Patient Family or Population Health Problem

Summary of the Population Health Problem

In today’s world, where some diseases occur solely due to lifestyle choices, understanding disease dynamics is an academic and professional imperative for all healthcare providers. In previous assignments, I identified adult hypertensive patients as the most pressing issue to address. Hypertension, the most common preventable risk factor for cardiovascular (CVD) events and all-cause mortality, affects approximately 1.38 billion people, or 31.1% of the world’s population (Mills et al., 2020).

Patient Family or Population Health Problem

Furthermore, Mills et al. (2020) estimate that in 2015, the estimated number of all-cause deaths associated with systolic blood pressure ≥110-115 mm Hg was 10.7 million (19.2% of all deaths), and 7.8 million (14.0% of all deaths) with systolic blood pressure ≥140 mm Hg (Mills et al., 2020). Besides the deaths, hypertension is a significant risk factor for chronic kidney disease (CKD) and end-stage renal disease (ESRD), increasing the burden on patients suffering from the condition.

Not to mention the high cost of care, with Kirkland et al. (2018) estimating that hypertensive patients have nearly $2000 more annual healthcare expenditure than non-hypertensive patients and that the US healthcare system spends approximately $131 billion on hypertension each year.

Nurses, who make up most of the healthcare workforce, make significant contributions to the management of hypertensive patients through their efforts in screening and identifying the patients, treatment, education, and follow-up. The following discussion expands the role of leadership and collaborative strategies in the quest to solve the identified population health problem.

Role of Leadership and Change Management in addressing the Problem

Leadership acts as the engine of an organization, providing the fuel and the gist to keep the organization moving. Leaders, therefore, are the drivers that steer the wheels of the organization, providing direction, sense, and the motive to keep going.

Leadership is undoubtedly crucial in the telemedical approach to hypertensive patients – the proposed solution to the population health problem. While there are numerous leadership strategies, an organization only picks a few that syncs with their objectives and will help them achieve the strides of change selected. Defining and communicating the vision is a key initial strategy for leadership.

A vision is described as a vivid and aspirational leadership strategy that paints a picture of the organization’s future (Ferreira et al., 2022). The purpose drives care providers and anybody affiliated with a healthcare organization to do what they do daily to achieve their intended objectives.

For example, during the implementation of the telemedical management of adult hypertensive patients, it is essential to highlight the key objectives the organization intends to achieve: improved patient quality, improved patient safety, and reduced costs of care. A care team cognizant of the crystal-clear definition of the destination expected strives and puts in all their efforts to reach it.

As a leadership strategy, recognition ensures that employees are appreciated and valued, fostering a sense of commitment and engagement. When people go above, and beyond their expectations, celebration and recognition are excellent ways to motivate them. Furthermore, the delegation of duties, as a leadership strategy, demonstrates that a leader entrusts someone with a position of responsibility and may foster a sense of self-worth, thereby improving performance (Ferreira et al., 2022).

In the case of the telemedical approach to adult hypertensive patients, it is critical to credit nurses when the patients’ blood pressure control improves. Leaders must also not overcommit to the path of leadership, depriving themselves of opportunities for growth and development. Great leaders commit to a path of ongoing development and refinement that includes continuing education, skill application, and internal and external networking (Ferreira et al., 2022). When they gain new knowledge and skills, they also empower others to help the organization succeed.

There is no doubt that change is inextricably linked to growth. Changing patient management from the traditional patient-provider physical interaction to telemedical intervention is critical to improving patient quality and safety while lowering care costs.

The highlighted leadership strategies are potent change drivers; however, necessary prerequisites such as financial resources, technology infrastructure, and human personnel must be in place. The attitude of those involved in implementing the change is critical in the process of change, heralding the concept of nursing ethics.

The desired intervention must be beneficial (beneficence), not harmful to patients (non-maleficence), protect patients’ right to self-determination (autonomy), and provide equal treatment to all patients regardless of their differences (justice). Ethics serves as a moral operating standard, limiting patient mistreatment while also protecting nurses from mishaps such as medicolegal issues.

Strategies for Communication and Collaboration

Communication is a critical component in achieving healthcare goals. Adult hypertensive patients must be communicated within the most straightforward prose possible for ease of comprehension. When speaking with patients, caregivers must avoid using complex medical terminology. Instead of telling them they have hypertension, it could be addressed as elevated blood pressure.

Collaboration with the patient is also an essential aspect of patient-centered care. Patients must be treated with the dignity and respect they deserve. This includes a respectful conversation between the provider and the patients and listening to and considering their concerns about care (Naughton, 2018). Since patient-centered care necessitates considering patients’ needs and preferences, mutual respect provides a platform for both parties to reach an amicable agreement.

