I
mpl
ement
at
i
onPl
anf
orNur
si
ng
I
mpl
ement
at
i
onpl
anni
ngi
sat
oolusedt
omaket
henur
si
ngi
mpl
ement
at
i
onpl
anef
f
ect
i
ve.Thest
udyhas
pr
ovi
dedani
nsi
ghtofhow t
henur
si
ngi
mpl
ement
at
i
onpl
anshoul
dbecr
eat
ed.Thevar
i
ousel
ement
sof
i
mpl
ement
at
i
onpl
anf
ornur
si
nghasbeenputf
or
t
h.Someoft
hoseel
ement
st
hathavedi
scussedi
ncl
ude;
met
hodsf
orobt
ai
ni
ngnecessar
yappr
oval
s,descr
i
pt
i
onoft
hepr
obl
em,pr
oposedsol
ut
i
onandr
at
i
onal
e
ut
i
l
i
zedi
nsel
ect
i
ngt
hepr
oposedsol
ut
i
on.Ot
herel
ement
si
ncl
ude;r
evi
ew oft
hel
i
t
er
at
ur
e,i
mpl
ement
at
i
on
l
ogi
st
i
cs,andr
esour
cesut
i
l
i
zedf
ori
mpl
ement
at
i
onhaveal
sobeenputf
or
t
h.
Themet
hodsf
oreval
uat
i
ngt
heef
f
ect
i
venessoft
hepr
ogr
am haveal
sobeendi
scussed.Besi
des,i
tcanbe
obser
vedt
hatt
heout
comesoft
hei
mpl
ement
at
i
onwi
l
ll
eadt
oadecr
easei
ncasesoft
hecancerpr
obl
em.
Nur
si
ngst
af
fwi
l
l
al
sobei
naposi
t
i
ont
ouset
heeducat
i
onknowl
edget
omanageandcont
r
ol
t
hepr
obl
em.
The
new pol
i
ci
eswi
l
lhel
pt
hegover
nmentandpr
i
vat
eent
i
t
i
est
osubsi
de=i
zet
hecostofcancert
r
eat
mentas
di
scussed.
I
nt
r
oduct
i
on
Ani
mpl
ement
at
i
onpl
ani
nnur
si
ngent
ai
l
scompr
ehensi
vest
epst
hatwi
l
l
bef
ol
l
owedi
ndevel
opi
nganur
si
ng
pr
oj
ect
.Thei
mpl
ement
at
i
onpl
annor
mal
l
yact
sat
oolut
i
l
i
zedt
oexecut
eanur
si
ngpr
oj
ectandensur
est
hati
t
becomeasuccess.Thenur
si
ngpr
of
essi
onal
sut
i
l
i
zest
hei
mpl
ement
at
i
onpl
ant
opr
ovi
det
hem wi
t
habl
ue
pr
i
ntonwhatt
heyshoul
dconcent
r
at
ei
mpl
ement
i
ng.Besi
des,t
henur
si
ngi
mpl
ement
at
i
onpl
anhel
pst
o
el
i
mi
nat
ewast
ageoft
i
meandr
esour
cesbecausei
tcl
ear
l
yst
at
eswhati
st
obei
mpl
ement
edandt
hedur
at
i
on
i
twi
l
lcover
.Besi
des,i
thel
pst
oensur
et
hatt
hescopeoft
henur
si
ngpr
oj
ecthasbeenwel
laddr
essed.
