Disseminating the Evidence Scholarly Video Media Submission

Hello everyone. I am Charmaine. I will present my findings and provide suggestions today to preserve the merits of my intervention. In nursing, disseminating evidence refers to sharing information, results, and research with other healthcare professionals (Chambers, 2018). The Agency for Healthcare Research and Quality states that disseminating evidence entails providing the targeted audience with information and resources regarding an evidence-based intervention (Chambers, 2018).

Introducing new techniques to a targeted audience depends on disseminating evidence-based practice (Purtle et al., 2020). To overcome gaps in evidence-based interventions and further help lessen implementation issues, it is vital to use methods to accept and integrate EBP activities (Purtle et al., 2020). Thus, I created this video presentation to disseminate my intervention’s evidence-based approaches and sustain the outcomes.

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

Care Coordination Efforts

The PICOT Question

In overweight adults with hypertension, do lifestyle modifications compared to antihypertensive medications result in low blood pressure within 6 months?

Population: Overweight adults

Intervention: Lifestyle modifications

Comparison: Lifestyle modifications versus medications

Outcome: Low blood pressure

Time: Six months

Brief Introduction to the Issues

Obese individuals might suffer from hypertensive symptoms. Additionally, if an individual already has hypertension, obesity may worsen their symptoms. According to an analysis from 2020, obesity causes 65 to 78% of main hypertension cases. Possessing extra fat tissue in the body might result in complicated alterations that work together to induce or exacerbate hypertension. Thus, Ahmadi et al. (2019) claim that making dietary and exercise changes and other lifestyle adjustments might help hypertension people achieve healthier results. The research also shows antihypertensive drugs have adverse reactions in hypertensive individuals within six months (Olowofela & Isah, 2018). Patients only achieve more beneficial results when they change their way of life. Thus, lifestyle changes rather than medications are recommended (Olowofela & Isah, 2018).

Shayesteh et al. (2018) claim that healthcare practitioners who inform patients about the advantages of lifestyle change considerably influence patient behavior. The researchers contend that implementing educational initiatives is essential based on the connection between lifestyle and hypertension (Shayesteh et al., 2018). The researchers further claim that improving disease awareness and behavior modification among hypertension patients requires educational programs on dietary changes and physical exercise (Shayesteh et al., 2018).

Care Coordination Efforts

Care coordination aims to make it easier for healthcare services to be delivered correctly and efficiently inside and across systems (Kruk et al., 2018). There are dietitians, nurses, cardiologists, information technologists, and physiotherapists on the healthcare team treating hypertensive patients. A team-based approach to treatment called care coordination strives to include patients in their care (Kruk et al., 2018). Each team member must work together for the best possible health outcomes. Regular team meetings to discuss objectives and create patient goals are a requirement of team-based care (Will et al., 2019). The healthcare team member must inform patients about the advantages of lifestyle changes. To assist obese people in losing weight and controlling their blood pressure, the nutritionist will give them an evidence-based diet plan (Nicolai et al., 2018). A patient’s physiotherapist will provide them with an exercise regimen. A cardiologist will continuously monitor the symptoms of hypertensive patients. And lastly, information technologists will offer healthcare providers telehealth to keep tabs on patients (Nicolai et al., 2018). 

Implications 

The triple aim of health reform is viewed as being achievable with the help of care coordination (Kohl et al., 2018). Healthcare professionals will improve patient quality and satisfaction by coordinating patient care. Healthcare professionals can help obese hypertensive patients achieve better health outcomes (Kohl et al., 2018). 

Change in Practice Related to Services and Resources

Resources 

The Centers for Disease Control and Prevention suggest that healthcare professionals inform patients about the advantages of adopting lifestyle changes. It helps by giving them fact sheets, guidelines, social media messages, and handouts (CDC, 2020).

