FOR Tutor REENJMI ONLY

RN INTERVENTION PAPER

Project Paper (50% of final grade)

"Hospice End of Life Care"

This is a VERY SPECIFIC PAPER & I will Fail if not done correctly. 

RN Clinical Intervention Project

Purpose: To design an APN intervention that is consistent with the advanced practice role. Most projects will include the design of a major clinical program. This program can be an educational program or clinical service delivery project. For example, students may design such things including but not limited to a program for the primary care of patients with diabetes, a clinic program for educating parents and children about asthma, a weight loss program for adults including clinical and educational strategies, design for a new rural clinic, or development of an NP independent practice. The program must be more substantial than an intervention that includes, for example, only a brochure. Typically, you will not implement the project but you will develop a detailed proposal to do so.

This project is considered a major project. As such, it is expected that the project paper will be a minimum of 8-10 pages not including title page, reference page and appendices.

The project will result in a paper that contains the following components:

Component Points

Description of the Problem to be addressed by the APN intervention (e.g., a disease condition, a health problem, a health system deficit) with Review of Literature regarding the nature, scope, and impact of the problem at the national, state and local levels	15 points
Review of literature of previous interventions addressing the problem with associated outcomes (try to find systematic reviews if available).	15 points
Identification of the best “evidence-based” intervention (s) that can be implemented and/or modified to address the problem. This is your best synthesis of literature.	10 points
Local site/resource that may support and/or implement the intervention. (Clinical CONSULTATION*) ·  Describe the site (location, patient population, staff and/or patients consulted) ·  Describe the program presentation and/or consultation process ·  Provide feedback from the consultation as applicable	10 points
Clear description of the intervention with specific, operational components	35 points
Program goal (s): To assist patients to .	1
Program objectives: By end of the program, a patient will be able to  (state as expected behavioral outcomes such as “state, describe, list, measure, and develop a plan” etc in reference to the desired behavior.	4
Brief overall Program description including the target group, timeframe, methodology of intervention) - If you are developing an educational intervention, you must include teaching-learning principles with references that were used to develop the education program.	5 points
Specific Program operations (who, what, when, where, how, etc) · -  Specific target group · -  Program sessions/operations/ processes including session objectives if appropriate · -  Program materials and/or resources · -  Program facilitators and/or required staff with credentials	25 points
Program Budget for Year 1 (include requested funds and donated funds) You need information per unit and overall in each category below with subtotals. Do not do budget as a narrative. - Staff - Materials/resources - Equipment - Travel - Other	5 points
Program evaluation plan for year 1 including a diagram of evaluation process. (Consider including evaluations by health professionals involved in the program as well as patients. Show a diagram of the evaluation plan including the tools to be used and when data is to be collected).	10 points

REFERENCES YOU MAY USE

References:

Catania, G., Bagnasco, A., Signori, A., Pilastri, P., Bottino, M., Cervetti, C., … Sasso, L. (2017). A phase 2 quasi-experimental trial evaluating the feasibility, acceptability, and potential effectiveness of complex nursing intervention focused on QoL assessment on advanced cancer patients with palliative care needs: study protocol. Pilot and Feasibility Studies, 3(1). https://doi.org/10.1186/s40814-017-0196-x

Dahlin, C., Coyne, P. J., & Ferrell, B. R. (2016). Advanced practice palliative nursing. New York: Oxford University Press.

Glare, P. A., Semple, D., Stabler, S. M., & Saltz, L. B. (2011). Palliative Care in the Outpatient Oncology Setting: Evaluation of a Practical Set of Referral Criteria. Journal of Oncology Practice, 7(6), 366–370. https://doi.org/10.1200/jop.2011.000367

Hudson, P., Trauer, T., Kelly, B., O’Connor, M., Thomas, K., Zordan, R., & Summers, M. (2014). Reducing the psychological distress of family caregivers of home based palliative care patients: longer term effects from a randomised controlled trial. Psycho-Oncology, 24(1), 19–24. https://doi.org/10.1002/pon.3610

Kelley, A. S., & Morrison, R. S. (2015). Palliative Care for the Seriously Ill. New England Journal of Medicine, 373(8), 747-755. doi:10.1056/nejmra1404684

In Ferrell, B. (2015). Structure and processes of care.

In Ferrell, B., In Coyle, N., & In Paice, J. A. (2015). Oxford textbook of palliative nursing.

In Matzo, M., & In Sherman, D. W. (2015). Palliative care nursing: Quality care to the end of life.

Mor, V., & Teno, J. M. (2016). Regulating and Paying for Hospice and Palliative Care: Reflections on the Medicare Hospice Benefit. Journal of Health Politics, Policy and Law, 41(4), 697–716. https://doi.org/10.1215/03616878-3620893