EVALUATION PLAN DESIGN ASSESSMENT INSTRUCTIONS

PROBLEM STATEMENT: In South San Francisco Hospital (SSFH), over 91% of contaminated blood cultures are drawn by Emergency Department (ED) Registered Nurses (RNs). This is an average of 1.63% in ED vs. 0.3% for the rest of the hospital. Contaminated blood cultures could result in false-positive results, which could lead to the patient being unnecessarily treated.
TARGET POPULATION AND SETTING: ED patients requiring septic work-up
TARGETED INTERVENTION/ACTION PLANS
Development of a blood culture collection observational tool for direct observation and feedback
RN education and training

STAKEHOLDERS: The stakeholders include, but are not limited to, the patients, ED RN staff, ED and Hospital Leadership, Laboratory Director, Physicians, and Infection Prevention Manager.
PROJECT OUTCOMES: The percentage rate of contaminated blood cultures drawn by SSFH ED RNs will decrease by 10% from 1.63% to 1.47% by January 31, 2022.

Introduction

Develop a 4-6 page plan that will allow you to evaluate your intervention.
Once an intervention is planned and implemented it is important to evaluate the degree to which the outcomes of the project were achieved. By evaluating the desired outcomes of an intervention, it is possible to make more informed decisions about opportunities for continuous improvement. It is also possible to identify strategies and approaches that could be useful in improving one’s personal practice in other contexts or care areas.
Preparations

Read Guiding Questions:

Evaluation Plan Design [DOC] (See Separate Attachment). This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.

Instructions
Your evaluation plan design will be the forth section of your final project submission. The goal for this is to finalize the outcomes that your plan is seeking to achieve and to create a plan to evaluate the degree to which those outcomes would have been achieved if your intervention plan has been implemented. This will allow you to determine the degree to which the plan was successful in addressing the identified need of your target population and setting.

Discuss ways in which your role allows you to lead change and drive quality improvement, and to potentially improve the project in the future. In addition, you will reflect on how the project will leave you better prepared for success in other aspects of your current and future career. Provide enough detail so that the faculty member assessing your implementation plan design and discussion will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project.

At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. Read the Scoring Guide (See Separate Attachment) and the Guiding Questions: Evaluation Plan Design document to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, your planned intervention, and how you intended to implement your intervention (this should only be a single paragraph).

Part 2: Discussion

Advocacy
Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.
Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.

Future Steps
Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety.
Reflection on Leading Change and Improvement
Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions.
Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts.