NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations
Capstone part 1
Assessment 1 Instructions: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations
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In a 6 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.
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.
Instructions
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.
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.
Summarize the problem you’ll explore.
Identify the patient, family, or group you intend to work with during your practicum.
Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population.
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.
Note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice.
Explain how you would know if the data are unreliable.
Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem you’ve defined.
Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem.
Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your clinical 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.
Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem.
Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
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.
Discuss research on the effectiveness of leadership strategies.
Define the role that you anticipate leadership must play in addressing the problem.
Describe collaboration and communication strategies that you anticipate will be needed to address the problem.
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. Use the APA Style Paper Template. An APA Style Paper Tutorialis 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.
A running head on all pages.
Appropriate section headings.
Length: Your paper should be approximately 6 pages in length, not including the reference page.
Supporting evidence: Cite at least six 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.
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.
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.
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.
Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to a defined patient, family, or population problem and document the practicum hours spent with these individuals or group in the Core Elms Volunteer Experience Form.
Competency 8: Integrate professional standards and values into practice.
Organize content so ideas flow logically with smooth transitions.
Apply APA style and formatting to scholarly writing. NURS FPX 4900 Assessment 1
Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations Sample Paper
Sample Paper on Assessing the Problem: Leadership, Collaboration, Communication, Managing Change, and Policy Considerations
Wei et al. (2021) say that collaboration between healthcare providers has led to better outcomes for patients, such as fewer adverse drug reactions, less death and illness, and better dosage of medications. Poor communication is one of the main problems that affects how well patients are cared for. When nurses and doctors didn’t talk to each other well, it made patients unhappy and hurt their health. Studies show that people with high blood pressure are more likely to get heart disease. The death rate from hypertension is still high, and the disease is still not treated, not found, and not under control. Team-based care is coordinated care in which different health care providers work together to help a patient deal with Hypertension (Linthicum et al., 2021). Team-based care has gotten a lot of attention because it lets patients get high-quality care from a number of different doctors and nurses. When doctors and nurses don’t talk to each other and work together well, patients are more likely to be readmitted and have to stay in the hospital longer. This paper will look at a patient with high blood pressure from the points of view of leadership, communication, collaboration, managing change, and policy.
Problems with a patient’s health and how they affect nursing
In this Assessment, we’ll look at the case of Tina Jones, a 38-year-old African-American woman who has never abused drugs but says she eats to deal with stress and anxiety. She says she lives in the “hood” and is always worried about her husband and son’s safety. She is also 30 pounds over what her BMI should be. She visits her parents 3–4 times a week, and her father likes to spoil her with barbecues and other fried foods. This makes it hard for her to stick to a healthy diet. She doesn’t like eating vegetables, so she stays away from them. Her mother has had diabetes and high blood pressure in the past, and her father was just told he has hyperlipidemia. Her father, on the other hand, is very active and works out four times a week. When Mrs. Jones’ bad choices and high blood pressure are taken together, the bad things that happen to her get worse.
This issue is a big problem for the patient because it makes it more likely that she will get heart problems. Her bad choices about how to live also make it more likely that she will get diabetes and other diseases that are linked to how people live. Carey et al. (2018) say that African Americans are twice as likely as other groups to get high blood pressure. Black people in the United States have a higher rate of hypertension-related heart disease and end-stage renal failure than other groups. The CDC says that a stronger response is needed because of the differences in how African Americans deal with high blood pressure (Wei et al., 2021 NURS FPX 4900 Assessment 1). When people with high blood pressure don’t take care of it well, they get treatment-resistant hypertension.
According to Carthon et al. (2019), African Americans are more sensitive to salt than other patient groups. They also react differently to medicines for high blood pressure than other groups of patients. As a nurse with a bachelor’s degree, this is important information because it shows that even though hypertension is mostly caused by the way people live, some groups are more likely to get it than others (Linthicum et al., 2021). So, it’s very important to keep telling and teaching African American patients about their risk of getting the condition and being sensitive to salt. It also shows that certain treatments should be thought about for this group of patients.
Evidence from peer-reviewed literature describing the issue and guiding nursing actions
Research backs up what doctors have seen when treating people with high blood pressure. Hypertension can be caused by a person’s way of life, the medicines they take, underlying health problems, their genes, or a combination of these things. Age, race, a family history of hypertension or early heart disease, and other health problems that happen at the same time can’t be changed (Carthon et al., 2019). So, if a patient changes their lifestyle by eating well and exercising, they will lose weight and their hypertension will go away. Integrated therapy also uses different types of psychotherapy, such as changing the patient’s way of life (Wei et al., 2021). How well a treatment works is based on how well the patient accepts and follows the treatment plan. Different versions of the same measurement are used to compare the reliability of research data. We can figure out how true it is by comparing it to other relevant facts and theories.
Modey Amoah et al. (2020) say that even though pharmacotherapy is used to treat hypertension, the condition is not well controlled. Patients with high blood pressure can live healthier lives by making changes to the way they live. The study looked at how the choices people in Ghana can make affect their blood pressure. The study looked at 360 people with high blood pressure. Diet and exercise were looked at as part of the study, and blood pressure was measured often. The study found that patients’ blood pressure was better controlled when they did more physical activity, ate more fruits, and ate less meat, carbs, and fat. Along with drug therapy, the things that can be changed in your life have a big impact on your blood pressure.
