Challenges for emergency department staff in Hospitals
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Challenges for emergency department staff in Hospitals
IMPLEMENTATION 6
Phase 3-Implementation
Hospital Readmission
Introduction
Following the increasing rate of hospital readmissions resulting from poor transitional care, it is essential to implement a program that will ensure the current challenges facing transitional care are addressed, and that there is an increase in specialized nursing to help foster the provision of transitional care. Currently, the health care committee has proposed a number of interventions that need to be implemented by the project manager to see the improvement of transition care, especially in relation to dealing with elderly patients (Morphet et. al., 2014). Some of these interventions have been proven to result in the reduction of patient readmission rates. Among them include; patient needs assessment, patient education, medication reconciliation, timely outpatient appointment as well as the provision of telephone follow-up services (Morphet et. al., 2014).
It is essential that once patients are discharged from hospitals, they continue receiving enhanced communication, medication safety and that their caregivers receive advanced care planning and training on how to best manage the associated common medical conditions (Ortiz, 2019). Following the currently proposed interventions, the project aims to target the challenges on transition care by defining the role of home-based services, the significance in caregiver support, community partnerships and the importance of new transitional care personnel (Ortiz, 2019). The project manager has gone as far as proposing the time frame that will help see the realization of the effects of the project, a practical budget, as well as the resources and tools that will be used.
The Time Frame of the Project
Activities Timeline Ascertaining the current state of transitional care in hospitals including patients’ admissions, level of communication and coordination among the nurses and the level of interaction between the healthcare providers and the nurses. 6 months Ascertaining the level of nursing expertise in Hospitals (level of education and expertise of the nurses). 6 months Making home visits to the patients to ascertain the level of expertise of the caregivers. 6 months Consolidation of the collected results 6 months The enactment of the transitional care program includes the creation of a well-defined timeline on how the different roles will be attained. Following the evaluations by the project manager, the planned timeline it will take to achieve concrete improvements includes having six scheduled visits to the hospitals for two years. The two-year time frame also includes; a close working relationship with elderly patients, health care providers and patient caregivers, all of them being key stakeholders in the transitional care process. The first six months of the proposed time frame will include the use of the observation method to ascertain the current state of transitional care in the hospitals. In this time frame, notes will be taken on how the patients are received in the hospitals, their admission to the emergency departments, the communication and coordination of the nurses when dealing with the elderly patients and the level of interaction between the caregivers and the health care providers in the event that the patients are released from hospitals.
The second half of the first year will be solely used to ascertain the level of nursing expertise in regards to transitional care. Past studies and the Masters’ Essentials have ascertained that the use of unspecialized nurses remains to be one of the key challenges facing the provision of health care services. Additionally, previous observations and studies have established that there exists a significant difference in the provision of services given by masters-level nurses and those below the master’s level unit. Hence, the six-month-time-frame will be used to interact with the nurses providing transitional care, to determine their level of education and training as well as their experience when it comes to the provision of transitional care. The observation method will be used to observe the differences in the provision of services by both the specialized and unspecialized nurses.
The following six months of the second year will be used to make visits to the patient homes to determine the level of expertise held by the caregivers in relation to caring for the patients as soon as they are discharged from the hospitals. The key activities in this allocated time will involve holding conversations and interviews with the caregivers to ascertain their level of preparedness, education, and expertise in relation to taking care of the patients as a means to reduce the high rates of hospital readmissions. The time frame will also be used to observe how the patients respond to the care provided by their caregivers, their level of comfort and how fast they get back to their health as soon as they are discharged.
The last six months of the allocated time-frame will be used to consolidate the different results collected and to revisit areas with inadequate information. This is meant to eliminate any existing biases or inconsistencies in the results. Therefore, the allocated two-year time-frame for the project will be adequate enough to ensure that all the existing challenges in transitional care are completely addressed.
Budget for the Project
For the proposed activities to be accomplished in the allocated time, a budget will be put in place to ensure that all the activities are tackled within the proposed budget and that the total costs do not exceed the existing working revenues. The project manager has proposed a working budget of $9000. Below are the key expenses that will be incurred throughout the project;
- $4000 for employee compensation – this includes the collection of data from the patients, health care providers, and the caregivers. It involves working with a team of about ten members and all will have to be compensated through the provision of wages as well as other benefits and incentives.
