NURS FPX 4900 Assignment 4

NURS FPX 4900 Assignment 4 Instructions

Capella NURS FPX 4900 Assignment 4: Patient, Family, or Population Health Problem Solution

Name

Capella university

NURS-FPX 4900: Capstone Project for Nursing

Prof. Name

Date

Introduction

In this assessment of the capstone project, an intervention or solution is developed for a selected patient, Brian, who suffered hypertension crisis with a 180/120 mmHg value of blood pressure. His poor socioeconomic status, being an obese, alcoholic, and active smoker has brought him to suffer from this health problem. This intervention is planned considering these factors in Brian’s case to tailor his needs and health requirements. Implementation of this plan will certainly result in lowering his blood pressure levels. 

Role of Leadership and Change Management in Hypertension

Leadership and change management are essential in addressing hypertension, as healthcare professionals and their leaders develop a clear vision and strategy for addressing the management and treatment goals of hypertension. Moreover, leadership is important in guiding, educating, and training other health professional team members about the implementation of certain care treatments. Leadership fosters a collaborative and interdisciplinary approach to managing hypertension by providing coordinated care.

Change management is often necessary for effective management of hypertension such as changes in processes, protocols, and practices. This is accomplished by effective leadership involvement that can guide and support these changes within hospital management. Leaders guide and teach other healthcare team members on change management so that they can understand these changes in protocols and practices well to implement them for patient-centered care treatment (Figueroa et al., 2019).

Capella 4900 Assessment 4

Transformational leadership influenced the development of this intervention by providing motivation to other team members such as nurses who gave their valuable insights on the patient’s condition and suggested developing this intervention based on the patient’s health needs and preferences. This type of leadership also ensures that the healthcare system is provided with adequate resources to develop the intervention. This includes the allocation of appropriate funding, providing access to relevant research, and external stakeholder collaboration.  Furthermore, change management strategies like shared decision-making involved healthcare professionals, patients, nurses, pharmacists, and other relevant stakeholders.

The joint effort with open communication influenced the development of this intervention. This intervention plan was developed with effective collaboration and guidance from physicians and pharmacists. The nursing ethics i.e. beneficence, justice, patient autonomy, privacy, and confidentiality influenced the development of this intervention which is based on the patient-centered approach and HIPAA guidelines. Educational brochures are created particularly considering these nursing ethics so that the patient is treated with beneficence and non-maleficence while promoting patient autonomy through proper education so that the intervention planned is tailed to patient’s needs and preferences..

Communication and Collaboration Strategies to Improve Hypertension Outcomes

Communication and collaboration strategies are crucial to involve patients’ participation in intervention implementation. Some of the communication and collaboration strategies to engage with patients that can improve health outcomes in Brian’s condition are as follows:

• Creating an open and non-judgmental environment to support patients in being comfortable in expressing their thoughts, preferences, and related queries. This will improve the patient-provider relationship which ultimately helps patients develop trust in the services and adhere to their management and treatment plans (Kwame & Petrucka, 2020). 
• Educating patients on relevant and accurate information about hypertension, its risk factors, potential causes, and management strategies will improve their knowledge about their disease and increase their collaboration with health professionals. This can be done by various methods such as visual aids, digital resources, and written material on hypertension (Tavakoly Sany et al., 2020).
• By employing culturally competent care strategies, nurses can foster collaboration with patients from diverse cultural backgrounds. Collaboration is enhanced when patients feel understood, respected, and actively engaged in their care treatment. This culturally competent care requires the knowledge of different cultures, health beliefs, and practices. Moreover, healthcare providers can practice cultural humility while providing care treatment to such people by adopting a humble and curious attitude toward patients and valuing their preferences.  (Sharifi et al., 2019).

Capella 4900 Assessment 4

The benefits of involving patients in care treatment to obtain their valuable input include enhancing the chances of treatment and medication adherence of hypertension as they will feel aware and empowered to treat their disease. Moreover, their input ensures that hypertension care treatment plans are tailored to their needs, preferences, and desired goals. By engaging with patients, healthcare providers are able to educate them on their hypertension to increase their knowledge so they take active participation in managing their hypertension. This will ultimately lead to improved care and positive outcomes of maintaining blood pressure within limits and enhancing patient safety. 

