Assignment Prompt & Instructions
– 2 years ago
**files (3)**
– ## 2017_AppendixIActionPlanningTool1.pdf
– ## FinalProjectPlan.docx
– ## Proposed_Change_Clinical_Site_Presentation-11.pptx
**## 2017_AppendixIActionPlanningTool1.pdf**
Johns Hopkins Nursing Evidence-Based Practice
Appendix I
Action Planning Tool
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
1
1. Complete the following activities to ensure successful translation:
❑ Secure a project leader.
❑ Identify change champions.
❑ Consider whether translation activities require different or additional members.
❑ Schedule time to complete milestones.
❑ Identify critical milestones and related tasks.
❑ Identify observable pre or post measures.
2. Identify barriers to the success of the change, and then identify strengths
that can be leveraged to overcome barriers.
Barriers Resources or Strengths Plan to Overcome Barriers by
Leveraging Strengths as Appropriate
3. Consider whether or how this change will affect the following:
❑ Electronic health record ❑ Workflow ❑ Policies and/or procedures
4. Confirm support and/or availability of funds to cover expenses.
(Check all that apply)
❑ Personnel costs
❑ Supplies/equipment
❑ Technology
❑ Photocopying
❑ Education or further training
❑ Content or external experts
❑ Dissemination costs (conference costs,
travel)
❑ Other:
Johns Hopkins Nursing Evidence-Based Practice
Appendix I
Action Planning Tool
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
2
5. Identify critical milestones and related tasks:
(Insert Milestone 1) (Insert Milestone 2) (Insert Milestone 3) (Insert Milestone 4)
Ta
sk
s
(Insert task)
Johns Hopkins Nursing Evidence-Based Practice
Appendix I
Action Planning Tool
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
3
Directions for Use of the Action Planning Tool
Purpose of form
This form is used to guide you as you create an action plan.
Activities to ensure successful translation
These are all activities that must be completed as you plan the change. Consider pre- and post-
observable measures that can be used to determine whether the change was successful. In
addition, identifying critical milestones allows the team to see whether they are on track to
accomplish the goals.
Identify strengths/resources and barriers to the success of the
change
This analysis allows teams to identify barriers to implementation and potentially mitigate them
using inherent strengths and resources. You may find specific challenges that will likely impact
the ability to deliver on the action plan. Though these obstacles can get in the way, knowing
about them up front is helpful so that you can engage support and create a plan to address
them.
Consider whether or how the change will impact workflows and
processes
Be mindful of the impact of the change downstream. For example, will changes need to be made
to the electronic medical record to accommodate the change, or will this change impact the
workflow of any other staff who have not been considered?
Confirm support and/or availability of funds to cover expenses
Use this as a guide to prompt thoughtfulness about financial obligations that may be a part of
the rollout.
Identify critical milestones and related tasks
Consider all the categories of work (milestones) necessary to implement this change. What tasks
must be accomplished first for each milestone in order to move forward? When must they be
completed to stay on track? For example, if a milestone is to implement a protocol, list all tasks to
accomplish it.
– Purpose of form
– Activities to ensure successful translation
– Identify strengths/resources and barriers to the success of the change
– Consider whether or how the change will impact workflows and processes
– Confirm support and/or availability of funds to cover expenses
– Identify critical milestones and related tasks
**## FinalProjectPlan.docx**
Final Project Plan
What is your proposed change and how will you implement it?
Throughout this course, you will work at your clinical site with a preceptor and with stakeholders to implement a plan to change a potential or known problem at your practice. For this Assignment, you will review the project management plan you developed in NURS 8502. Reflect on your plan, your preceptors, and your specialty to determine what/if changes are needed to begin the implementation of your plan.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
[**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/156094/modules/items/6264427)
To Prepare
· Review the project management plan selected and developed in NURS 8502.
· Meet with your clinical site to review your project plan for changes.
· Review the Learning Resources covering available project management plan options.
The Assignment
Submit your revised and updated final project management plan.
**Reminder:** The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Walden Writing Center Sample Paper provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.
