Patient, Family, or Population Health Problem Solution
QUESTION
Assessment 4 Instructions: Patient, Family, or Population Health Problem Solution
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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 4-7 page analysis of your intervention.
Please submit both your solution/intervention and the 4-7 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.
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.
Note: Remember that you can submit all, or a portion of, your draft assessment to Smarthinking for feedback, before you submit the final version. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
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 4–7 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.
Patient, Family, or Population Health Problem Solution
Define the role of leadership and change management in addressing the problem.
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.
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 your 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 the 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. Use the APA Style Paper Template. An APA Style Paper Tutorial is also provided to help you in writing and formatting your paper. Be sure to include:
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: Save your intervention to your ePortfolio. 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 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.
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.
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.
Patient, Family, or Population Health Problem Solution
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Patient, Family, or Population Health Problem Solution
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Patient, Family, or Population Health Problem Solution
Part 1
Diabetes has devastating impacts on the patients, their families and the healthcare system in general. Such impacts increase the concerns for the various stakeholders involved to develop strategies to address this condition and minimize these impacts. Diabetes causes multiple organ complications such as heart attacks, impaired kidney functions, damage to blood vessels, and damage to one’s sight, some of which are disabling and result in the patients’ poor quality of life (Papatheodorou et al., 2018). Different types of diabetes exist; for instance, type 1 diabetes frequently affects children and is attributed to genetic and environmental factors as the causes. Type 2 diabetes is associated with other risk factors such as obesity, physical inactivity and advancing age. A particular type, gestational diabetes, affects pregnant women, causing significant weight gain among these women.
Interventions to address this condition can be directed to various individuals who include; diabetic patients, the care providers and the entire healthcare system. The focus of this paper is on one of these interventions, which include patient education by using an educational brochure which provides detailed information regarding this condition both to diabetic patients and the general population. This is a patient-centred intervention that incorporates the patients in managing their conditions by enhancing self-management strategies, compliance with the medications, self-monitoring and appropriate positive behavior changes such as ensuring proper diet and physical activities. Patient education is an essential aspect of healthcare provision, as the patients become knowledgeable about their condition, thus leading to better health outcomes (Mohamadinejad et al., 2015). Better health outcomes lead to a significant reduction in the need for hospitalization and prevention of complications that are costly to manage. Interdisciplinary collaboration, good leadership and proper care coordination are all essential aspects of promoting better patient health outcomes while addressing this problem. Besides, adequate communication between the healthcare providers and the patients and the incorporation of technology into the management of diabetic patients are all crucial in achieving better health outcomes. Lastly, government policies and legislations and various standards of nursing practice are all vital in ensuring adequate management of diabetic patients.
Part 2
Summary of the Patient, Family, or Population Problem
Diabetes is a medical condition characterized by high blood sugar levels due to either inadequate or lack of insulin in the body or inability of body cells to respond appropriately to the insulin. Of the various types of diabetes, type 2 is the commonest, comprising 95% of diabetic patients. Types 2 diabetes is steadily rising, with the latest statistics released indicating a rise from 180 million to 422 million people affected worldwide between 1980 and 2014 (Jaacks et al., 2016). Further projections point towards an increased number of these cases by 2030. Concerns have been raised over the increasing number of cases. This is attributed to the poor lifestyle choices of individuals who live a sedentary lifestyle with minimal physical activities and poor choice on an appropriate and healthy diet.
The impacts of this condition vary, as it affects the patients, their families and the healthcare sector at large. Additionally, management of this condition is associated with high healthcare costs both in low income, middle and high-income countries. Reports indicate that the low-income countries spend approximately $1.5 trillion in managing this condition, while the middle-income countries are spending up to half a trillion dollars for the same purpose (Kähm et al., 2018). Together with other impacts, such high costs emphasize the need to develop interventions to address this condition. Interventions directed towards the patients helps in enhancing adherence to medication, physical exercise, proper nutrition, and correct use of available health care services.
