Intervention Presentation and Capstone Video Reflection

Intervention Presentation and Capstone Video Reflection

Hello, and welcome to today’s presentation. I will begin by evaluating the contribution of my intervention to the patient’s satisfaction. I will then describe the use of peer-reviewed journals and evidence and evaluate how I used healthcare technology. After that, I will explain the impact of health policy on my capstone project. I will then explain whether the project’s outcomes are harmonious with my initial predictions. Finally, I will evaluate my personal and professional growth throughout this project.

The Contribution of my Intervention to Patient Satisfaction and Quality of Life

In this capstone project, the patient is a 68-year-old African American female with Alzheimer’s Disease (AD). The patient reports that she was diagnosed with AD when she was 60 and has been on medication for the past seven years. Currently, the patient presents with confusion, restlessness, difficulty remaining attentive, and difficulty with language. Her ability to organize thoughts and think logically is preserved. Her manifestations are indicators of moderate AD. My intervention entails using telehealth to promote medication adherence and lifestyle modification for the patient.

The patient acknowledged that telehealth would help to improve medication adherence. She revealed that this would be her first experience with telehealth technology. She was intrigued by the fact that features such as reminders and alarms would improve her compliance with the treatment plan. Her family reported that telehealth would enable them to seek timely clarifications and eliminate the need for frequent face-to-face healthcare appointments. Additionally, her family members reported that using motion sensors would help them monitor the patient and reduce the likelihood of injuries. This is particularly relevant because the intervention included lifestyle modification aspects involving physical exercise. Her family members agreed that medication compliance would improve the patient’s prognosis and reduce the frequency of hospitalization.

How Intervention Enhances the Patient and Family’s Experience

Allow me to explain how my intervention improves patient and family experience. Maresova, Tomsone, Lameski, & Madureira (2018) reported that the use of telehealth would create flexibility in the delivery of healthcare services. Flexibility will be created by removing the physical barrier and allowing perpetual monitoring and consultation at any time. Video conferencing will create real-time interactions between healthcare providers and the patient. This allows continuous monitoring and prompt initiation of interventions hence a better prognosis of the disease. Maresova, Tomsone, Lameski, & Madureira (2018) further reported that mobile health features such as messages, alarms, and reminders enable the patient to take medications as planned. In addition, they promote adherence to non-pharmacological interventions involving physical activity and dietary modification. Besides, according to Galvin, Aisen, & Langbaum (2021), physical exercise helps to avert brain atrophy and improve the prognosis of AD. Furthermore, it will minimize the risk of cardiovascular complications.

Use of Evidence and Peer-Reviewed Literature

At this point, I will describe the use of evidence and peer-reviewed literature in my capstone project. I used online medical databases to locate peer-reviewed journals. The online medical databases that guided my research include Google Scholar, PubMed, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). I used keywords such as ‘Alzheimer’s disease’ and ‘healthcare technology’ to search for relevant peer-reviewed articles. Customized features enabled me to search for articles published within the past five years. After that, I used the CRAAP criteria to evaluate the credibility of each source. Esparrago-Kalidas (2021) notes that this criterion assesses the currency, relevance, accuracy, authority, and purpose of the article. Accordingly, this enabled me to choose the best evidence-based research articles. When researching, I used professional websites to seek evidence for my capstone project.

Furthermore, I was guided by five principles of evidence-based practice. These include formulation of a problem, accessing evidence, appraisal, application, and evaluation. In this context, the problem is Alzheimer’s disease. I used professional journals and online medical databases to access evidence. I used the CRAAP criteria to appraise the evidence. The approval of my intervention reveals that it is feasible and applicable to the patient population. Implementation of this intervention will be succeeded by periodic evaluation of its effectiveness.

Leveraging Health Care Technology

I would now like to discuss how I leveraged healthcare technology in my capstone project. I used telehealth in the formulation of my intervention to improve patient outcomes. Specifically, I embraced mobile health, videoconferencing, and remote patient monitoring. According to Maresova, Tomsone, Lameski, & Madureira (2018), mobile health features such as audio, messages, reminders, alarms, and mobile applications improve communication, promote medication adherence and improve patient outcomes. In addition, Werner, Brown, and Loganathar (2022) report that mobile applications such as Alzheimer’s and Dementia Care equip patients with relevant knowledge about AD, whereas audio facilitates continuous patient monitoring. Videoconferencing permits real-time patient monitoring and timely initiation of interventions. In addition, according to De Marchi, Contaldi, Magistrelli, & Cantello (2021), remote patient monitoring embraces wearables and sensors. Subsequently, wearables permit the patient to record and transmit their vitals remotely; any deviation from the normal range warrants prompt initiation of interventions such as modification of treatment plans.

