NURS FPX 6085 Assessment 3 Intervention Plan Design

NURS-FPX6085

Student Name

Capella University

Submission Date

Intervention Plan Design

Adequate planning of actual interventions is needed to address the health care needs of particular populations and/or clinical contexts. In this case, the development of an organized twelve-week motivational interviewing (MI) training program has been created for nurses who care for the uninsured low-income adults in the urban acute health care setting. The level of nurse-specific interventions has an important influence on the development of health care disparities within target populations, as suggested in the Campbell study; hence, reducing nurse-specific interventions should be one of our key goals.

Major Components of an Intervention Plan

There are four elements to a quality intervention plan (12-week MI training program, trainer-led using a trainer who is certified in MI, role play, and nurse bi-weekly feedback). Peimani says Structured MI Training Programs have a positive effect on communication skills and can help make things more consistent. This tackles the difficulties low-income uninsured adults have in entering acute care in the city. The use of the MITI (Motivational Interviewing Assessment Tool), patient satisfaction surveys, and EHR appointment adherence rate will be used to measure the success of this plan. Based on previous research, which showed that a 12-week pre/post-test measurement is successful in documenting improvement in SE and clinical outcomes, the developed intervention plan will be considered successful if two out of three criteria measured at 12 weeks show a statistically significant change in outcome.

Cultural Needs and Characteristics

African American and Hispanic populations and immigrant adults are often overrepresented in lower-income and uninsured populations in urban areas and do not trust the healthcare system; moreover, language barriers and/or cultural differences in health beliefs and how to participate in their own health care can be an obstacle. After analyzing their research, they found that culturally tailored MI approaches to treatment had the most positive health outcomes, and that minority races/ethnicities received MI services.

Assumptions

In the training of nurses in MI (motivational interviewing), it is expected that they will be able to routinely use MI skills with low-income, uninsured patients. Moreover, when nurses meet patients (during a patient’s interaction with a nurse), it is assumed that they affect patient participation in their care, on top of the effect of their patient interaction on participation.

Part 2: Theoretical Foundations

Theoretical Nursing Models

TTM can then be used as a way for nurses to think through what they need to do to understand patients’ readiness to change behaviour(s), and strategise with patients how they will communicate this in any clinical context.

There is a nice amount of flexibility and versatility in this model of the TTM – it is more applicable to a wide range of health behaviors than any other model to date, and is more in line with the principles behind MI than any other theory or approach available. There is another limitation to TTM, though: Although the data clearly show that low-income uninsured adults will not seek health insurance, they do not indicate what structural and/or systemic barriers will prevent them from gaining access to health care. From the evidence submitted by Oluyede) It is clear that whilst access to health care services may not be as compelling for adults, structural (environmental) barriers may exert a greater impact on these adults.

 Strategies from Other Disciplines

Concepts of self-efficacy, intrinsic motivation, and a strengths-based approach to the interventions are reflective of the influence of behavioral psychology, health communications, and social work. In the study conducted by Andino, Motivational Interviewing (MI) health coaching, when paired with social work resource mobilization to provide improved health outcomes to low-income families, was effective. These methods are interdisciplinary and help to support the overall comprehensive, culturally responsive approach to the intervention.

Interdisciplinary approaches help to create relevance for the issues faced by low-income, uninsured adults by involving patients and boosting nurses’ self-confidence. If not supported, however, over time nurses might decrease their proficiency in the inter-professional principles. This implies that multiple models should be constantly acquired as a way of being faithful to a host of minority groups.

Health Care Technologies

Tracking of patient appointments and treatment seeking will be achieved with Electronic Health Records (EHRs) and providing training in a flexible way using telemedicine and video role play software. The AI-MI-assisted training has the capacity to support training of communication abilities and continual patient engagement, as explained by Chaturvedi et al. (2025).

The technology offers more flexibility for patients; more opportunities to monitor patients’ data; and more objective patient engagement monitoring in outcomes, beyond simply their patients’ self-report. But there are plenty of hurdles: Low digital skills among staff working with digital tools, outdated equipment, and less than 30% of the population has access to broadband. If everyone does not have the same access to healthcare services powered by AI, then this could exacerbate a health inequity, Srivastav warned.

