Capella 4900 Assessment 4

Capella 4900 Assessment 4

Capella 4900 Assessment 4 Patient Family or Population Health Problem Solution

Name

Capella University

NURS-FPX 4900 Capstone project for Nursing

Prof. Name

Date

Patient, Family, or Population Health Problem Solution

Hypertension is a leading worldwide community health concern. The diagnosis of hypertension is confirmed when the blood pressure consistently rises to 130/80 mm Hg or higher. (Flack & Adekola, 2020). Worldwide, hypertension affects about 1 billion people at present. As per World Health Organization (WHO) estimates, this figure will continue to increase to 1.56 billion by 2025, comprising 29.2% of the world’s population (Riaz et al., 2021).

Family history, age, obesity, physical inactivity, and long-term stress are hypertension risk factors (Kokubo et al., 2019). The objective of this assessment is to intervene in Charles, who is suffering from hypertension. This intervention will be planned for a patient, Charles. Due to hypertension, Charles faces several challenges in his daily life. I will spend two practicum hours with Charles and make him aware of the solutions to his problem.

Role of Leadership and Change Management

Leadership is necessary for the healthcare team to deal with hypertension problems. Transformational leadership motivates healthcare employees to collaborate for better health outcomes (van Diggele et al., 2020). A transformational leader trusts in the teamwork of healthcare providers to manage hypertension treatment plans and improve overall health outcomes. This leadership approach encourages the healthcare team to take the initiative to control hypertension and play to their strengths (Bakker et al., 2022).

Change management, specifically Lewin’s Model, is essential in managing Charles’s hypertension. Kurt Lewin, an American social psychologist, proposed a model Lewin’s model that involved three stages of successful change management: Unfreezing, Changing, and Refreezing (Harrison et al., 2021). This approach assists the healthcare team in finding and managing Charles’s hypertension concerns. The healthcare team unfreezes old ideas and lifestyles about hypertension, such as smoking, alcohol consumption, being physically inactive, and not taking prescription drugs as instructed (Unfreezing). During the change stage, health professionals introduced healthy habits, such as dietary modifications, medication adherence, and lifestyle changes (Changing). The refreezing stage ensures these modifications become crucial to Charles’s daily regimen, supporting long-term blood pressure control (Refreezing) and general well-being (Harrison et al., 2021)

Lewin’s model is helpful in clinician-led change management because it provides an open and encouraging strategy to manage Charles’s hypertension and international standards of personalized health care. Every member of Charles’s health team is counseled to actively engage in the change process under this approach. Effective collaboration and transformational leadership enhance trust among the healthcare team, which improves Charles’s hypertension management and patient-centered care (Saleem et al., 2019). 

The Proposed Intervention

The planned intervention designed for the management of Charles’s hypertension is establishing educational sessions through telehealth. It aimed to raise awareness about hypertension and its management from easily accessible information and resources (Avcı et al., 2022). Tele-nursing establishes a constant and personal therapeutic relationship with Charles to educate him about healthy lifestyles and regimes that need to be followed. This will enable Charles to take charge of his health and make better decisions about lifestyle modification (Mohsen et al., 2020). By attending educational workshops, Charles will be aware of dietary guidelines, adherence to prescription medication, and increased physical activity, all of which contribute to effective hypertension management (Mohsen et al., 2020).

Influence of Leadership, Change Management and Ethics on Intervention

Transformative leadership is essential in managing Charles’s hypertension through forming a positive work atmosphere that prioritizes his health benefits. Leaders enable the healthcare team to apply creative approaches to hypertension management and prevention through effective communication and teamwork (Yücel, 2021). Additionally, by encouraging a patient-centered approach, nurses develop an understanding of all aspects of Charles’s health issues. Healthcare teams under transformative leadership create practical educational sessions and support to produce better health outcomes (Yücel, 2021).

