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Exam (elaborations)

NR-452 Capstone Course WeeK 3 Quiz review

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NR-452 Capstone Course

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Now that you have identified your capstone change project, it is time to look its
feasibility.

What tangible and intangible resources will be needed to implement your project?

What improved outcomes do you anticipate will occur that could indicate the project
produced a successful return on investment (ROI) of these resources?

How will you communicate your plan for change with key decision makers so that they
will support the allocation of the resources you are seeking?

Dr. Gembala and Classmates,

Feasibility is an important aspect of implementing a solution. Our lesson this week
discusses the characteristics involved as compatibility, complexity, trialability, relative
advantage, and observability (CCN, Lesson 3, 2017). There are many factors to consider
and I believe that working together to plan and implement change yields the best results.
Therefore, I will also recruit some co-workers who also support this change to assist me
in presenting this to management.

Although evidence shows that the initiation of early breastfeeding has worthwhile
benefits for both mother and child, it is equally important to support and educate patients
on making the right choices for themselves. As our lesson states “a supportive culture is
one that provides the means to communicate effectively with any person, can also
improve communication, which in turn can improve patient outcomes and patient
satisfaction” (CCN, Lesson 3, 2017). Therefore, not only will educational material play
an important part in implementing my project, but also increasing awareness, and one to
one counseling.

Patients will need education on the benefits of breastfeeding and latching. Breastfeeding
provides immune factors and other components essential for healthy babies (Making the
decision to breastfeed). Colostrum, which is the first milk, is considered liquid gold and
is the best for babies and cannot be replicated in formula (Making the decision to
breastfeed). Information such as this will be communicated via poster boards and
education leaflets for patients and hospital visitors. I will also seek the help of the
Clinical Nurse Educator on our unit who can assist with training and educating staff on
the importance of early SSC and latching techniques to initiate breastfeeding. Staff will
need to implement SSC with the mother immediately after birth for all healthy infants
regardless of delivery. Rooming-in will also need to be provided, allowing for
uninterrupted contact/bonding. Furthermore, lactation consultants will need to be
available 24/7 for patients that need further assistance with breastfeeding.


The primary outcome I anticipate is that there will be an increase in healthy neonates
breastfeeding rates as a result of early direct skin-to-skin contact with their mothers. In
addition, I hope that this early establishment of breastfeeding leads to continued



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, exclusive breastfeeding rates in infants. I would also like to see an increase in prenatal
breastfeeding education teaching mothers breastfeeding techniques to increase the overall
breastfeeding rates. I anticipate this change will also generate maternity care policies and
practices supporting SSC and its contributions to successful breastfeeding.
In order to accomplish these goals effective communication and support with
interdisciplinary teams is imperative. Our lesson states that “effective communication of
the solution to all stakeholders, including multidisciplinary teams and the organization, is
crucial to successful change” (CCN, lesson 3, 2017). In order to gain support for this
initiative I will communicate my findings via powerpoint presentation at our monthly
evidence based practice council. I will include data on the improved neonatal outcomes
associated with breastfeeding and skin to skin contact. Additionally, I hope to present
data showing an increase in patient satisfaction associated with successful breastfeeding
as a result of this intervention. I hope to provide sufficient evidence that supports the
need to provide these additional resources.




References
Chamberlain College of Nursing. (2017). Solving the Problem [Online lecture]. Retrieved

from nursingonline.chamberlain.edu

Making the decision to breastfeed. (2017, May 03). Retrieved May 16, 2017, from

https://www.womenshealth.gov/breastfeeding/making-decision-breastfeed



Response 1

Professor and class,

During our lesson this week we learn that to implement our proposed design, it must be
feasible for the organization. “Feasibility refers to whether the solution can actually be
implemented.” (CCN, 2017). For my project I chose to research implementing antisepsis
to decrease the number of CVC – related infections.

Tangible items are those which are material and can be felt, such as money and having
the products to implement the proposed intervention. Intangible resources would be time
and having the educational resources available that will help implement the intervention.

Improved outcomes related to my proposed design would be a decrease in CVC related
infections. Thus, cutting back the number of readmission due to infections or longer
hospital stays with more antibiotic use.


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