Assignment Prompt & Instructions
Mm part 3 week 7
– ## Week7-AlternateInterventionEvaluationWorksheet-11.docx
– ## Knowledge-to-ActionPart2.pdf
**## Week7-AlternateInterventionEvaluationWorksheet-11.docx**
**NU 700 Assignment: Unit 7 – KTA Part 3 Evaluation Measures**
Instructions: Utilize the template to provide responses to each prompt. Please do not include a cover/title page for the assignment.
**NAME OF**
**STUDENT:**
**Part 1: Questions**
| | |
| — | — |
| **Questions:** | **Type Answers in the Spaces below** |
| 1. <br>**State the practice problem, qualitative and/or quantitative data to support its existence and the significance of the problem in healthcare you identified in** the <br>**primary article only** from the Unit 4 assignment<br>**(with in-text citation)** | |
| 2. <br>**Discuss the intervention you identified for the Unit 5 assignment (with in-text citations) and explain why this intervention was the best evidence-based intervention to address the clinical problem if it existed in your clinical practice.** | |
| 3. <br>**Provide a succinct Aim Statement for the improvement process you would launch for implementing your identified alternate intervention. Use the link below to access IHI Worksheet to guide creation of this succinct (one line) statement.**<br>[https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf](https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf) | |
| 4. <br>**Discuss who will be involved in the improvement process, and why. Utilize a minimum of one resource to support this discussion (in-text citation).** | |
| 5. <br>**Improvement Measures:**<br>· <br>**Outcome measures**<br>· <br>**Process measures**<br>· <br>**Balancing measures**<br>a. <br>**What improvement measure(s) will you utilize to evaluate the outcome of implementing your identified alternate intervention?**<br>b. <br>**Provide an example of the method(s) you will use to evaluate each improvement measure and include a rationale for why you chose this method.**<br>c. <br>**Use the link below to access IHI’s resource on Improvement Measures.**<br>[**https://www.ihi.org/how-improve-model-improvement-establishing-measures**](https://www.ihi.org/how-improve-model-improvement-establishing-measures) | |
| 6. <br>**If the AIM of the project was met, what do you envision the long-term outcome would look like for your clinical practice?** | |
**Part 2: APA Reference List**
Please provide a minimum of 3 APA references that correspond with citations within the table. Use APA format.
**References**
**## Knowledge-to-ActionPart2.pdf**
1
Knowledge-to-Action: Intervention SWOT Analysis
Michelle Murray
Herzing University
NU 700: Knowledge for Nursing Practice
Crystal Villanueva, DNP, FNP-C, PMHNP-BC,MBA
October 10, 2025
Knowledge-to-Action: Intervention SWOT Analysis
2
More than 20% of people with mental health conditions mention barriers to transportation
as one of the main reasons to miss an appointment and worsen the untreated condition (Smith-
East & Neff, 2020). Professional nurses are key to the execution of improvement projects as they
are the one to identify the barriers, promote evidence-based interventions, and enable lasting
change within the clinical setting. This paper addresses the clinical practice problem of
transportation barriers in mental health care and to offer a SWOT analysis of an evidence-based
telehealth intervention to overcome this problem in my outpatient mental health clinic.
Practice Problem Overview
According to Smith-East and Neff (2020), the issue of transportation barriers in mental
health care is the problem of special concern, especially in rural outpatient care. The clinical
practice problem that has been determined is the unavailability of dependable transportation that
would enable patients to attend mental health sessions. The researchers, who prepared the study
in a rural clinic, were interested in 150 people, and it was discovered that 35% of all missed
appointments were explained by transport problems, which resulted in aggravation of the
symptoms and hospitalization. The issue affects continuity of care, and it adds additional costs to
healthcare, which is why it is highly necessary to intervene in my practice environment.
Implementation
The intervention chosen in Unit 5 paper is the establishment of a telehealth initiative that
allows conducting mental health consultations online. Telehealth is an effective solution
supported by research. Sultana and Pagan (2023) discovered that telehealth had a significant
impact on the reduction of logistical barriers like transportation and enhanced continuity of care
in low-income patients. On the same note, Kim et al. (2024) stated that telehealth services
improved the attendance and behavioral health visits among patients with transportation barriers,
3
indicating the positive effect of telehealth in this area. Moreover, as observed by Damian et al.