Nursing State Board Practice Standard/ Governmental or Organizational Policies

The American Nursing Association with its practice standards of coordination of care, planning, and implementation has guided the development of this intervention plan. The coordination of care practice standards guided us in making a shared decision pertinent to Brian’s condition and planning and implementation standards have guided us in planning and implementation of this intervention (American Nurses Association, 2015). The HITECH Act policy by the government guided me in developing this intervention as this Act provides provisions on promoting the use of healthcare technologies within healthcare systems to facilitate care treatment and enhance positive outcomes in patients. Furthermore, its provisions on privacy and confidentiality guided me in its appropriate implementation so that patients’ sensitive health information remains secured (The HIPPA Journal, n.d.). 

The effectiveness of these standards and policies in improving outcomes is clear as they help healthcare professionals in the implementation of appropriate and authentic guidelines to provide patients with improved quality of care. Furthermore, care coordination implementation in the management of hypertension ensures continuity of care, medication management, and lifestyle modification support. The HIPAA Act provisions enable healthcare professionals to be more conscious of securing patients’ protected health information. The implementation of these standards and policies in hypertension management will improve the quality of care and patient safety (Matsuoka et al., 2020).

Proposed Intervention for Hypertension to Improve Quality of Care, Enhanced Patient Safety and Reduce Costs

 The proposed intervention for Brian’s condition of treating and managing hypertension is using Electronic Medical Record (EMR)/ Electronic Health Record (EHR) technology, and self-management education. EHR-based stored and organized patient medical and health records will result in quick and easy access to Brian’s health and hypertension-associated records facilitating physicians in making prompt and correct decisions for Brian’s health. Furthermore, nurses will be able to look into the medication he is prescribed and will administer it accordingly without chances of incorrect medication administration errors.

This will improve the quality of care provided to Brian as well as enhance patient safety (Worku Kassahun et al., 2020). Providing EHR access to Brian will facilitate him in terms of reducing costs as Brian will enter regularly monitored BP readings which will notify healthcare professionals. Brian can get further treatment done at home without commuting to the hospital. Furthermore, the EHR implementation will reduce the paper-based recording of medical and health data, reducing the costs to the health systems ((Tsai et al., 2020); Worku Kassahun et al., 2020). 

Capella 4900 Assessment 4

Another intervention proposed for Brian is self-management education on reducing weight and quitting smoking and limiting the use of alcohol. These educational sessions will improve his lifestyle to a healthier one which will ultimately improve his health and control his blood pressure from elevating. This will reduce the costs to both the patient and system as the future complications will be prevented and further financial & material resources can be saved as patient safety will be enhanced. (Dunn & Hazzard, 2019). 

The relevant benchmark data in hypertension is the American Heart Association-provided blood pressure measurement categories by which nurses can classify the status of hypertensive patients. The normal range for blood pressure provided by AHA is 120/80 mmHg. Furthermore, the blood pressure measurements for prehypertensive or hypertensive stage 1, hypertensive stage 2, and hypertensive crisis are also provided by AHA. These benchmark data help nurses and other health professionals provide care treatment suitable for patients with particular blood pressure measurements and maintain it within the normal limit with the best possible care treatment method (American Heart Association, 2021). 

Use of technology, Care Coordination, and Community Resources in Hypertension Management

Healthcare technologies such as mobile applications for tracking and reminding about medication and physical activity, wearable devices such as smartwatches, fitness trackers, telehealth, and remote monitoring are effective in improving patient outcomes of hypertension. Furthermore, EHR is one of the promising technologies to improve the quality of care by using digitally stored patient data. The effective and timely sharing of patient data among healthcare professionals enables healthcare providers to make timely and appropriate decisions for patients with hypertension which can save them from severe health complications associated with hypertension. Furthermore, these technologies enhance patient engagement with physicians and nurses, facilitate self-monitoring and improve access to care which ultimately results in better outcomes by controlling blood pressure under limits (Omboni, 2019).

Care coordination is the joint and collaborative effort of healthcare professionals to provide effective and appropriate care treatment to patients. In hypertensive management, care coordination plays an important role as it is required from the beginning of assessing patients for hypertension to planning care treatment and implementing it. For this purpose, an interprofessional collaboration of primary care physicians, cardiologists, nurses, and pharmacists helps in diagnosis, treatment management, and medication administration. Furthermore, education and self-management support require care coordination of lifestyle coaches, patients, and nurses. Pharmacists and physicians also coordinate to optimize medication therapy for hypertensive patients. This shows that care coordination will result in better management of hypertension (Tan et al., 2020).

