Queen Essays

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Intervention Plan Design

Tashona Jamison

School of Nursing Health Sciences, Capella University

NURS-FPX 6030 MSN Practicum and Capstone

Dr. Hooven

May 26, 2022

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Intervention Plan Design

Obesity is a complicated condition characterized by an excess of body fat. Obesity is

more than a cosmetic issue. It's a medical condition that raises your risk of developing other

diseases and health issues like heart disease, diabetes, high blood pressure, and some

malignancies. Diabetes causes an increase in blood glucose levels. Insulin resistance is linked to

obesity, physical inactivity, and aging in Type 2 diabetes (Cheng et al., 2016). This intervention

plan will detail its primary components, theoretical foundations, stakeholders, and regulations,

with a focus on reducing T2D and obesity. The ethical and legal ramifications will be

highlighted. Nutrition and physical activity are essential for better health. It can help prevent

T2D and obesity when combined with other factors.

Components

If you ingest a lot of energy, especially fat and sugar, but don't burn it off through

exercise and physical activity, your body will store a lot of it as fat. A diabetes-friendly diet is

similar to the healthy eating plan that doctors prescribe for everyone: It emphasizes complete,

minimally processed meals rich in fiber, complex carbohydrates in moderation, lean protein, and

healthy fats while avoiding added sugars and refined grains.

Obesity prevention and care are influenced by the nutritional status of the patient. Diets

high in whole grains, fruits, vegetables, legumes, nuts, moderate alcohol use, and low in refined

grains, red/processed meats, and sugar-sweetened beverages have been shown to minimize

diabetes risk and improve blood lipids in diabetic individuals (Lin et al., 2021).

Young people who have several risk factors are more likely to acquire a disease that

affects their bodily or mental health. In the years following diagnosis, teens and young adults

with type 2 diabetes are more likely than their type 1 diabetes peers to develop kidney, nerve,

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and eye disorders, as well as some risk factors for heart disease. The findings represent the most

recent findings from the investigation (Joe, 2017).

Food habits are one of the most complicated parts of human behavior, as they are

influenced by a variety of factors. The majority of young adults in school regard food as cultural

rather than nutritional. In one community, a plant or animal may be considered edible whereas, in

another, it is not. One of the most important things to understand when it comes to the cultural

elements that influence food habits is that there are many different meal combinations that will

produce the same nutritional effects and that these combinations are motivated and influenced by

various stimuli. Young people frequently become overweight or obese as a result of bad eating

habits and insufficient physical activity.

Theoretical Foundations

The major goal of nursing theory is to improve practice by favorably impacting patients'

health and quality of life. Sister Callista Roy created the Adaptation Model of Nursing in 1976.

Roy became convinced of the significance of defining nursing as a societal service after working

with Dorothy E. Johnson (Gürel, 2017). As a result, she started working on her concept, with the

purpose of nursing being to promote adaption. The goal of nursing care is to change the stimuli

that cause the patient stress. The nurse assists patients in either strengthening their ability to

adjust to their illnesses or developing adaptive habits.

The person's ability to adjust to the condition and the surroundings reduces as diabetes

progresses. Homeostasis imbalance and complications can emerge if positive and negative

feedback loops are disturbed or altered. Diabetes, a metabolic ailment characterized by high

blood glucose levels, is a prime example of a disease resulting from a breakdown in homeostasis.

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Diabetes and obesity interventions can use and acknowledge notions from Maslow's

hierarchy of fundamental human needs in addition to the Roy Adaptation Model. The fulfillment

of basic wants is a crucial component of health, according to Maslow's hierarchy of needs model.

Maslow's Hierarchy will aid healthcare practitioners in providing comprehensive care to the full

individual, not just for survival, but to restore pre-illness mind, body, and spirit function. For

nations to improve the health of their populations, some have cogently argued, they need to move

beyond clinical interventions with high-risk groups (Barnea et al., 2021).

Educational reinforcement using technological devices such as mobile applications has

been highlighted as an enabler of diabetes self-management and it could be employed as an

intervention to alleviate identified gaps in diabetes self-management. Digital devices and clever

software are tools that can help young adults communicate and regulate their lives better. YWD,

a mobile health app, has the potential to aid in self-management (Eiland & Drincic, 2021). Peer-

to-peer support, in particular, reduced feelings of isolation and assisted young people in gaining

information and skills for managing T2D.