(2022), telehealth in the context of the COVID-19 pandemic enhanced accessibility and
facilitated the mental health of children and adolescents living in underserved communities.
Telehealth is the most appropriate intervention in my outpatient mental health clinic since it
eradicates transportation barriers so that the patients can receive care at home. The intervention
will involve virtual visits through a secure system and employee education on telehealth
technology.
Table 1: SWOT Analysis Chart
Strengths Weaknesses Opportunities Threats
– Supportive
leadership open to
innovation
– Existing IT
infrastructure for
telehealth
– Trained nursing
staff familiar with
technology
– Limited patient
access to reliable
internet
– Resistance to
technology adoption
by older staff
– Insufficient funding
for telehealth
expansion
– Improved patient
access to care
– Potential for
community
partnerships
– Enhanced clinic
reputation for
innovation
– Regulatory changes
in telehealth policies
– Cybersecurity risks
to patient data
– Competition from
larger telehealth
providers
The leadership of my clinic encourages new solutions and has created a culture of
openness to adopt telehealth. Virtual platforms are supported by the current IT infrastructure,
such as high-speed internet and updated computer systems (Sultana & Pagan, 2023). Moreover,
the competence of the nursing staff in relation to electronic health records and remote monitoring
provides an easy implementation and continuity of patient care (Damian et al., 2022).
Weaknesses
There are patients who do not have a dependable internet which can hamper the ability of
telehealth, particularly among low-income and rural households. Staff members that are over 60
years old might be reluctant to adopt a new technology because they lack training or are not
4
familiar with it (Kim et al., 2024). There is also the problem of challenges with funding the
expansion of telehealth: buying more licenses or equipment.
Opportunities
Telehealth can increase patient access, reduce physician visits and improve clinical
outcome. Another instrument that would encourage equitable care delivery would be joint efforts
with the local communities to improve their access to broadband (Sultana and Pagan, 2023). This
type of innovation in the telehealth growth would turn the clinic into the regional leader in the
innovative mental health care, more noticeable and more content with patients.
Threats
Such changes in governance as telehealth and reimbursement formulas may become
barriers to further implementation in the future (Kim et al., 2024). The security of information
and data may also be jeopardized by cybersecurity risks and data leakages and IT needs to be
updated regularly. Additionally, there are also risks of loss of patients to larger telehealth
organizations that are capable of offering more holistic virtual care.
Conclusion
Professional nurses are at the center of driving the change efforts like telehealth to
counter the transportation barrier of mental health care. In order to determine the feasibility of
the implementation and maintenance of such interventions, a SWOT analysis has to be carried
out. As observed in this paper, the problem of transportation barriers in outpatient mental health
must be addressed through telehealth and eventually enhanced to reach a larger number of
patients and improved patient outcomes. The awareness of external and internal factors would
make the decision-making process reasonable, and ultimately enhance patient care and clinic
productivity.
5
References
Damian, A. J., Stinchfield, K., & Kearney, R. T. (2022). Telehealth and beyond: Promoting the
mental well-being of children and adolescents during COVID. Frontiers in pediatrics, 10,
793167.
https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf
[https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf](https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf)
6
Kim, J., Kelley, J., Choi, S., & Weir, P. (2024). Impact of transportation barriers on telehealth use
during the COVID-19 pandemic. INQUIRY: The Journal of Health Care Organization,
Provision, and Financing, 61, 00469580241266345.
https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345
Smith-East, M., & Neff, D. F. (2020). Mental health care access using geographic information
systems: an integrative review. Issues in Mental Health Nursing, 41(2), 113-121.
https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363
Sultana, S., & Pagán, J. A. (2023). Use of telehealth to address depression and anxiety in low-
income US populations: a narrative review. Journal of Primary Care & Community
Health, 14, 21501319231168036.
https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036
[https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345](https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345)
[https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363](https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363)
[https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036](https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036)
**## Knowledge-to-ActionPart2.pdf**
1
Knowledge-to-Action: Intervention SWOT Analysis
Michelle Murray
Herzing University
NU 700: Knowledge for Nursing Practice
Crystal Villanueva, DNP, FNP-C, PMHNP-BC,MBA
October 10, 2025
Knowledge-to-Action: Intervention SWOT Analysis
2
More than 20% of people with mental health conditions mention barriers to transportation
as one of the main reasons to miss an appointment and worsen the untreated condition (Smith-
East & Neff, 2020). Professional nurses are key to the execution of improvement projects as they
are the one to identify the barriers, promote evidence-based interventions, and enable lasting
change within the clinical setting. This paper addresses the clinical practice problem of
transportation barriers in mental health care and to offer a SWOT analysis of an evidence-based
telehealth intervention to overcome this problem in my outpatient mental health clinic.