Capella 4900 Assessment 4

Community resources provided by official government websites and nursing boards are useful in the treatment and management of hypertension. For example, the Preventive Cardiovascular Nursing Association has provider tools and patient resources that provide valuable and authentic educational resources which healthcare professionals and patients can utilize to manage hypertension effectively (PCNA, 2019). Furthermore, Wellness and fitness centers that provide programs that promote physical activity and healthy lifestyles can be useful for obese patients like Brian to manage weight and implement healthy lifestyles by helping people abstain & quit alcohol and smoking.

Conclusion

In this proposed intervention plan for Brian, Electronic health or medical record along with self-management education is discussed. The role of transformational leadership and change management strategies in the development of this plan is discussed. Furthermore, communication and collaboration strategies like open and non-judgment environment, and culturally competent care provision are useful in improving outcomes of hypertension with enhanced patient involvement in care treatment. The ANA standards and HITECH Act policy have guided in the development of this proposed intervention.

References

American Heart Association. (2021). Understanding blood pressure readings. https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings 

American Nurses Association. (2015). Nursing: Scope and standards of practice. https://www.nursingworld.org/~4af71a/globalassets/catalog/book-toc/nssp3e-sample-chapter.pdf 

Dunn, P., & Hazzard, E. (2019). Technology approaches to digital health literacy. International Journal of Cardiology, 293, 294–296. https://doi.org/10.1016/j.ijcard.2019.06.039 

Figueroa, C. A., Harrison, R., Chauhan, A., & Meyer, L. (2019). Priorities and challenges for health leadership and workforce management globally: A rapid review. BMC Health Services Research, 19(1), 1–11. Biomedcentral. https://doi.org/10.1186/s12913-019-4080-7 

Kwame, A., & Petrucka, P. M. (2020). Communication in nurse-patient interaction in healthcare settings in sub-Saharan africa: A scoping review. International Journal of Africa Nursing Sciences, 12(100198), 100198. https://doi.org/10.1016/j.ijans.2020.100198 

Matsuoka, R., Akazawa, H., Kodera, S., & Komuro, I. (2020). The dawning of the digital era in the management of hypertension. Hypertension Research, 43(11), 1135–1140. https://doi.org/10.1038/s41440-020-0506-1 

Capella 4900 Assessment 4

Omboni, S. (2019). Connected health in hypertension management. Frontiers in Cardiovascular Medicine, 6(76). https://doi.org/10.3389/fcvm.2019.00076 

PCNA. (2019, November 29). PCNA | preventive cardiovascular nurses association. https://pcna.net/ 

Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International Journal of Nursing Studies, 99. https://doi.org/10.1016/j.ijnurstu.2019.103386 

Tan, J., Xu, H., Fan, Q., Neely, O., Doma, R., Gundi, R., Shrestha, B., Shrestha, A., Shrestha, S., Karmacharya, B., Gu, W., Østbye, T., & Yan, L. L. (2020). Hypertension care coordination and feasibility of involving female community health volunteers in hypertension management in kavre district, nepal: A qualitative study. Global Heart, 15(1). https://doi.org/10.5334/gh.872 

Tavakoly Sany, S. B., Behzhad, F., Ferns, G., & Peyman, N. (2020). Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: A randomized controlled trial. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-4901-8 

The HIPPA Journal. (n.d.). What is the HITECH act? 2023 update. https://www.hipaajournal.com/what-is-the-hitech-act/#:~:text=The%20HITECH%20Act%20also%20helped 

Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content. Life, 10(12), 327. https://doi.org/10.3390/life10120327 

Worku Kassahun, C., Asasahegn, A., Hagos, D., Ashenafi, E., Tamene, F., Addis, G., & Endalkachew, K. (2020). Knowledge on hypertension and self-care practice among adult hypertensive patients at university of gondar comprehensive specialized hospital, ethiopia, 2019. International Journal of Hypertension, 2020, 1–7. https://doi.org/10.1155/2020/5649165 

Capella 4900 Assessment 4 Instructions

In this assignment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assignments that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. An appropriate intervention is an educational brochure

Intervention:

Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.

Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:

• Leadership.
• Collaboration.
• Communication.
• Change management.
• Policy.
• Quality of care.
• Patient safety.
• Costs to the system and individual.
• Technology.
• Care coordination.
• Community resources

Supporting evidence: Cite at least 5 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old. Provide in-text citations and references in APA format.

ADDITIONAL INSTRUCTIONS FOR THE CLASS – NURS FPX 4900 Assignment 4

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. NURS FPX 4900 Assignment 4

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NURS FPX 4900 Assignment 4

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NURS FPX 4900 Assignment 4

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