Reasons for Selecting This Problem as the Focus of My Project
“My husband Tommy has been a diabetic since we met. Throughout this period, I have experienced this condition’s impacts on him and us as a family. As a care provider, I have also interacted with different diabetic patients, who this condition has had devastating impacts on their livers. Therefore, I feel I am obliged to address this condition through proper health education of the affected patients and incorporate them in the management plan”. Due to poor access to various healthcare services, many diabetic patients develop complications which are a significant drawback to their quality of life (Papatheodorou et al., 2018). Some also suffer due to poor quality care due to the inability to access high-quality care that can address their health needs. The number of people affected is also on the rise, thus further emphasizing the need to develop strategies that will effectively address this health problem. These factors made me choose this particular topic to enhance the quality of life of the affected individuals.
Relevance of This Problem to My Professional Practice and the Patient, Family, or Group
Diabetes is a significant health condition, with many facilities taking care of many affected individuals. The projected rise in cases further indicates that health facilities will continue admitting patients with diabetes. There is an expected rise of approximately 9% of the medication costs, which will be a significant blow to diabetic patients and the healthcare system, likely to be overwhelmed (Kähm et al., 2018). This problem is relevant to my practice because, as a care provider, I am obligated to ensure that the patient receives high-quality care which will address their health needs and improve their health outcomes. It is also relevant for personal reasons since my husband is a victim. Therefore, appropriately addressing it will result in a significant reduction of devastating effects associated with the condition.
The Role of Leadership and Change Management in Addressing the Patient, Family, or Population Health Problem
Diabetes management requires interdisciplinary collaboration to ensure adequate and proper addressing of this problem. Being a chronic condition affecting multiple systems, t is important for various professionals to collaborate and tailor care that effectively promotes better health outcomes for the patients. Such multidisciplinary teams require effective leadership strategies to succeed in their objectives (McGill et al., 2017). Such leaders should motivate the team members, lead by example and create a free environment where each member can freely express their concerns and contributions, valued and respected.
Change is necessary for the success of any plan or intervention. Various change management strategies are essential in promoting better patient health outcomes in this case. These include; promoting a workplace culture that enhances interprofessional collaboration, enhancing effective communication strategies, and incorporating technology into the management of these patients (McGill et al., 2017). It is also important to base any of these interventions on nursing ethics, which ensures that nurses act right and for the benefit of the patients. Lastly, it is essential to develop programs that will enhance efficient workflow among the different professionals involved in the management process.
Strategies for Communicating and Collaborating With a Patient, Family, or Group to Improve Outcomes Associated With the Patient, Family, or Population Health Problem
The interdisciplinary approach in diabetes management incorporates, among them, the patient and their families. This ensures that the care provided is patient-centred and effective in achieving various patients’ health needs. Care providers should maintain constant communication with the patients and their families to monitor their progress and help in addressing their concerns, such as adverse effects of any particular medication and specific medications which are not working, and reasons for non-compliance in case such cases are reported (McGill et al., 2017). Additionally, the various care providers must address the barriers that may hinder effective management by providing care and instructions that align with the patient’s literacy levels and abilities and in languages that they can understand. The care provided should also align with the patient’s cultural practices and beliefs to enhance their compliance with such interventions.
How State Board Nursing Practice Standards and Organizational or Governmental Policies Guided the Development of the Proposed Intervention
There are various standards of nursing practice that act as frameworks necessary in guiding the caregivers on the best ways of delivering care to this group of patients. Such standards ensure that the nature of care provided effectively addresses the patient’s condition by emphasizing patient-centred care. In addition, through various policies and legislations, the government has also aimed at improving the quality of life of individuals affected by this condition through the establishment of policies that mainly focus on this condition. The Diabetes Policy Brief, an example of such policies, aimed at improving the health outcomes of diabetic patients by addressing the various barriers to accessing high quality and safe care for these patients (Callaghan et al., 2017). These nursing practice standards and governmental policies and legislation have enhanced the quality of life of affected individuals by improving access to high-quality and patient-centred care; hence, they formed the backbone for the development of this intervention to address this health problem.
How the Proposed Intervention to Address the Patient, Family, or Population Health Problem will improve the Quality of Care, Enhance Patient Safety, and Reduce Costs to the System and Individual.