Practice Problem Overview
According to Smith-East and Neff (2020), the issue of transportation barriers in mental
health care is the problem of special concern, especially in rural outpatient care. The clinical
practice problem that has been determined is the unavailability of dependable transportation that
would enable patients to attend mental health sessions. The researchers, who prepared the study
in a rural clinic, were interested in 150 people, and it was discovered that 35% of all missed
appointments were explained by transport problems, which resulted in aggravation of the
symptoms and hospitalization. The issue affects continuity of care, and it adds additional costs to
healthcare, which is why it is highly necessary to intervene in my practice environment.
Implementation
The intervention chosen in Unit 5 paper is the establishment of a telehealth initiative that
allows conducting mental health consultations online. Telehealth is an effective solution
supported by research. Sultana and Pagan (2023) discovered that telehealth had a significant
impact on the reduction of logistical barriers like transportation and enhanced continuity of care
in low-income patients. On the same note, Kim et al. (2024) stated that telehealth services
improved the attendance and behavioral health visits among patients with transportation barriers,
3
indicating the positive effect of telehealth in this area. Moreover, as observed by Damian et al.
(2022), telehealth in the context of the COVID-19 pandemic enhanced accessibility and
facilitated the mental health of children and adolescents living in underserved communities.
Telehealth is the most appropriate intervention in my outpatient mental health clinic since it
eradicates transportation barriers so that the patients can receive care at home. The intervention
will involve virtual visits through a secure system and employee education on telehealth
technology.
Table 1: SWOT Analysis Chart
Strengths Weaknesses Opportunities Threats
– Supportive
leadership open to
innovation
– Existing IT
infrastructure for
telehealth
– Trained nursing
staff familiar with
technology
– Limited patient
access to reliable
internet
– Resistance to
technology adoption
by older staff
– Insufficient funding
for telehealth
expansion
– Improved patient
access to care
– Potential for
community
partnerships
– Enhanced clinic
reputation for
innovation
– Regulatory changes
in telehealth policies
– Cybersecurity risks
to patient data
– Competition from
larger telehealth
providers
The leadership of my clinic encourages new solutions and has created a culture of
openness to adopt telehealth. Virtual platforms are supported by the current IT infrastructure,
such as high-speed internet and updated computer systems (Sultana & Pagan, 2023). Moreover,
the competence of the nursing staff in relation to electronic health records and remote monitoring
provides an easy implementation and continuity of patient care (Damian et al., 2022).
Weaknesses
There are patients who do not have a dependable internet which can hamper the ability of
telehealth, particularly among low-income and rural households. Staff members that are over 60
years old might be reluctant to adopt a new technology because they lack training or are not
4
familiar with it (Kim et al., 2024). There is also the problem of challenges with funding the
expansion of telehealth: buying more licenses or equipment.
Opportunities
Telehealth can increase patient access, reduce physician visits and improve clinical
outcome. Another instrument that would encourage equitable care delivery would be joint efforts
with the local communities to improve their access to broadband (Sultana and Pagan, 2023). This
type of innovation in the telehealth growth would turn the clinic into the regional leader in the
innovative mental health care, more noticeable and more content with patients.
Threats
Such changes in governance as telehealth and reimbursement formulas may become
barriers to further implementation in the future (Kim et al., 2024). The security of information
and data may also be jeopardized by cybersecurity risks and data leakages and IT needs to be
updated regularly. Additionally, there are also risks of loss of patients to larger telehealth
organizations that are capable of offering more holistic virtual care.
Conclusion
Professional nurses are at the center of driving the change efforts like telehealth to
counter the transportation barrier of mental health care. In order to determine the feasibility of
the implementation and maintenance of such interventions, a SWOT analysis has to be carried
out. As observed in this paper, the problem of transportation barriers in outpatient mental health
must be addressed through telehealth and eventually enhanced to reach a larger number of
patients and improved patient outcomes. The awareness of external and internal factors would
make the decision-making process reasonable, and ultimately enhance patient care and clinic
productivity.
