Posted: September 13th, 2022

NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership,

NURS FPX 4900 Assessment 1: Assessing the Drawback: Management, Collaboration, Communication, Change Administration, and Coverage Issues

Capstone half 1

Assessment 1 Directions: Assessing the Drawback: Management, Collaboration, Communication, Change Administration, and Coverage Issues
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In a 6 web page written Assessment, outline the affected person, household, or inhabitants well being drawback that shall be the focus of your capstone undertaking. Assess the drawback from a management, collaboration, communication, change administration, and coverage perspective.
Introduction
Nurses in all skilled roles work to impact constructive affected person outcomes and enhance organizational processes. Skilled nurses are leaders in drawback identification, planning, and technique implementation—expertise that immediately have an effect on affected person care or organizational effectiveness.

Too typically, change brokers soar to a conclusion that an intervention will promote the envisioned enchancment. As an alternative, the supreme method is to find out which interventions are applicable, based mostly on an Assessment and Assessment of credible proof. Interventions could possibly be patient-facing or contain a change in coverage and course of. On this Assessment, you’ll establish and make the case to your practicum focus space, then discover it in depth from a management, collaboration, communication, change administration, and coverage perspective.

This Assessment lays the basis for the work that can carry you thru your capstone expertise and information the practicum hours wanted to finish the work on this course. As well as, it would allow you to do the following:

Develop an issue assertion for a affected person, household, or inhabitants that’s related to your apply.
Start constructing a physique of proof that can inform your method to your practicum.
Concentrate on the affect of management, collaboration, communication, change administration, and coverage on the drawback.
Preparation
On this Assessment, you’ll assess the affected person, household, or inhabitants well being drawback that shall be the focus of your capstone undertaking. Plan to spend roughly 2 hours working with a affected person, household, or group of your option to discover the drawback from a management, collaboration, communication, change administration, and coverage perspective. Throughout this time, you might also select to seek the advice of with material and trade specialists about the drawback (for instance, administrators of high quality or affected person security, nurse managers/administrators, physicians, and epidemiologists).

To organize for the Assessment, full the following:

Establish the affected person, household, or group you need to work with throughout your practicum The affected person you choose generally is a buddy or a member of the family. You’ll work with this affected person, household, or group all through your capstone undertaking, specializing in a selected well being care drawback.
Start surveying the scholarly and professional literature to determine your proof and analysis base, inform your Assessment, and meet scholarly expectations for supporting proof.
As well as, it’s possible you’ll want to full the following:

Assessment the Assessment directions and scoring information to make sure that you perceive the work you’ll be requested to finish and the way it will likely be assessed.
Directions
Outline the affected person, household, or inhabitants well being drawback that shall be the focus of your capstone undertaking. Assess the drawback from a management, collaboration, communication, change administration, and coverage perspective and set up your proof and analysis base to plan, implement, and share findings associated to your undertaking.

Necessities
The Assessment necessities, outlined under, correspond to the scoring information standards, so make sure you tackle every most important level. Learn the performance-level descriptions for every criterion to see how your work shall be assessed. As well as, notice the extra necessities for doc format and size and for supporting proof.

Outline a affected person, household, or inhabitants well being drawback that’s related to your apply.
Summarize the drawback you’ll discover.
Establish the affected person, household, or group you propose to work with throughout your practicum.
Present context, information, or data that substantiates the presence of the drawback and its significance and relevance to the affected person, household, or inhabitants.
Clarify why this drawback is related to your apply as a baccalaureate-prepared nurse.
Analyze proof from peer-reviewed literature and professional sources that describes and guides nursing actions associated to the affected person, household, or inhabitants drawback you’ve outlined.
Be aware whether or not the authors present supporting proof from the literature that’s in keeping with what you see in your nursing apply.
Clarify how you’ll know if the information are unreliable.
Describe what the literature says about limitations to the implementation of evidence-based apply in addressing the drawback you’ve outlined.
Describe analysis that has examined the effectiveness of nursing requirements and/or insurance policies in bettering affected person, household, or inhabitants outcomes for this drawback.
Describe present literature on the position of nurses in coverage making to enhance outcomes, forestall sickness, and cut back hospital readmissions.
Describe what the literature says a couple of nursing concept or conceptual framework that may body and information your actions throughout your medical practicum.
Clarify how state board nursing apply requirements and/or organizational or governmental insurance policies may have an effect on the affected person, household, or inhabitants drawback you’ve outlined.
Describe analysis that has examined the effectiveness of those requirements and/or insurance policies in bettering affected person, household, or inhabitants outcomes for this drawback.
Describe present literature on the position of nurses in coverage making to enhance outcomes, forestall sickness, and cut back hospital readmissions.
Describe the results of native, state, and federal insurance policies or laws in your nursing scope of apply, inside the context of this drawback.
Suggest management methods to enhance outcomes, patient-centered care, and the affected person expertise associated to the affected person, household, or inhabitants drawback you’ve outlined.
Focus on analysis on the effectiveness of management methods.
Outline the position that you just anticipate management should play in addressing the drawback.
Describe collaboration and communication methods that you just anticipate shall be wanted to handle the drawback.
Describe the change administration methods that you just anticipate shall be required to handle the drawback.
Arrange content material so concepts circulation logically with easy transitions.
Apply APA model and formatting to scholarly writing.
Further Necessities
Format: Format your paper utilizing APA model. Use the APA Fashion Paper Template. An APA Fashion Paper Tutorialis additionally offered that can Help you in writing and formatting your paper. Remember to embody:
A title web page and reference web page. An summary is just not required.
A operating head on all pages.
Applicable part headings.
Size: Your paper must be roughly 6 pages in size, not together with the reference web page.
Supporting proof: Cite at the very least six sources of scholarly or skilled proof that help your central concepts. Sources must be not more than 5 years outdated. Present in-text citations and references in APA format.
Proofreading: Proofread your paper, earlier than you submit it, to reduce errors that would distract readers and make it tougher for them to give attention to its substance.
Competencies Measured
By efficiently finishing this Assessment, you’ll show your proficiency in the course competencies via the following Assessment scoring information standards:

Competency 1: Lead individuals and processes to enhance affected person, programs, and inhabitants outcomes.
Outline a affected person, household, or inhabitants well being drawback that’s related to non-public and professional apply.
Competency 2: Make medical and operational choices based mostly upon the greatest out there proof.
Analyze proof from peer-reviewed literature and professional sources that describes and guides nursing actions associated to an outlined affected person, household, or inhabitants drawback.
Competency 5: Analyze the affect of well being coverage on high quality and price of care.
Clarify how state board nursing apply requirements and/or organizational or governmental insurance policies may have an effect on an outlined affected person, household, or inhabitants drawback.
Competency 7: Implement patient-centered care to enhance high quality of care and the affected person expertise.
Suggest management methods to enhance outcomes, patient-centered care, and the affected person expertise associated to an outlined affected person, household, or inhabitants drawback and doc the practicum hours spent with these people or group in the Core Elms Volunteer Expertise Type.
Competency eight: Combine skilled requirements and values into apply.
Arrange content material so concepts circulation logically with easy transitions.
Apply APA model and formatting to scholarly writing. NURS FPX 4900 Assessment 1
Assessing the Drawback: Management, Collaboration, Communication, Change Administration, and Coverage Issues Pattern Paper
Pattern Paper on Assessing the Drawback: Management, Collaboration, Communication, Managing Change, and Coverage Issues
Wei et al. (2021) say that collaboration between healthcare suppliers has led to raised outcomes for sufferers, comparable to fewer opposed drug reactions, much less loss of life and sickness, and higher dosage of medicines. Poor communication is considered one of the most important issues that impacts how nicely sufferers are cared for. When nurses and medical doctors did not speak to one another nicely, it made sufferers sad and harm their well being. Research present that individuals with hypertension usually tend to get coronary heart illness. The loss of life price from hypertension continues to be excessive, and the illness continues to be not handled, not discovered, and never underneath management. Workforce-based care is coordinated care through which completely different well being care suppliers work collectively to Help a affected person take care of Hypertension (Linthicum et al., 2021). Workforce-based care has gotten loads of consideration as a result of it lets sufferers get high-quality care from various completely different medical doctors and nurses. When medical doctors and nurses do not speak to one another and work collectively nicely, sufferers usually tend to be readmitted and have to remain in the hospital longer. This paper will have a look at a affected person with hypertension from the factors of view of management, communication, collaboration, managing change, and coverage.

Issues with a affected person’s well being and the way they have an effect on nursing

On this analysis, we’ll have a look at the case of Tina Jones, a 38-year-old African-American girl who has by no means abused medicine however says she eats to take care of stress and anxiousness. She says she lives in the “hood” and is at all times frightened about her husband and son’s security. She can be 30 kilos over what her BMI must be. She visits her dad and mom three–four instances every week, and her father likes to spoil her with barbecues and different fried meals. This makes it exhausting for her to stay to a nutritious diet. She would not like consuming greens, so she stays away from them. Her mom has had diabetes and hypertension in the previous, and her father was simply instructed he has hyperlipidemia. Her father, on the different hand, may be very lively and works out 4 instances every week. When Mrs. Jones’ unhealthy selections and hypertension are taken collectively, the unhealthy issues that occur to her worsen.

This subject is an enormous drawback for the affected person as a result of it makes it extra possible that she’s going to get coronary heart issues. Her unhealthy selections about find out how to dwell additionally make it extra possible that she’s going to get diabetes and different ailments which can be linked to how individuals dwell. Carey et al. (2018) say that African People are twice as possible as different teams to get hypertension. Black individuals in the United States have the next price of hypertension-related coronary heart illness and end-stage renal failure than different teams. The CDC says that a stronger response is required due to the variations in how African People take care of hypertension (Wei et al., 2021 NURS FPX 4900 Assessment 1). When individuals with hypertension do not deal with it nicely, they get treatment-resistant hypertension.

In accordance with Carthon et al. (2019), African People are extra delicate to salt than different affected person teams. Additionally they react in a different way to medicines for hypertension than different teams of sufferers. As a nurse with a bachelor’s diploma, that is essential data as a result of it exhibits that despite the fact that hypertension is generally attributable to the method individuals dwell, some teams usually tend to get it than others (Linthicum et al., 2021). So, it is crucial to maintain telling and educating African American sufferers about their threat of getting the situation and being delicate to salt. It additionally exhibits that sure remedies must be considered for this group of sufferers.

Proof from peer-reviewed literature describing the subject and guiding nursing actions

Analysis backs up what medical doctors have seen when treating individuals with hypertension. Hypertension will be attributable to an individual’s lifestyle, the medicines they take, underlying well being issues, their genes, or a mixture of these items. Age, race, a household historical past of hypertension or early coronary heart illness, and different well being issues that occur at the identical time cannot be modified (Carthon et al., 2019). So, if a affected person modifications their life-style by consuming nicely and exercising, they’ll drop extra pounds and their hypertension will go away. Built-in remedy additionally makes use of several types of psychotherapy, comparable to altering the affected person’s lifestyle (Wei et al., 2021). How nicely a remedy works relies on how nicely the affected person accepts and follows the remedy plan. Totally different variations of the identical measurement are used to check the reliability of analysis information. We are able to work out how true it’s by evaluating it to different related info and theories.

Modey Amoah et al. (2020) say that despite the fact that pharmacotherapy is used to deal with hypertension, the situation is just not nicely managed. Sufferers with hypertension can dwell more healthy lives by making modifications to the method they dwell. The research checked out how the selections individuals in Ghana could make have an effect on their blood stress. The research checked out 360 individuals with hypertension. Weight loss program and train had been checked out as a part of the research, and blood stress was measured typically. The research discovered that sufferers’ blood stress was higher managed after they did extra bodily exercise, ate extra fruits, and ate much less meat, carbs, and fats. Together with drug remedy, the issues that may be modified in your life have a big effect in your blood stress.

Nurses make an enormous distinction in how nicely sufferers do. Since nurses are at the entrance line of affected person care, it’s their job to show sufferers how essential it’s to eat wholesome meals and keep lively (Linthicum et al., 2021). Nurses are additionally anticipated to continue learning and discover methods to make use of research-based proof of their remedy plans. Orem’s framework for self-care was the greatest match for this subject (Wei et al., 2021). The speculation says that individuals ought to deal with their very own lives, well being, and well-being by beginning and doing issues on their very own. The nurses’ actions must be geared towards serving to the affected person deal with himself or herself (Nasresabetghadam et al., 2021). So, Mrs. Jones can dwell a wholesome life and make huge modifications to her blood stress and weight if she learns about the greatest methods to alter her habits.