Besi
des,pr
i
ormaki
nganyi
mpl
ement
at
i
oni
nt
heNur
si
ngpr
act
i
cenecessar
yconsul
t
at
i
onandeval
uat
i
on
exer
ci
se mustbe car
r
i
ed outt
o pr
eventf
ut
ur
e conf
l
i
ct
s among t
he st
akehol
der
s.I
n addi
t
i
on,t
he
i
mpl
ement
at
i
onpl
anf
ornur
si
nghel
pst
henur
si
ngpr
of
essi
onal
st
obeconsci
ousoft
heevent
st
hatar
eabout
t
ounf
ol
di
nt
hei
rar
easofpr
act
i
ce.I
tmakessur
et
hatever
yonei
spr
oact
i
ver
at
hert
hanr
eact
i
ve.I
tenabl
es
t
henur
si
ngpr
of
essi
onal
st
oi
dent
i
f
yapr
obl
em bef
or
ei
thappens.Besi
des,t
henur
si
ngi
mpl
ement
at
i
onpl
an
hel
pst
henur
si
ngpr
of
essi
onal
st
obef
ul
l
yawar
eoft
hei
ract
i
onsandr
esponsi
bi
l
i
t
i
essucht
hateachper
son
canexecut
eherpr
of
essi
onaldut
yasr
equi
r
ed.I
naddi
t
i
on,t
henur
si
ngi
mpl
ement
at
i
onpl
anensur
est
hat
nur
sesar
eawar
eoft
hepr
ogr
am goal
sandspeci
f
i
cobj
ect
i
vest
hatneedt
obeachi
evedbyt
heendoft
he
pr
ogr
am.Ther
ef
or
e,whenpr
epar
i
ngani
mpl
ement
at
i
onpl
anf
ornur
si
ngpr
oj
ect
,nur
sesshoul
dbeabl
et
o
under
st
andt
hecostandbenef
i
t
soft
hepl
an.Theyshoul
dal
sobef
ul
l
yawar
eoft
hei
nher
entr
i
skt
hatmaybe
encount
er
edwhencar
r
youtpr
oj
ecti
mpl
ement
at
i
on.However
,t
hecostofi
mpl
ement
i
ngt
henur
si
ngpl
an
shoul
d notout
wei
gh t
he benef
i
t
s.Ther
ef
or
e,t
hi
s st
udy f
ocuses t
o pr
ovi
de an i
nsi
ghtoft
he nur
si
ng
i
mpl
ement
at
i
onpl
anasdi
scussed(
Bul
echek,But
cher
,&Docht
er
man,2008)
.
PREPARI
NGANI
MPLEMENTATI
ONPLAN
Thenur
si
ngeducat
or
spl
ayacr
i
t
i
calr
ol
eofpr
epar
i
ng,i
mpl
ement
i
ngandcar
r
yi
ngouteval
uat
i
onoft
he
nur
si
ngpl
an.Theyt
endt
ohaveadvancededucat
i
onbackgr
oundanddet
ai
l
edexper
i
encei
nt
henur
si
ngf
i
l
ed.
Besi
des,t
henur
si
ngeducat
ort
endst
obeaper
sonwhohasbeenf
ul
l
yr
egi
st
er
edbyt
henur
si
ngboar
damong
ot
herpr
of
essi
onal
nur
si
ngbodi
est
oexecut
et
her
ol
es/
dut
i
esofanur
se.Ther
ef
or
e,whencar
r
yi
ngoutt
her
ol
e
ofi
mpl
ement
i
ngt
henur
si
ngpl
ant
hef
ol
l
owi
ngsevenel
ement
sdi
scussedi
ndet
ai
l
mustbei
ncl
udedt
oensur
e
t
hatt
henur
si
ngpl
ani
sef
f
ect
i
ve.
Met
hodofobt
ai
ni
ngnecessar
yappr
oval
(
s)andsecur
i
ngsuppor
t
Thei
mpl
ement
at
i
onoft
henur
si
ngpr
ogr
ammeespeci
al
l
yt
hati
nvol
vest
hepopul
at
i
oni
sf
r
eef
r
om chr
oni
c
di
seasessuchascanceri
saver
ysensi
t
i
veaf
f
ai
rbecausei
ti
nvol
vesamat
t
erofl
i
f
eanddeat
h.Mostoft
he
pr
ogr
ammesi
nvol
vehumanheal
t
handhence,al
lt
hepr
ogr
ammesmustgett
henecessar
yappr
oval
st
o
ensur
et
hatt
heydonotcompr
omi
set
heheal
t
hoft
hepat
i
ent
sandt
hesoci
et
yatl
ar
ge.Besi
des,such
pr
ogr
ammesdemandahugef
i
nanci
ali
nvest
mentandsuchbudgetcanonl
ybemeti
fnecessar
yappr
oval
s
f
r
om t
heseni
orl
eader
soft
heor
gani
sat
i
ongetappr
oved,hence,t
her
ear
et
womai
nmet
hodsofappr
oval
t
hat
t
hatnur
si
ngpr
of
essi
onal
smayobt
ai
nt
oensur
et
hatt
hei
rpr
ogr
ammesbecomeappr
oved.Thet
wocommon
t
ypesofappr
oval
st
hatonemayobt
ai
nedi
ncl
ude;i
nf
or
malandf
or
malappr
oval
.Thei
nf
or
malappr
ovalmay
be obt
ai
ned f
r
om t
he pearst
af
fnur
ses and l
eader
s wi
t
hi
nt
he or
gani
sat
i
on (
Or
t
o,Hendr
i
x,Gr
i
f
f
i
t
h,&
Shai
kewi
t
z,2015)
.