5
References
Damian, A. J., Stinchfield, K., & Kearney, R. T. (2022). Telehealth and beyond: Promoting the
mental well-being of children and adolescents during COVID. Frontiers in pediatrics, 10,
793167.
https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf
[https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf](https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf)
6
Kim, J., Kelley, J., Choi, S., & Weir, P. (2024). Impact of transportation barriers on telehealth use
during the COVID-19 pandemic. INQUIRY: The Journal of Health Care Organization,
Provision, and Financing, 61, 00469580241266345.
https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345
Smith-East, M., & Neff, D. F. (2020). Mental health care access using geographic information
systems: an integrative review. Issues in Mental Health Nursing, 41(2), 113-121.
https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363
Sultana, S., & Pagán, J. A. (2023). Use of telehealth to address depression and anxiety in low-
income US populations: a narrative review. Journal of Primary Care & Community
Health, 14, 21501319231168036.
https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036
[https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345](https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345)
[https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363](https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363)
[https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036](https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036)
**## Week7-AlternateInterventionEvaluationWorksheet-11.docx**
**NU 700 Assignment: Unit 7 – KTA Part 3 Evaluation Measures**
Instructions: Utilize the template to provide responses to each prompt. Please do not include a cover/title page for the assignment.
**NAME OF**
**STUDENT:**
**Part 1: Questions**
| | |
| — | — |
| **Questions:** | **Type Answers in the Spaces below** |
| 1. <br>**State the practice problem, qualitative and/or quantitative data to support its existence and the significance of the problem in healthcare you identified in** the <br>**primary article only** from the Unit 4 assignment<br>**(with in-text citation)** | |
| 2. <br>**Discuss the intervention you identified for the Unit 5 assignment (with in-text citations) and explain why this intervention was the best evidence-based intervention to address the clinical problem if it existed in your clinical practice.** | |
| 3. <br>**Provide a succinct Aim Statement for the improvement process you would launch for implementing your identified alternate intervention. Use the link below to access IHI Worksheet to guide creation of this succinct (one line) statement.**<br>[https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf](https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf) | |
| 4. <br>**Discuss who will be involved in the improvement process, and why. Utilize a minimum of one resource to support this discussion (in-text citation).** | |
| 5. <br>**Improvement Measures:**<br>· <br>**Outcome measures**<br>· <br>**Process measures**<br>· <br>**Balancing measures**<br>a. <br>**What improvement measure(s) will you utilize to evaluate the outcome of implementing your identified alternate intervention?**<br>b. <br>**Provide an example of the method(s) you will use to evaluate each improvement measure and include a rationale for why you chose this method.**<br>c. <br>**Use the link below to access IHI’s resource on Improvement Measures.**<br>[**https://www.ihi.org/how-improve-model-improvement-establishing-measures**](https://www.ihi.org/how-improve-model-improvement-establishing-measures) | |
| 6. <br>**If the AIM of the project was met, what do you envision the long-term outcome would look like for your clinical practice?** | |
**Part 2: APA Reference List**
Please provide a minimum of 3 APA references that correspond with citations within the table. Use APA format.
**References**
**## Knowledge-to-ActionPart2.pdf**
1
Knowledge-to-Action: Intervention SWOT Analysis
Michelle Murray
Herzing University
NU 700: Knowledge for Nursing Practice
Crystal Villanueva, DNP, FNP-C, PMHNP-BC,MBA
October 10, 2025
Knowledge-to-Action: Intervention SWOT Analysis
2
More than 20% of people with mental health conditions mention barriers to transportation
as one of the main reasons to miss an appointment and worsen the untreated condition (Smith-
East & Neff, 2020). Professional nurses are key to the execution of improvement projects as they
are the one to identify the barriers, promote evidence-based interventions, and enable lasting
change within the clinical setting. This paper addresses the clinical practice problem of
transportation barriers in mental health care and to offer a SWOT analysis of an evidence-based
telehealth intervention to overcome this problem in my outpatient mental health clinic.