**Submit by Day 7 of Week 1.**
| | | |
| — | — | — |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeSelect a project management tool most appropriate to design and plan your project. | | |
| — |
| **20 to >17.0 pts**<br>**Excellent**<br>The plan is completed using a selected tool that is clearly appropriate for the design and plan of the project. | | |
| This criterion is linked to a Learning OutcomeDevelop a project management plan to design and plan your project. | | |
| — |
| **40 to >0.0 pts**<br>**Excellent**<br>A complete project management plan is submitted. | |
| This criterion is linked to a Learning OutcomeIdentify SMART objectives to lead the project. | | |
| — |
| **25 to >22.0 pts**<br>**Excellent**<br>The plan includes SMART objectives that clearly align with the project. | |
## image1.jpeg
**## Proposed_Change_Clinical_Site_Presentation-11.pptx**
Proposed Change in Clinical Practice at ACN Physicians Group
Presented by: Marta Garcia Diaz
Preceptor: Vladimir Santos
Clinical Site: ACN Physicians Group
Date: February 5, 2025
Background & Identified Problem
• Practicum setting: ACN Physicians Group
• Observed Issue: Need for improved transitional care interventions to reduce hospital readmission rates.
• Impact: High readmission rates contribute to poor patient outcomes and increased healthcare costs.
• Supporting Evidence: Studies indicate effective transitional care models lower readmissions (Tyler et al., 2023).
Proposed Intervention
• Objective: Implement a structured transitional care intervention model.
• Key Components:
– Enhanced discharge planning and follow-up.
– Interdisciplinary collaboration for smooth transition.
– Increased patient education and engagement.
• Evidence-Based Support: Structured transitional care models improve adherence and outcomes (Kaiser et al., 2022).
Implementation Plan
• Phase 1: Conduct a needs assessment to identify gaps.
• Phase 2: Develop standardized discharge protocols.
• Phase 3: Train staff on best practices for transitional care.
• Phase 4: Implement pilot program, evaluate effectiveness.
• Technology Integration: Utilize EMR to track patient transitions.
Expected Outcomes
• Short-Term Goals:
– Improved patient education and adherence.
– Increased interprofessional collaboration.
• Long-Term Goals:
– Reduction in hospital readmission rates.
– Enhanced continuity of care and patient satisfaction.
– Cost reduction through optimized healthcare resource utilization.
Conclusion & Alignment with AACN Essentials
• Reinforces AACN Essentials:
– Essential I: Leadership in patient safety & quality improvement.
– Essential III: Evidence-based practice integration.
– Essential IV: Translating research into practice for improved outcomes.
• Final Thoughts: Implementing transitional care model aligns with best practices and improves patient care (American Association of Colleges of Nursing, 2021).
References
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. Retrieved from
[https://www.aacnnursing.org/Education-Resources/AACN-Essentials](https://www.aacnnursing.org/Education-Resources/AACN-Essentials)
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022). Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review. Systematic reviews, 11(1), 169.
[https://doi.org/10.1186/s13643-022-02027-x](https://doi.org/10.1186/s13643-022-02027-x)
Tyler, N., Hodkinson, A., Planner, C., Angelakis, I., Keyworth, C., Hall, A., Jones, P. P., Wright, O. G., Keers, R., Blakeman, T., & Panagioti, M. (2023). Transitional Care Interventions From Hospital to Community to Reduce Health Care Use and Improve Patient Outcomes: A Systematic Review and Network Meta-Analysis. JAMA network open, 6(11), e2344825. https://doi.org/10.1001/jamanetworkopen.2023.44825
## media1.mp4
## image1.png
## image2.png
## image3.svg
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**## Proposed_Change_Clinical_Site_Presentation-11.pptx**
Proposed Change in Clinical Practice at ACN Physicians Group
Presented by: Marta Garcia Diaz
Preceptor: Vladimir Santos
Clinical Site: ACN Physicians Group
Date: February 5, 2025
Background & Identified Problem
• Practicum setting: ACN Physicians Group
• Observed Issue: Need for improved transitional care interventions to reduce hospital readmission rates.
• Impact: High readmission rates contribute to poor patient outcomes and increased healthcare costs.
• Supporting Evidence: Studies indicate effective transitional care models lower readmissions (Tyler et al., 2023).
Proposed Intervention
• Objective: Implement a structured transitional care intervention model.
• Key Components:
– Enhanced discharge planning and follow-up.
– Interdisciplinary collaboration for smooth transition.
– Increased patient education and engagement.
• Evidence-Based Support: Structured transitional care models improve adherence and outcomes (Kaiser et al., 2022).
Implementation Plan
• Phase 1: Conduct a needs assessment to identify gaps.
• Phase 2: Develop standardized discharge protocols.
