NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution CG

Nurses play a significant role to assist patients with self-management of chronic hypertension. Self-management of disease translates into providing the patients with crucial information and educating them to execute interventions for the improvement of their health and general management of the disease. Hypertension is one of the most prevalent issues in the United States. The US population which suffers from the comorbid effects of mental health and hypertension is about 47% people per year (Alessa et al., 2018).

This calls for a growing need for self-management of hypertension with nurses and technical staff at a health care facility providing online assistance to the patients. This assessment addresses the key issues in patient care related to hypertension and advocates for a strategic plan to help patients acquaint themselves with better self-management and self-care practices for hypertension.

Role of Leadership and Change Management Strategies

Nurses through their assistance and leadership roles at health care facilities are able to influence the lives of people and through their collaborative efforts assist patients in enhanced management of their symptoms and diseases. The trait of leadership is well desired in the profession of health care since many times nurses are faced with novel and uncertain situations which demand tough decisions to be made (Bengtsson et al., 2018). This is especially required when dealing with patients with hypertension since hypertension does not manifest itself physically but lays a huge psychological impact on patients as well (Alessa et al., 2018). Due to the comorbid tendencies of hypertension, it calls for a detailed and in-depth educational plan for patients to help them manage the disease. The symptoms of hypertension can progress towards cardiovascular disease and its presence can also cause mood disturbances as well as the manifestation of several other physical and psychological problems thus a keen intervention plan needs to be devised for hypertension (Olayinka et al., 2020). This educational plan will not only help the patients to manage their symptoms but also serve as a tool for gaining new insights into improving the self-management strategies for hypertension. 

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution CG

Mr. Doe was a 63-year-old male suffering from chronic hypertension for the past few years and was at grave risk of developing cardiovascular disorder and having a stroke or heart attack. A plan was devised for Mr. Doe’s management of hypertension to make use of telehealth services for the management of hypertension. This program proved very beneficial for him and his deteriorating health started gradually improving and he was able to manage his chronic hypertension on his own through this plan. The use of technology for the measurement of blood pressure, heart rate, and blood sugar level is also recommended by the American Heart Association. This helps the patients to gain invaluable insights into their health and track their progress as well  (Bengtsson et al., 2018).

Effective communication of medical interventions with patients combined with the ability to adapt to new technology and novel practices in health care settings are characteristics of an efficient nursing leader. In addition to this, a nursing leader has to serve as a role model for others and thus has to manifest the best quality care practices while adhering to the principles of justice and fair treatment towards all  (Li et al., 2020). It has also been researched that nursing ethics lay a deep impact on patient outcomes and play an important role in the perception of care provision by patients. For these reasons it is strongly advocated that nursing staff and especially nursing leaders are able to engage in effective conflict resolution to achieve the goals of quality care provision among the patients. 

Evidence-Based Practices for Communication and Collaboration

The self-management plans for hypertension call for nurses to interact with the patients through the use of technology to help their patients stick to the plan, especially in the initial stages, and work towards coming up with improved health care interventions (Steinman et al., 2020). The use of practices as entailed by the Clinical Communication & Collaboration (CC&C) can serve as an excellent tool for psychotherapists to assist patients who are suffering from hypertension. These practices help to promote effective communication between patients and their care providers as well as assist them to exchange crucial medical information between professionals whilst getting periodic notifications about the progress and any warning signs in their patients (Bengtsson et al., 2018).

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution CG

The Health Insurance Portability and Accountability Act of 1996 which is commonly known as HIPAA advocates for the use of communication soft wares and methodologies to improve and optimize the care provision practices in healthcare settings and also to ensure that documentation of crucial patient information is optimized. In addition to this, call alarms and system notifications are also considered some of the very effective tools of telehealth which not only keep a virtual record of important patient information but also help to optimize the results. The use of telehealth tools in the management of medical data ensures the safety of online health records of patients and makes the data more accessible for nurses. The handling of data has to be taken special care of since these practices function to integrate the telehealth tools into the current medical infrastructure (Li et al., 2020).

State Board Nursing Practice Standards and/or Organizational or Governmental Policies

The legislation by governmental bodies has been very effective in the promotion of new standards and practices to advocate for better health care. These policies are also focused on providing improved health care practices for patients suffering from chronic hypertension. The government policies are also focused on making the health care setting more accessible for the patients while they work towards an improvement in the infrastructure of hospital settings (Li et al., 2019). When it comes to hypertension patients, the self-management of hypertension guidelines by AHA advocate for taking correct measurements for blood pressure to enhance the performance of telehealth services. In order to achieve growth and improve self-management care practices, it is crucial that AHA policy guidelines are followed (Steinman et al., 2020). 