Collaboration with the patient and family members must also be encouraged to achieve patient-centered care. Patients and family members must be treated as partners, not just as clients in desperate need of treatment. This may necessitate a negotiation between the provider and the family to determine when they can receive health education and information on their patient’s progress.

Also, as part of the negotiation, a care provider may inquire whether home care for the patient is feasible or whether complete recovery should be permitted within the hospital before discharge home.

State Board Nursing Practice Standards and Organizational or Governmental Policies Impact on the Proposed Intervention

Nurses are bound to operate by a set of rules and standards that ensure their professionalism. All registered nurses (RNs) in all practice settings are subject to the standard of practice. First and foremost, nurses must be accountable and responsible to their patients and must practice with competence, safety, ethics, and compassion (Nurses Association of New Brunswick, 2020).

An RN must accept accountability for their actions, inactions, decisions, and behavior. While providing care via telemedicine, RNs must be fully accountable and responsible to their patients regarding screening and identifying hypertensive clients, treatment, referrals, and follow-up, which directly translates to better patient care. Second, RNs must practice with evidence-informed knowledge, skills, and judgment. Medicine and nursing constantly evolve in quest of better ways to manage patients.

Research has significantly contributed to the ongoing evolution of patient management strategies. RNs are thus expected to be current with information obtained from peer-reviewed literature, national and organizational guidelines, and recommendations. The effectiveness of the telemedical approach to adult hypertensive patients was demonstrated through research, resulting in increased use of the intervention today.

Client-centered care is another nursing practice standard. Client-centered care necessitates that caregivers seek to determine their patient’s needs and preferences and use them as decision-making criteria (Nurses Association of New Brunswick, 2020).

The RN is responsible for being present and acting professionally, communicating with patients respectfully, protecting patients’ privacy and confidentiality, assisting clients with self-management of their health, and respecting patient diversity and cultural differences. Patients are at risk of having their privacy and confidentiality violated due to the use of technology.

An RN’s role is thus to implement strategies to protect patients’ health information from unauthorized access and to ensure patients’ confidentiality (Nurses Association of New Brunswick, 2020). The fourth standard, professional relationships, and leadership, requires nurses to use resources effectively and efficiently, communicate effectively and respectfully with team members, advocate for public policies, and advocate for a quality professional practice environment (Nurses Association of New Brunswick, 2022). In conjunction with other resources, the four nursing practice standards promote adequate care provision that achieves patient quality and safety while lowering care costs.

How the Proposed Intervention Improves Quality of Care, Enhances Patient Safety, and Reduces Costs

The proposed intervention, a telemedical approach to care for adult hypertensive patients, is associated with numerous advantages. The intervention aids in the establishment and maintenance of a long-term relationship between providers and patients.

Furthermore, it enables patient empowerment by influencing their knowledge, attitude, and behaviors through real-time interaction, which improves medication adherence, overall self-management skills, and the patient’s medical condition (Omboni et al., 2020). Telemedicine’s technological innovation improves care providers’ collaboration and cooperation, information sharing, and decision support, resulting in increased organizational effectiveness.

In the Covid19 era, telemedical interventions have enabled the continuity of care without needing a physical relationship between the patient and the provider, lowering the patient’s risk of contracting the dreadful infectious disease and improving their safety.

Furthermore, telemedicine allows for the monitoring, tracking, and communicating of biometric data, increasing patient engagement in their care and fostering client-centered care (Omboni et al., 2020). In addition to improving patient quality and safety, telemedicine lowers long-term healthcare costs. Telemedicine services, for example, provide hypertensive patients with access to diagnostic services such as ambulatory blood pressure monitoring or ECG without the need to travel long distances, which is often an expensive venture.

How Technology, Care Coordination, and the Utilization of Community Resources can be applied in Addressing the Problem

My approach to solving the Problem is heavily reliant on technology. Telemedical approaches, particularly telemonitoring, have shown promise in improving patient care, particularly in the Covid19. Data collection techniques, such as blood pressure machines with sensors, wired or wireless technologies (Bluetooth and WI-FI), and platforms enabling patient-provider interactions, such as web portals and websites, are among the technology devices used (Omboni et al., 2020).

Sometimes the most basic methods of patient-provider interaction, such as phone calls, text messages, emails, and smartphone apps, can be used. This technological approach allows for real-time interaction between the patient and care providers, facilitating patient education on self-management practices and, as a result, improving blood pressure control. Care coordination enables the orchestration of various patient care activities to facilitate a smooth care undertaking and improve an organization’s effectiveness.

Care coordination ensures that all healthcare professionals assigned to the telemedical approach for adult hypertensive patients have their roles and responsibilities clearly defined and delegated. Care coordination is supplemented by effectively utilizing community resources relevant to the defined population.