1
Onemaygetappr
ovalf
r
om t
hepeer
swi
t
hi
nt
heor
gani
sat
i
onbysel
l
i
ngt
hei
deat
ot
hem andshowi
nghow
t
heywi
l
l
benef
i
ti
ft
heysuppor
tt
hei
mpl
ement
at
i
onoft
henewnur
si
ngpr
ogr
amme.Besi
des,onemayconvi
nce
t
hem howt
hepr
ogr
ammewi
l
lnotonl
ybebenef
i
ci
alt
ot
heor
gani
sat
i
onbutal
sot
ot
heent
i
r
emember
soft
he
st
af
f
.Oneshoul
dshowt
hepeer
showt
henur
si
ngpr
ogr
ammewi
l
l
benef
i
tt
hem andmaket
hei
rwor
keasi
erby
maki
ngt
hei
rwor
keasi
ert
hanbef
or
e.I
naddi
t
i
on,oneshoul
dpr
ovi
det
hepeer
swi
t
ht
henecessar
yi
nf
or
mat
i
on
pr
i
ori
nt
r
oduci
ngt
henewnur
si
ngpr
ogr
am ont
ot
heor
gani
sat
i
on.Somepeer
smayact
sasabar
r
i
ert
owar
ds
i
mpl
ement
at
i
onoft
henewnur
si
ngpr
ogr
am i
ft
heywer
enotf
ul
l
yi
nf
or
medaboutt
henewchangest
hatwi
l
l
be
adopt
ed.Thebar
r
i
er
smayal
sobecausedbyf
earf
orunknownast
hepeer
smayf
eelt
hatt
henewpr
ogr
am
wi
l
lt
hr
eat
ent
hei
rposi
t
i
oni
nt
heor
gani
sat
i
on.Ot
hermayf
eelt
hatt
henew pr
ogr
am mayr
equi
r
et
hem t
o
under
govi
at
r
ai
ni
ngandmostoft
hepeer
smaynotber
eady
.Ther
ef
or
e,i
ti
si
mper
at
i
vet
oi
nf
or
mt
hepeer
s
ear
l
i
eraboutt
henew pr
ogr
am pr
i
ori
mpl
ement
at
i
onsot
hatonecangett
hei
rsuppor
t
.Besi
des,oneshoul
d
pr
ovi
det
hem wi
t
hsomel
i
t
t
l
et
r
ai
ni
ngandl
ett
hem di
scovert
hebenef
i
t
soft
hepr
ogr
am.Suchact
i
onsmaybe
i
mper
at
i
vet
oobt
ai
nt
henecessar
yi
nf
or
m suppor
t
.
Ont
heot
herhand,onemaygett
hef
or
malpr
ogr
am appr
ovalf
r
om t
henur
si
ngr
egul
at
or
sandnur
si
ng
pr
of
essi
onalbodi
est
hr
oughanumber
sofways.Theappr
ovalmayal
sobeobt
ai
nedf
r
om t
heI
nst
i
t
ut
i
on
r
evi
ew boar
d.Some oft
he wayst
hatmi
ghtbe ut
i
l
i
zed i
ncl
ude;pr
epar
i
ng a pr
oposaldet
ai
l
i
ng how t
he
pr
ogr
ammewi
l
lbenef
i
tt
hepat
i
ent
sandmember
soft
hemedi
calf
r
at
er
ni
t
y
.Secondl
y
,onemayensur
est
hat
al
lt
hest
andar
dsandpol
i
ci
esr
egul
at
i
onshavebeenmett
ogett
henecessar
yf
or
malappr
oval
.Besi
des,one
hasobt
ai
nednecessar
yl
egalaccr
edi
t
at
i
onandcer
t
i
f
i
cat
i
onsr
equi
r
edbyt
het
ogett
henecessar
yappr
oval
s
(
Fi
shman,Lowe,&Ryan,2016)
.
