Implementation and Evaluation, Research Paper Example

Overall Plan

The first thing in the implementation of a new project in any organization is seeking approval from the leading authorities. The identified problem, proposed solutions and the implementation strategies presented to the head officers, who will in return commit time and the required resources for the success of the implementation. The nurses are the center staffs who form the principal caretakers of patients (Vehid, Erginöz, Yurtseven, Çetin, Köksal & Kaypmaz, 2011). Thus, nurses, among other staff need the awareness of the importance of silence in the healing process of a patient.

A seminar organized to re-educate the nurses as well as all the appropriate staff working in the inpatient wards. This seminar will majorly centre on the importance of a quiet sleeping environment, while passing information on the various ways of reducing or wholly dismissing noise in the hospital setup. The seminar will aim at making the staff aware that the hospital is a place that patients come with high expectations of receiving maximum care (Vehid et al. 2011).  This maximum care and treatment enhance healing and recovery process. The staff made aware that ailments resulting from illness and traumatic events need a calm and silent care environment for quick recovery. Hospitals should thus be capable of providing the peaceful, quiet and comfortable environment and should provide the best home as compare to self-care, neurological therapy and homeopathic retreats (Agency for Healthcare research and Quality, 2007).

The ‘Quite at Night” is the first approach. The staff on duty schedule quiet times during working hours, especially at night to give the patients a humble time while resting. The common structures to employ include the quite hours from 1:00 p.m. – 3:00 p.m. and from 10:00 p.m. – 2:00 a.m. For effective achievement of the quiet hours, shift changes employed to give a relaxation period for the previously serving staff. The visiting hours and the number of patients sharing a room also necessary to consider in trying maintaining silence in the hospital.  Patients need to have private rooms, however, if not possible, a maximum of two patients need sharing a public room. This is to reduce the possibility of making conversations thus making noise. It may call for extra costs in construction of more wards but the result is worth the expense. Friends, relatives and other visitors are indispensable in the healing process of a patient (Richardson, Thompson, Coghill, Chambers& Turnock, 2009). However, research shows that visiting hours present a time of noise making in the hospital environment. Restrictions set to limit the visiting hours and the number of visitors allowed per patient. This may result into a negative implication upon implementation of the approach, but the result will be viable. Another great approach to reduce noise would be the contacting of medical staff via intercom.  The cleaning staff, for example, taught various methods of carrying out their roles in a silent mode. They could make use of noise free equipments to carry out their cleaning. Any equipment that needs greasing for example maintained well to avoid the likelihood of producing sharp sounds that discomforts the patients.

Resources

Some resources needed for the implementation of this new project are present while some would call for some extra cost.  There is an educator to run the seminar, and what required of the staff is commitment. The cleaning equipments could require some cash to repair or replace equipments in poor working conditions. It may call for extra costs in construction of more wards Incase the present ones cannot hold all patients. There will also be need to adjust the schedule of the hospital regarding visiting hour and quite hours.

Monitoring implementation

The nurse on duty will monitor the implementation of the solution by seminar attendance, adherence to the quite hours and the working shifts. Healing and recovery rates monitored from the inpatient register and weekly basis and results graphed and displayed on the notice board (Richardson et al. 2009).

Theory of change

Change is like rest, though difficult to adapt. The program would seem unfriendly at the beginning, but embraced with time upon getting positive results.

Implementation Feasibility

Obtaining approvals and implementing the project in the hospital setup will be feasible because both the staff and patients in the hospital will feel and experience the positive results.

Section E: Evaluation Plan

Outcome Measure

It is wise and recommended to evaluate on the effectiveness of the implemented program (Vehid et al. 2011). The validity, reliability and sensitivity to change towards a quite hospital environment studied through a survey during the period of implementation. The reaction of nurses and staff studied, while some could even undergo interviews to find their views on the implemented project. Their views regarding the seminar recorded while identifying areas needing more training.

Evaluation Data Collection

Data collected from the inpatients files. Their length of stay compared with previous recorded time of stay of similar patients earlier. Oral interviews also conducted to obtain views regarding the implemented project. This evaluation approach is feasible, as it will make it easier to evaluate the whole implementation. If there arise reported cases of reduced length of stay in the hospital would mean the project was viable, otherwise, the implementation is unviable.

References

Agency for Healthcare research and Quality. (2007). Transforming hospitals: Designing for safety and quality. http://www.ahrq.gov/qua/transform.htm

Massachusetts General Hospital. (2012). Addressing quietness on units best practice
implementation guide. www.mghpcs.org/eed_portal/…/ADDRESSING-

Richardson, A., Thompson, A., Coghill, E., Chambers, I., & Turnock, C. (2009). “Development and implementation of a noise reduction intervention programme: a pre-and post-audit of three hospital wards”. Journal Of Clinical Nursing. 18(23), 3316-3324.

Vehid, S., Erginöz, E., Yurtseven, E., Çetin, E., Köksal, S., & Kaypmaz, A. (2011). “Noise Level
of Hospital Environment”. TAF Preventive Medicine Bulletin. 10(4), 409-414.