nr451 week 3 and week 4 discussions latest 2020
Week 3
Feasibility of your Capstone Project (graded)
Now that you have identified your
... [Show More] 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?
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(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?
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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.
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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 [Show Less]