Evidently, various interventions can be used to improve the future of healthcare technology. Drees (2020) reports that multistate licensure will promote interprofessional collaboration and allow patients to visit healthcare facilities of their choice countrywide. Affordable quality internet services will improve connectivity and enhance patients’ experiences with healthcare technology.

Impact of Health Policy

The HIPAA and the American Nurse Association impacted the planning of my capstone project. According to Moore and Frye (2019), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) advocates for the security, privacy, and confidentiality of electronically transmitted personal health information. Also, the American Nurse Association (ANA) (n.d.) reports that the American Nurse Association’s standards and policy guidelines promote care coordination and emphasize the nursing process, cultural congruence, ethics, and collaboration. The ANA enabled me to develop a patient-centred intervention focused on quality service delivery and improved patient outcomes. The HIPAA enabled me to use telehealth technology appropriately to avoid legal implications.

Nurses play a significant role in policy development and implementation. They can accomplish this by collaborating with elected members of Congress to influence relevant bills. Additionally, nurses testify before different panels that seek to pass relevant health bills. Nurses are active participants in professional councils and workplace managing committees. This active participation allows them to formulate progressive policies.

Capstone Project Outcomes versus My Initial Predictions

At this point, I will discuss whether the outcomes of the capstone project are harmonious with my initial predictions. The outcomes of the capstone project matched my initial predictions. Specifically, the use of telehealth technology to improve adherence to the treatment plan is consistent with my predictions. The patient acknowledged the importance of telehealth in improving medication adherence, whereas family members reported that motion sensors would help them to monitor the patient and reduce the likelihood of injuries. My intervention is evidence-based and should be adopted as a best practice. Improved medication adherence is associated with a good prognosis of AD, whereas physical activity minimizes brain atrophy hence better outcomes. My intervention is generalizable in other settings. Other findings demonstrate that telehealth technology can improve medication adherence in patients with AD. Accordingly, the intervention can be applied in other healthcare facilities. I spent five hours with the patient and her family. At the end of our interaction, the patient and her family acknowledged that telehealth would improve the management of AD.

Personal and Professional Growth

As I conclude, I will discuss my personal and professional growth during this capstone project. Firstly, the provisions of the ANA enabled me to uphold nursing ethics and professional standards. I upheld the principle of beneficence and non-maleficence by developing a patient-centred intervention to improve patient outcomes. Also, I embraced the principle of autonomy by involving the patient in the decision-making process and respecting her choices. Additionally, the principle of justice was upheld by addressing the patient’s needs in their entirety using the best evidence-based practices. Cultural congruence enabled me to respect the patient’s perceptions and beliefs. Further, I collaborated with other interdisciplinary members, including physicians, nutritionists, and pharmacists, when formulating my intervention. Overall, I am proud that I learned how to evaluate the credibility of resources. Additionally, I learned evidence-based interventions in the management of AD—notably, the use of alkylidene as a dietary supplement and exercise to minimize baring atrophy.

References

American Nurse Association. (n.d.). Scope of practice defined in nursing. https://www.nursingworld.org/practice-policy/scope-of-practice/

De Marchi, F., Contaldi, E., Magistrelli, L., Cantello, R., Comi, C., & Mazzini, L. (2021). Telehealth in neurodegenerative diseases: Opportunities and challenges for patients and physicians. Brain Sciences, 11(2), 1–20. https://doi.org/10.3390/brainsci11020237

Drees, J. (2020). 9 Barriers for Patients Accessing Telehealth. https://www.beckershospitalreview.com/telehealth/9-barriers-for-patients-accessing-telehealth.html

Esparrago-Kalidas, A. J. (2021). The Effectiveness of CRAAP Test in Evaluating Credibility of Sources. International Journal of TESOL & Education, 1(2), 1–14.

Galvin, J. E., Aisen, P., Langbaum, J. B., Rodriguez, E., Sabbagh, M., Stefanacci, R., Stern, R. A., Vassey, E. A., de Wilde, A., West, N., & Rubino, I. (2021). Early Stages of Alzheimer’s Disease: Evolving the Care Team for Optimal Patient Management. Frontiers in Neurology, 11(January), 1–8. https://doi.org/10.3389/fneur.2020.592302

Maresova, P., Tomsone, S., Lameski, P., Madureira, J., Mendes, A., Zdravevski, E., Chorbev, I., Trajkovik, V., Ellen, M., & Rodile, K. (2018). Technological Solutions for Older People with Alzheimer’s Disease: Review. Current Alzheimer Research, 15(10), 975–983. https://doi.org/10.2174/1567205015666180427124547

Moore, W., & Frye, S. (2019). Review of HIPAA, Part 1: History, protected health information, and privacy and security rules. Journal of Nuclear Medicine Technology, 47(4), 269–272. https://doi.org/10.2967/JNMT.119.227819

Werner, N. E., Brown, J. C., Loganathar, P., & Holden, R. J. (2022). Quality of Mobile Apps for Care Partners of People with Alzheimer Disease and Related Dementias: Mobile App Rating Scale Evaluation. JMIR MHealth and UHealth, 10(3). https://doi.org/10.2196/33863

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Present your approved intervention to the patient, family, or group and record a 10-15 minute video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form.

