NURS FPX 4900 Patient Family or Population Health Problem Solution Assignment Example

NURS FPX 4900 Assessment 4 – Patient, Family, or Population Health Problem Solution

NURS FPX 4900 Patient Family or Population Health Problem Solution Assignment Brief

Course: NURS-FPX 4900: Capstone Project for Nursing

Assignment Title: Assessment 4 – Patient, Family, or Population Health Problem Solution

Understanding Assignment Objectives:

In this assignment, your primary objective is to develop an intervention (your capstone project), as a solution to the patient, family, or population problem you’ve defined. The aim is to create an intervention plan that incorporates collaboration, technology, family involvement, and community resources. The solution should be relatable, tailored, and integrated, considering not only the physical aspects of the disease or condition but also emphasizing emotional well-being.

The Student’s Role:

As the student, your task is to propose an intervention plan that is both effective and relatable, considering the unique needs of the patient. The intervention should be a blend of professional collaboration, parental engagement, technological tools, and community resources.

Detailed Assessment Instructions for the NURS FPX 4900 Patient Family or Population Health Problem Solution Assignment

Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you’ve defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5-7 page analysis of your intervention. Please submit both your solution/intervention and the 5-7 page analysis to complete Assessment 4. Introduction In your first three assessments, 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. Preparation In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following: • 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. Plan to spend at least 3 direct practicum hours working with the same patient, family, or group. In addition, you may wish to complete the following: • Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed. • Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence. Instructions Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty 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 shaped your understanding of the problem: • Leadership. • Collaboration. • Communication. • Change management. • Policy. • Quality of care. • Patient safety. • Costs to the system and individual. • Technology. • Care coordination. • Community resources. Part 2 Submit your proposed intervention to your faculty 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 assessment, 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 the problem. o Explain how leadership and change management strategies influenced the development of your proposed intervention. o Explain how nursing ethics informed the development of your proposed intervention. o 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. o Identify the patient, family, or group. o Discuss the benefits of gathering their input to improve care associated with the problem. o 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. o Cite the standards and/or policies that guided your work. o Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem. • Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. o Cite evidence from the literature that supports your conclusions. o 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 the problem. o 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. Be sure to include: o A title page and reference page. An abstract is not required. o 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. Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: • Competency 1: Lead people and processes to improve patient, systems, and population outcomes. o Define the role of leadership and change management in addressing a patient, family, or population health problem. • Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care. o 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. o 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. o 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. o 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. o Write concisely and directly, using active voice. o Apply APA formatting to in-text citations and references.

NURS FPX 4900 Patient Family or Population Health Problem Solution Assignment Example

This capstone project thoroughly explores a detailed intervention plan created to address the urgent health issue of clinical obesity in a 10-year-old patient named John. The significance of this matter arises from the serious health consequences that childhood obesity can pose, affecting not just John’s current health but also his long-term well-being. Obesity is a complex health problem that can lead to severe issues, including type 2 diabetes, cardiovascular diseases, and psychological disorders. Additionally, there is a notable obesity epidemic in modern society, demanding quick and effective intervention from healthcare professionals. The proposed intervention, guided by strong leadership, effective change management practices, and a strict adherence to nursing ethics, aims to provide a comprehensive solution to manage John’s obesity. The primary goal is to reduce the health risks linked with John’s condition, thereby enhancing his overall quality of life.

Leadership, Change Management, and Ethics in the Obesity Management Intervention

Leadership plays a crucial role in addressing health challenges such as John’s clinical obesity. In this context, effective leadership involves setting a clear goal for John’s health improvement, defining specific objectives, and mobilizing resources for the intervention. Specifically, our focus for John includes creating a physical activity plan and nutritional intervention program. Leaders act as a bridge between the healthcare team and the patient, ensuring smooth coordination of the intervention. They foster an environment for team members to contribute insights, leading to a personalized, patient-centered intervention aligned with patients’ health goals and capacities (Hitch et al., 2020).

Simultaneously, change management is integral to facilitate a seamless transition for the patient. In John’s case, specific lifestyle changes were made. Change management strategies in healthcare involve clearly articulating information related to the proposed change, providing necessary resources, such as training for nursing staff, and establishing a system for continuous monitoring and assessment of the intervention’s progress (Sung & Kim, 2021).

The intervention’s development was strongly guided by a moral commitment to nursing ethics, encompassing beneficence, non-maleficence, autonomy, and justice. Autonomy is crucial, involving John and his family in decisions about the intervention to ensure their understanding and consent. A detailed presentation about the health condition is prepared to provide necessary information for decision-making. The principle of beneficence guides the selection of intervention methods benefiting John’s health, such as the physical activity program and dietary changes. Non-maleficence ensures careful monitoring to prevent harm, emphasizing the safe implementation of dietary changes and physical activity (Varkey, 2021).