Football fields, swimming pools, cycling events, and organizations that promote healthy eating are examples of community resources relevant to adult hypertensive patients. Combining technology with effective care coordination and proper utilization of community resources is a resourceful step toward achieving patient quality, patient care safety, and cost-effective care services.

Conclusion

Leadership and collaboration are essential aspects of providing quality healthcare. While leadership is the engine that fuels and directs the organization, collaboration ensures that healthcare professionals work in integration to achieve patient care objectives. Leaders are thus valuable for an organization because they provide direction by communicating a crystal-clear vision, promote effective communication platforms, and ensure employees are perpetually content working for the organization.

The leadership and collaborative strategies used to provide care to adult hypertensive patients via telemedicine determine whether the objectives are met or not. Care coordination and community resource use can help accelerate the implementation process and achieve objectives.

Even though humans are prone to error, and the telemedical intervention may derail due to care provider inertia, adhering to nursing ethics protects patients from any potential harm caused by the intervention and care providers from potential medicolegal actions.

References

Ferreira, T. D. M., de Mesquita, G. R., de Melo, G. C., de Oliveira, M. S., Bucci, A. F., Porcari, T. A., Teles, M. G., Altafini, J., Dias, F. C. P., & Gasparino, R. C. (2022). The influence of nursing leadership styles on the outcomes of patients, professionals and institutions: An integrative review. Journal of Nursing Management30(4), 936–953. https://doi.org/10.1111/jonm.13592

Kirkland, E. B., Heincelman, M., Bishu, K. G., Schumann, S. O., Schreiner, A., Axon, R. N., Mauldin, P. D., & Moran, W. P. (2018). Trends in healthcare expenditures among US adults with hypertension: National estimates, 2003-2014. Journal of the American Heart Association7(11). https://doi.org/10.1161/JAHA.118.008731

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews. Nephrology16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2

Naughton, C. (2018). Patient-Centered Communication. Pharmacy (Basel, Switzerland)6(1), 18. https://doi.org/10.3390/pharmacy6010018

Nurses Association of New Brunswick. (2022, July 28). Nursing standards. NANB. http://www.nanb.nb.ca/practice/standards

Omboni, S., McManus, R. J., Bosworth, H. B., Chappell, L. C., Green, B. B., Kario, K., Logan, A. G., Magid, D. J., Mckinstry, B., Margolis, K. L., Parati, G., & Wakefield, B. J. (2020). Evidence and recommendations on the use of telemedicine for the management of arterial hypertension: An international expert position paper: An international expert position paper. Hypertension76(5), 1368–1383. https://doi.org/10.1161/HYPERTENSIONAHA.120

Patient Family or Population Health Problem Instructions

Introduction

In your first three assignments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.

Instructions

Complete this assignment in two parts: Develop an intervention as a solution to the problem and submit your proposed intervention, with a written analysis, to your instructor for review and approval.

Part 1

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 have shaped your understanding of the problem, as follows:

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

Some appropriate interventions include:

  • Creating an educational brochure.
  • Producing an educational voice-over PowerPoint presentation or video focusing on your topic.
  • Creating a teaching plan for your patient, family, or group.
  • Recommending work process or workflow changes addressing your topic.

Part 2

Submit your proposed intervention to your instructor for review and approval.

In a separate written deliverable, write a 5–7 page analysis of your intervention.

  • Summarize the patient, family, or population problem.
  • Explain why you selected this problem as the focus of your project.
  • Explain why the problem is relevant to your professional practice and to the patient, family, or group.

In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assignment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

  • Define the role of leadership and change management in addressing a patient, family, or population health problem, and include a copy of the intervention/solution/professional product.
    • Explain how leadership and change management strategies influenced the development of your proposed intervention.
    • Explain how nursing ethics informed the development of your proposed intervention.
    • Include a copy of the intervention/solution/professional product.
  • Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
    • Identify the patient, family, or group.
    • Discuss the benefits of gathering their input to improve care associated with the problem.
    • Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.
  • Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.
    • Cite the standards and/or policies that guided your work.
    • Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
  • Explain how a proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
    • Cite evidence from the literature that supports your conclusions.
    • Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
  • Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.
    • Cite evidence from the literature that supports your conclusions.
  • Write concisely and directly, using active voice.
  • Apply APA formatting to in-text citations and references.

Additional Requirements

  • Format: Format the written analysis of your intervention using APA style. APA Style Paper Tutorial [DOCX]Links to an external site. is provided to help you in writing and formatting your paper. Be sure to include the following:
    • A title page and reference page. An abstract is not required.
    • Appropriate section headings.
  • Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
  • Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
  • Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Portfolio Prompt: You are required to save this learning activity to your ePortfolioLinks to an external site.. After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies.