Lewin’s model establishes the foundation for success, and transformational leadership creates an efficient and adaptive healthcare environment. With this model, Charles’s healthcare team can control his hypertension. First, it starts with unfreezing Charles’s preexisting beliefs and unhealthy habits like smoking and physical inactivity (Smith et al., 2022)In the second step, new interventions such as dietary modifications, weight reduction, medication adherence, and lifestyle changes are presented to improve Charles’s health outcomes. Refreezing, the last step, reinforces the earlier interventions, such as eating lots of fruits, vegetables, whole grains, and fish, providing an adequate foundation for long-term hypertension control (Smith et al., 2022).

Capella 4900 Assessment 4

As used in treating hypertension, change management is a systematic method of implementing and managing changes in Charles’s unhealthy habits. Achieving more effective and long-lasting hypertension control involves implementing strategic interventions to reduce sodium intake, increase physical activity, and quit smoking (Kokubo et al., 2019). Effective change management encourages collaboration among healthcare professionals, facilitating changes in Charles’s behavior (Kho et al., 2020).

Healthcare ethical interventions ensure ethical and caring behavior by employing a high priority on Charles’s well-being. Healthcare teams use the ethical principle of respect and autonomy, enabling Charles and his team to make shared, educated decisions like a healthy diet and increased physical activity to get better outcomes (Andersson et al., 2022). The team can employ the maleficence principle that implies preventing harm to Charles. Nurses safeguard the rule of beneficence, prioritizing Charles’s safety and well-being in interventions and decisions. The interventions for Charles’s hypertension treatment are justified by ethical standards (Varkey, 2021).

Strategies for Communicating and Collaborating with Patients

To provide integrated care, Charles needs beneficial communication and collaboration strategies. Effective interdisciplinary collaboration requires mutual respect, shared goals, and effective communication. Implementing a collaborative approach in Charles’s hypertension care facilitates creating a complete and personalized care plan to achieve optimal effectiveness (Walton et al., 2019). Interprofessional bedside rounds promote efficient communication in larger hospitals. Regular visits to multidisciplinary teams and shared decision-making promote effective collaboration and enhance Charles’s health (Walton et al., 2019).

Empathy is an essential communication skill involving healthcare providers to ensure awareness and trust in Charles’s situation. An effective integrated group collaborates to share knowledge and appreciate patient needs, preferences, and experiences (Moudatsou et al., 2020). The main aspects of empathy include behavioral, cognitive, and emotional. Healthcare providers supervise Charles’s condition by revealing their capacity to understand his emotional state, acting in a supportive manner, and using cognitive understanding to provide patient-centered care (Moudatsou et al., 2020).

Charles will be actively involved in shared decision-making, resulting in more specific and educated hypertension management plans that meet his needs and goals. Shared decision-making involves cooperative talks between Charles and his medical team (Boland et al., 2019). It supports mutual agreement on the treatment plan, Charles’s beliefs, preferences, and recent medical information. Specific evidence-based interventions improve patient-physician communication, give Charles greater autonomy, and match treatment regimens to Charles’s values and preferences (Boland et al., 2019).

Nursing Practice Standards and Organizational or Governmental Policies

The American Nurses Association (ANA) provides specific guidelines about the data and skills required of all registered nurses. It emphasizes the value of ethical support and caring for Charles while understanding the interdisciplinary and connectivity with the healthcare team (Kreitzer et al., 2022). Charles’s hypertension care is guided by ANA, which establishes guidelines, emphasizes empathy and advocacy, and ensures that nurses deliver skilled and morally responsible care. It guarantees that all nurses fulfill professional standards, irrespective of their position or environment. ANA supported Charles’s treatment, which sets guidelines and guarantees personalized care. It takes educational initiatives and encourages an integrated hypertension management approach (Kreitzer et al., 2022). 

The American Heart Association (AHA) takes action against hypertension by raising awareness, lifestyle changes, and giving medical professionals evidence-based recommendations. The American Heart Association (AHA) seeks to improve cardiovascular health, concentrating on initiatives, early detection, improvement of lifestyle, and cooperative efforts to reduce the risk of hypertension (American Heart Association, 2023).

