NURS FPX 4900 Assessing the Health Problem: Leadership Collaboration Communication Change Management and Policy Considerations

NURS FPX 4900 Assessment 1 – Assessing the Health Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

Assignment Brief: NURS FPX 4900 – Assessing the Health Problem Assignment

Course: NURS-FPX 4900: Capstone Project for Nursing

Assignment Title: Assessment 1 – Assessing the Health Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

Assignment Instructions Overview:

This assignment is designed to explore and analyze a significant health issue with a focus on key aspects such as leadership, collaboration, communication, change management, and policy considerations.

Understanding Assignment Objectives:

The primary objective is to understand a health issue thoroughly, focusing on interventions and strategies. By examining leadership roles, collaboration with stakeholders, effective communication, change management, and policy implications, students will gain insights into a comprehensive approach to healthcare challenges.

The Student’s Role:

Students will take on the role of a healthcare professional tasked with addressing a specific health problem. The goal is to demonstrate an understanding of the identified health issue, integrating relevant data and statistics to emphasize its significance. The focus should be on practical interventions and strategies aligned with the identified problem areas.

Detailed Assessment Instructions for the NURS FPX 4900 – Assessing the Health Problem Assignment

In a 5-7 page written assessment, define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective. Plan to spend approximately 2 direct practicum hours meeting with a patient, family, or group of your choice to explore the problem and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Academic Portal Volunteer Experience Form. Introduction Nurses in all professional roles work to effect positive patient outcomes and improve organizational processes. Professional nurses are leaders in problem identification, planning, and strategy implementation—skills that directly affect patient care or organizational effectiveness. Too often, change agents jump to a conclusion that an intervention will promote the envisioned improvement. Instead, the ideal approach is to determine which interventions are appropriate, based on an assessment and review of credible evidence. Interventions could be patient-facing or involve a change in policy and process. In this assessment, you’ll identify and make the case for your practicum focus area, then explore it in depth from a leadership, collaboration, communication, change management, and policy perspective. This assessment lays the foundation for the work that will carry you through your capstone experience and guide the practicum hours needed to complete the work in this course. In addition, it will enable you to do the following: • Develop a problem statement for a patient, family, or population that’s relevant to your practice. • Begin building a body of evidence that will inform your approach to your practicum. • Focus on the influence of leadership, collaboration, communication, change management, and policy on the problem. Preparation In this assessment, you’ll assess the patient, family, or population health problem that will be the focus of your capstone project. Plan to spend approximately 2 hours working with a patient, family, or group of your choice to explore the problem from a leadership, collaboration, communication, change management, and policy perspective. During this time, you may also choose to consult with subject matter and industry experts about the problem (for example, directors of quality or patient safety, nurse managers/directors, physicians, and epidemiologists). To prepare for the assessment, complete the following: • Identify the patient, family, or group you want to work with during your practicum The patient you select can be a friend or a family member. You’ll work with this patient, family, or group throughout your capstone project, focusing on a specific health care problem. • Begin surveying the scholarly and professional literature to establish your evidence and research base, inform your assessment, and meet scholarly expectations for supporting evidence. In addition, you may wish to complete the following: • Review the assessment instructions and scoring guide to ensure that you understand the work you’ll be asked to complete and how it will be assessed. • Review the Practicum Focus Sheet: Assessment 1 [PDF], which provides guidance for conducting this portion of your practicum. Instructions Complete this assessment in two parts. Part 1 Define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective and establish your evidence and research base to plan, implement, and share findings related to your project. Part 2 Connect with the patient, family, or group you’ll work with during your practicum. During this portion of your practicum, plan to spend at least 2 hours meeting with the patient, family, or group and, if desired, consulting with subject matter and industry experts of your choice. The hours you spend meeting with them should take place outside of regular work hours. Use the Practicum Focus Sheet [PDF] provided for this assessment to guide your work and interpersonal interactions. Document the time spent (your practicum hours) with these individuals or group in the Academic Portal Volunteer Experience Form. Requirements The assessment requirements, outlined below, correspond to the scoring guide criteria, 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 a patient, family, or population health problem that’s relevant to your practice. o Summarize the problem you’ll explore. o Identify the patient, family, or group you intend to work with during your practicum. o Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population. o Explain why this problem is relevant to your practice as a baccalaureate-prepared nurse. • Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to the patient, family, or population problem you’ve defined. o Note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice. o Explain how you would know if the data are unreliable. o Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem you’ve defined. o Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem. o Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions. o Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your practicum. • Explain how state board nursing practice standards and/or organizational or governmental policies could affect the patient, family, or population problem you’ve defined. o Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem. o Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions. o Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of this problem. • Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the patient, family, or population problem you’ve defined. o Discuss research on the effectiveness of leadership strategies. o Define the role that you anticipate leadership must play in addressing the problem. o Describe collaboration and communication strategies that you anticipate will be needed to address the problem. o Describe the change management strategies that you anticipate will be required to address the problem. • Organize content so ideas flow logically with smooth transitions. • Apply APA style and formatting to scholarly writing. Additional Requirements • Format: Format your paper 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 a patient, family, or population health problem that’s relevant to personal and professional practice. • Competency 2: Make clinical and operational decisions based upon the best available evidence. o Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population 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 could affect a defined patient, family, or population problem. • Competency 7: Implement patient-centered care to improve quality of care and the patient experience. o Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to a defined patient, family, or population problem • Competency 8: Integrate professional standards and values into practice. o Organize content so ideas flow logically with smooth transitions. o Apply APA style and formatting to scholarly writing.

NURS FPX 4900 Assessing the Health Problem: Leadership Collaboration Communication Change Management and Policy Considerations Example

Introduction

This work focuses on a 10-year-old boy named John, who has been clinically diagnosed with obesity. I’ve used established literature and professional guidelines to create a comprehensive framework, highlighting the seriousness of this pediatric health concern. As a nurse with a baccalaureate level of preparation, it emphasizes my essential role in addressing John’s obesity through effective leadership, coordination with other professionals, clear communication, managing change, and participating in policy initiatives. Supported by scholarly research, this approach aims to enhance care planning and implementation and share knowledge within the nursing practice at Kindred Hospital Los Angeles.

Patient, Family, and Population Health Problem

The health problem I’m addressing in my professional practice is pediatric obesity, with a focus on a 10-year-old boy named John, who has recently been admitted to Kindred Hospital Los Angeles. Pediatric obesity is a growing concern worldwide, affecting approximately 18.5% of children and adolescents in the U.S., as indicated by the National Health and Nutrition Examination Survey (NHANES). John’s obesity, categorized under the 95th percentile for BMI in his age group, poses immediate health risks like the early onset of type-2 diabetes and hypertension. This condition also significantly impacts his overall quality of life, including psychosocial and educational aspects.

The severity of childhood obesity is underscored by the Centers for Disease Control and Prevention (CDC) data, revealing a 19.3% obesity rate among children and adolescents aged 2-19 years in 2019-2020. The global scale of the issue is highlighted by the World Health Organization, reporting that more than 41 million children under 5 were overweight or obese in 2019. Pediatric obesity is not only an immediate health concern but also sets the stage for potential long-term health complications in adulthood, such as cardiovascular diseases, diabetes, and an increased risk of certain cancers.

John’s case reflects the complex nature of obesity, influenced by factors like genetic predisposition, unhealthy dietary habits, and a lack of physical activity. Addressing childhood obesity is crucial not only for immediate health improvement but also to prevent its persistence into adulthood. As a baccalaureate-prepared nurse, I recognize the escalating rates of childhood obesity and the associated health risks. In my role, I play a key part in health education and facilitating lifestyle modifications for patients like John and their families. Implementing interventions focused on weight management, including nutritional guidance and promoting physical activity, holds the potential to significantly enhance John’s health outcomes. This issue is highly relevant to my professional practice, aligning with my responsibilities as a nurse to contribute to the well-being of patients and their families.

Evidence-Based Nursing Actions for Clinical Obesity

Evidence from reputable sources, including the American Academy of Pediatrics (AAP), the World Health Organization (WHO), and the Journal of Pediatric Health Care, guides nursing interventions for childhood obesity. The AAP emphasizes the crucial role of healthcare providers, including nurses, in preventing childhood obesity through primary prevention and therapeutic interventions. They recommend using motivational interviewing techniques with families, encouraging them to set goals and make small changes in family behaviors (Smith et al., 2020).

According to the WHO, improving the intake of healthy foods and physical activity while reducing the intake of unhealthy foods and drinks is crucial in preventing pediatric obesity (World Health Organization, 2021). Literature on the role of nurses in policymaking highlights their critical role as advocates for healthy behaviors and initiating change in the healthcare system to improve health outcomes and reduce hospital readmissions (Flaubert et al., 2021). The literature also supports utilizing nursing theories, such as the Health Belief Model or the Family Systems Nursing theory, for childhood obesity interventions. These models can guide nursing actions by identifying beliefs and perceptions about health and promoting healthy behaviors in the family setting.

Nurses can play a significant role in combating childhood obesity by providing patient education on topics such as leadership, collaboration, communication, change management, and policy considerations. Family-centered, school-based interventions involving physical activity and nutrition education, as highlighted in a study published in the Journal of Pediatric Health Care, were found to effectively reduce BMI in children (Fruh et al., 2021). Nurses can participate in or lead such interventions, emphasizing the implementation of behavioral modifications, nutritional counseling, and increased physical activity.

However, barriers to evidence-based practice in childhood obesity exist, including insufficient time, resources, or skills for effective counseling. Healthcare professionals, especially in high-patient volume settings, often struggle to allocate adequate time to complex issues like childhood obesity during clinical visits. Effective management of childhood obesity requires access to health promotion and assessment tools, referrals to specialized resources, and training in counseling skills, including motivational interviewing and behavioral modification techniques. Challenges also arise from limited familial involvement and socioeconomic and cultural barriers, necessitating systemic changes, healthcare professional training, and multi-sector involvement in addressing childhood obesity (Taghizadeh et al., 2023).

Impact of Nursing Practice Standards and Policies on Clinical Obesity

The management of John’s clinical obesity can be significantly influenced by nursing practice standards set by the state board of nursing and governmental policies. In California, the state board outlines standards and competencies for managing obesity, specifying the scope of practice for registered nurses. This includes tasks such as nutritional counseling, promoting physical activity, and making referrals for advanced care or surgical intervention for obesity (Ogata & Carney, 2022). These standards directly impact John’s obesity management by guiding the nursing care he receives. They facilitate effective interventions, such as nutritional counseling and physical activity guidance, crucial for managing obesity and improving overall patient health and safety.

Federal legislation, like the Affordable Care Act (ACA), also has potential implications for obesity management by promoting preventive services, including obesity screening and dietary counseling. Preventive services through ACA policy aim to prevent obesity by encouraging physical activity and nutritional management (Hudak, 2023). Research on the effectiveness of these standards suggests that nursing interventions, guided by state board regulations, can result in weight loss and improved metabolic parameters in obese patients. Similarly, studies have shown that ACA’s preventive provisions have the potential to address obesity at a population level by altering lifestyle behaviors (Whitehead et al., 2021). Nurses play a crucial role in implementing these policies by providing frontline care.

Therefore, state board nursing practice standards and governmental regulations play a vital role in patient care, healthcare outcomes, and the nursing scope of practice. They significantly impact how nurses manage clinical obesity in the pediatric population, focusing on prevention, intervention, and policy implementation to influence lifestyle modification, healthcare access, and patient education—essential aspects of obesity management within the nursing role.

Proposed Leadership Strategies for Clinical Obesity

To address John’s obesity, a comprehensive leadership approach is needed and can be broken down into several stages. The application of transformational leadership can lead to positive health outcomes. This type of leadership can inspire John and his family to change their lifestyle significantly. A transformational leader goes beyond managing day-to-day operations and crafts strategies for taking care of John’s health in the long run. They can inspire and encourage John to participate actively in physical activities and adhere to a healthier diet (Khan et al., 2020). Moreover, incorporating visionary leadership can affect patient-centered care and patient experience positively. A visionary leader’s role is to set a clear and motivational vision for managing John’s obesity. They set long-term goals by imagining a healthy future for John and creating a strategic plan for achieving this vision (Barden et al., 2020). This approach helps bridge the gap between current practices and desired health outcomes, thus streamlining efforts and improving the overall patient experience.

Creating partnerships with relevant stakeholders, such as school authorities, dietitians, and fitness consultants, is another aspect of the leader’s role. Collaborative efforts in this direction can effectively handle and address the problem. Leadership is crucial in the management of obesity, particularly by developing personalized care plans and inspiring individuals to adopt healthier lifestyles. However, achieving this requires concerted effort; successful implementation depends on collaboration among key entities like healthcare providers, dietitians, and the patient’s family. Essential to this is clear and consistent communication, which helps align understanding and expectations, fostering adherence to the proposed management plan. Lastly, addressing an issue like obesity necessitates individuals to change established habits, requiring efficient change management. In this context, models like ADKAR can enhance awareness, desire, and ability for change while reinforcing newly developed healthier habits (Sung & Kim, 2021).

Practicum Experience

During the two hours dedicated to John and his family, we engaged in thorough conversations about their daily routines, diets, and physical activities. This significant time investment has been officially recorded using the Capella Academic Portal Volunteer Experience Form, providing formal acknowledgment for the commitment and time devoted to supporting John in improving his health.

Conclusion

In conclusion, effectively addressing John’s obesity requires a comprehensive approach involving leadership, collaboration, clear communication, change management, and thoughtful policy considerations. Leadership is crucial for creating and implementing strategies to improve patient outcomes and prioritize patient-centered care. This involves supporting John, educating his family, and coordinating with healthcare professionals and school authorities. Successful collaboration and communication among various stakeholders, including the family, school personnel, and dieticians, are essential for streamlining efforts and creating an environment conducive to positive change. The collective approach is expected to positively influence John’s dietary habits and physical activity, essential elements in managing obesity. Lastly, policy considerations are significant as they can shape the overall environment supporting John’s journey toward a healthier lifestyle. Local, state, and federal policies promoting healthier school food options can have a substantial impact on this issue. The combination of these strategies aims to effectively address the challenge of obesity in John’s case.

References

Barden, A., Giammarinaro, N., & Petrosino, L. (2020). Perspective shifting: Engaging leaders-of-leaders in patient and caregiver experience. Journal of Patient Experience, 7(6), 2374373520942405. https://doi.org/10.1177/2374373520942405

CDC. (2021, February 5). Products – health e stats – prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965 through 2017–2018. CDC – Obesity in Children and Adolescents

Drozdz, D., Alvarez-Pitti, J., Wójcik, M., Borghi, C., Gabbianelli, R., Mazur, A., Herceg-Čavrak, V., Lopez-Valcarcel, B. G., Brzeziński, M., Lurbe, E., & Wühl, E. (2021). Obesity and cardiometabolic risk factors: From childhood to adulthood. Nutrients, 13(11), 4176. https://doi.org/10.3390/nu13114176

Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021). The role of nurses in improving health care access and quality. National Academies Press (US). Read Here

Fruh, S., Williams, S., Hayes, K., Hauff, C., Hudson, G. M., Sittig, S., Graves, R. J., Hall, H., & Barinas, J. (2021). A practical approach to obesity prevention. Journal of the American Association of Nurse Practitioners, Publish Ahead of Print(11). https://doi.org/10.1097/jxx.0000000000000556

Hudak, M. L. (2022). Scope of health care benefits for neonates, infants, children, adolescents, and young adults through age 26. Pediatrics, 150(3), e2022058881. https://doi.org/10.1542/peds.2022-058881

Khan, H., Rehmat, M., Butt, T. H., Farooqi, S., & Asim, J. (2020). Impact of transformational leadership on work performance, burnout, and social loafing: A Mediation Model. Future Business Journal, 6(1), 1–13. https://doi.org/10.1186/s43093-020-00043-8

Ogata, B., & Carney, L. N. (2022). Academy of Nutrition and Dietetics: Revised 2022 standards of practice and standards of professional performance for registered dietitian nutritionists (Competent, Proficient, and Expert) in Pediatric Nutrition. Journal of the Academy of Nutrition and Dietetics, 122(11), 2134-2149.e50. https://doi.org/10.1016/j.jand.2022.07.005

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 organizational innovation: Focusing on the mediating effect of members’ innovative behavior. Sustainability, 13(4), 2079. https://doi.org/10.3390/su13042079

Taghizadeh, S., Hashemi, M. G., Zarnag, R. K., Fayyazishishavan, E., Gholami, M., Farhangi, M. A., & Gojani, L. J. (2023). Barriers and facilitators of childhood obesity prevention policies: A systematic review and meta-synthesis. Frontiers in Pediatrics, 10(10). https://doi.org/10.3389/fped.2022.1054133

Whitehead, L., Kabdebo, I., Dunham, M., Quinn, R., Hummelshoj, J., George, C., & Denney‐Wilson, E. (2021). The effectiveness of nurse‐led interventions to prevent childhood and adolescent overweight and obesity: A systematic review of randomized trials. Journal of Advanced Nursing, 77(12). https://doi.org/10.1111/jan.14928

World Health Organization. (2021, June 9). Obesity and Overweight. World Health Organization. Obesity and Overweight

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