Services

As care coordinators, nurses, and other medical professionals will offer obese hypertensive patients the encouragement and support, they need to take charge of their condition (Hansen et al., 2021). Also, healthcare professionals work together as care coordinators on a healthcare team to create a customized, preemptive care plan to manage a patient’s healthcare requirements. Also, healthcare professionals may employ telehealth to instruct patients on self-management techniques (Hansen et al., 2021).

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

Key Care Coordination Efforts

Team-based care will be crucial to accomplish value-based care goals and providing a great patient experience. Team-based care recognizes that many interested stakeholders are treating a patient. To get the best possible care outcomes, they must also collaborate. Multidisciplinary team meetings are regular gatherings of medical practitioners from various specialties (Rollet et al., 2021). The objectives are to talk about the conditions and diagnoses of patients. Also, these sessions are intended to arrange their treatment programs following the most appropriate evidence-based guidelines. Hence, weekly team meetings with all significant stakeholders enhance patient outcomes and inter-professional communication (Rollet et al., 2021).

Efforts to Build Stakeholder Engagement

The systematic identification, evaluation, organization, and execution of actions to influence stakeholders are known as stakeholder engagement. A stakeholder engagement plan analyses each stakeholder’s demands. It is essential to address each stakeholder’s needs (Sperry & Jetter, 2019).

Lead the Change in Practice

Nurses may apply Kurt Lewin’s change theory to drive change in practice and involve all the important stakeholders with an intervention strategy for obese hypertensive patients. According to the notion, leading change may be done in three simple steps: unfreezing, changing, and refreezing (McFarlan et al., 2019). The first step is finding the important stakeholders and gaining their support through team meetings. These team meetings are intended to discuss the objectives of developing intervention strategies and to share the requirements of all stakeholders for them to be adopted (McFarlan et al., 2019). The change phase comprises implementing change and educating patients about lifestyle changes. At the same time, the third stage refreezes mandates all relevant stakeholders to monitor patients’ compliance with the advised lifestyle changes (McFarlan et al., 2019).

How to Encourage and Built Stakeholder Engagement?

Organizations must have a strong stakeholder engagement strategy in place if they want to comprehend and address valid stakeholder issues. A stakeholder engagement plan should always be created as the initial step (Boaz et al., 2018). A basic plan outlines the pertinent stakeholders, the necessity of involving them, the approach to applying them, and the objectives we must pursue. The stakeholders’ needs, interests, and views must always be respected (Boaz et al., 2018). That will significantly contribute to keeping them intrigued throughout. Making stakeholders aware of the change and its advantages and methods they may ask questions about is vital for communications and keeping stakeholders engaged (Boaz et al., 2018).

Future Recommendations

How to Sustain the Current Outcomes

All major stakeholders require outstanding inter-professional coordination to maintain the existing patient results. They should keep having weekly team meetings to track patient outcomes. Also, it is essential for healthcare professionals to communicate with the patient to maintain the patient’s health results. Improved health outcomes result from enhanced communication because it fosters trust and rapport between patients and medical professionals (Kruk et al., 2018). Also, with effective communication, healthcare professionals may regularly check patients’ compliance with lifestyle changes (McFarlan et al., 2019). Furthermore, healthcare professionals must ensure that maintaining patient information’s confidentiality fosters reliable connections with patients. To support health outcomes, they must also approach patient questions with a problem-solving mindset (McFarlan et al., 2019).

Recommendations on Moving Forward

Healthcare providers can employ a few recommendations to enhance care coordination for upcoming patient care initiatives.

1. Make a stakeholder engagement plan.
2. Always take care of stakeholders’ needs.
3. Use SMART goals for making short, easy, and achievable goals for patients.
4. Use the Plan-Do-Study-Act cycle to assess change after the implementation of the plan. 
5. Use technology to enhance inter-professional collaboration among the inter-professional team. 

