NURS682 Final Project Compilation
This week, you will bring together all of the NURS682 assignments you have completed thus far, and compose the rough draft of your change project paper. At this point, you will have submitted each section and received feedback. An attempt to incorporate all previous assignment feedback should be evident. Your rough draft contains all of the expected components of the final draft and is presented in APA format including a cover page, references, and appendices when warranted. Your rough draft is your opportunity to polish previously submitted assignments and combine the sections in a comprehensive paper that show your change project is ready to be implemented.
You will take this time to identify and address any weaknesses or gaps in your NURS682 change project. Your rough draft should only require minor revisions before the final paper.
Your paper should be between 20 and 30 pages in length, not including the cover page, references, and any appendices. It must follow current APA manual style and format. Each section of the paper should be clearly identified using proper headings
Sample NURS682 Assignments
Choice of NURS682 Topic: Improving Care for Recurrent Breast Cancer Patients: A Microsystem Approach
Among the provisions in the readings this week, the chapter in the Clinical Microsystems Greenbook that corresponds the most to my project topic of recurrent breast cancer is the chapter on improving care to the patients with chronic illness. Recurrent breast cancer is a complex and chronic ailment that requires regular and all-encompassing care management. The chapter provides the framework on how to enhance the care of patients at the microsystem level: in interdependent teams of small size (healthcare professionals) where the provision of care is personalized. It is notable that this concept especially applies to recurrent breast cancer, whereby patients may have long-term follow-up, need management of various symptoms, and may need adjustment of the treatment plans.
The microsystem approach focuses more on the patient engagement that is important in the repeated breast cancer management. Patients have to deal with constant treatment and emotional issues, and therefore, it is essential to think about how they see the situation and include their own preferences in the course of treatment. As one example, through regular reassessment of physical and emotional needs and engaging patients with the decision-making process, clinicians will be able to create more efficient plans of care that would be based on the unique needs of a particular patient (Fathiya et al., 2023).
More than that, the focus on the usage of data on monitoring the process and the improvement of processes constantly is noted in the chapter, and it can be directly applied to my project. In case of recurrent cases of breast cancer, information regarding the effectiveness of treatments, recurrence, and, in general, the quality of life may be gathered and frequently analyzed to adjust clinical methods and guarantee the best roles. With the help of this microsystem concept, healthcare teams will greatly transform their collaboration to meet the many needs of recurrent breast cancer patients in terms of structure and functioning as well as to finally improve patient outcomes.
This reading has applied strong footing in implementing change in my project because it puts importance on individualized care, collaboration between teams, and application of data-driven changes, which all play an important role in enhancing care and treatment of breast cancer episodes.
References
Fathiya, L. Y., Siswanto, A., Diah, P., & Chlara, Y. P. (2023). Empowerment-Based Palliative Care to Improve Psychological Well Being and Quality of Life in Women with Breast Cancer. International Journal of Scientific Multidisciplinary Research (IJSMR), 1(8), 1085-1102. http://repository.um-surabaya.ac.id/id/eprint/8341
2nd Phase of NURS682 Integrating Theoretical Frameworks in Breast Cancer Care
Integrating Theoretical Frameworks in Breast Cancer Care
The variables that I will use as far as my change project is concerned include the Health Belief Model (HBM) and Bio-Psychosocial Model. The two frameworks will inform the implementation of the project because it will target both psychosocial support to women along with the recurrent breast cancer and clinical treatment.
In order to initiate the implementation of this change project, certain steps have to be undertaken:
1.Assess Patient Perceptions: With the aid of the Health Belief Model, evaluate the perceptions of women and the likelihood of their recurrence as well as the value of treatment. Eliminate the obstacles that hinder the responses to both psychosocial and clinical care (Mehrabizadeh et al., 2024). As an example, not every woman will embrace the practice of psychosocial care, as it does not seem to bring benefits. With specific education, one can change this attitude and promote the involvement of both sides of care.
2.Provide Holistic Care: The Bio-Psychosocial Model combines clinical care along with emotional and social support. Coming up with a care plan to consider the physical, psychological, and social components of care (Kahan et al., 2022) is necessary. As an example, the patients who reported the anxiety regarding recurrence ought to be given some emotional support, in addition to healthcare provisions, to better their overall experience and increase adherence.
3.Evaluate Barriers and Facilitators: Determine aspects that can hinder patient interaction, including financial or social support, etc. To improve patient outcomes, these factors should be dealt with. A synergistic cooperation with social workers or counselors could assist in lessening these barriers so as to provide better integration of care.
4.Monitor and Adjust the Model: Keep track of the results of the initiative and make adjustments in the interventions. It will involve following the qualitative changes in life quality and coordination of care with references to the patients and healthcare providers.
Adhering to these steps, the project will design a complete, patient-based care model covering both emotional and physical demands of women having recurrent breast cancer, thus enhancing their quality of life and outcome of their treatment.
References
Mehrabizadeh, M., Zaremohzzabieh, Z., Zarean, M., Ahrari, S., & Ahmadi, A. R. (2024). Narratives of resilience: Understanding Iranian breast cancer survivors through health belief model and stress-coping theory for enhanced interventions. BMC Women’s Health, 24(1), 552. https://link.springer.com/article/10.1186/s12905-024-03383-7
Kahan, Z., Szanto, I., Dudas, R., Kapitany, Z., Molnar, M., Koncz, Z., & Mailath, M. (2022). Breast cancer survivorship programme: follow-up, rehabilitation, psychosocial oncology care. 1st Central-Eastern European professional consensus statement on breast cancer. Pathology and Oncology Research, 28, 1610391. https://pmc.ncbi.nlm.nih.gov/articles/PMC9200958/
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