Practice Problem Overview
According to Smith-East and Neff (2020), the issue of transportation barriers in mental
health care is the problem of special concern, especially in rural outpatient care. The clinical
practice problem that has been determined is the unavailability of dependable transportation that
would enable patients to attend mental health sessions. The researchers, who prepared the study
in a rural clinic, were interested in 150 people, and it was discovered that 35% of all missed
appointments were explained by transport problems, which resulted in aggravation of the
symptoms and hospitalization. The issue affects continuity of care, and it adds additional costs to
healthcare, which is why it is highly necessary to intervene in my practice environment.
Implementation
The intervention chosen in Unit 5 paper is the establishment of a telehealth initiative that
allows conducting mental health consultations online. Telehealth is an effective solution
supported by research. Sultana and Pagan (2023) discovered that telehealth had a significant
impact on the reduction of logistical barriers like transportation and enhanced continuity of care
in low-income patients. On the same note, Kim et al. (2024) stated that telehealth services
improved the attendance and behavioral health visits among patients with transportation barriers,
3
indicating the positive effect of telehealth in this area. Moreover, as observed by Damian et al.
(2022), telehealth in the context of the COVID-19 pandemic enhanced accessibility and
facilitated the mental health of children and adolescents living in underserved communities.
Telehealth is the most appropriate intervention in my outpatient mental health clinic since it
eradicates transportation barriers so that the patients can receive care at home. The intervention
will involve virtual visits through a secure system and employee education on telehealth
technology.
Table 1: SWOT Analysis Chart
Strengths Weaknesses Opportunities Threats
– Supportive
leadership open to
innovation
– Existing IT
infrastructure for
telehealth
– Trained nursing
staff familiar with
technology
– Limited patient
access to reliable
internet
– Resistance to
technology adoption
by older staff
– Insufficient funding
for telehealth
expansion
– Improved patient
access to care
– Potential for
community
partnerships
– Enhanced clinic
reputation for
innovation
– Regulatory changes
in telehealth policies
– Cybersecurity risks
to patient data
– Competition from
larger telehealth
providers
The leadership of my clinic encourages new solutions and has created a culture of
openness to adopt telehealth. Virtual platforms are supported by the current IT infrastructure,
such as high-speed internet and updated computer systems (Sultana & Pagan, 2023). Moreover,
the competence of the nursing staff in relation to electronic health records and remote monitoring
provides an easy implementation and continuity of patient care (Damian et al., 2022).
Weaknesses
There are patients who do not have a dependable internet which can hamper the ability of
telehealth, particularly among low-income and rural households. Staff members that are over 60
years old might be reluctant to adopt a new technology because they lack training or are not
4
familiar with it (Kim et al., 2024). There is also the problem of challenges with funding the
expansion of telehealth: buying more licenses or equipment.
Opportunities
Telehealth can increase patient access, reduce physician visits and improve clinical
outcome. Another instrument that would encourage equitable care delivery would be joint efforts
with the local communities to improve their access to broadband (Sultana and Pagan, 2023). This
type of innovation in the telehealth growth would turn the clinic into the regional leader in the
innovative mental health care, more noticeable and more content with patients.
Threats
Such changes in governance as telehealth and reimbursement formulas may become
barriers to further implementation in the future (Kim et al., 2024). The security of information
and data may also be jeopardized by cybersecurity risks and data leakages and IT needs to be
updated regularly. Additionally, there are also risks of loss of patients to larger telehealth
organizations that are capable of offering more holistic virtual care.
Conclusion
Professional nurses are at the center of driving the change efforts like telehealth to
counter the transportation barrier of mental health care. In order to determine the feasibility of
the implementation and maintenance of such interventions, a SWOT analysis has to be carried
out. As observed in this paper, the problem of transportation barriers in outpatient mental health
must be addressed through telehealth and eventually enhanced to reach a larger number of
patients and improved patient outcomes. The awareness of external and internal factors would
make the decision-making process reasonable, and ultimately enhance patient care and clinic
productivity.