Stakeholders, Policy, and Regulations

Stakeholder engagement is the process of systematically identifying, analyzing, planning,

and executing actions aimed at influencing stakeholders. A stakeholder engagement plan

identifies major groups' needs, and the sponsor is crucial in ensuring those needs are satisfied.

Investors, employees, customers, suppliers, communities, governments, and trade groups are

common stakeholders (Smith, 2019). The stakeholders of a company might be internal or

external to the firm. The registered nurse oversees patient care, collaborates with the nutritionist

and other members of the healthcare team to detect nutrition issues, and encourages patient

education.

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Healthcare systems and politicians have an impact on resource allocation, which has an

impact on program implementation and utilization. Welcome to Medicare and annual wellness

appointments are covered by Medicare. While both types of visits are offered to Medicare

beneficiaries, neither is required to keep their Medicare Part B coverage. Early diabetes

diagnosis is more likely as a result of healthcare regulations. The proportion of people with

undiagnosed and diagnosed diabetes who are affected by ACA provisions that affect diagnosis

and care, respectively, and the size of the effects on these people will determine the Affordable

Care Act's impact on diabetic care.

The US Department of Health and Human Services (HHS) U.S. Department of Health

and Human Services assistance for Children and Young Adults with Diabetes is one of the

relevant governing agencies for this intervention plan. Although adolescence and young

adulthood are generally healthy periods of life, certain major health and societal issues, such as

obesity, begin or peak during these years. The mission of (HHS) is to help provide the building

blocks that Americans need to live healthy, successful lives by providing high-quality health care

to children, families, and seniors, assisting job seekers and parents in finding affordable child

care, ensuring food safety and preventing infectious diseases, and innovating disease diagnosis

and treatment (The US Department of Health and Human Services, n.d.).

Ethical and Legal Implications

One of the most critical ethical and legal challenges in the world of healthcare is the

safeguarding of private patient information. Information about a patient's medical condition, as

well as conversations between a physician and a patient, are kept absolutely confidential. Non-

maleficence (do no harm) and beneficence (acting in the best interests of patients), respect for

humans, and fairness are widely accepted ethical concepts that might help identify ethical

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difficulties that may arise in the design and implementation of medical devices (El‐Khoury &

Arikan, 2021). Patients who can demonstrate understanding of the circumstance, appreciation of

the repercussions of their decision, and logic in their thought process, as well as articulate their

wishes, have medical decision-making competence. All of these talents may be gradually

compromised by diabetes-related diseases.

Conclusion

With an emphasis on lowering T2D and obesity, I detailed this intervention plan's major

components, theoretical foundations, stakeholders, and rules. The ethical and legal implications

were also discussed, as well as the importance of nutrition and physical activity for optimal

health. I also demonstrated how, when paired with other factors, it can help prevent T2D and

obesity.

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References

Barnea, E. R., Nicholson, W., Theron, G., Ramasauskaite, D., Stark, M., Albini, S., Nassar, A. H.,

Visser, G. A., Escobar, M., Kim, Y., Pacagnella, R., & Wright, A. (2021). From

fragmented levels of care to integrated health care: Framework toward improved

maternal and newborn health. International Journal of Gynecology & Obstetrics, 152(2),

155–164. https://doi.org/10.1002/ijgo.13551

Cheng, H., Medlow, S., & Steinbeck, K. (2016). The health consequences of obesity in young

adulthood. Current Obesity Reports, 5(1), 30–37. https://doi.org/10.1007/s13679-016-

0190-2

Eiland, L. A., & Drincic, A. (2021). Rural telehealth visits in the management of type 1 diabetes.

Journal of Diabetes Science and Technology, 193229682110379.

https://doi.org/10.1177/19322968211037990

El‐Khoury, M., & Arikan, C. (2021). From the internet of things toward the internet of bodies:

Ethical and legal considerations. Strategic Change, 30(3), 307–314.

https://doi.org/10.1002/jsc.2411

Gürel, E. (2017). Swot analysis: A theoretical review. Journal of International Social Research,

10(51), 994–1006. https://doi.org/10.17719/jisr.2017.1832

Joe, C. C. (2017). 43 meal recipes to improve your eye sight: Feed your body vitamin rich foods

that will help you strengthen your eye sight and prevent loss of vision (First ed.).