Conclusion 

In conclusion, Disseminating evidence in nursing refers to communicating knowledge, insights, and research to other medical specialists. To disseminate evidence, one must make resources and information about an evidence-based intervention available to the intended audience. The spread of evidence-based practice is necessary to introduce new approaches to a specific audience. This video aimed at sharing knowledge and ideas regarding my intervention plan for obese hypertensive individuals. 

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

References

Ahmadi, S., Sajjadi, H., Nosrati Nejad, F., Ahmadi, N., Karimi, S. E., Yoosefi, M., & Rafiey, H. (2019). Lifestyle modification strategies for controlling hypertension: How are these strategies recommended by physicians in Iran? Medical Journal of the Islamic Republic of Iran, 33, 43. https://doi.org/10.34171/mjiri.33.43

Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage stakeholders in research: design principles to support improvement. Health Research Policy and Systems, 16(1). https://doi.org/10.1186/s12961-018-0337-6

CDC. (2020, January 28). Hypertension Resources for Health Professionals | cdc.gov. Centers for Disease Control and Prevention. https://www.cdc.gov/bloodpressure/educational_materials.htm

Chambers, C. T. (2018). From evidence to influence. PAIN, 159, S56–S64. https://doi.org/10.1097/j.pain.0000000000001327

Hansen, A. R., McLendon, S. F., & Rochani, H. (2021). Care coordination for rural residents with chronic disease: Predictors of improved outcomes. Public Health Nursing. https://doi.org/10.1111/phn.13038

Kohl, S., Schoenfelder, J., Fügener, A., & Brunner, J. O. (2018). The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals. Health Care Management Science, 22(2), 245–286. https://doi.org/10.1007/s10729-018-9436-8

Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., & Malata, A. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/s2214-109x(18)30386-3

McFarlan, S., O’Brien, D., & Simmons, E. (2019). Nurse-leader collaborative improvement project: Improving patient experience in the emergency department. Journal of Emergency Nursing, 45(2), 137–143. https://doi.org/10.1016/j.jen.2018.11.007

Nicolai, J., Müller, N., Noest, S., Wilke, S., Schultz, J.-H., Gleißner, C. A., Eich, W., & Bieber, C. (2018). To change or not to change – That is the question: A qualitative study of lifestyle changes following acute myocardial infarction. Chronic Illness, 14(1), 25–41. https://doi.org/10.1177/1742395317694700

Olowofela, A. O., & Isah, A. O. (2018). A profile of adverse effects of antihypertensive medicines in a tertiary care clinic in Nigeria. Annals of African Medicine, 16(3), 114–119. https://doi.org/10.4103/aam.aam_6_17

Purtle, J., Marzalik, J. S., Halfond, R. W., Bufka, L. F., Teachman, B. A., & Aarons, G. A. (2020). Toward the data-driven dissemination of findings from psychological science. American Psychologist, 75(8), 1052–1066. https://doi.org/10.1037/amp0000721

Rollet, Q., Bouvier, V., Moutel, G., Launay, L., Bignon, A.-L., Bouhier-Leporrier, K., Launoy, G., & Lièvre, A. (2021). Multidisciplinary team meetings: Are all patients presented, and does it impact the quality of care and survival – A registry-based study. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-07022-x

Shayesteh, H., Mirzaei, A., Sayehmiri, K., Qorbani, M., & Mansourian, M. (2018). Effect of an education intervention on the lifestyle of patients with hypertension among the rural population of Lorestan province. Journal of Lifestyle Medicine, 6(2), 58–63. https://doi.org/10.15280/jlm.2016.6.2.58

Sperry, R. C., & Jetter, A. J. (2019). A systems approach to project stakeholder management: Fuzzy cognitive map modeling. Project Management Journal, 50(6), 875697281984787. https://doi.org/10.1177/8756972819847870

Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-Based Care and Patient Satisfaction in the Hospital Setting: A Systematic Review. Advocate Aurora Health Institutional Repository. https://doi.org/10.17294%2F2330-0698.1695

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