nr451 week 3 and week 4 discussions latest 2020

nr451 week 3 and week 4 discussions latest 2020 Week 3 Feasibility of your Capstone Project (graded) Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes? Respond This section lists options that can be used to view responses. Collapse All Print View Show Options Responses Responses are listed below in the following order: response, author and the date and time the response is posted. Sort by Read/Unread Sort by Response Sorted Ascending, click to sort descending Sort by Author Sort by Date/Time* (an instructor response) Collapse Mark as Unread Introductory Post Instructor Card Email this Author 4/22/2015 11:15:42 AM Consider the feasibility of implementing your Capstone project in your area of practice, and the cost it would take to be implemented in terms of money, time and resources. Discuss these items and whether the initial cost could pay off with improved outcomes? Respond Collapse Mark as Unread RE: Introductory Post Dawn Nelis Email this Author 5/18/2015 1:23:05 PM Professor and Class, It is difficult for me to estimate exactly how much it would cost to implement change on the GYN/MED/SURG unit that I work in. My capstone project focuses on the importance of ambulation within 12hours post op. I do know that when our facility wants to implement a new policy or procedure, we are required to log onto our educational link through the intranet and complete online competency regarding the change. This is no EXTRA money out of the hospitals pocket as this is something that must be done while we are on shift. If we consider the amount of money that is required for a lengthy hospital stay resulting from complications secondary to post op immobility, it is obvious that a little extra effort is well worth the positive outcome. One study done on post-surgical patients in a post-surgical ICU revealed that early mobilization of these patients lowered the mortality, and length of hospital admission. Fifty SICU patients were studied by using chart reviews and re training staff whom did not view mobility as a main concern. They ended up saving $250,000 in the 2 month pilot phase in one unit, (Butcher, 2012). “The average length of stay decreased from 4.9 days to 2.2 days and the average ventilator days decreased 1.4 days and a 71.4% reduction in mortality,”(Butcher 2012). As a result of these findings, this facility has now made early mobility the standard of care. A great example of how a little effort goes a long way. Reference: Butcher,W.(2012). EB88 Mobility Matters, Get Up Off of That Bed: Evidence-Based Practice and Technology to Improve Mobility and Outcomes of Surgical Intensive Care Patients. Critical Care Nurse, 32(2), e50-e51. Respond Collapse Mark as Unread RE: Introductory Post Heather Shingler Email this Author 5/19/2015 9:22:26 AM Dawn, I respectfully disagree that the integration of your project would not cause EXTRA cost. While it may be difficult to calculate, if nursing hours are being spent on education as opposed to patient care, either more nurses are needed for patient care, or more ancillary staff are required. These additional people cost money. It has always made little sense to me that administration requires continuing education to occur while nurses are on duty. Not only does this cost them money, but the nurses are not able to fully concentrate on either patient care or the education. Crystal Martin touches upon this in her article The Effects of Nursing Staffing on Quality of Care. She makes it clear that increase in nurse staffing should not lead to nurses taking on expanded roles or a decrease in ancillary staff. To maintain a high level of patient care, a high level of staffing with evidence based practice costs money. However, as you pointed out, it saves money on readmissions. Hopefully administrations can start to realize that. Heather Martin, C. J. (2015). The Effects of Nurse Staffing on Quality of Care. MEDSURG Nursing, 24(2), 4-6. Respond Collapse Mark as Unread RE: Introductory Post Annette Sandoval Email this Author 5/19/2015 11:43:17 PM Professor and class, The cost to implement my project will be measured in time and in money. The time spent to implement and create change and the cost it will take to implement. That being said it will cost not to implement change. Creating change to implement best practice is the goal of the institution and is federally mandated. Creating change to implement pain protocols in triage for patients waiting to be seen will address what has been an issue with JCAHO. There are grants available to help curb the cost and the benefits of better outcomes will benefit patients’ length of stay, decreasing hospital/insurance, and Medicaid/ Medicare costs. According to Dearholt and Dang (2012), an EBP team can find reports of cost-effectiveness and economic evaluations in published data or internal organizational reports (p. 133). Getting the evidence that the change will benefit the public and decrease cost for the institution can provide the evidence that is needed to substantiate my claim for the change. The institution can also be granted federal funding for decreasing patient pain scores and better outcomes with research into a federal grant. The outcomes are for the benefit of patients and that will also create patient satisfaction also creating revenue for the institution versus patients in pain unhappy and leaving without being seen causing a bad perception of the institution. Bobbie Reference: Dang, D., & Dearholt, S. (2012). Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines, Second Edition (2nd ed.). Indianapolis, IN: Sigma Theta Tau International. Respond (an instructor response) Collapse Mark as Read RE: Introductory Post Instructor Card Email this Author 5/22/2020 11:01:31 AM Good discussion of the time and money costs of your proposed change Bobbie - you have described how they can be beneficial in patient outcome well. Respond Collapse Mark as Read RE: Introductory Post Saynetta George Email this Author 5/20/2015 9:50:18 PM Modified:5/20/20209:53 PM Hi Professor Card, My capstone project has already been implemented into my company. As far as costs are concerned money is a major factor when it comes to obtaining a Bachelors degree and any advanced degree. The evidence displays that it behooves nurses to obtain a BSN degree as an entry level degree based on outcomes of client's. It has been researched that BSN prepared nurses recognize unfavorable conditions more quickly than ADN nurses. Many employers are requiring the BSN to become an employable nurse. The great thing is that many employers offer tuition assistance for nurses.