The proposed solution will effectively address the problem and the various impacts it has on the patients, families, and the healthcare system. Educating the patients about this condition is a patient-centred approach, and it will enhance the participation of the patients in their management. This intervention will promote the patient’s tendency to take their medications and remain compliant, enhance self-monitoring, and help them realize the benefits of exercise and diet monitoring. Lastly, improve the utilization of the available healthcare services. This will eventually result in an improved quality of care since the patients will have better health outcomes (Mohamadinejad et al., 2015). Additionally, there will significant reduction in the rates of development of complications, some of which are life-threatening and disabling, thus posing significant threats to patient safety. By improving the health outcomes of the patients, this intervention will also help minimize the healthcare costs associated with this condition.
How Technology, Care Coordination, and the Utilization of Community Resources can be applied in Addressing the Patient, Family, or Population Health Problem
Technological advancements have a significant role in managing diabetic patients, especially during the COVID-19 pandemic, where people are encouraged to minimize physical contact. Diabetic patients require regular hospital visits to help the care providers assess their conditions and advise appropriately. Since diabetes makes affected individuals vulnerable to the adverse impacts of Covid-19, the incorporation of technology will enhance remote monitoring, where patients interact with the care providers without being physically present in the hospital facilities (Hunt, 2015). This will minimize their risks of contracting other infections, which may further overwhelm their already debilitated immune system. Additionally, the application of technology enhances self-monitoring by the patients to check their blood glucose levels and take their medications appropriately (Hunt, 2015). Lastly, the incorporation of technology in the management of diabetes links the healthcare system and the community services, an aspect that is essential in enhancing diabetes self-care.
Conclusion
In summary, diabetes is a severe medical condition with devastating impacts on various individuals and systems. These impacts emphasize the need to develop interventions that will help address the multiple effects of this condition, improving the overall patient health outcomes and minimizing healthcare costs. Patient health education is an essential patient-centred approach effective in improving the patient’s general state of health. The application of technology, incorporation of effective communication and collaboration strategies, applying the various nursing standards and implementation of different governmental policies, utilization of community resources are all essential aspects considered in developing interventions helpful in addressing the problem and its multiple impacts.
References
Callaghan, T. H., Towne, S. D., Bolin, J., & Ferdinand, A. O. (2017). Diabetes mortality in rural America: 1999-2015. Policy Brief. Southwest Rural Health Research Center. https://srhrc.tamhsc.edu/docs/srhrc-pb2-callaghan-diabetes.pdf
Hunt, C. W. (2015). Technology and diabetes self-management: an integrative review. World journal of diabetes, 6(2), 225. https://www.ncbi.nlm.nih.gov/pmc/articles/pmc4360416/
Jaacks, L. M., Siegel, K. R., Gujral, U. P., & Narayan, K. V. (2016). Type 2 diabetes: A 21st-century epidemic. Best Practice & Research Clinical Endocrinology & Metabolism, 30(3), 331-343. https://www.sciencedirect.com/science/article/pii/S1521690X16300161
Kähm, K., Laxy, M., Schneider, U., Rogowski, W. H., Lhachimi, S. K., & Holle, R. (2018). Health care costs associated with incident complications in patients with type 2 diabetes in Germany. Diabetes Care, 41(5), 971-978.
https://care.diabetesjournals.org/content/41/5/971?rss=1&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%253A%20diabetesjournals%252FOIIu%20%2528ExcitingAds%2521%20Diabetes%20Care%20Journal%20current%20issue%2529
McGill, M., Blonde, L., Chan, J. C., Khunti, K., Lavalle, F. J., & Bailey, C. J. (2017). The interdisciplinary team in type 2 diabetes management: Challenges and best practice solutions from real-world scenarios. Journal of clinical & translational endocrinology, 7, 21-27. https://www.sciencedirect.com/science/article/pii/S2214623716300370
Mohamadinejad, F. P. R. S., Pedram Razi, S., Aliasgharpour, M., Tabari, F., & Kazemnejad, A. (2015). Effect of a patient education program on self-efficacy in patients with diabetes. Iranian Journal of Nursing Research, 10(1), 35-41.
http://ijnr.ir/browse.php?a_id=1479&sid=1&slc_lang=en&ftxt=1
Papatheodorou, K., Banach, M., Bekiari, E., Rizzo, M., & Edmonds, M. (2018). Complications of diabetes 2017. https://www.hindawi.com/journals/jdr/2018/3086167/