Nurses are also recommended to make use of Electronic Health Records (EHR) as well as smartphone technologies for coordination of information and making sure that patients are provided with the best possible health care (Li et al., 2020). The health care setting is a complex environment that calls for unique interventions by nursing staff. The American Nursing Association, ANA also recommends the use of video conferencing tools in health care settings to guarantee quality care provided to the patients. Since the use of innovative tools works to make health care environments more patient-friendly and easier to access for the patients. 

How Proposed Intervention Will Enhance Quality of Care Quality of Care and Patient Safety

In addition to this, it has also been seen that nursing ethics impact the patients to solve their care-related issues especially when patients are faced with situations such as hypertension. It is advised that communication systems, which are one aspect of telehealth, are used for the purpose of observing autonomy in patients. They also help the patient take back control of their health into their own hands (Alessa et al., 2019). But some of the key aspects of a virtual health setting such as the use of telehealth are to ensure confidentiality and secure the private information of patients. These are some of the vital ethics which must not be breached in order to safeguard the interest of patients.

Nurses should be encouraged to use telehealth services for engaging in health-related communication with their patients in addition to using these apps for obtaining important information which includes observational data and other vital medical information such as radiographic data. But it should also be ensured that no third party can have any access to this information. adhering to these ethics not only enhance the trust of patients in their care providers but also work towards helping the nurses find better solution and intervention strategies for their patients.

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution CG

How Technology, Care Coordination, and Community Resources can Address Hypertension

There is a growing body of research focusing on self-management interventions for patients with hypertension. Through the adoption of ICT and advancing the use of remote blood pressure checking nurses will be able to provide medical health care that is performed in coordination with the technology (Alessa et al., 2019). The use of technology for advancing health care not only reduces the cost of hospital expenses but also reduces the chances of human error. With the use of smartphones and tablets for performing the function of self-management of disease, patients feel more confident about their health outcomes but this must be done or at least initiated under the supervision of a nurse in order to ensure the health guideline and electronic health management protocols are being followed. Care coordination for patients suffering from hypertension helps to link patients with vital community resources which have now emerged in the form of technology. 

Conclusion 

Self-management of hypertension can be possible and easy to adopt by adhering to the policy guidelines and legislation for improving the efficacy of health care practices. The use of telehealth tools and smartphone technology for medicinal purposes can serve to effectively reduce the rates of complications of issues in patients (Alessa et al., 2018). The proposed interventions can help to positively influence the health as well as the well-being of patients while cutting hospital costs. Hypertension is a disease that is related to many comorbid issues and hence its self-management can have a huge impact on the overall health of patients. 

References 

Alessa, T., Abdi, S., Hawley, M. S., & de Witte, L. (2018). Mobile apps to support the self-management of hypertension: Systematic review of effectiveness, usability, and user satisfaction. JMIR MHealth and UHealth, 6(7), e10723. https://doi.org/10.2196/10723

Alessa, T., Hawley, M. S., Hock, E. S., & de Witte, L. (2019). Smartphone apps to support self-management of hypertension: Review and content analysis. JMIR MHealth and UHealth, 7(5), e13645. https://doi.org/10.2196/13645

Bengtsson, U., Kjellgren, K., Hallberg, I., Lundin, M., & Mäkitalo, Å. (2018). Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system. Scandinavian Journal of Primary Health Care, 36(1), 70–79. https://doi.org/10.1080/02813432.2018.1426144

Li, R., Liang, N., Bu, F., & Hesketh, T. (2020). The effectiveness of self-management of hypertension in adults using mobile health: Systematic review and meta-analysis. JMIR MHealth and UHealth, 8(3), e17776. https://doi.org/10.2196/17776

Li, X., Li, T., Chen, J., Xie, Y., An, X., Lv, Y., & Lin, A. (2019). A WeChat-based self-management intervention for community middle-aged and elderly adults with hypertension in Guangzhou, China: A cluster-randomized controlled trial. International Journal of Environmental Research and Public Health, 16(21), 4058. https://doi.org/10.3390/ijerph16214058

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution CG

Olayinka, O. D., Moore, S. M., & Stange, K. C. (2020). Pilot test of an Appreciative Inquiry intervention in hypertension self-management. Western Journal of Nursing Research, 42(7), 543–553. https://doi.org/10.1177/0193945919897077

Qiu, C., Shao, D., Yao, Y., Zhao, Y., & Zang, X. (2019). Self-management and psychological resilience moderate the relationships between symptoms and health-related quality of life among patients with hypertension in China. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 28(9), 2585–2595. https://doi.org/10.1007/s11136-019-02191-z

Steinman, L., Heang, H., van Pelt, M., Ide, N., Cui, H., Rao, M., LoGerfo, J., & Fitzpatrick, A. (2020). Facilitators and barriers to chronic disease self-management and mobile health interventions for people living with diabetes and hypertension in Cambodia: Qualitative study. JMIR MHealth and UHealth, 8(4), e13536. https://doi.org/10.2196/13536

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