I need help coming up with an intervention from my focus group flyer and summary from last weeks assignment to propose to my superiors. Remember, my problem is that “living wills, advance directives” are not being completed on admission to hospitals, doctors offices, etc. especially for the elderly and chronic or terminally ill patients. From the focus group, I learned from the attendees, elderly, patients and families that the doctors, nurses, secretaries, case management or admissions clerks, ER triage nurses do not take the time to complete or teach about the importance of living wills. Nurses do not have the time. I was thinking about proposing an intervention to somehow come up with hospitals appointing someone other than the nurse to speak with patients who do not have living wills during their hospital stay or implement this teaching somehow. The question for us ER triage nurses and any nurse doing an admission is, “do you have a living will?” 9 times out of 10, the patient replies, ” what it that?”. The next question from the nurse is, “do you want to receive more information on living wills?”. The patient usually declines, maybe because they just want to focus on the here and now of the hospital or ER visit or they feel intimidated not knowing what questions to ask because of being unfamiliar with living wills.
That being said, I need to propose this intervention somehow and then evaluate it with qualitative and quantitative method for evaluating this intervention…. Please help. Last time between the two of us, I came up with pretty good ideas. This is to be power point but I know you don’t do power point so I am going to write it out and take key points from the paper and convert to power point. Hopefully I can figure this all out. I have never done power point.
Here are the guideline to follow. We have to include these guidelines in the paper or power point which I know you don’t do…
Here goes::
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SCENARIO
You are a Community Health Nurse. You have identified a community health problem and have analyzed the data collected from your community outreach focus group. You have decided on a nursing intervention and need your organization?s approval for funding of this intervention. Your superiors have agreed to listen to your proposal.
(my community health problem was the lack of living wills in the elderly and chronically ill,
COPD, the data collected from my focus group was the complaint that no one was really helping these people, spending the time to explain or fill out the living wills)
Intervention would be to make sure living wills are presented to these people and made out through either the community or hospital or doctors offices, etc. What are your thoughts?
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