Introduction

Baccalaureate-prepared nurses have many opportunities to reflect on their contributions to patient care outcomes during clinical experiences. Research suggests that creating and sharing video reflections may enhance learning (Speed, Lucarelli, & Macaulay, 2018).

For this assessment, you’ll present your approved intervention to the patient, family, or group and reflect on various aspects of your capstone practicum experience. Such reflection will give you a chance to discuss elements of the project of which you are most proud and aspects of the experience that will help you grow in your personal practice and nursing career.

Reference
Speed, C. J., Lucarelli, G. A., & Macaulay, J. O. (2018). Student produced videos—An innovative and creative approach to assessment. Sciedu International Journal of Higher Education, 7(4).

Instructions

Complete this assessment in two parts: (a) present your approved intervention to the patient, family, or group and (b) record a video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program.

PART 1

Present your approved intervention to the patient, family, or group. Plan to spend at least 3 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Be sure you’ve logged all of your practicum hours in CORE ELMS.

Use the Intervention Feedback Form: Assessment 5 [PDF] as a guide to capturing patient, family, or group feedback about your intervention. You’ll include the feedback as part of your capstone reflection video.

Part 2
Record a 10-15 minute video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. A transcript of your video is not required.

You’re welcome to use any tools and software with which you are comfortable, but make sure you’re able to submit the deliverable to your faculty. Capella offers Kaltura, a program that records audio and video. Refer to Using Kaltura for more information about this courseroom tool.

Note: If you require the use of assistive technology or alternative communication methods to participate in these activities, please contact DisabilityServices@Capella.edu to request accommodations. If you’re unable to record a video, please contact your faculty as soon as possible to explore options for completing the assessment.

Requirements

The assessment requirements, outlined below, correspond to the scoring guide criteria, so address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for supporting evidence.

Assess the contribution of your intervention to patient or family satisfaction and quality of life.
Describe feedback received from the patient, family, or group on your intervention as a solution to the problem.
Explain how your intervention enhances the patient, family, or group experience.
Describe your use of evidence and peer-reviewed literature to plan and implement your capstone project.
Explain how the principles of evidence-based practice informed this aspect of your project.
Assess the degree to which you successfully leveraged health care technology in your capstone project to improve outcomes or communication with the patient, family, or group.
Identify opportunities to improve health care technology use in future practice.
Explain how health policy influenced the planning and implementation of your capstone project, as well as any contributions your project made to policy development.
Note specific observations related to the baccalaureate-prepared nurse’s role in policy implementation and development.
Explain whether capstone project outcomes matched your initial predictions.
Discuss the aspects of the project that met, exceeded, or fell short of your expectations.
Discuss whether your intervention can, or will be, adopted as a best practice.
Describe the generalizability of your intervention outside this particular setting.
Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form.
Assess your personal and professional growth throughout your capstone project and the RN-to-BSN program.
Address your provision of ethical care and demonstration of professional standards.
Identify specific growth areas of which you are most proud or in which you have taken particular satisfaction.
Communicate professionally in a clear, audible, and well-organized video.
Additional Requirements
Cite at least three scholarly or authoritative sources to support your assertions. In addition to your reflection video, submit a separate APA-formatted reference list of your sources.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 2: Make clinical and operational decisions based upon the best available evidence.
Describe one’s use of evidence and peer-reviewed literature to plan and implement a capstone project.
Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
Explain whether capstone project outcomes matched one’s initial predictions and document the practicum hours spent with these individuals or group in the Core Elms Volunteer Experience Form.
Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
Assess the degree to which one successfully leveraged health care technology in a capstone project to improve outcomes or communication with a patient, family, or group.
Competency 5: Analyze the impact of health policy on quality and cost of care.
Explain how health policy influenced the planning and implementation of one’s capstone project, as well as any contributions the project made to policy development.
Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
Assess the contribution of an intervention (capstone project) to patient, family, or group satisfaction and quality of life.
Competency 8: Integrate professional standards and values into practice.
Assess one’s personal and professional growth throughout a capstone project and the RN-to-BSN program.
Communicate professionally in a clear and well-organized video.