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Related Concept Videos

Role of Communication in the Nursing Process II: Planning and Implementation01:25

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Implementation factors for patient navigation program success: a qualitative study.

Mandi L Pratt-Chapman1, Rachel Silber2, Jeffrey Tang3

  • 1GW Cancer Center, School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA. mandi@gwu.edu.

Implementation Science Communications
|December 21, 2021
PubMed
Summary
This summary is machine-generated.

Implementing patient navigation (PN) programs requires understanding key factors for success. This study identifies facilitators in organizational context, innovation characteristics, and external factors crucial for sustainable PN services in cancer care.

Keywords:
EPIS FrameworkImplementationPatient NavigationSustainability

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Area of Science:

  • Implementation Science
  • Healthcare Management
  • Oncology Patient Support

Background:

  • Patient navigation (PN) is an evidence-based practice to address patient barriers to care.
  • Designing sustainable PN programs remains a challenge for healthcare organizations.
  • PN has demonstrated effectiveness, yet implementation requires strategic planning.

Purpose of the Study:

  • To examine implementation factors for successful patient navigation programs.
  • To optimize the sustainability of patient navigation services in US cancer care settings.

Main Methods:

  • Semi-structured interviews with 17 patient navigation stakeholders.
  • Thematic content analysis using the Exploration-Preparation-Implementation-Sustainability framework.
  • Deductive and inductive coding of qualitative data.

Main Results:

  • Outer context facilitators: payer guidelines, accreditation, community partnerships, service demand.
  • Inner context facilitators: organizational alignment, leadership support, staff resources, relative advantage.
  • Innovation characteristics: champions, clear roles/protocols, communication, fit, funding stability, community-academic partnerships.

Conclusions:

  • Qualitative analysis supports using implementation theory for PN program design.
  • Intentional application of theory optimizes implementation success.
  • Understanding facilitators is key for sustainable patient navigation services.