5
References
Damian, A. J., Stinchfield, K., & Kearney, R. T. (2022). Telehealth and beyond: Promoting the
mental well-being of children and adolescents during COVID. Frontiers in pediatrics, 10,
793167.
https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf
[https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf](https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf)
6
Kim, J., Kelley, J., Choi, S., & Weir, P. (2024). Impact of transportation barriers on telehealth use
during the COVID-19 pandemic. INQUIRY: The Journal of Health Care Organization,
Provision, and Financing, 61, 00469580241266345.
https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345
Smith-East, M., & Neff, D. F. (2020). Mental health care access using geographic information
systems: an integrative review. Issues in Mental Health Nursing, 41(2), 113-121.
https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363
Sultana, S., & Pagán, J. A. (2023). Use of telehealth to address depression and anxiety in low-
income US populations: a narrative review. Journal of Primary Care & Community
Health, 14, 21501319231168036.
https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036
[https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345](https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345)
[https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363](https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363)
[https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036](https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036)
**## Week7-AlternateInterventionEvaluationWorksheet-11.docx**
**NU 700 Assignment: Unit 7 – KTA Part 3 Evaluation Measures**
Instructions: Utilize the template to provide responses to each prompt. Please do not include a cover/title page for the assignment.
**NAME OF**
**STUDENT:**
**Part 1: Questions**
| | |
| — | — |
| **Questions:** | **Type Answers in the Spaces below** |
| 1. <br>**State the practice problem, qualitative and/or quantitative data to support its existence and the significance of the problem in healthcare you identified in** the <br>**primary article only** from the Unit 4 assignment<br>**(with in-text citation)** | |
| 2. <br>**Discuss the intervention you identified for the Unit 5 assignment (with in-text citations) and explain why this intervention was the best evidence-based intervention to address the clinical problem if it existed in your clinical practice.** | |
| 3. <br>**Provide a succinct Aim Statement for the improvement process you would launch for implementing your identified alternate intervention. Use the link below to access IHI Worksheet to guide creation of this succinct (one line) statement.**<br>[https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf](https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf) | |
| 4. <br>**Discuss who will be involved in the improvement process, and why. Utilize a minimum of one resource to support this discussion (in-text citation).** | |
| 5. <br>**Improvement Measures:**<br>· <br>**Outcome measures**<br>· <br>**Process measures**<br>· <br>**Balancing measures**<br>a. <br>**What improvement measure(s) will you utilize to evaluate the outcome of implementing your identified alternate intervention?**<br>b. <br>**Provide an example of the method(s) you will use to evaluate each improvement measure and include a rationale for why you chose this method.**<br>c. <br>**Use the link below to access IHI’s resource on Improvement Measures.**<br>[**https://www.ihi.org/how-improve-model-improvement-establishing-measures**](https://www.ihi.org/how-improve-model-improvement-establishing-measures) | |
| 6. <br>**If the AIM of the project was met, what do you envision the long-term outcome would look like for your clinical practice?** | |
**Part 2: APA Reference List**
Please provide a minimum of 3 APA references that correspond with citations within the table. Use APA format.
**References**
**## Knowledge-to-ActionPart2.pdf**
1
Knowledge-to-Action: Intervention SWOT Analysis
Michelle Murray
Herzing University
NU 700: Knowledge for Nursing Practice
Crystal Villanueva, DNP, FNP-C, PMHNP-BC,MBA
October 10, 2025
Knowledge-to-Action: Intervention SWOT Analysis
2
More than 20% of people with mental health conditions mention barriers to transportation
as one of the main reasons to miss an appointment and worsen the untreated condition (Smith-
East & Neff, 2020). Professional nurses are key to the execution of improvement projects as they
are the one to identify the barriers, promote evidence-based interventions, and enable lasting
change within the clinical setting. This paper addresses the clinical practice problem of
transportation barriers in mental health care and to offer a SWOT analysis of an evidence-based
telehealth intervention to overcome this problem in my outpatient mental health clinic.
Practice Problem Overview
According to Smith-East and Neff (2020), the issue of transportation barriers in mental
health care is the problem of special concern, especially in rural outpatient care. The clinical
practice problem that has been determined is the unavailability of dependable transportation that
would enable patients to attend mental health sessions. The researchers, who prepared the study
in a rural clinic, were interested in 150 people, and it was discovered that 35% of all missed
appointments were explained by transport problems, which resulted in aggravation of the
symptoms and hospitalization. The issue affects continuity of care, and it adds additional costs to
healthcare, which is why it is highly necessary to intervene in my practice environment.
Implementation
The intervention chosen in Unit 5 paper is the establishment of a telehealth initiative that
allows conducting mental health consultations online. Telehealth is an effective solution
supported by research. Sultana and Pagan (2023) discovered that telehealth had a significant
impact on the reduction of logistical barriers like transportation and enhanced continuity of care
in low-income patients. On the same note, Kim et al. (2024) stated that telehealth services
improved the attendance and behavioral health visits among patients with transportation barriers,
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indicating the positive effect of telehealth in this area. Moreover, as observed by Damian et al.