CreateSpace Independent Publishing Platform.

Lin, S.-C., Lin, K.-H., Tsai, Y.-C., & Chiu, E.-C. (2021). Effects of a food preparation program

on dietary well-being for stroke patients with dysphagia. Medicine, 100(25), e26479.

https://doi.org/10.1097/md.0000000000026479

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Smith, C. (2019). An employee’s best friend? how ai can boost employee engagement and

performance. Strategic HR Review, 18(1), 17–20. https://doi.org/10.1108/shr-11-2018-

0092

The US Department of Health and Human Services. (n.d.). HHS.gov. Retrieved May 19, 2022,

from https://www.hhs.gov/

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NURS-FPX6030 Assessment 2

NURS-FPX6030 Assessment 2

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Running head: EVALUATION PLAN DESIGN 1

Evaluation Plan Design

Laleh Hami

Capella University

MSN6030

Evaluation Plan Design

June 2020

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Evaluation Plan Design

2 Evaluation Plan Design

The plan for evaluation of a project is the "design." A well-thought design plan enables

the leader and the manager of the implementation to maximize the benefits of the assessment in

reducing the time, cost, and complication of achieving the intended goal. Outcome/effectiveness

evaluation measures program effects in the target population by assessing the progress in the

outcomes or outcome objectives that the program is to achieve. (CDC, 2020).

As crucial as this final step to the project is, before implementing any proposed plan, the

leader must arrange and plan for evaluation once the time comes. Evaluations can be done in

various ways. I am planning to use quantitative measures internally and qualitative measures

externally to evaluate my proposed plan. Qualitative method is done through surveying patients

(externally) on their satisfaction with the care. Quantitative methods are measuring any

unplanned preventable complication during the procedure or in the PACU (internally). The data

can be compared against previous data available, which then shows the success of the proposed

plan.

The plan is to create an “Alert System (AS)" that notifies the healthcare provider of any

abnormality that could be a potential risk for the patient. These notifications only go away after

the provider clicks on the "acknowledge" tab. By viewing and acknowledging the risk, the

healthcare provider is prepared and insightful to provide better care. Therefore, patient

satisfaction increases, and complication rate drops (AS) reduces the dependency of healthcare

providers on each other for the report. Historically if a piece of information was left off during

the handoff report, then it was a potentially dangerous risk for the provider (AS) reduces these

risks. This system doesn’t eliminate a proper handoff; it makes for a more robust pass of

information.

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Evaluation Plan Design

3 If the patient fails to provide the information or the pre-op nurse fails to plug that

information into the system, these alerts won’t be created. It is very important to ensure

appropriate details are documented at every step of the way.

The Goal and Impact of an Intervention Plan

The ultimate goal is to improve patient safety by providing high-quality care. This plan

reduces preventable risks and complications by increasing knowledge about patient conditions.

This simple modification offers essential information to an upcoming health care provider that

could be missed during the handoff report. This knowledge about patients helps the provider to

be prepared. For example, a diagnosis of asthma reminds to pre-op nurse to encourage the patient

to use the inhaler before the procedure. It alerts the Nurse Anesthesia patient is at higher risk for

laryngeal spasm and prepared with facial mask, medications ready on hand, Jackson-Rees bag

available, and be on the watch for any respirator declining. An alert gets pop up for PACU nurses

to monitor Oxygen Saturation as well as lung sounds more carefully. If the patient goes through

Laryngeal spasm during the procedure, then more notification pops up for PACU nurse and

encourages breathing treatment per standing order. Just one single not very critical diagnosis can

change the preparation level so much; this increases patient safety. It also reduces anxiety

amongst health care providers since they feel in control of the potential risks.

Even though this addition/ modification to the current documentation system sounds so

minute yet effective, it can become problematic. I wonder if this system removes accountability

to some extend! This system will not be helpful if the information is not entered correctly and

entirely for these notifications to get created. The Alert System becomes very reliable once

appropriate data are registered, so this system depends on the first step, which is entering data

into the patient profile.