Descr
i
pt
i
onofcur
r
entpr
obl
em,i
ssue,ordef
i
ci
tr
equi
r
i
ngachange
Ther
ehasbeenani
ncr
easei
ncasesofdeat
hsat
t
r
i
but
edt
ocancer
.Suchhi
ghmot
i
l
i
t
ydeat
hhasbeen
at
t
r
i
but
edt
ot
hel
ackofqual
i
f
i
ednur
si
ngpr
of
essi
onal
st
ot
akecar
eoft
heescal
at
i
ngnumberofpat
i
ent
swho
havebeendi
agnosedwi
t
hcancer
.Ther
ol
eofnur
si
ngpr
of
essi
onal
scannotbei
gnor
edwheni
tcomest
o
t
r
eat
i
ng and t
aki
ng car
e oft
he cancerpat
i
ent
s.Resear
ch i
ndi
cat
est
hatcancercan onl
ybe ef
f
ect
i
vel
y
cont
r
ol
l
edandmanagedi
ft
hegover
nmentandsoci
et
yatl
ar
gecommi
tt
hei
rr
esour
cesandef
f
or
t
st
owar
ds
t
r
ai
ni
ngandempl
oyi
nghi
ghl
yqual
i
f
i
ednur
si
ngst
af
f
s.Besi
des,l
ackofpr
opereducat
i
oni
nmanagi
ngcancer
hasl
edt
oani
ncr
easei
ncasesofcancer
.Lackofpr
operpubl
i
cawar
enessonear
l
ydet
ect
i
onandpr
event
i
on
ofcancerhavei
ncr
easedt
hecasesofcancerdeat
hsbecausemostpeopl
ear
enotawar
eoft
hei
mpor
t
ance
ofear
l
ydet
ect
i
onandpr
event
i
onofcanceratanear
l
yst
agebef
or
ei
thasbecomechr
oni
c.I
naddi
t
i
on,l
ackof
adequat
ef
undi
ngt
omanageandcur
bt
hespr
eadofcancerhasbeenabi
gpr
obl
em Lackofnecessar
yf
unds
hasmadei
ti
mpossi
bl
et
oacqui
r
et
her
equi
r
edmachi
nest
ot
estanddet
ectcancerbef
or
et
hepat
i
ent
’
s
condi
t
i
onwor
sen.Maj
or
i
t
yoft
hepat
i
ent
shavenotbeeni
naposi
t
i
ont
of
ul
l
yaccesst
hemedi
ci
neand
t
r
eat
mentandhence,causi
ngt
hemanagementoft
hedi
seaset
obecomeachal
l
engi
ngt
ask(
Fi
shman,Lowe,
&Ryan,2016)
.
Det
ai
l
edexpl
anat
i
onofpr
oposedsol
ut
i
on
Ther
ei
sneedt
oest
abl
i
shar
el
i
abl
epol
i
cy
,pr
ocess,pr
ocedur
esandal
sopr
ovi
denecessar
yeducat
i
ont
o
addr
esst
hepr
obl
em ofcancer
.Thegover
nmentshoul
dest
abl
i
shcr
edi
bl
ei
nst
i
t
ut
i
onst
ot
r
ai
npr
of
essi
onal
nur
ses.Besi
des,t
hegover
nmentshoul
dwor
kcol
l
abor
at
i
vel
ywi
t
ht
hesoci
et
yt
oensur
et
hatmember
soft
he
publ
i
car
epr
ovi
dedwi
t
hnecessar
yeducat
i
ont
hatgi
vet
hem awar
enessonmeasur
est
hatcanbeputf
or
t
ht
o
cur
bt
heescal
at
i
ngcasesofcancer
.Themember
soft
hepubl
i
cshoul
dbeencour
agedt
oseekmedi
cal
at
t
ent
i
ont
osol
vet
hepr
obl
em ofcancer
.Thepol
i
ci
est
hataddr
esst
hevar
i
oust
ypesofcancer
si
ndependent
l
y
shoul
dbeest
abl
i
shed.Besi
des,t
her
eshoul
dbepr
operamendment
sont
hepol
i
ci
est
oensur
et
hatsome
t
ypesofcancer
shavebeenf
act
ori
nandaddr
esspr
oper
l
y
.Thenew pol
i
ci
eswi
l
lhel
pt
oensur
et
hatt
he
var
i
oust
ypesofcancer
sar
eanal
ysedi
nt
odet
ai
l
s,t
hi
swi
l
lhel
pt
oensur
et
hatt
hei
mpl
ement
at
i
onoft
he
nur
si
ngpr
ogr
am becomeasuccess.Anot
herpr
oposedsol
ut
i
ont
ot
hepr
obl
em i
st
oavai
lt
henecessar
y
f
i
nanci
alsuppor
tt
o ensur
et
hat
,nur
si
ng pr
of
essi
onal
shave pr
operaccesst
ot
he medi
calequi
pment
s.
