NRS 465 Topic 5 Benchmark – Capstone Change Project Implementation Plan
Capstone Change Project Implementation Plan
Asthma among school-aged children is a significant public health issue that leads to emergency room visits, hospitalization, missed school days, and decreased quality of life. However, these issues are mainly associated with an inadequate understanding of the disease and its management for both the patients and their caregivers. Therefore, there is a need to implement change through structured education programs focusing on both the children with asthma and their parents, to promote symptom understanding, triggers, medication adherence, and proper inhaler techniques, hence preventing exacerbations and Emergency Room (ER) visits. This plan entails the issue of focus, solutions to address the issue, steps to be followed in the implementation of the capstone project change, the proposed intervention’s objectives, outcomes, and how the proposed objectives and outcomes demonstrate respect for autonomy for individuals and diverse populations.
Problem Summary
School-aged children with asthma are reported to be the pediatric group that is most affected by asthma and exacerbations, leading to emergency room visits, missed school days, and increased caregiver burden (Altaş et al., 2023). Most of these caregivers and patients and their caregivers experience difficulty recognizing early symptoms, avoiding triggers, and appropriately adhering to medications due to inconsistent education and limited health literacy.
Proposed Solution
The capstone project proposes the implementation of a structured asthma education program for school-aged children and their caregivers within the practicum setting. A study by Lin et al. (2024) found that multifaceted patient and caregiver education significantly enhances disease understanding, symptom management, and treatment adherence, thus improving the quality of life for affected children, reducing exacerbations and ER visits. The proposed educational intervention will entail teaching on asthma exacerbations, triggers, symptom recognition, proper inhaler techniques, and medication management, delivered using teach-back methods, interactive videos, and mobile health applications. The educational materials will be provided in culturally sensitive and language-appropriate formats to address sociocultural and linguistic differences among families. Moreover, this intervention will strengthen nursing practice by promoting consistent patient education, improving communication between nurses and caregivers, and enhancing early intervention strategies that support better asthma control and reduced ER utilization.
Intervention Implementation/Impact on Nursing Practice
The proposed intervention’s implementation will entail three steps. The first step entails collaboration among the nurses, respiratory specialists, and leaders in the project site to establish the structured asthma education program and incorporate it into the existing workflows. The second step will entail training nurses and familiarizing them with the program, while refreshing them on the use of teach-back methods, culturally responsive education strategies, and proper documentation. The third step will involve integrating the educational materials, including interactive videos and simplified handouts, into discharge teaching and follow-up visits for asthma patients and their caregivers.
During the education sessions, nurses will provide one-on-one education focused on symptom recognition, trigger avoidance, inhaler technique, and medication adherence. Mobile health applications and follow-up communication methods will thereafter be introduced to reinforce learning outside the clinical setting. Caregivers will be encouraged to actively participate in the education process and demonstrate understanding through return demonstrations and teach-back techniques. Moreover, Data related to asthma-related emergency room visits, caregiver understanding, and follow-up compliance will be monitored over the 12-week period to evaluate the educational intervention’s effectiveness. The intervention is expected to positively impact nursing practice by improving the consistency of patient education, strengthening clinical decision-making, and enhancing caregiver engagement. In addition, Sangnimitchaikul et al. (2022) note that education interventions support evidence-based approaches to chronic disease management in the pediatric population.
Intervention Objectives
The primary objective is to increase caregiver and patient understanding of asthma and its management through the implementation of the structured education program. Other objectives include improving recognition of asthma symptoms, triggers, and early signs among school-aged children with asthma and their caregivers, enhancing proper use of inhalers and adherence to prescribed medications, reducing the frequency of exacerbations and asthma-related ER visits, and improving the consistency of asthma education practices among nursing staff in the practicum setting.
Measurable Outcomes
Several measurable outcomes will be used to determine whether the objectives were met. These outcomes include: at least 80% of caregivers will demonstrate understanding of asthma management, the pediatric patients will demonstrate improved inhaler technique and adherence to prescribed medications during return demonstration assessments. Other outcomes are documentation compliance for standardized asthma education by nurses will increase during the implementation period, asthma-related ER visits among participating patients will decrease by at least 70%, and caregivers’ participation in follow-up communication and education reinforcement activities will improve during the project period.
Rationale: Respect for Autonomy and Diverse Populations
The proposed intervention, objectives, and outcomes demonstrate respect for autonomy for individuals in diverse populations. For instance, the project promotes autonomy by empowering children and caregivers with the knowledge and skills necessary to actively participate in asthma self-management and healthcare decision-making. Moreover, educational materials and communication strategies will be adapted to meet varying literacy levels, cultural beliefs, and language preferences to ensure equitable access to information for diverse populations. Teach-back methods, individualized action plans, and caregiver participation will also support self-determination by encouraging families to make informed decisions regarding symptom management and treatment adherence. Therefore, by reducing barriers to understanding, the project supports patient-centered care and promotes health equity among vulnerable pediatric populations.
Conclusion
The implementation of the proposed solution aims to strengthen caregiver and patient understanding of disease management while promoting adherence to treatment plans and improving symptom control. It incorporates culturally sensitive education, interactive learning strategies, and follow-up support to improve health outcomes for vulnerable pediatric populations. Successful implementation may contribute to reduced ER visits, improved quality of life for children and families, and long-term improvements in pediatric asthma management within the practicum setting.
References
Altaş, U., Söğütlü, Y., Altaş, Z. M., & Özkars, M. Y. (2023). Seasonal pattern of emergency department visits by children with asthma. Eastern Mediterranean Health Journal, 29(10), 789–795. https://doi.org/10.26719/emhj.23.114
Lin, G. Q., Ye, Z. Q., Song, E. L., & Lin, Y. N. (2024). Enhancing pediatric asthma management through multifaceted health education. World Journal of Clinical Cases, 12(19), 3708–3716. https://doi.org/10.12998/wjcc.v12.i19.3708
Sangnimitchaikul, W., Srisatidnarakul, B., & Ladores, S. (2022). The Effectiveness of a Family-Based Asthma Self-Management Program in Enhancing the Asthma Health Outcomes in School-Age Children. Comprehensive child and Adolescent Nursing, 45(2), 156–170. https://doi.org/10.1080/24694193.2020.1837290
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NRS 465 Topic 5 Benchmark – Capstone Change Project Implementation Plan
The purpose of this assignment will be to begin developing an implementation plan for your project.
In 750-1,000-words, include the following in your plan:
- In 1-2 sentences, summarize the problem or issue being addressed by your proposed change project.
- Based on the assessment of your practicum site and the literature evaluation you completed in Topic 4, propose how you will address the identified problem or issue (this will be the solution). Solutions should include sociocultural and linguistic considerations and affect nursing practice.
- Discuss steps for how the nursing practice intervention will be implemented in the capstone project change proposal proposed above. In your discussion include the impact it will have on nursing practice.
- Write a list of three to five objectives for your proposed intervention. Remember, objectives serve as the goals of your project.
- Based on your objectives, develop a list of three to five measurable outcomes for your proposed intervention. Remember, outcomes serve as the tangible, measurable results of implementing your project and should align with your objectives.
- Provide a rationale for how your proposed project, objectives, and outcomes demonstrate respect for autonomy (self-determination) for individuals and diverse populations.
You are required to cite a minimum of two peer-reviewed sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
RN-BSN
5.1: Apply quality improvement principles in care delivery.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 2.8. 3.1, 5.1