Research showed the ways staffing, care coordination, technology integration, and implementation affect the health of Charles. Examples include investigating promising, evidence-based components like Electronic Health Records (EHR), team-based care, telemedicine, and creative care team structures. These tactics and elements work well because they address multi-level factors influencing adherence and results while systematically advancing hypertension care within a population health framework (Drake et al., 2022)

Capella 4900 Assessment 4

Telehealth interventions improve the management of hypertension by offering real-time communication with healthcare professionals, frequent virtual check-ins, and remote monitoring. This strategy encourages prompt modifications to treatment plans, raises Charles’s involvement, and provides ongoing support, all of which improve adherence and overall results in managing hypertension. (Drake et al., 2022)

The federal law, Health Insurance Portability and Accountability Act (HIPAA) protects patient health information nationwide from being leaked to third parties without Charles’s permission. Data security measures must be improved due to the growing demand for delivering, storing, and retrieving healthcare information (Basil et al., 2022). HIPAA requires EHR to be protected from unauthorized access. 

Healthcare institutions access several strategies to strengthen their databases’ security, including firewalls, Firefox technology, and encoding. Effective strategies can strengthen the security of health records databases, such as educating staff members about privacy protection and promoting awareness of privacy issues. When managing hypertension, nurses follow the HIPAA guidelines. In order to protect Charles’s privacy and rights, they follow HIPAA regulations, handle patient information securely, and maintain confidentiality (Basil et al., 2022).

Quality, Safety, and Cost Considerations of Proposed Interventions

The hypertension solution planned for Charles will progress care, patient safety, healthcare organization, and patient cost. Charles has more access to care because of telehealth, which remotely shares medical information (Omboni et al., 2020). The best telehealth model for managing hypertension includes medication adherence, lifestyle modification, and conducting educational sessions. This awareness allows Charles to participate actively in his healthcare decisions and improve health outcomes (Omboni et al., 2020). Telehealth lowers travel costs, which reduces patient expenditure associated with managing hypertension. Remote monitoring, quick interventions, and improved medication adherence enhance Charles’s safety and quality. It ensures effective healthcare delivery and decreases patients’ overall burden (Hawlik et al., 2021).

The HIPAA is an essential resource in the maintenance and accessibility of medical data. Its quality can be improved by introducing a safe and analytical method of handling records in hospital databases. By delivering thorough patient information and placing a high value on privacy and information, this approach guarantees increased quality, trust in the healthcare system, and improved well-being consequences (Mbonihankuye et al., 2019). It can improve the efficiency of healthcare operations by lowering patient costs through rationalizing administrative procedures, reducing paperwork, and guaranteeing secure electronic handling of health information (Mbonihankuye et al., 2019).

Benchmark Data

In order to improve hypertension intervention, the Agency for Healthcare Research and Quality (AHRQ) supports research, distributes essential resources, and encourages evidence-based practices. AHRQ raises the standard for hypertension care worldwide by focusing on patient-centered care, better communication, and advanced techniques while encouraging collaboration and educating Charles to achieve better health outcomes (Stocking et al., 2020).

Technology, Care Coordination, and Community Resources Considerations

Charles’s hypertension treatment requires technical advances, care coordination, and community resources. Charles can manage his hypertension through telehealth video conferencing, which offers remote access to medical professionals (Clark et al., 2021). It allows regular meetings, immediate consultations, and lifestyle modification education. This endorses overall hypertension management, increases adherence, and makes individualized treatment easier (Clark et al., 2021). Charles uses technology to change his diet to lower his blood pressure and increase his physical activity. He can track food choices, set fitness goals, and monitor activity levels by using fitness and nutrition-tracking apps, which will help him contribute to a healthier lifestyle. Virtual fitness programs and telehealth sessions with a dietitian can also offer guidance and support (Truong et al., 2022).

