Name
Capella University
NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1
Prof. Name
Date
The under-diagnosis and undertreatment of hypertension and Chronic Obstructive Pulmonary Disease (COPD) present significant challenges in primary care, where the focus is often on addressing physical health disparities such as hypertension, depression, and COPD. These health conditions can severely impact patients’ lives. However, anxiety and hypertension can be effectively managed and treated through Quality Improvement (QI) models, as demonstrated in various scenarios. A critical solution to this healthcare issue is providing improved access to mental health facilities for patients. This enables the integration of change management models such as the Plan-Do-Study-Act (PDSA) cycle and the use of Cognitive Behavioral Therapy (CBT) for mental health disorders. Additionally, healthcare institutions should focus on training more nurses in conducting remote and collaborative CBT sessions, improving the overall quality of life for patients (Khan, 2019).
The application of Quality Improvement (QI) methods is essential to achieving the desired healthcare outcomes. These methods utilize change management principles to enhance the treatment of conditions such as hypertension, depression, and anxiety (Kyrou & Karteris, 2020). A critical aspect of improving outcomes, particularly in the management of Polycystic Ovarian Syndrome (PCOS), is the development of an action plan that addresses not only the physical symptoms and medications but also the prevention of underdiagnosis. Cognitive Behavioral Therapy (CBT) has been shown to positively influence glucose metabolism and enhance patient well-being. Once the action plan is in place, a concept map is developed to facilitate collaboration among healthcare professionals, patients, and their families, which ultimately increases satisfaction (Khan, 2019).
The PDSA cycle is a method that can be used to implement change effectively, especially among nursing staff. By breaking down complex tasks into manageable steps, the PDSA cycle aids in decision-making and promotes the continuous improvement of healthcare services (Donnelly, 2021).
Numerous scholars assert that continuous, collaborative efforts among nurses, clients, and various stakeholders, including researchers and surgeons, are pivotal to improving patient care, particularly in the context of Cognitive Behavioral Therapy (CBT) (Khan, 2019). For instance, the cautious use of Benzodiazepines has been shown to reduce headaches and tremors in hypertension patients (Kyrou, 2020). The success of these strategies largely depends on the ability of nurses and stakeholders to collaborate effectively, communicate openly, and share knowledge. Patient-focused approaches that address the specific needs of individuals are more effective in achieving positive outcomes than generic treatment plans.
Heading 1: Quality Improvement Methods | Heading 2: Evidence Supporting QI Methods | Heading 3: Outcomes and Benefits |
---|---|---|
QI methods based on change management principles | Continuous collaboration among nurses, clients, and stakeholders | Enhanced patient care, particularly with CBT |
Development of action plans for conditions like PCOS | Use of Benzodiazepines for symptom management in hypertension | Reduction of symptoms like headaches and tremors |
PDSA cycle for implementing change in healthcare settings | Patient-focused approaches for better outcomes | Improved quality of life for patients |
Training nurses for remote CBT sessions | Communication and collaboration among healthcare professionals | Increased satisfaction and patient safety |
The proposed change strategies emphasize the importance of both pharmacological and non-pharmacological interventions in the management of chronic conditions such as hypertension and COPD (Borsches, 2019). Inter-professional collaboration plays a significant role in identifying and addressing gaps in patient safety and quality improvement initiatives. By enhancing communication and utilizing tools such as videoconferencing and remote collaboration, healthcare professionals can improve patient outcomes while also boosting their professional confidence and job satisfaction (Lim et al., 2019). These strategies also support healthcare organizations by optimizing financial resource use and reducing knowledge gaps.
An inter-professional approach is essential in addressing both the psychological and physiological needs of patients with conditions like PCOS and hypertension. Telehealth, automated tools, and pharmacological interventions offer benefits not only to patients but also to healthcare organizations. Training nurses to manage chronic conditions such as diabetes and hypertension enables them to assist patients in lifestyle modifications, resulting in improved health outcomes and reduced hospital readmissions. Through teamwork, healthcare professionals can share knowledge and responsibilities, ultimately improving patient safety and the quality of care provided.
Borsches, Y. Y., Uspensky, Y. P., & Galagudza, M. M. (2019). Pathogenetic pathways of cognitive dysfunction and dementia in metabolic syndrome. Life Sciences, 237, 116932.
Donnelly, P., & Kirk, P. (2021). Use the PDSA model for effective change management. Education for Primary Care, 26(4), 279-281.
Khan, M. J., Ullah, A., & Basit, S. (2019). Genetic basis of polycystic ovary syndrome (PCOS): Current perspectives. The Application of Clinical Genetics, 12, 249–260. https://doi.org/10.2147/TACG.S200341
Kyrou, I., Karteris, E., Robbins, T., Chatha, K., Drenos, F., & Randeva, H. S. (2020). Polycystic ovary syndrome (PCOS) and COVID-19: An overlooked female patient population at potentially higher risk during the COVID-19 pandemic. BMC Medicine, 18(1), 220. https://doi.org/10.1186/s12916-020-01697
Lim, S., Smith, C. A., Costello, M. F., MacMillan, F., Moran, L., & Ee, C. (2019). Barriers and facilitators to weight management in overweight and obese women living in Australia with PCOS: A qualitative study. BMC Endocrine Disorders, 19(1), 106. https://doi.org/10.1186/s12902-019-0434-8
Sookoian, S., & Pirola, C. J. (2019). Shared disease mechanisms between non‐alcoholic fatty liver disease and metabolic syndrome–translating knowledge from systems biology to the bedside. Alimentary Pharmacology & Therapeutics, 49(5), 516-527.
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