How the State Board of Nursing Observe Requirements and Group Insurance policies May Have an effect on Individuals with Excessive Blood Stress

The Nursing Observe Act (NPA) says that nurses should apply nursing in a method that’s secure, applicable, and responsive, and so they should additionally make a plan for nursing apply. To achieve these objectives, nurses should put into apply and acknowledge nursing practices, take steps to enhance care, and meet apply necessities (Carthon et al., 2019). Nurses ought to attempt to get higher take care of sufferers and ensure they’ve all the data they want. The well being results of salty and fried meals must be made clear to sufferers by the nurses. They need to additionally push for public insurance policies that forestall hypertension and ensure it’s handled correctly when it does occur. The group’s tradition has an enormous impact on how sufferers are cared for (Wei et al., 2021). A more healthy organizational tradition will make it possible for good issues occur for sufferers, like fewer deaths and shorter stays. It would additionally make the sufferers’ lives higher and make them really feel much less ache. The group’s tradition ought to Help nurses educate sufferers and provides remedy that’s based mostly on info.

Methods for good management to enhance affected person outcomes associated to hypertension

Management and the success of a company are immediately linked. Leaders resolve on ideology, tradition, capacity to adapt to alter, and empowerment of workers (Wei et al., 2021). They have an effect on the methods of establishments, in addition to how they’re used and the way nicely they work. Leaders in healthcare establishments have an enormous impact on how nicely sufferers are cared for. They encourage employees to study extra and enhance their expertise and information to enhance the high quality, security, empathy, and outcomes of well being care (Akbiyik et al., 2020). They at all times encourage, encourage, and reward innovation and provide you with new methods to work which can be higher. Nasresabetghadam et al. (2021) say that when nurses have the proper sort of management, affected person satisfaction goes up, affected person security goes up, and there are fewer medical problems. Increasingly more, nurse leaders are being requested to Help sufferers have higher well being care experiences. Management, communication, and dealing collectively can get higher, which is able to Help sufferers do higher.

Conclusion

Hypertension is a well being drawback that may have an enormous impact on an individual’s well being and high quality of life. However since it’s a well being drawback attributable to how individuals dwell, it may be managed and even reversed if individuals train often and eat higher. Nurses play a key position in caring for sufferers and educating them the greatest methods to do issues to enhance their well being. Efficient organizational management could make issues higher for sufferers, and nurses are inspired to supply care that’s based mostly on proof and is patient-centered. Nurses must also be concerned in making insurance policies and legal guidelines that may Help the nation and communities cut back the variety of individuals with hypertension and different sicknesses which can be attributable to the method individuals dwell.

NURS FPX 4900 Assessment 1 References
Akbiyik, A., Korhan, E. A., Kiray, S., & Kirsan, M. (2020). The impact of nurses’ management conduct on the high quality of nursing care and affected person outcomes. Artistic nursing, 26(1), e8-e18. DOI:10.1891/1078-4535.26.1.e8

Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. Ok. (2018). Prevention and management of Hypertension: JACC well being promotion sequence. Journal of the American Faculty of Cardiology, 72(11), 1278-1293.

Carthon, J. M. B., Davis, L., Dierkes, A., Hatfield, L., Hedgeland, T., Holland, S., … & Aiken, L. H. (2019). Affiliation of nurse engagement and nurse staffing on affected person security. Journal of nursing care high quality, 34(1), 40. doi: 10.1097/NCQ.0000000000000334

Linthicum, M. T., dosReis, S., Slejko, J. F., Mattingly, T. J., & Shiny, J. L. (2021). The significance of collaboration in pursuit of patient-centered worth Assessment. The Affected person-Affected person-Centered Outcomes Analysis, 14(four), 381-384.

Modey Amoah, E., Esinam Okai, D., Manu, A., Laar, A., Akamah, J., & Torpey, Ok. (2020). The position of life-style elements in controlling blood stress amongst hypertensive sufferers in two well being amenities in City Ghana: a cross-sectional Examine. Worldwide Journal of Hypertension, 2020. https://doi.org/10.1155/2020/9379128

Nasresabetghadam, S., Jahanshahi, M., Fotokian, Z., Nasiri, M., & Hajiahmadi, M. (2021). The results of Orem’s self-care concept on self-care behaviors amongst older ladies with Hypertension: A randomized managed trial. Nursing and Midwifery Research, 10(2), 99-108.

Wei, H., Corbett, R. W., Ray, J., & Wei, T. L. (2020). A tradition of caring: the essence of healthcare interprofessional collaboration. Journal of interprofessional care, 34(three), 324-331.

NURS FPX 4900 Assessment 2 Directions

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