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Evaluation Plan Design

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The Nurse's Role and Interprofessional Collaboration

The development of a 'collaborative practice-ready' health workforce is essential to

provide comprehensive services in a wide range of healthcare settings (Holtschneider, M. et al.,

2019).

Nurses are a critical participant in the successful implementation of such modification to

the current system, which leads to a higher quality of care. They hold the key position in entering

appropriate data and to follow-up with notifications. If the data are not entered correctly or if the

nurses ignore the notifications and blindly click the acknowledge option without paying attention

to the warning, then the presence of this system is useless.

Communication is critical to improving patient safety. This (AS) enables the nurses to

communicate most efficiently and cost-effectively through interviewing the patients and

documenting findings properly. Other health care providers depend on the accuracy of the pre-op

nurse who obtains the information and records it. Not everyone is a user of Alert System; due to

their roles and scope of practice, the nurses use their communication skills to provide a

multidisciplinary approach in providing care for patients. Evaluation of the designed plan is

mainly based on a nurse's performance, which is a patient satisfaction survey by a qualitative

method. This Survey is measuring the patient experience through expressive questions. The

quantitative evaluation measures nurse’s performance by counting the number of complications

patients might experience during or postoperatively.

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Evaluation Plan Design

5 Future Steps and Reflection on Leading Change

The challenges associated with delivering quality patient care within an environment of

rising consumer expectations and increasingly constrained human and financial resources are

everyday realities for many nurses (Velmurugan, R. 2017). If the instate faces any of these

changes and reductions in the budget, the alert system will provide another layer of protection by

improving communication. Once the program is implemented, educating staff must be

continued. The constant educating and re-educating health care providers have a direct influence

on the outcome of any change or implementation of any program.

The impact of this program will be evident in several months, after measuring adverse

events. The study of the occurrence of adverse events examines the gap where the delinquency

went unpredicted. This study allows for identifying the cause and eliminating it in the future.

Evaluation of the projected plan might change in intensity, but it never ends. Our society is

continuously evolving. Technology advancement is a game-changer; therefore, evaluation and

modification are ongoing.

The Alert System brings the attention of the health care provider to a specific area that

might require closer monitoring than other areas; this preparedness allows the nurse to take

charge of the situation. Once any adverse events happen, the (AS) has permitted for the

healthcare provider to predict a plan to deal with risks. The challenge arises when the entry of

medical history is incomplete, and health care providers completely relay on (AS). This

notification system of abnormality could be viewed in two different ways depending on one’s

personality. It can increase accountability by ensuring to acknowledge the notification truly but

also continue to give and take a complete report, or it can decrease accountability and relay on

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Evaluation Plan Design

6 this system for providing and obtaining reports. Health care providers must realize that this is

only one extra step to increase preparedness, but it is not substituted for a comprehensive report.

Conclusion

The Alert system improves patient safety by adding an extra layer of protection by

ensuring critical communication. This minute but effective modification has to be evaluated and

re-evaluated continuously. There are two ways to measure the success of this program internal,

which is quantitative through measuring the statistics by logging and reporting every adverse

event., or external, which is a qualitative study that measures the satisfaction and experience of

patients. Patient satisfaction is a huge indicator for safer practice; dissatisfaction arises if the

patient doesn’t feel safe and not cared for appropriately. Alert System improves communication

which is a vital aspect of patient care in enhancing the quality of care. Shift change is a form of

communication of the team to ensure the rapid flow of information related to work, performed to

transmit, receive and delegate tasks between each participant, involving the interaction between

professionals and teamwork (Souza Settani, S. et al., 2019). Measuring the outcome is the

preferred method to evaluate the effectiveness of the implemented program and to identify the

gap and the area of improvement.