• Phase 3: Train staff on best practices for transitional care.
• Phase 4: Implement pilot program, evaluate effectiveness.
• Technology Integration: Utilize EMR to track patient transitions.
Expected Outcomes
• Short-Term Goals:
– Improved patient education and adherence.
– Increased interprofessional collaboration.
• Long-Term Goals:
– Reduction in hospital readmission rates.
– Enhanced continuity of care and patient satisfaction.
– Cost reduction through optimized healthcare resource utilization.
Conclusion & Alignment with AACN Essentials
• Reinforces AACN Essentials:
– Essential I: Leadership in patient safety & quality improvement.
– Essential III: Evidence-based practice integration.
– Essential IV: Translating research into practice for improved outcomes.
• Final Thoughts: Implementing transitional care model aligns with best practices and improves patient care (American Association of Colleges of Nursing, 2021).
References
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. Retrieved from
[https://www.aacnnursing.org/Education-Resources/AACN-Essentials](https://www.aacnnursing.org/Education-Resources/AACN-Essentials)
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022). Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review. Systematic reviews, 11(1), 169.
[https://doi.org/10.1186/s13643-022-02027-x](https://doi.org/10.1186/s13643-022-02027-x)
Tyler, N., Hodkinson, A., Planner, C., Angelakis, I., Keyworth, C., Hall, A., Jones, P. P., Wright, O. G., Keers, R., Blakeman, T., & Panagioti, M. (2023). Transitional Care Interventions From Hospital to Community to Reduce Health Care Use and Improve Patient Outcomes: A Systematic Review and Network Meta-Analysis. JAMA network open, 6(11), e2344825. https://doi.org/10.1001/jamanetworkopen.2023.44825
## media1.mp4
## image1.png
## image2.png
## image3.svg
.MsftOfcThm_Accent1_Fill_v2 {
fill:#4F81BD;
}
.MsftOfcThm_Accent1_Stroke_v2 {
stroke:#4F81BD;
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## image4.png
## image5.svg
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## image6.png
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.MsftOfcThm_Accent1_Stroke_v2 {
stroke:#4F81BD;
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**## 2017_AppendixIActionPlanningTool1.pdf**
Johns Hopkins Nursing Evidence-Based Practice
Appendix I
Action Planning Tool
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
1
1. Complete the following activities to ensure successful translation:
❑ Secure a project leader.
❑ Identify change champions.
❑ Consider whether translation activities require different or additional members.
❑ Schedule time to complete milestones.
❑ Identify critical milestones and related tasks.
❑ Identify observable pre or post measures.
2. Identify barriers to the success of the change, and then identify strengths
that can be leveraged to overcome barriers.
Barriers Resources or Strengths Plan to Overcome Barriers by
Leveraging Strengths as Appropriate
3. Consider whether or how this change will affect the following:
❑ Electronic health record ❑ Workflow ❑ Policies and/or procedures
4. Confirm support and/or availability of funds to cover expenses.
(Check all that apply)
❑ Personnel costs
❑ Supplies/equipment
❑ Technology
❑ Photocopying
❑ Education or further training
❑ Content or external experts
❑ Dissemination costs (conference costs,
travel)
❑ Other:
Johns Hopkins Nursing Evidence-Based Practice
Appendix I
Action Planning Tool
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
2
5. Identify critical milestones and related tasks:
(Insert Milestone 1) (Insert Milestone 2) (Insert Milestone 3) (Insert Milestone 4)
Ta
sk
s
(Insert task)
Johns Hopkins Nursing Evidence-Based Practice
Appendix I
Action Planning Tool
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
3
Directions for Use of the Action Planning Tool
Purpose of form
This form is used to guide you as you create an action plan.
Activities to ensure successful translation
These are all activities that must be completed as you plan the change. Consider pre- and post-
observable measures that can be used to determine whether the change was successful. In
addition, identifying critical milestones allows the team to see whether they are on track to
accomplish the goals.
Identify strengths/resources and barriers to the success of the
change
This analysis allows teams to identify barriers to implementation and potentially mitigate them
using inherent strengths and resources. You may find specific challenges that will likely impact
the ability to deliver on the action plan. Though these obstacles can get in the way, knowing
about them up front is helpful so that you can engage support and create a plan to address
them.