To provide combined care, Charles needs useful communication and collaboration strategies. Effective interdisciplinary collaboration strategy requires shared respect, goals, and effective communication. Implementing a collaborative approach in Charles’s hypertension care helps create a complete and personalized care plan to obtain optimal effectiveness (Walton et al., 2019). Interprofessional bedside rounds promote efficient communication in larger hospitals. Regular visits to multidisciplinary teams and shared decision-making promote effective collaboration and enhance Charles’s health (Walton et al., 2019).

Capella 4900 Assessment 4

In order to promote awareness, education, and support for managing hypertension, the Centers for Disease Control and Prevention (CDC) provides community resources. These resources include policies, educational materials, and initiatives enabling Charles to screen for hypertension, modify his lifestyle, increase physical activity, and implement early interventions (CDC, 2019).

The American Heart Association offers lifestyle counseling, such as stopping smoking, increasing physical activity, and maintaining a healthy diet. All these interventions enhance Charles’s health. Educational materials, networking opportunities, and other community resources are crucial for managing hypertension. With these resources, Charles can become healthier, perform screenings, and take proactive steps to manage hypertension effectively (American Heart Association, 2023).

Efficient care coordination and community resources improve Charles’s hypertension management, involving his doctors, family, and available community services. A personalized approach, such as precision medicine, is preferred over a population-based strategy that fits all individuals due to recognizing differences in genetic predisposition and underlying mechanisms for high blood pressure (Omboni, 2019).

Conclusion

In conclusion, Charles’s hypertension management is improved by an integrated strategy that uses technology, leadership, ethical issues, and community resources. The interdisciplinary strategy guarantees improved health outcomes, medicine adherence, and patient-centered care. By attending education workshops through telehealth, Charles can better understand hypertension management, which will lead to better health outcomes.

References

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Clark, A., EL Moudden, I., & Dodani, S. (2021). Abstract P127: Heals Med-Tech: A hypertension control program for African American communities using telehealth technologies. Hypertension78(Suppl_1). https://doi.org/10.1161/hyp.78.suppl_1.p127

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Hawlik, H. M., Moran, A., Zerihun, L., Usseglio, J., Cohn, J., & Gupta, R. (2021). Telemedicine interventions for hypertension management in low- and middle-income countries: A scoping review. PLOS ONE16(7), e0254222. https://doi.org/10.1371/journal.pone.0254222

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Mbonihankuye, S., Nkunzimana, A., & Ndagijimana, A. (2019). Healthcare data security technology: HIPAA compliance. Wireless Communications and Mobile Computing2019(1), 1–7. https://doi.org/10.1155/2019/1927495

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Saleem, S., Sehar, S., Afzal, M., Jamil, A., & Gilani, Dr. S. A. (2019). Accreditation: application of kurt lewin’s theory on private health care organizationanl change. Saudi Journal of Nursing and Health Care02(12), 412–415. https://doi.org/10.36348/sjnhc.2019.v02i12.003

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Takahashi, E. A., Schwamm, L. H., Adeoye, O. M., Alabi, O., Jahangir, E., Misra, S., & Still, C. H. (2022). An overview of telehealth in the management of cardiovascular disease: A scientific statement from the American heart association. Circulation146(25). https://doi.org/10.1161/cir.0000000000001107

Truong, M., Yeganeh, L., Cook, O., Crawford, K., Wong, P., & Allen, J. (2022). Using telehealth consultations for healthcare provision to patients from non-Indigenous racial/ethnic minorities: A systematic review. Journal of the American Medical Informatics Association29(5). https://doi.org/10.1093/jamia/ocac015

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Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice30(1), 17–28. https://doi.org/10.1159/000509119

Walton, V., Hogden, A., Long, J. C., Johnson, J. K., & Greenfield, D. (2019). How do interprofessional healthcare teams perceive the benefits and challenges of interdisciplinary ward rounds. Journal of Multidisciplinary HealthcareVolume 12(1), 1023–1032. https://doi.org/10.2147/jmdh.s226330

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