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Evaluation Plan Design

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References

1. Center for Disease Control and Prevention (CDC), 2020. Retrieved from:

https://www.cdc.gov/std/Program/pupestd/Types%20of%20Evaluation.pdf

2. Holtschneider, M. et al. (2019). Simulation and Advanced Practice Registered Nurses:

Opportunities to Enhance Interprofessional Collaboration. AACN Advanced Critical

Care, 30(3), 269–273. https://doi-org.library.capella.edu/10.4037/aacnacc2019157

3. Souza Settani, S. et al. (2019). Nursing Communication and Its Impact on Patient Safety.

Journal of Nursing UFPE / Revista de Enfermagem UFPE, 13, 327–333. https://doi-

org.library.capella.edu/10.5205/1981-8963.2019.239573

4. Velmurugan, R. (2017). Nursing Issues in Leading and Managing Change. International

Journal of Nursing Education, 9(4), 148–151. https://doi-

org.library.capella.edu/10.5958/0974-9357.2017.00113.1

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Intervention Plan Design

Student's Name

Institutional Affiliation

Course Title and Name

Professor

Date

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Intervention Plan Design: Addressing Nurse Burnout Problem in Healthcare Setting

Introduction

A holistic intervention plan focuses on providing support for individual wellbeing by

addressing the physical, emotional, social and spiritual needs. During the holistic intervention,

healthcare providers consider factors that affect the recovery process, such as age, gender,

cultural aspects and religious beliefs (Kozlovszky et al., 2016). Key problem nurses face burnout

which negatively affects delivering high-quality healthcare services. The intervention plan will

solve whether mindful techniques reduce staff burnout in hospital settings compared to the lack

of effective intervention plans. Therefore, healthcare facilities need to implement mindful

techniques using an intervention plan to reduce the negative impact of burnout on employees.

Intervention Plan Components

The primary purpose of an intervention plan is to outline and describe strategies that

prevent healthcare problems and tech new behaviors that replace the challenging behaviors

(Eldredge et al., 2016). The first component of the plan is to identify the problem. This entails

researching information behind the target audience, stakeholders and the setting in which the

plan is to be implemented. In this case, the problem identified is a high burnout rate among

nurses in the healthcare setting. The key stakeholders involved in the intervention plan include

nurses, healthcare managers and external nursing experts. Data collection during the intervention

plan is another critical component that enhances understanding of the cause and effects of the

problem. In this case, data on nurse burnout will be collected through interviews and

questionnaires on nurses. Besides, analytics of the strategies and action steps is an important

component in the intervention plan. The action plan is crucial in turning the vision of the

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intervention plan into a concrete plan. Intervention plan, in this case, will involve strategies such

as the use of mindfulness techniques.

Next, it is important to ensure that the implementation plan has an effective

communication strategy to achieve the desired results. Communication tools and technologies

facilitate interactive conversation among the stakeholders to ensure that the intervention plan is

timely, well defined, executed, and sustained to meet the specified objectives (Wang et al., 2018).

The timeline will outline the timeframe through which different activities of the intervention plan

will take. In this case, the intervention plan will take two months. Also, it is important to conduct

real-time monitoring, evaluation and program improvement. Throughout the project, this will be

done to ensure that the mindfulness techniques are in line with the intervention timeline and

expected results.

During the formulation of an intervention plan, cultural needs and characteristics play an

important role in determining the plan's success. Implementing a culturally sensitive

implementation plan involves understanding the client's background, ethnicity and belief system.

In the proposed plan, there will be effective communication of culturally sensitive issues to

enhance the success of the intervention plan. It will also include cultural values, attitudes and

expectancies to ensure inclusive participation by the nurses.

Theoretical Foundations

The theoretical nursing models consist of fundamental concepts of nursing which define

the nursing foundation. Key theoretical foundations in nursing focus on nursing, health,

environment and person (Smith, 2019). The intervention plan will incorporate the environmental

theory of nursing. The theory focuses on altering the healthcare environment to affect change of

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healthcare environment to deliver high-quality healthcare services. In the case presented, the

theory will create a conducive environment that will create a positive nurse experience, thus

limiting nurse burnouts. The interpersonal relations theory will also create strong partnerships

between nurses, patients and stakeholders to promote patient wellbeing and the overall

healthcare experience of nurses. Self-care theory will also be applied to nurses during healthcare

service delivery. The nurses will be expected to take care of themselves by maintaining healthy

lifestyles and managing overall wellbeing.