Consider whether or how the change will impact workflows and
processes
Be mindful of the impact of the change downstream. For example, will changes need to be made
to the electronic medical record to accommodate the change, or will this change impact the
workflow of any other staff who have not been considered?
Confirm support and/or availability of funds to cover expenses
Use this as a guide to prompt thoughtfulness about financial obligations that may be a part of
the rollout.
Identify critical milestones and related tasks
Consider all the categories of work (milestones) necessary to implement this change. What tasks
must be accomplished first for each milestone in order to move forward? When must they be
completed to stay on track? For example, if a milestone is to implement a protocol, list all tasks to
accomplish it.
– Purpose of form
– Activities to ensure successful translation
– Identify strengths/resources and barriers to the success of the change
– Consider whether or how the change will impact workflows and processes
– Confirm support and/or availability of funds to cover expenses
– Identify critical milestones and related tasks
**## FinalProjectPlan.docx**
Final Project Plan
What is your proposed change and how will you implement it?
Throughout this course, you will work at your clinical site with a preceptor and with stakeholders to implement a plan to change a potential or known problem at your practice. For this Assignment, you will review the project management plan you developed in NURS 8502. Reflect on your plan, your preceptors, and your specialty to determine what/if changes are needed to begin the implementation of your plan.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
[**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/156094/modules/items/6264427)
To Prepare
· Review the project management plan selected and developed in NURS 8502.
· Meet with your clinical site to review your project plan for changes.
· Review the Learning Resources covering available project management plan options.
The Assignment
Submit your revised and updated final project management plan.
**Reminder:** The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Walden Writing Center Sample Paper provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.
**Submit by Day 7 of Week 1.**
| | | |
| — | — | — |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeSelect a project management tool most appropriate to design and plan your project. | | |
| — |
| **20 to >17.0 pts**<br>**Excellent**<br>The plan is completed using a selected tool that is clearly appropriate for the design and plan of the project. | | |
| This criterion is linked to a Learning OutcomeDevelop a project management plan to design and plan your project. | | |
| — |
| **40 to >0.0 pts**<br>**Excellent**<br>A complete project management plan is submitted. | |
| This criterion is linked to a Learning OutcomeIdentify SMART objectives to lead the project. | | |
| — |
| **25 to >22.0 pts**<br>**Excellent**<br>The plan includes SMART objectives that clearly align with the project. | |
## image1.jpeg
**## Proposed_Change_Clinical_Site_Presentation-11.pptx**
Proposed Change in Clinical Practice at ACN Physicians Group
Presented by: Marta Garcia Diaz
Preceptor: Vladimir Santos
Clinical Site: ACN Physicians Group
Date: February 5, 2025
Background & Identified Problem
• Practicum setting: ACN Physicians Group
• Observed Issue: Need for improved transitional care interventions to reduce hospital readmission rates.
• Impact: High readmission rates contribute to poor patient outcomes and increased healthcare costs.
• Supporting Evidence: Studies indicate effective transitional care models lower readmissions (Tyler et al., 2023).
Proposed Intervention
• Objective: Implement a structured transitional care intervention model.
• Key Components:
– Enhanced discharge planning and follow-up.
– Interdisciplinary collaboration for smooth transition.
– Increased patient education and engagement.
• Evidence-Based Support: Structured transitional care models improve adherence and outcomes (Kaiser et al., 2022).
Implementation Plan
• Phase 1: Conduct a needs assessment to identify gaps.
• Phase 2: Develop standardized discharge protocols.
• Phase 3: Train staff on best practices for transitional care.
• Phase 4: Implement pilot program, evaluate effectiveness.
• Technology Integration: Utilize EMR to track patient transitions.
Expected Outcomes
• Short-Term Goals:
– Improved patient education and adherence.
– Increased interprofessional collaboration.
• Long-Term Goals:
– Reduction in hospital readmission rates.
– Enhanced continuity of care and patient satisfaction.
– Cost reduction through optimized healthcare resource utilization.
Conclusion & Alignment with AACN Essentials
• Reinforces AACN Essentials:
– Essential I: Leadership in patient safety & quality improvement.
– Essential III: Evidence-based practice integration.
– Essential IV: Translating research into practice for improved outcomes.
• Final Thoughts: Implementing transitional care model aligns with best practices and improves patient care (American Association of Colleges of Nursing, 2021).
References
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. Retrieved from
[https://www.aacnnursing.org/Education-Resources/AACN-Essentials](https://www.aacnnursing.org/Education-Resources/AACN-Essentials)
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022). Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review. Systematic reviews, 11(1), 169.
