NR 451 Week 3 Question 1 and 2.docx/RATED A

NR 451 Week 3 Question 1 and 2.docx 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 & resources (both t ...

NR 451 Week 3 Question 1 and 2.docx 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 & resources (both tangible & 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 & the date & 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, & the cost it would take to be implemented in terms of money, time & resources. Discuss these items & 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 & 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 & 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, & length of hospital admission. Fifty SICU patients were studied by using chart reviews & 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 & the average ventilator days decreased 1.4 days & a 71.4% reduction in mortality,”(Butcher 2012). As a result of these findings, this facility has now made early mobility the st&ard 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 & Technology to Improve Mobility & 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 exp&ed 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 S&oval Email this Author 5/19/2015 11:43:17 PM Professor & class, The cost to implement my project will be measured in time & in money. The time spent to implement & create change & 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 & is federally m&ated. 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 & the benefits of better outcomes will benefit patients’ length of stay, decreasing hospital/insurance, & Medicaid/ Medicare costs. According to Dearholt & Dang (2012), an EBP team can find reports of cost-effectiveness & economic evaluations in published data or internal organizational reports (p. 133). Getting the evidence that the change will benefit the public & 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 & better outcomes with research into a federal grant. The outcomes are for the benefit of patients & that will also create patient satisfaction also creating revenue for the institution versus patients in pain unhappy & leaving without being seen causing a bad perception of the institution. Bobbie Reference: