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WGU NURS6308 D031 Advancing Evidence-Based Innovation in Nursing Practice - Disruptive Innovation Proposal

The facility has been working to address the challenge of limited primary care provider appointment availability by hiring additional nurse practitioners. This effort has included employing some nurse practitioners as float providers. One of these practitioners could be designated to handle follow-up hospital discharge appointments for two days each week, ensuring timely care for discharged patients. As a nurse innovator, I propose an additional disruptive strategy to further enhance appointment accessibility.

The proposed innovation involves empowering the nursing staff to proactively review the schedule for the upcoming week. This review would focus on identifying appointments that could either be duplicate bookings or better managed through nursing appointments. The nursing team would then reach out to these patients, inform them about the need for a modification in their appointments, and implement necessary changes.

Nursing appointments can effectively address issues suitable for nursing care, such as new joint pain, skin growths, and wounds that are not healing properly. For example, nurses could document details of skin growths and refer patients to dermatologists for specialized care. Similarly, they could assess wounds, provide necessary wound care supplies, and deliver education to patients. Nurses could also order x-rays, fit patients with braces or slings, and collaborate with primary care providers to discuss results. This collaboration would enable the creation of temporary care plans or referrals to specialists, such as orthopedic providers, if necessary.

In summary, this disruptive innovation would involve the nursing staff conducting a weekly review of the primary care provider’s schedule to identify opportunities for optimization. By ensuring patients receive appropriate care through the most efficient channels, this strategy could significantly increase appointment availability and improve overall patient care delivery.

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