Besi
des,t
hecostoft
r
eat
i
ngcancerhavebeensi
gni
f
i
cant
l
yhi
gh,t
hegover
nmentshoul
dsubsi
dessuchcost
bypr
ovi
di
ngcancerpat
i
ent
swi
t
hmedi
cal
i
nsur
ancet
hatmayhel
pt
ocat
erf
ort
hehi
ght
r
eat
mentcost
.
Anot
her
sol
ut
i
onmayi
nvol
vecr
eat
i
ngpubl
i
cawar
enesssucht
hatmember
soft
hepubl
i
ccanseekmedi
calat
t
ent
i
on
atanear
l
yst
agebef
or
et
hecancerbecomechr
oni
catt
hel
at
est
ages(
Buchanan,Geer
l
i
ng,&Davi
es,2014)
.
2
Rat
i
onal
ef
orsel
ect
i
ngpr
oposedsol
ut
i
on
Theabovepr
oposedsol
ut
i
onswer
esol
ut
i
onwer
emadebecausei
nor
dert
of
i
ghtcancerandcur
bi
t
s
spr
ead.Ther
eshoul
dbecol
l
abor
at
i
onbet
weent
hegover
nment
,nongover
nment
alor
gani
sat
i
on,i
ndi
vi
dual
s
member
soft
hepubl
i
candsoci
et
yatl
ar
get
oensur
et
hatt
hepr
obl
em ofcanceri
saddr
essedsuccessf
ul
l
y
.
Theest
abl
i
shmentofeducat
i
oni
nst
i
t
ut
i
onswi
l
lpl
ayani
mper
at
i
ver
ol
et
owar
dsensur
i
ngt
hatt
henecessar
y
knowl
edgeandski
l
l
st
of
i
ghtagai
nstcancerhasbeenpassedt
ot
hemember
soft
hesoci
et
y
.Besi
des,t
he
est
abl
i
shmentoft
hecancerawar
enesscampai
gnswi
l
l
hel
pi
near
l
ydet
ect
i
onandpr
event
i
onofcancercases
(
Buchanan,Geer
l
i
ng,&Davi
es,2014)
.
Evi
dencef
r
om yourr
evi
ew ofl
i
t
er
at
ur
e
Thel
i
t
er
at
ur
ehasal
sopl
ayedar
ol
et
owar
dssheddi
ngr
i
ghtt
ot
hepr
obl
em ofcancer
.Accor
di
ngt
oBor
gl
i
n
andGust
af
sson,t
het
heor
yeducat
i
ongi
vent
ot
henur
sesi
si
mper
at
i
vebecausei
tequi
pnur
seswi
t
hvi
t
al
knowl
edge t
o al
l
evi
at
e pai
n among t
he cancerpat
i
ent
s.Bor
gl
i
n and Gust
af
son f
ur
t
herasser
t
ed t
hat
appr
oxi
mat
e si
xt
yei
ghtper
centoft
he nur
seswho have r
ecei
ved t
heor
et
i
caleducat
i
on t
end t
o be l
ess
compenet
entwhencar
r
yi
ngoutt
hei
rr
out
i
nef
unct
i
ons.I
ti
mpl
i
est
hatt
henur
sesshoul
dnotonl
ybepr
ovi
ded
wi
t
ht
heor
et
i
cal
knowl
edgebutr
at
hert
heyshoul
dal
sobeequi
ppedwi
t
hpr
act
i
cal
ski
l
l
ssot
hatt
heycanhandl
e
cancercaseswi
t
hal
otofcompet
ence.Besi
des,Buchananasser
t
edt
hatcancercanbet
r
eat
edandmanaged
onl
yi
ft
her
ei
savai
l
abi
l
i
t
yofcompet
entandqual
i
f
i
edper
sonnel
’
s.Heal
soasser
t
edt
hatt
hedi
seasescanbe
cur
bedi
ft
her
ei
savai
l
abi
l
i
t
yofcompet
entmedi
cal
pr
act
i
t
i
oner
ssuchasnur
sesanddoct
or
s.Besi
des,f
i
nanci
al
ai
d shoul
d be pr
ovi
ded when deal
i
ng wi
t
h cancercases,l
ackofadequat
ef
undi
ng especi
al
l
yi
nAf
r
i
ca
count
r
i
eshavecausedaser
i
ouspr
obl
em ofhavi
ngnumer
ouscasesofcancercondi
t
i
ons.Maj
or
i
t
yoft
he
peopl
ei
nt
hosear
eascannotaf
f
or
dt
omeetmedi
calexpensesf
orcancer(
Buchanan,Geer
l
i
ng,&Davi
es,
2014)
.
