NURS FPX 4900 Assessment 1 Assessing the Problem Leadership, Collaboration, Communication, Change Management, and Policy Considerations
Population Health Problem
Hello fellow students, this is going to be a video of reflection for my capstone. This is for class NURS FPX 4900 Assessment 1 Assessing the Problem Leadership, Collaboration, Communication, Change Management, and Policy Considerations, enjoy. This capstone project was created to address heart disease within my family.
Heart Problems and Cardiovascular Diseases: Scenario
This is about a female patient, my grandmother, and my mother. They are my patients. My grandmother previously had health issues, including a heart attack and a stroke, which have left her with mobility and vision issues. She has had chronic hypertension related to nonadherence to her medication regimens and lifestyle habits.
Patient Family
My mother, who is also her caregiver, struggles with hypertension as well, is pre-diabetic, has insomnia, and has experienced caregiver burnout for years. They both lack the consistency, urgency, and discipline to follow recommendations to manage their disease process successfully. Over time, this has led to the worsening of the condition, with other complications stemming from this disease.
Population Health Problem Solution
My goal with this capstone project is to effectively bring awareness to the issue and create an intervention to inspire change. The desired outcome would be for the patients to accept the need for a change and make a consistent effort towards improving their lifestyle habits for the change to be effective and continuous as an intervention. I have created a brochure covering the primary categories that, if modified, will significantly impact the patient’s life. These categories include medication adherence, the DASH diet, exercise, stress management, fall prevention, and community resources available for the patient and caregiver as highlighted in the assessment paper, NURS FPX 4900 Assessment 1 Assessing the Problem Leadership, Collaboration, Communication, Change Management, and Policy Considerations
Implementation of Evidence
We have had multiple meetings over the past few weeks. I tried to teach in small doses over multiple times in a day or multiple interactions every day. The meetings were primarily held in the patient’s house, on the go, in the car, at the store, or in the hospital—wherever the patient was. By providing microdoses of information, I noticed better retention and less overwhelming responses from the caregiver and patient.
NURS FPX 4900 Assessment 1
Population Health Problem
Related Sample:
Senior Health Care
For example, if we were taking my grandmother’s blood pressure and it was high, I would provide immediate education based on guidance from the American Heart Association and the CDC. Topics included proper positioning for blood pressure measurements, medication adherence, and stress management techniques.
Barriers to Implementation
When presenting the intervention to the family, the caregiver agreed that this was an issue and recognized the adverse effects of disease mismanagement. However, cultural norms, caregiver fatigue, and environmental disruptions posed significant barriers to implementation. It required consistent reinforcement and collaboration to overcome these challenges.
Leadership Strategies and Change Management
By applying leadership strategies such as clear communication, patience, and adaptability, I was able to engage the caregiver and patient. My approach included aligning interventions with the patient’s daily activities, ensuring manageable adjustments, and emphasizing the long-term benefits of these changes.
Cost Considerations
The implementation of these strategies was cost-effective as it relied on readily available community resources, such as those provided by the CDC and local health departments. This ensured that financial barriers did not impede progress.
Management and Policy Considerations
Through this experience, I recognized the importance of policies and guidelines that support patient education and consistent follow-up. Patients often face gaps in communication and collaboration among healthcare professionals, leading to inadequate understanding and adherence to care plans. Policies should ensure that all medical healthcare professionals provide culturally sensitive care.
Practices and Patient Outcomes
My intervention included creating a medication calendar, engaging the caregiver in stress management activities, and utilizing community resources such as Meals on Wheels and transportation services. This holistic approach enhanced patient safety, improved adherence, and fostered a positive environment for sustainable change.
Complex Healthcare Issues and Nursing Actions
The complexities of managing chronic diseases, particularly within a culturally influenced household, highlighted the critical role of informed nurses in advocating for patient-centered care. By addressing these complex issues, I was able to develop actionable solutions that integrated effective leadership, collaboration, and data guidance.