[https://doi.org/10.1186/s13643-022-02027-x](https://doi.org/10.1186/s13643-022-02027-x)
Tyler, N., Hodkinson, A., Planner, C., Angelakis, I., Keyworth, C., Hall, A., Jones, P. P., Wright, O. G., Keers, R., Blakeman, T., & Panagioti, M. (2023). Transitional Care Interventions From Hospital to Community to Reduce Health Care Use and Improve Patient Outcomes: A Systematic Review and Network Meta-Analysis. JAMA network open, 6(11), e2344825. https://doi.org/10.1001/jamanetworkopen.2023.44825
## media1.mp4
## image1.png
## image2.png
## image3.svg
.MsftOfcThm_Accent1_Fill_v2 {
fill:#4F81BD;
}
.MsftOfcThm_Accent1_Stroke_v2 {
stroke:#4F81BD;
}
## image4.png
## image5.svg
.MsftOfcThm_Accent1_Fill_v2 {
fill:#4F81BD;
}
.MsftOfcThm_Accent1_Stroke_v2 {
stroke:#4F81BD;
}
## image6.png
## image7.svg
.MsftOfcThm_Accent1_Fill_v2 {
fill:#4F81BD;
}
.MsftOfcThm_Accent1_Stroke_v2 {
stroke:#4F81BD;
}
**## 2017_AppendixIActionPlanningTool1.pdf**
Johns Hopkins Nursing Evidence-Based Practice
Appendix I
Action Planning Tool
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
1
1. Complete the following activities to ensure successful translation:
❑ Secure a project leader.
❑ Identify change champions.
❑ Consider whether translation activities require different or additional members.
❑ Schedule time to complete milestones.
❑ Identify critical milestones and related tasks.
❑ Identify observable pre or post measures.
2. Identify barriers to the success of the change, and then identify strengths
that can be leveraged to overcome barriers.
Barriers Resources or Strengths Plan to Overcome Barriers by
Leveraging Strengths as Appropriate
3. Consider whether or how this change will affect the following:
❑ Electronic health record ❑ Workflow ❑ Policies and/or procedures
4. Confirm support and/or availability of funds to cover expenses.
(Check all that apply)
❑ Personnel costs
❑ Supplies/equipment
❑ Technology
❑ Photocopying
❑ Education or further training
❑ Content or external experts
❑ Dissemination costs (conference costs,
travel)
❑ Other:
Johns Hopkins Nursing Evidence-Based Practice
Appendix I
Action Planning Tool
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
2
5. Identify critical milestones and related tasks:
(Insert Milestone 1) (Insert Milestone 2) (Insert Milestone 3) (Insert Milestone 4)
Ta
sk
s
(Insert task)
Johns Hopkins Nursing Evidence-Based Practice
Appendix I
Action Planning Tool
© 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing
3
Directions for Use of the Action Planning Tool
Purpose of form
This form is used to guide you as you create an action plan.
Activities to ensure successful translation
These are all activities that must be completed as you plan the change. Consider pre- and post-
observable measures that can be used to determine whether the change was successful. In
addition, identifying critical milestones allows the team to see whether they are on track to
accomplish the goals.
Identify strengths/resources and barriers to the success of the
change
This analysis allows teams to identify barriers to implementation and potentially mitigate them
using inherent strengths and resources. You may find specific challenges that will likely impact
the ability to deliver on the action plan. Though these obstacles can get in the way, knowing
about them up front is helpful so that you can engage support and create a plan to address
them.
Consider whether or how the change will impact workflows and
processes
Be mindful of the impact of the change downstream. For example, will changes need to be made
to the electronic medical record to accommodate the change, or will this change impact the
workflow of any other staff who have not been considered?
Confirm support and/or availability of funds to cover expenses
Use this as a guide to prompt thoughtfulness about financial obligations that may be a part of
the rollout.
Identify critical milestones and related tasks
Consider all the categories of work (milestones) necessary to implement this change. What tasks
must be accomplished first for each milestone in order to move forward? When must they be
completed to stay on track? For example, if a milestone is to implement a protocol, list all tasks to
accomplish it.
– Purpose of form
– Activities to ensure successful translation
– Identify strengths/resources and barriers to the success of the change
– Consider whether or how the change will impact workflows and processes
– Confirm support and/or availability of funds to cover expenses
– Identify critical milestones and related tasks
**## FinalProjectPlan.docx**
Final Project Plan
What is your proposed change and how will you implement it?