Nurses make a big difference in how well patients do. Since nurses are at the front line of patient care, it is their job to teach patients how important it is to eat healthy foods and stay active (Linthicum et al., 2021). Nurses are also expected to keep learning and find ways to use research-based evidence in their treatment plans. Orem’s framework for self-care was the best fit for this issue (Wei et al., 2021). The theory says that people should take care of their own lives, health, and well-being by starting and doing things on their own. The nurses’ actions should be geared toward helping the patient take care of himself or herself (Nasresabetghadam et al., 2021). So, Mrs. Jones can live a healthy life and make big changes to her blood pressure and weight if she learns about the best ways to change her habits.
How the State Board of Nursing Practice Standards and Organization Policies Could Affect People with High Blood Pressure
The Nursing Practice Act (NPA) says that nurses must practice nursing in a way that is safe, appropriate, and responsive, and they must also make a plan for nursing practice. To reach these goals, nurses must put into practice and recognize nursing practices, take steps to improve care, and meet practice requirements (Carthon et al., 2019). Nurses should try to get better care for patients and make sure they have all the information they need. The health effects of salty and fried foods should be made clear to patients by the nurses. They should also push for public policies that prevent hypertension and make sure it is treated properly when it does happen. The organization’s culture has a big effect on how patients are cared for (Wei et al., 2021). A healthier organizational culture will make sure that good things happen for patients, like fewer deaths and shorter stays. It will also make the patients’ lives better and make them feel less pain. The organization’s culture should help nurses educate patients and give treatment that is based on facts.
Strategies for good leadership to improve patient outcomes related to high blood pressure
Leadership and the success of an organization are directly linked. Leaders decide on ideology, culture, ability to adapt to change, and empowerment of employees (Wei et al., 2021). They affect the strategies of institutions, as well as how they are used and how well they work. Leaders in healthcare institutions have a huge effect on how well patients are cared for. They encourage staff to learn more and improve their skills and knowledge to improve the quality, safety, empathy, and outcomes of health care (Akbiyik et al., 2020). They always encourage, motivate, and reward innovation and come up with new ways to work that are better. Nasresabetghadam et al. (2021) say that when nurses have the right kind of leadership, patient satisfaction goes up, patient safety goes up, and there are fewer medical complications. More and more, nurse leaders are being asked to help patients have better health care experiences. Leadership, communication, and working together can get better, which will help patients do better.
Conclusion
Hypertension is a health problem that can have a big effect on a person’s health and quality of life. But since it is a health problem caused by how people live, it can be managed and even reversed if people exercise regularly and eat better. Nurses play a key role in taking care of patients and teaching them the best ways to do things to improve their health. Effective organizational leadership can make things better for patients, and nurses are encouraged to provide care that is based on evidence and is patient-centered. Nurses should also be involved in making policies and laws that can help the country and communities reduce the number of people with hypertension and other illnesses that are caused by the way people live.
NURS FPX 4900 Assessment 1 References
Akbiyik, A., Korhan, E. A., Kiray, S., & Kirsan, M. (2020). The effect of nurses’ leadership behavior on the quality of nursing care and patient outcomes. Creative nursing, 26(1), e8-e18. DOI:10.1891/1078-4535.26.1.e8
Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. K. (2018). Prevention and control of Hypertension: JACC health promotion series. Journal of the American College of Cardiology, 72(11), 1278-1293.
Carthon, J. M. B., Davis, L., Dierkes, A., Hatfield, L., Hedgeland, T., Holland, S., … & Aiken, L. H. (2019). Association of nurse engagement and nurse staffing on patient safety. Journal of nursing care quality, 34(1), 40. doi: 10.1097/NCQ.0000000000000334
Linthicum, M. T., dosReis, S., Slejko, J. F., Mattingly, T. J., & Bright, J. L. (2021). The importance of collaboration in pursuit of patient-centered value assessment. The Patient-Patient-Centered Outcomes Research, 14(4), 381-384.
Modey Amoah, E., Esinam Okai, D., Manu, A., Laar, A., Akamah, J., & Torpey, K. (2020). The role of lifestyle factors in controlling blood pressure among hypertensive patients in two health facilities in Urban Ghana: a cross-sectional Study. International Journal of Hypertension, 2020. https://doi.org/10.1155/2020/9379128
Nasresabetghadam, S., Jahanshahi, M., Fotokian, Z., Nasiri, M., & Hajiahmadi, M. (2021). The effects of Orem’s self-care theory on self-care behaviors among older women with Hypertension: A randomized controlled trial. Nursing and Midwifery Studies, 10(2), 99-108.
Wei, H., Corbett, R. W., Ray, J., & Wei, T. L. (2020). A culture of caring: the essence of healthcare interprofessional collaboration. Journal of interprofessional care, 34(3), 324-331.
NURS FPX 4900 Assessment 2 Instructions