Competencies Measured

By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and grading criteria:

  • Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
    • Define the role of leadership and change management in addressing a patient, family, or population health problem, and include a copy of the intervention/solution/professional product.
  • Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
    • Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
  • Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
    • Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.
  • Competency 5: Analyze the impact of health policy on quality and cost of care.
    • Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.
  • Competency 6: Collaborate interprofessionally to improve patient and population outcomes.
    • Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.
  • Competency 8: Integrate professional standards and values into practice.
    • Write concisely and directly, using active voice.
    • Apply APA formatting to in-text citations and references.

View Rubric

[u08a1] Week 8 Assignment: Patient, Family, or Population Health Problem Solution
[u08a1] Week 8 Assignment: Patient, Family, or Population Health Problem Solution
Criteria Ratings Pts
Define the role of leadership and change management in addressing a patient, family, or population health problem, and include a copy of the intervention/solution/professional product.view longer description 24 to >20.4 ptsDISTINGUISHED

Defines the role of leadership and change management in addressing a patient, family, or population health problem. Provides an articulate, cogent explanation of the influence that leadership strategies, change management strategies, and nursing ethics had on the development of an intervention, and includes a copy of the intervention/solution/professional product.20.4 to >16.8 pts

PROFICIENT

Defines the role of leadership and change management in addressing a patient, family, or population health problem, and includes a copy of the intervention/solution/professional product.16.8 to >0 pts

BASIC

Attempts to describe leadership and change management strategies, and/or does not include a copy of the intervention/solution/professional product.0 pts

NON_PERFORMANCE

Does not describe leadership and change management strategies, and does not include a copy of the intervention/solution/professional product.

/ 24 pts
Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.view longer description 24 to >20.4 ptsDISTINGUISHED

Proposes clear best-practice strategies, well-supported in the literature, for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem. Presents a strong case for the benefits of obtaining input from a patient, family, or group.20.4 to >16.8 pts

PROFICIENT

Proposes strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.16.8 to >0 pts

BASIC

Attempts to describe communication and collaboration strategies.0 pts

NON_PERFORMANCE

Does not describe communication and collaboration strategies.

/ 24 pts
Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.view longer description 24 to >20.4 ptsDISTINGUISHED

Provides an articulate, cogent explanation of how specific state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention. Describes credible research on the effectiveness of these standards and/or policies in improving outcomes.20.4 to >16.8 pts

PROFICIENT

Explains how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.16.8 to >0 pts

BASIC

Attempts to explain how state board nursing practice standards and/or organizational or governmental policies applied to the development of a proposed intervention0 pts

NON_PERFORMANCE

Does not describe state board nursing practice standards and/or organizational or governmental policies applicable to the development of a proposed intervention.

/ 24 pts
Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.view longer description 24 to >20.4 ptsDISTINGUISHED

Provides an articulate, cogent explanation of how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Conclusions are well-supported by credible evidence. Cites specific, relevant, and available sources of benchmark data.20.4 to >16.8 pts

PROFICIENT

Explains how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.16.8 to >0 pts

BASIC

Provides an explanation, dependent upon unsubstantiated assumptions, of how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.0 pts

NON_PERFORMANCE

Does not explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

/ 24 pts
Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.view longer description 24 to >20.4 ptsDISTINGUISHED

Provides an articulate, cogent explanation of how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem. Conclusions are well-supported by specific, credible evidence.20.4 to >16.8 pts

PROFICIENT

Explains how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.16.8 to >0 pts

BASIC

Attempts to explain how technology, care coordination, and community resources can be applied in addressing a patient, family, or population health problem.0 pts

NON_PERFORMANCE

Does not describe technology, care coordination, and community resources that can be applied in addressing a patient, family, or population health problem.

/ 24 pts
Write concisely and directly, using active voice.view longer description 22.5 to >19.13 ptsDISTINGUISHED

Writes concisely and directly. Conveys precise and unequivocal meaning through clear and consistent use of active voice.19.13 to >15.75 pts

PROFICIENT

Writes concisely and directly, using active voice.15.75 to >0 pts

BASIC

Writes passively, with a tendency toward wordiness.0 pts

NON_PERFORMANCE

Does not write concisely and directly, using active voice.

/ 22.5 pts
Apply APA formatting to in-text citations and references.view longer description 7.5 to >6.38 ptsDISTINGUISHED

Exhibits strict and nearly flawless adherence to APA formatting of in-text citations and references.6.38 to >5.25 pts

PROFICIENT

Applies APA formatting to in-text citations and references.5.25 to >0 pts

BASIC

Applies APA formatting to in-text citations and references incorrectly and/or inconsistently, detracting noticeably from good scholarship.0 pts

NON_PERFORMANCE

Does not apply APA formatting to in-text citations and references.

/ 7.5 pts
Total Points: 0