Throughout this course, you will work at your clinical site with a preceptor and with stakeholders to implement a plan to change a potential or known problem at your practice. For this Assignment, you will review the project management plan you developed in NURS 8502. Reflect on your plan, your preceptors, and your specialty to determine what/if changes are needed to begin the implementation of your plan.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
[**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/156094/modules/items/6264427)
To Prepare
· Review the project management plan selected and developed in NURS 8502.
· Meet with your clinical site to review your project plan for changes.
· Review the Learning Resources covering available project management plan options.
The Assignment
Submit your revised and updated final project management plan.
**Reminder:** The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Walden Writing Center Sample Paper provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.
**Submit by Day 7 of Week 1.**
| | | |
| — | — | — |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeSelect a project management tool most appropriate to design and plan your project. | | |
| — |
| **20 to >17.0 pts**<br>**Excellent**<br>The plan is completed using a selected tool that is clearly appropriate for the design and plan of the project. | | |
| This criterion is linked to a Learning OutcomeDevelop a project management plan to design and plan your project. | | |
| — |
| **40 to >0.0 pts**<br>**Excellent**<br>A complete project management plan is submitted. | |
| This criterion is linked to a Learning OutcomeIdentify SMART objectives to lead the project. | | |
| — |
| **25 to >22.0 pts**<br>**Excellent**<br>The plan includes SMART objectives that clearly align with the project. | |
## image1.jpeg
**## Proposed_Change_Clinical_Site_Presentation-11.pptx**
Proposed Change in Clinical Practice at ACN Physicians Group
Presented by: Marta Garcia Diaz
Preceptor: Vladimir Santos
Clinical Site: ACN Physicians Group
Date: February 5, 2025
Background & Identified Problem
• Practicum setting: ACN Physicians Group
• Observed Issue: Need for improved transitional care interventions to reduce hospital readmission rates.
• Impact: High readmission rates contribute to poor patient outcomes and increased healthcare costs.
• Supporting Evidence: Studies indicate effective transitional care models lower readmissions (Tyler et al., 2023).
Proposed Intervention
• Objective: Implement a structured transitional care intervention model.
• Key Components:
– Enhanced discharge planning and follow-up.
– Interdisciplinary collaboration for smooth transition.
– Increased patient education and engagement.
• Evidence-Based Support: Structured transitional care models improve adherence and outcomes (Kaiser et al., 2022).
Implementation Plan
• Phase 1: Conduct a needs assessment to identify gaps.
• Phase 2: Develop standardized discharge protocols.
• Phase 3: Train staff on best practices for transitional care.
• Phase 4: Implement pilot program, evaluate effectiveness.
• Technology Integration: Utilize EMR to track patient transitions.
Expected Outcomes
• Short-Term Goals:
– Improved patient education and adherence.
– Increased interprofessional collaboration.
• Long-Term Goals:
– Reduction in hospital readmission rates.
– Enhanced continuity of care and patient satisfaction.
– Cost reduction through optimized healthcare resource utilization.
Conclusion & Alignment with AACN Essentials
• Reinforces AACN Essentials:
– Essential I: Leadership in patient safety & quality improvement.
– Essential III: Evidence-based practice integration.
– Essential IV: Translating research into practice for improved outcomes.
• Final Thoughts: Implementing transitional care model aligns with best practices and improves patient care (American Association of Colleges of Nursing, 2021).
References
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. Retrieved from
[https://www.aacnnursing.org/Education-Resources/AACN-Essentials](https://www.aacnnursing.org/Education-Resources/AACN-Essentials)
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022). Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review. Systematic reviews, 11(1), 169.
[https://doi.org/10.1186/s13643-022-02027-x](https://doi.org/10.1186/s13643-022-02027-x)
Tyler, N., Hodkinson, A., Planner, C., Angelakis, I., Keyworth, C., Hall, A., Jones, P. P., Wright, O. G., Keers, R., Blakeman, T., & Panagioti, M. (2023). Transitional Care Interventions From Hospital to Community to Reduce Health Care Use and Improve Patient Outcomes: A Systematic Review and Network Meta-Analysis. JAMA network open, 6(11), e2344825. https://doi.org/10.1001/jamanetworkopen.2023.44825
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