NURS FPX 4900 Assessment 1
Population Health Problem
Conclusion
In my practice, I will continue to customize my teaching delivery to meet each patient’s unique needs. This experience has underscored the pivotal role nurses play in healthcare organization and policy development. By focusing on evidence-based strategies, patient education, and collaboration, nurses can significantly impact patient outcomes and overall healthcare procedures.
Thank you very much for taking the time to read my presentation. Have a wonderful day.
References:NURS FPX 4900 Assessment 1 Assessing the Problem Leadership, Collaboration, Communication, Change Management, and Policy Considerations
-
Birch, K., Ling, A., & Phoenix, B. (2020). Psychiatric nurse practitioners as leaders in behavioral health integration. The Journal for Nurse Practitioners, 17(1).
-
Campbell, C., Ordunez, P., Giraldo, G., Rodriguez, A., Lombardi, C., Khan, T., Padwal, R., Tsuyuki, T., & Varghese, C. (2021): A global program to reduce cardiovascular disease burden: Experience implementing in the Americas and opportunities in Canada. The Canadian Journal of Cardiology, 37(5), 744–755.
-
DeFilippis, M., Stefanescu, C., & Reza, N. (2020). Adapting the educational environment for cardiovascular fellows-in-training during the COVID-19 pandemic. Journal of the American College of Cardiology, 75(20), 2630–2634.
-
Nicholls, J., Nelson, M., Astley, C., Briffa, T., Brown, A., Clark, R., Colquhoun, D., Gallagher, R., Hare, L., Inglis, S., Jelinek, M., O’Neil, A., Tirimacco, R., Vale, M., & Redfern, J. (2020). Optimizing secondary prevention and cardiac rehabilitation for cardiovascular disease during the COVID-19 pandemic: A position statement from the cardiac society of Australia and New Zealand (CSANZ). Heart, Lung and Circulation, 29(7), e99–e104.
-
Pallazola, A., Davis, M., Whelton, P., Cardoso, R., Latina, M., Michos, D., Sarkar, S., Blumenthal, S., Arnett, K., Stone, J., & Welty, K. (2019). A clinician’s guide to healthy eating for cardiovascular disease prevention. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 3(3), 251–267.
-
Pereira, C., Silva, N., Carvalho, S., Zanghelini, F., & Barreto, M. (2022). Strategies for the implementation of clinical practice guidelines in public health: An overview of systematic reviews. Health Research Policy and Systems, 20(1).
-
Stollenwerk, D., Kennedy, L., Hughes, L., & O’Connor, M. (2019). A Systematic Approach to Understanding and Implementing Patient-Centered Care. Family Medicine.
-
White, C., Rossi, P., Bittner, A., Driscoll, A., Durant, W., Granger, B., Graven, J., Kitko, L., Newlin, K., & Shirey, M. (2020). Addressing social determinants of health in the care of patients with heart failure: A scientific statement from the American heart association. Circulation, 141(22).
-
Wood, A., Mahmud, E., Thourani, H., Sathananthan, J., Virani, A., Poppas, A., Harrington, R. A., Dearani, A., Swaminathan, M., Russo, M., Blankstein, R., Dorbala, S., Carr, J., Virani, S., Gin, K., Packard, A., Dilsizian, V., Légaré, F., Leipsic, J., & Webb, G. (2020). Safe reintroduction of cardiovascular services during the COVID-19 pandemic. Journal of the American College of Cardiology, 75(25), 3177–3183.
-
Yasin, M., Kerr, S., Wong, A., & Bélanger, H. (2019). Factors affecting nurses’ job satisfaction in rural and urban acute care settings: A PRISMA systematic review. Journal of Advanced Nursing, 76(4), 963–979. NURS FPX 4900 Assessment 1 Assessing the Problem Leadership, Collaboration, Communication, Change Management, and Policy Considerations