Descr
i
pt
i
onofi
mpl
ement
at
i
onl
ogi
st
i
cs
Thechangewi
l
lbei
nt
egr
at
edi
nt
ot
hecur
r
entor
gani
sat
i
onst
r
uct
ur
ecul
t
ur
eandwor
kf
l
ow vi
asi
xst
eps
di
scussed.
Thef
i
r
stst
epf
oref
f
ect
i
vei
mpl
ement
at
i
onwi
l
l
sent
ai
l
obt
ai
ni
ngnecessar
yappr
oval
bot
hf
or
mal
and
i
nf
or
malappr
ovalf
r
om t
heboar
dofi
nst
i
t
ut
i
onalr
evi
ew (
I
RB)
.Thesecondi
mpl
ement
at
i
onphaseent
ai
l
s
pl
anni
ngandpr
oj
ect
sdesi
gn;undert
hi
sr
esour
cest
obeusedt
oi
mpl
ementt
henur
si
ngpr
ogr
ammear
e
har
nessed.Thet
hi
r
di
mpl
ement
at
i
onphaseent
ai
l
scar
t
i
ngoutt
her
esear
cht
oi
dent
i
f
ywhet
hert
hepr
oj
ectwi
l
l
bevi
abl
e.I
ti
nvol
vef
i
ndi
ngoutwhet
hert
hepr
oj
ectbenef
i
t
swi
l
lout
wei
ght
hedi
sadvant
ages.Thef
our
t
hst
ep
ent
ai
l
s,pr
ovi
di
ngt
hest
af
fwi
t
hr
el
evanteducat
i
ont
hatsot
hatt
heycaneasi
l
yi
mpl
ementt
hepr
ogr
am.I
tmay
hel
pt
hest
af
fmember
st
ol
ear
nonwhatt
heyar
eexpect
edt
odo.Nor
mal
l
y
,t
hephaset
akesdur
at
i
onof6
mont
hst
obecompl
et
e.Thef
i
f
t
hst
epent
ai
l
sover
seei
ngt
hel
aunchoft
hepr
oj
ect
.Theact
ual
i
mpl
ement
at
i
on
exer
ci
set
akepl
aceatt
hi
sst
ageandr
ecommendat
i
onmadeonwhet
herornott
ocont
i
nuewi
t
ht
hepr
ogr
am
(
Buchanan,Geer
l
i
ng,&Davi
es,2014)
.
Resour
cesr
equi
r
edf
ori
mpl
ement
at
i
on
Resour
ceswi
l
lbeneededt
omaket
hepr
ogr
am becomeasuccess.Theeducat
i
onmat
er
i
al
ssuchas
Power
Poi
nt
,handout
s,pamphl
etandpost
er
swi
l
lbeneededi
nor
dert
oeducat
et
heempl
oyeesaboutt
he
pr
ogr
am.Besi
des,st
af
f
swi
l
lbeassessedt
oseewhet
hert
heyhavegai
nval
uef
r
om t
heeducat
i
on.I
ti
mpl
i
es
t
hatquest
i
onnai
r
es,sur
veys,andpost
er
swi
l
lbeneeded.Fundi
ngwi
l
lal
sobeavai
lt
of
i
nanceempl
oyee’
s
sal
ar
i
esandpur
chaseofnecessar
yequi
pment
s(
Buchanan,Geer
l
i
ng,&Davi
es,2014)
.