Justification of Intervention Components

Both empirical evidence, based on best practices and publications in peer-reviewed literature, have been developed and found to be effective for the Motivational Interviewing (MI) training interventions. Results of Garcimartín et al. (2021) revealed that MI delivered to clients via a structured format resulted in a moderate to large mean effect on self-efficacy and on the client’s ability in the management of chronic disease. Atalla et al. (2025), on the other hand, found numerous factors that hinder the delivery of consistent MI: time constraints, the client’s cultural background, and e-client self-efficacy were some factors that hindered the delivery. Thus, it is essential to not only structurally support MI training and skills development but also culturally adapt it – as a process – to ensure it is approached with regular and continuous performance monitoring.

Part 3: Stakeholders, Policy, and Regulations

All individuals and organisations involved in making the systematic changes to the system (including staff) need to be active participants to enable equity for everyone receiving healthcare to be a real possibility. An organization must be dedicated to tackling the root cause(s) of health disparities before health care services can be fairly distributed, so strategies for involving stakeholders will involve sharing regular updates about progress made and giving opportunities for nurses to give their input and receive feedback via surveys/meetings; sharing relevant health outcome quality data with hospital administrators so they can look for areas that may need improvement.

The ACA and the Forward-Moving Nursing Profession Report 2020-2030 suggest that nurses need to be engaged and involved in order to help end health care inequities. This will help before and after the interventions are aligned with existing interventions; arguments for investment and continuation of organizational MI will grow.

The standards set by The Joint Commission, put in place by accredited hospitals, give them the obligation to strive to improve patient communication as well as to minimize health inequities. Advocating for patients and acquiring the necessary skills to address a variety of needs are duties of the nurses in accordance with the ANA Code of Ethics. The current disjointed system of regulations offers little accountability when it comes to overcoming the obstacles in effective communication with patients and their families,” said Numminen. Documentation of the JC and ANA Standards will be carried out throughout the intervention, which will show adherence to these standards and accountability to the organization.

Assumptions

It is assumed that hospital administrators will base their priorities for MI training around accreditations and that JC standards will remain the same while implementing. Reyes and Rinaldo’s study (1995) suggests that behavioral communication training is effective only if it is supported by the organization and administration. Should any of these assumptions prove to be incorrect, changes to the plan, work schedule, or stakeholder involvement will be needed.

Part 4: Ethical and Legal Implications

Nurses should have the freedom to volunteer for any educational project; participation is not coerced, and nurses are not evaluated/punished for their participation or non-participation. Campbell study finds ‘universal responsibility’ for healthcare providers to eliminate any version of implicit bias or detrimental communication with vulnerable populations. The patient’s informed consent will be fully explored, and a learning environment will help the nurse retain his dignity and autonomy throughout the procedures and process of obtaining informed consent.

Confidentiality of patients will be respected. All patient records will be maintained in compliance with the HIPAA regulations, including those of financially disadvantaged patients. Nurse performance data will only be utilized for developing nurses’ skills via competency reviews. Employees’ rights will not be violated. According to Ream’s research, the legal systems will create negative pressure upon quality improvement efforts; therefore, institutions must consult legal counsel prior to any quality improvement projects.

Gaps and Uncertainties

The effectiveness of 12 weeks of nurse-mi skill training in settings with more difficult acute care in urban settings is not known. Sari and Kitiş’s study found a dearth of literature that examines the effect of access to acute care services for low-income adults who are uninsured as a result of Nurse-provided MI training. Future studies should focus on what the best length of the training and continuing education provided to nurses should be when they provide Patient-Centred Communication.

Conclusion

The intervention plan consists of a collection of strategies, all of which have been developed with the scientific method in mind and in light of research. As such, the strategies are drawn on the theoretical underpinning of health services – and how this can be used to plan healthcare services provision. For instance, every aspect of the MI training program is rooted in scientific literature, health policy, and/or health delivery policy. Furthermore, to deliver measurable outcomes that lead to a more equitable health care delivery system, the providers, organisations, or companies involved must deliver these outcomes at the same time.