Strategies for Effective Communication and Collaboration

Effective communication and collaboration are crucial in supporting our patient, 10-year-old John, who is dealing with clinical obesity. His support system includes his parents and primary school teachers. When communicating with a ten-year-old like John, it’s essential to use clear and simple language that is suitable for his age, culture, and understanding.

Involving John and his family in managing and treating the health condition has several benefits. It improves adherence to proposed interventions, raises awareness about the seriousness of the issue, and creates a supportive environment for the behavioral changes needed to manage John’s condition. Following best-practice strategies from current literature, here are some effective communication and collaboration approaches:

• Active Participation: Involving John in planning and executing his care plan promotes ownership, maintenance, and adherence to healthier behaviors (Luig et al., 2019).
• Family-based Interventions: Dealing with obesity requires efforts from the whole family. Collaborative family sessions can help enhance understanding and commitment to healthier meal choices, reduce sedentary time, and increase physical activity (Varagiannis et al., 2021).
• School Collaboration: Collaborating with school professionals such as counselors, teachers, and physical trainers increases John’s exposure to consistent health messages (Luig et al., 2019). This creates a positive environment that encourages better health decisions.

Guided Intervention: Child Obesity and Policy-Driven Strategies

The proposed intervention for addressing John’s clinical obesity is shaped by various state board nursing practice standards and relevant policies from organizations and government bodies. Specifically, the California Board of Registered Nursing (BRN) has a standard on patient advocacy (Standard IV) emphasizing effective communication, active collaboration, and thorough patient education. These elements from the BRN standard are essential in shaping the proposed intervention, ensuring appropriate engagement of John and his family and fostering continuous collaboration among his caregivers (Nsiah et al., 2019).

In addition to the nursing practice standard, the Affordable Care Act (ACA) has played a significant role in influencing the development of the intervention. The ACA supports early intervention and prevention programs for childhood obesity. Its provisions for Preventive Health Services highlight the importance of regular health evaluations and dietary counseling for children at risk of obesity, aspects that have been integrated into John’s intervention. For instance, a study by Smith et al. (2020) demonstrated that implementing child health interventions based on the ACA’s preventive perspective led to meaningful weight outcomes.

Furthermore, the World Health Organization’s (WHO) Global School Health Initiative has advocated for school involvement in addressing health issues, guiding our collaboration strategy with John’s school. Another study by Yuksel et al. (2020) confirmed positive behavioral changes and weight control in students when school-based intervention methods recommended by WHO were adopted. Hence, these nursing standards and health policies have played a crucial role in shaping the intervention. By adopting these proven best practices for addressing childhood obesity, we aim to bring about positive changes in John’s situation.

Improving Care Quality, Patient Safety, and System Costs

The proposed intervention for addressing John’s obesity involves a two-fold approach: increasing physical activity and improving nutritional habits. These measures aim to enhance the quality of care, ensure patient safety, and reduce costs. Recent research, such as the study by Cordellat et al. (2020), emphasizes the positive impact of regular physical activity and dietary changes on pediatric health outcomes. This approach not only improves cardiometabolic health but also contributes to optimal fat-free mass, bone health, and mental well-being in obese children. Combining dietary and physical activity interventions provides comprehensive, personalized care tailored to meet John’s needs and promote long-term health benefits.

The well-established link between obesity and diseases like diabetes, cardiovascular issues, and metabolic syndrome underscores the importance of early interventions. Addressing obesity through dietary and physical activity measures in childhood is crucial to limit the risk of associated diseases and ensure a safer health trajectory. Early interventions, like the proposed one, contribute to weight reduction and help mitigate health risks, thereby enhancing patient safety. They significantly reduce the likelihood of obesity-related diseases in adulthood, as supported by findings from Heffron et al. (2020).

From an economic perspective, obesity imposes a substantial financial burden on individuals and healthcare organizations, affecting both direct and indirect medical costs. This burden extends to productivity losses. Mitigating obesity risk early in life through increased physical activity and nutrition therapy can substantially reduce both health and economic burdens. Childhood interventions are cost-effective, preventing the onset of obesity-related illnesses and reducing individual and system-wide healthcare costs. Data, including benchmark information from sources like the Centers for Disease Control and Prevention (CDC), not only guide quality care measures and safety standards for addressing pediatric obesity but also offer insights into the direct and indirect costs of obesity, providing a framework for cost-saving initiatives.

Incorporating Technology, Care Coordination, and Community Resources

Technology has become a valuable asset in addressing health conditions like obesity. In a study by Houser et al. (2019), the effectiveness of telehealth-supported interventions in pediatric weight management was highlighted. These interventions use technology to provide healthcare from a distance, proving beneficial in managing obesity among children. Mobile applications play a role in promoting physical activities and monitoring calorie intake, while wearable activity-tracking devices are useful in tracking daily activities and encouraging lifestyle changes.