EVALUATI
ONPLAN
•Di
scussmet
hodst
oeval
uat
et
heef
f
ect
i
venessofyourpr
oposedsol
ut
i
on.
A numberofmet
hodswi
l
lbeut
i
l
i
zedt
oseewhet
hert
hepr
oposedsol
ut
i
onwasef
f
ect
i
ve.Someoft
he
met
hodst
hatwi
l
l
beempl
oyedi
ncl
ude;st
af
ft
ur
noverr
at
es,sur
veys,compar
i
sonmet
hodst
oment
i
onj
ustbut
af
ew.Thet
ur
noverr
at
eswi
l
lbeusedt
odet
er
mi
newhet
hert
her
ei
sar
educt
i
oni
nst
af
ft
ur
noverr
at
eaf
t
er
i
mpl
ement
at
i
onoft
henew pr
oposedsol
ut
i
on.I
ncaset
her
ei
sadecr
easei
twi
l
li
mpl
yt
hatt
hepr
oposed
sol
ut
i
oni
sef
f
ect
i
ve.Adecr
easei
nt
hest
af
ft
ur
noverr
at
ei
mpl
i
esmor
enur
sesar
esat
i
sf
i
edandar
ewi
l
l
i
ngt
o
wor
ki
nt
hei
rr
espect
i
veheal
t
hcent
r
esandar
el
essl
i
kel
yt
ol
eave.
3
Sur
veyswi
l
lbeut
i
l
i
zedt
oeval
uat
ewhet
hert
her
ehasbeenchangesi
nempl
oyeesat
t
i
t
udet
owar
dj
ob
sat
i
sf
act
i
onaf
t
ert
henewchangeswer
eest
abl
i
shed.Thecompar
i
sonmet
hodwi
l
lhel
pt
odet
er
mi
newhet
her
t
her
ehasbeenachangei
nt
henumberofpat
i
ent
sdi
schar
gedf
r
om t
hehospi
t
al
.I
ft
her
ei
sani
ncr
easei
twi
l
,
i
mpl
yt
hatt
hepr
oposedsol
ut
i
onwasef
f
ect
i
veandshoul
dber
ei
nf
or
ced.Ont
hecont
r
ar
y
,i
ft
her
ei
sadecr
ease
i
ti
mpl
i
est
hatt
hepr
oposedsol
ut
i
onwasnotef
f
ect
i
veandt
her
ef
or
e,newmet
hodsshoul
dbeadopt
ed.
•Descr
i
bewhatyourpr
oj
ect
edout
comeswi
l
lbeandwhatvar
i
abl
eswi
l
lbeassessed
Theant
i
ci
pat
edpr
oj
ectwi
l
l
bear
educt
i
oni
nt
hecasesofcancercasesbecausemember
soft
hepubl
i
cwi
l
l
beabl
et
ouset
heeducat
i
onandknowl
edgeacqui
r
edt
omanageandcont
r
ol
t
hepr
eval
enceoft
hedi
seases.
Besi
des,t
her
ewi
l
lbemor
ecompet
entandqual
i
f
i
ednur
si
ngst
af
ft
odealwi
t
hcasesofcanceratdi
f
f
er
ent
l
evel
s.I
naddi
t
i
on,t
her
ewi
l
lbeaf
ew casesofcancert
ober
epor
t
edasmor
enur
si
ngst
af
f
swi
l
lbeabl
et
o
cr
eat
epubl
i
cawar
enessonear
l
ydet
ect
i
onandt
r
eat
ment
.Mor
over
,t
her
ewi
l
lbef
ewi
nci
denceoft
hedeat
h
asar
esul
t
sofcancerbecausepat
i
ent
swi
l
l
bef
ul
l
yawar
eonhowt
odeal
wi
t
hcancerpr
obl
em.Thevar
i
abl
es
t
hatwi
l
lbe assessed i
ncl
ude t
he at
t
i
t
ude and per
cept
i
on oft
he pat
i
ent
,and empl
oyeeseach oft
hem
i
ndependent
l
y
.Besi
dest
het
ur
noverr
at
eoft
henur
si
ngst
af
f
swi
l
lal
sobeassessedaccor
di
ngl
y
.