- $1500 for contract services -This will be used in frequent outsourcing of different health care providers who will be compensated by means of part-time wages whenever their consultancy services are called upon.
- $1000 for equipment and supplies – To facilitate the activities of the project a number of office equipment/supplies will be required, among them office supplies, postage, computer supplies, consumables, equipment repair and maintenance, office equipment and other supplies.
- $1500 for travel-related expenses – For the related activities to be carried out, traveling is inevitable. Hence with $1000, the program manager is certain that all traveling expenses among them air travel, out of town expenses, daily parking, mileage expenses, and others will be well catered for.
- $1000 for overhead and indirect costs – Lastly, there will be a $1000 allocation budget to ensure that all overhead expenses (indirect costs) are catered for, hence allowing for the project to cater to administrative as well as daily operations costs.
Resources/Tool Required for the Project
For the project to be successful, different resources and tools will be required to ensure all the stakeholders effectively take part in the project. The key resources include; patient/family materials, hospital models, and key personnel who will be involved in running the project.
Patient/Family Resources
- Family discharge planning checklist
This is a tool that provides patients and caregivers with a list of questions that should be answered prior to the patient discharging process (Ortiz, 2019).
- Next step in care
This is a website that provides the caregiver with resources and checklists to ensure caregivers are aware of how to take care of the patients before they are discharged from hospitals (Ortiz, 2019).
- Patient PASS: A transition record
This is a document that includes patient requirements that will result in the safe transitions of the patients from the hospitals to their homes (Storm et. al., 2014).
- Personal health record
This is a patient health record information that includes a checklist of all the activities that patients must do to manage their care better (Storm et. al., 2014).
- Patient discharge planning checklist
This is a resource that includes a patient checklist where patients and caregivers respond to different questions before they are discharged from the hospitals. Some of these questions include; patient care needs, options for continued care, community-based resources and post-discharge care instructions (Storm et. al., 2014).
The above mentioned resources will play a key role in the project as they are targeted towards improving transitional care, by ensuring that all the involved stakeholders use key documentation in the transitional process, thus ensuring that the patients are in safe hands as soon as they discharged and that the caregivers are well educated on how to deal with the patients as a means to reduce instances of hospital readmissions.
References
Morphet, J., Griffiths, D. L., Innes, K., Crawford, K., Crow, S., & Williams, A. (2014). Shortfalls in residents’ transfer documentation: Challenges for emergency department staff. Australasian Emergency Nursing Journal, 17(3), 98-105.
Ortiz, M. R. (2019). Transitional Care: Nursing Knowledge and Policy Implications. Nursing science quarterly, 32(1), 73-77.
Storm, M., Siemsen, I. M., Laugaland, K., Dyrstad, D., & Aase, K. (2014). Quality in transitional care of the elderly: Key challenges and relevant improvement measures. International journal of integrated care, 14(2).
Ye, Z. J., Liu, M. L., Cai, R. Q., Zhong, M. X., Huang, H., Liang, M. Z., & Quan, X. M. (2016). Development of the Transitional Care Model for nursing care in Mainland China: A literature review. International journal of nursing sciences, 3(1), 113-130.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
CLICK ON THE LINK HERE: https://essaysolver.com/orders/ordernow
You Can Also Place the Order In www.perfectacademic.com/orders/ordernow / www.essaysolver.com/orders/ordernow
Do You Have Any Other Essay/Assignment/Class Project/Homework Related to this? Click Here Now [CLICK ME] and Have It Done by Our PhD Qualified Writers!!
Tired of getting an average grade in all your school assignments, projects, essays, and homework? Try us today for all your academic schoolwork needs. We are among the most trusted and recognized professional writing services in the market.
We provide unique, original and plagiarism-free high quality academic, homework, assignments and essay submissions for all our clients. At our company, we capitalize on producing A+ Grades for all our clients and also ensure that you have smooth academic progress in all your school term and semesters.
High-quality academic submissions, A 100% plagiarism-free submission, Meet even the most urgent deadlines, Provide our services to you at the most competitive rates in the market, Give you free revisions until you meet your desired grades and Provide you with 24/7 customer support service via calls or live chats.