAMA internal
medicine, 177(9), 1257-1264. https://doi:10.1001/jamainternmed.2017.2657
Lacerenza, C. N., Marlow, S. L., Tannenbaum, S. I., & Salas, E. (2018). Team development
interventions: Evidence-based approaches for improving teamwork. American
psychologist, 73(4), 517. https://doi.org/10.1037/amp0000295
Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for
nursing. Orthopedic nursing, 36(1), 12. doi: 10.1097/NOR.0000000000000308
Synhorst, D. C., Hall, M., Harris, M., Gay, J. C., Peltz, A., Auger, K. A., … & Morse, R. B.
(2020). Hospital observation status and readmission rates. Pediatrics, 146(5).
https://doi.org/10.1542/peds.2020-003954
Vitale, E., Germini, F., Massaro, M., & Fortunato, R. (2019). How patients and nurses defined
advocacy in nursing? A review of the literature. Journal of Health, Medicine, and
Nursing, 63, 64-69. https://DOI: 10.7176/JHMN
Advocating for the Nursing Role in Program Design and Implementation