Care coordination is a crucial element in the fight against obesity. A patient-centered approach involving a coordinated team of health professionals, including dietitians, physical activity specialists, and psychologists, has shown success in weight management interventions, as suggested by Osmundsen et al. (2019).

Community resources play a significant role in mitigating obesity. After-school programs centered in the community can promote physical activity as both a preventive measure and a means of managing obesity. Public parks, community gardens, and local wellness initiatives contribute to creating an environment that encourages healthy behaviors and supports obesity management.

The combination of technology, care coordination, and community resources presents a comprehensive approach to managing childhood obesity. Integrating these interventions, as supported by existing literature, offers a promising strategy to effectively address the challenge of childhood obesity.

Conclusion

In summary, this capstone project paper took a comprehensive approach to address the urgent health issue of clinical obesity in children, with a specific focus on young John. The intervention involved collaboration among professionals, active participation of parents, and the use of technology to create a personalized and all-encompassing health plan. Mobile health apps, for instance, played a crucial role in helping John track his progress and adopt healthier habits. The integration of various healthcare professionals ensured the delivery of a complete health program. The involvement of John’s family was vital in creating a supportive environment for the successful implementation of this program. Community resources added an additional layer of support, providing opportunities for John to engage in physical activities and receive nutritional guidance. Central to this approach was the recognition of John’s unique needs and aspirations, highlighting a personalized, humanized, and integrated method to address health challenges. Beyond addressing the physical aspects of obesity, the focus extended to creating an inclusive intervention that considered John’s emotional well-being and his personal journey toward better health.

References

Cordellat, A., Padilla, B., Grattarola, P., García-Lucerga, C., Crehuá-Gaudiza, E., Núñez, F., Martínez-Costa, C., & Blasco-Lafarga, C. (2020). Multicomponent exercise training and nutritional counselling improve physical function, biochemical and anthropometric profiles in obese children: A pilot study. Nutrients, 12(9), 2723. https://doi.org/10.3390/nu12092723

Heffron, S. P., Parham, J. S., Pendse, J., & Alemán, J. O. (2020). Treatment of obesity in mitigating metabolic risk. Circulation Research, 126(11), 1646–1665. https://doi.org/10.1161/circresaha.119.315897

Hitch, D., Pazsa, F., & Qvist, A. (2020). Clinical leadership and management perceptions of inpatients with obesity: An interpretative phenomenological analysis. International Journal of Environmental Research and Public Health, 17(21). https://doi.org/10.3390/ijerph17218123

Houser, S., Joseph, R., Puro, N., & Burke, D. (2019). Use of technology in the management of obesity: A literature review. Perspectives in Health Information Management, 16(Fall). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931046/

Luig, T., Elwyn, G., Anderson, R., & Campbell-Scherer, D. L. (2019). Facing obesity: Adapting the collaborative deliberation model to address a complex long-term problem. Patient Education and Counseling, 102(2), 291–300. https://doi.org/10.1016/j.pec.2018.09.021

Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2019). Registered nurses’ description of patient advocacy in the clinical setting. Nursing Open, 6(3), 1124–1132. https://doi.org/10.1002/nop2.307

Osmundsen, T. C., Dahl, U., & Kulseng, B. (2019). Enhancing knowledge and coordination in obesity treatment: A case study of an innovative educational program. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4119-9

Smith, J. D., Fu, E., & Kobayashi, M. A. (2020). Prevention and management of childhood obesity and its psychological and health comorbidities. Annual Review of Clinical Psychology, 16(1), 351–378. https://doi.org/10.1146/annurev-clinpsy-100219-060201

Sung, W., & Kim, C. (2021). A study on the effect of change management on organisational innovation: Focusing on the mediating effect of members’ innovative behaviour. Sustainability, 13(4), 2079. https://doi.org/10.3390/su13042079

Varagiannis, P., Magriplis, E., Risvas, G., Vamvouka, K., Nisianaki, A., Papageorgiou, A., Pervanidou, P., Chrousos, G. P., & Zampelas, A. (2021). Effects of three family-based interventions in overweight and obese children: The “4 your family” randomised controlled trial. Nutrients, 13(2), 341. https://doi.org/10.3390/nu13020341

Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119

Yuksel, H. S., Şahin, F. N., Maksimovic, N., Drid, P., & Bianco, A. (2020). School-based intervention programs for preventing obesity and promoting physical activity and fitness: A systematic review. International Journal of Environmental Research and Public Health, 17(1), 347. https://doi.org/10.3390/ijerph17010347

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