(2022), telehealth in the context of the COVID-19 pandemic enhanced accessibility and
facilitated the mental health of children and adolescents living in underserved communities.
Telehealth is the most appropriate intervention in my outpatient mental health clinic since it
eradicates transportation barriers so that the patients can receive care at home. The intervention
will involve virtual visits through a secure system and employee education on telehealth
technology.
Table 1: SWOT Analysis Chart
Strengths Weaknesses Opportunities Threats
– Supportive
leadership open to
innovation
– Existing IT
infrastructure for
telehealth
– Trained nursing
staff familiar with
technology
– Limited patient
access to reliable
internet
– Resistance to
technology adoption
by older staff
– Insufficient funding
for telehealth
expansion
– Improved patient
access to care
– Potential for
community
partnerships
– Enhanced clinic
reputation for
innovation
– Regulatory changes
in telehealth policies
– Cybersecurity risks
to patient data
– Competition from
larger telehealth
providers
The leadership of my clinic encourages new solutions and has created a culture of
openness to adopt telehealth. Virtual platforms are supported by the current IT infrastructure,
such as high-speed internet and updated computer systems (Sultana & Pagan, 2023). Moreover,
the competence of the nursing staff in relation to electronic health records and remote monitoring
provides an easy implementation and continuity of patient care (Damian et al., 2022).
Weaknesses
There are patients who do not have a dependable internet which can hamper the ability of
telehealth, particularly among low-income and rural households. Staff members that are over 60
years old might be reluctant to adopt a new technology because they lack training or are not
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familiar with it (Kim et al., 2024). There is also the problem of challenges with funding the
expansion of telehealth: buying more licenses or equipment.
Opportunities
Telehealth can increase patient access, reduce physician visits and improve clinical
outcome. Another instrument that would encourage equitable care delivery would be joint efforts
with the local communities to improve their access to broadband (Sultana and Pagan, 2023). This
type of innovation in the telehealth growth would turn the clinic into the regional leader in the
innovative mental health care, more noticeable and more content with patients.
Threats
Such changes in governance as telehealth and reimbursement formulas may become
barriers to further implementation in the future (Kim et al., 2024). The security of information
and data may also be jeopardized by cybersecurity risks and data leakages and IT needs to be
updated regularly. Additionally, there are also risks of loss of patients to larger telehealth
organizations that are capable of offering more holistic virtual care.
Conclusion
Professional nurses are at the center of driving the change efforts like telehealth to
counter the transportation barrier of mental health care. In order to determine the feasibility of
the implementation and maintenance of such interventions, a SWOT analysis has to be carried
out. As observed in this paper, the problem of transportation barriers in outpatient mental health
must be addressed through telehealth and eventually enhanced to reach a larger number of
patients and improved patient outcomes. The awareness of external and internal factors would
make the decision-making process reasonable, and ultimately enhance patient care and clinic
productivity.
5
References
Damian, A. J., Stinchfield, K., & Kearney, R. T. (2022). Telehealth and beyond: Promoting the
mental well-being of children and adolescents during COVID. Frontiers in pediatrics, 10,
793167.
https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf
[https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf](https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.793167/pdf)
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Kim, J., Kelley, J., Choi, S., & Weir, P. (2024). Impact of transportation barriers on telehealth use
during the COVID-19 pandemic. INQUIRY: The Journal of Health Care Organization,
Provision, and Financing, 61, 00469580241266345.
https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345
Smith-East, M., & Neff, D. F. (2020). Mental health care access using geographic information
systems: an integrative review. Issues in Mental Health Nursing, 41(2), 113-121.
https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363
Sultana, S., & Pagán, J. A. (2023). Use of telehealth to address depression and anxiety in low-
income US populations: a narrative review. Journal of Primary Care & Community
Health, 14, 21501319231168036.
https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036
[https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345](https://journals.sagepub.com/doi/pdf/10.1177/00469580241266345)
[https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363](https://www.tandfonline.com/doi/abs/10.1080/01612840.2019.1646363)
[https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036](https://journals.sagepub.com/doi/pdf/10.1177/21501319231168036)
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