Next, the intervention plan will address the need to incorporate technological

advancement in nursing care. Technology plays an important role in reducing workload and

improving the quality of nursing care. Technology such as Nursing Observation and Virtual

Assistant (NOVA) will be implemented to reduce nurse burnouts. Tele-health will reduce nurse

workload and improve the quality of healthcare services without nurse burnout cases. Also,

during communication, virtual communication technology, electronic health records and

computerized provider order entry will reduce nurse burnouts.

Stakeholders, Policies and Regulations

Stakeholder identification and prioritization is an essential process that ensures successful

implementation plans. In the proposed plan, it will be important to identify stakeholder needs

because it helps in reducing risk and constraints during project implementation. The more

stakeholders are involved, the more likely the project will succeed. Assessing the needs will also

enhance project acceptance, improvement and sustainability (Leviton & Melichar, 2016). By

addressing stakeholder needs, healthcare facilities will gain a better understanding of the

intervention plan goals and objectives and review and adapt to stakeholder support in meeting

the goals. The stakeholders act as decision-makers who play a pivotal role in the success or

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failure of an intervention plan. Also, addressing stakeholders will build a better healthcare

organization because they will bring important issues to light and encourage the organization to

develop and implement better strategies in curbing nurse burnout.

The healthcare policies and regulations provide standardization in the daily operational

activities of healthcare facilities. The policies are important because they guide the desired

outcomes and help decision-making. In this case, policies and regulations such as HIPAA will be

followed when communicating the intervention plan with all stakeholders involved in the

intervention plan. The regulations will standardize the intervention plan and ensure that the plan

complies with the public health policies to enhance the safety of nurses in the healthcare

program. The plan will follow guidelines outlined in the National Council of State Boards of

Nursing (NCSBN) to improve the safety of nurses and limit cases of nurse burnouts.

Ethical and Legal Interventions

Healthcare interventions present distinct ethical issues because most plans focus on

prevention rather than the entire wellbeing of nurses and patients (Buchanan, 2019). The ethical

issues concerning the design of intervention plan design affect the success or failure of the plans.

The plan should also be within the legal frameworks and standards of nursing practice. During

communication of plan intervention, ethical issues regarding confidentiality and privacy of nurse

information might be faced (Doherty, 2020). It will be important for the intervention plan to

enhance the confidentiality of sensitive information during the plan's implementation. Nurse

safety is another ethical issue related to the intervention plan. For instance, nurses in the hospital

setting face burnouts, which results in stress and mental challenges, thus making it difficult to

perform their roles.

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Next, during the plan's implementation, it is important to ensure informed consent among

all stakeholders. Informed consent issues arise when stakeholders are not informed or do not

understand the components of the intervention plan. It is important to ensure that nurses and

other stakeholders feel comfortable asking questions and giving consent before implementing the

treatment plan. This will avoid resistance conflict of interest among nurses and enhance effective

implementation of the strategies.

Conclusion

In conclusion, the intervention plan provides key strategies and action plans that promote

nursing experience during healthcare service delivery. The proposed healthcare plan will include

key components such as problem identification, communication, action steps, monitoring and

evaluation. During the implementation of the intervention plan, theories such as environmental

and self-care theories will address the problem of nurse burnouts. The plan will also follow the

standards of nursing policies and regulations. The key ethical and legal interventions that will be

observed include informed consent, privacy and confidentiality and nurse safety. Therefore,

designing an effective implementation plan is critical in meeting the goals of quality healthcare

services because it addresses nurse issues such as burnouts.

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References

Doherty, R. F. (2020). Ethical Dimensions in the Health Professions-E-Book. Elsevier Health

Sciences.

Eldredge, L. K. B., Markham, C. M., Ruiter, R. A., Fernández, M. E., Kok, G., & Parcel, G. S.

(2016). Planning health promotion programs: an intervention mapping approach. John

Wiley & Sons.

Kozlovszky, M., Kovács, L., Batbayar, K., & Garaguly, Z. (2016, May). Automatic protocol

based intervention plan analysis in healthcare. In 2016 39th International Convention on

Information and Communication Technology, Electronics and Microelectronics

(MIPRO) (pp. 253-257). IEEE.

Leviton, L. C., & Melichar, L. (2016). Balancing stakeholder needs in the evaluation of

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