Concl
usi
on
Basedont
hest
udyi
tcanbescr
ut
i
ni
zedt
hatani
mpl
ement
at
i
onpl
ani
nnur
si
ngent
ai
l
scompr
ehensi
vest
eps
t
hatwi
l
lbef
ol
l
owedi
ndevel
opi
nganur
si
ngpr
oj
ect
.I
tcanbeobser
vedt
hatf
ort
henur
si
ngi
mpl
ement
at
i
on
pl
ant
obeef
f
ect
i
ve,al
lt
hesevenel
ement
sdi
scussedmustbet
akeni
nt
oconsi
der
at
i
on.Thef
i
r
stel
ement
ent
ai
l
sobt
ai
ni
ngnecessar
yappr
oval
(
s)andsecur
i
ngsuppor
tneededt
oi
mpl
ementt
hepr
oj
ectef
f
ect
i
vel
y
,t
he
suppor
tent
ai
l
sbot
hi
nf
or
mal
andf
or
mal
suppor
t
.Someoft
hewayst
ogetsuppor
ti
ncl
ude;showi
ngt
hepeer
s
t
hebenef
i
t
st
hatt
heywi
l
l
obt
ai
nbyacceptt
osuppor
tt
hepr
oj
ectandal
soobt
ai
nsuppor
tf
r
om t
hei
nst
i
t
ut
i
onal
r
evi
ewboar
dt
oment
i
onj
ustbutf
ew.
Thesecondel
ementent
ai
l
spr
obl
em descr
i
pt
i
on;i
tcanbeobser
vedt
hatcancerhasbeenabi
gchal
l
enge
i
nt
hewor
l
dandespeci
al
l
yi
nmostAf
r
i
cancount
r
i
esduet
ol
ackofhi
ghl
yqual
i
f
i
ednur
si
ngst
af
f
sandl
ackof
f
undi
ng.Thet
hi
r
del
ementhaspr
ovi
dedadet
ai
lexpl
anat
i
onoft
hepr
oposedsol
ut
i
onandl
i
t
er
at
ur
eevi
dence
hasal
sobeendi
scussed.I
mpl
ement
at
i
onl
ogi
st
i
csandr
esour
ceneededt
oi
mpl
ementt
hepr
ogr
am haveal
so
beenputf
or
t
h.Concl
usi
vel
y
,t
hemet
hodsf
oreval
uat
i
ngt
hesol
ut
i
onspr
oposedhavebeendi
scussedaswel
l
ast
heout
comesandt
hevar
i
abl
est
obei
nvol
ved.
Ref
er
ences
1.Buchanan,A.
,Geer
l
i
ng,J.
,& Davi
es,A.(
2014)
.Br
eakt
hr
ough cancerpai
n:t
he r
ol
e oft
he nur
se.
I
nt
er
nat
i
onalJour
nalofPal
l
i
at
i
veNur
si
ng,20(
3)
,126129.
2.Bul
echek,G.M.
,But
cher
,H.K.
,&Docht
er
man,J.M.(
Eds.
)
.(
2008)
.Nur
si
ngi
nt
er
vent
i
onscl
assi
f
i
cat
i
on
(
NI
C)
.Mosby
.
3.Fi
shman,N.W.
,Lowe,J.I
.
,&Ryan,S.F.(
2016)
.Pr
omot
i
nganAl
t
er
nat
i
vet
oTr
adi
t
i
onalNur
si
ngHome
Car
e:Eval
uat
i
ngt
heGr
eenHouseSmal
lHomeModel
.AnI
nt
r
oduct
i
onf
r
om t
heFunder
sandt
heGr
een
HousePr
oj
ect
.Heal
t
hSer
vi
cesResear
ch,51(
S1)
,344351.
4.Or
t
o,V.
,Hendr
i
x,C.C.
,Gr
i
f
f
i
t
h,B.
,&Shai
kewi
t
z,S.
T.(
2015)
.I
mpl
ement
at
i
onofaSmar
tPumpChampi
ons
Pr
ogr
am t
oDecr
easePot
ent
i
alPat
i
entHar
m.Jour
nalofnur
si
ngcar
equal
i
t
y
,30(
2)
,138143.
4