NURS FPX 4900 Assessment 4: Patient, Family, or Population Health Problem Solution
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
In a separate written deliverable, write a 6 page analysis of your intervention.
Please submit both your solution/intervention and the 6 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. NURS FPX 4900 Assessment 4: Patient, Family, or Population Health Problem Solution
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:
Change management.
Quality of care.
Patient safety.
Costs to the system and individual.
Care coordination.
Community resources.
Part 2
Submit your proposed intervention to your faculty for review and approval.
In a separate written deliverable, write a 6 page analysis of your intervention.
Summarize the patient, family, or population problem.
Explain why you selected this problem as the focus of your project.
Explain why the problem is relevant to your professional practice and to the patient, family, or group.
In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
Define the role of leadership and change management in addressing the problem.
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. NURS FPX 4900 Assessment 4: Patient, Family, or Population Health Problem Solution
Additional Requirements
Format: Format the written analysis of your intervention 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 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.
NURS FPX 4900 Assessment 4: Patient, Family, or Population Health Problem Solution Sample Student Approach
Unlike the other Assessments, the goal of this assignment is to describe the health problems of the patients and suggest the best ways to improve their care. In this case, we’re going to look at two young people with cancer. This illness has had a big effect on the two kids’ lives and on the lives of their whole family. Due to the high costs of cancer chemotherapy treatment, the family is having trouble paying their bills right now. Because of this, cancer care needs to get better. The results of this study will be used in the future to improve cancer care and the health care system as a whole.
Change management and leadership:
In health care, leadership is a very important factor. It lets health workers find out what their patients are interested in and start conversations about those things. It helps connect patients and health workers because health workers can translate important information about what patients need and what they are going through. Also, they tell them what to do and keep them going as they fight their illness (Gopee, & Galloway, 2017). Communication between health workers and patients is a key part of the process of health care. Promoting the health care process also means being honest, knowing your patients, and always asking for feedback. All of this will help patients get better because they can get the care they want and talk to each other more easily.
Change management is needed for a good health care process. Change Management will use all the processes and tools to keep an eye on the patients as they move from their current state to a new state in the future, until they can see the results of the changes. Health care workers should keep an eye on their patients’ changes and help them work them into their daily lives so that the patients can get better faster. Managing change is about making sure that the health care process for patients goes as smoothly as possible. Change management also involves evaluating, planning, putting plans and operations into action, and making sure that the change is meaningful and right for patients. Change happens when you let go of old habits, introduce new ones, and then freeze them again (Teczke et al., 2017). So, people who work in health care can make changes in a constant, irregular, occasional, or rare way. These changes will make it easier for patients to get better over time because there will be a strong bond between doctors and patients.
Strategies for Talking to and Working with the Patient and His or Her Family
Communication is a very important part of managing change. Communication means knowing what the patient needs and getting messages to the patient and their family on time. Patients and the public need to know that communication is important because it lets people share their thoughts and ask questions. Collaboration is also an important part of the process of providing health care. It includes healthcare workers, the public, the patient’s family, and the patient’s own family. Information is shared naturally, and everyone is responsible for their own actions. Collaboration helps stop medical mistakes, improves the health of patients, and makes it easier for services to reach more people. It also saves money on health care costs and makes sure that people get good service.
Communication and working together are important for teamwork, and they also help the healthcare team stay steady and clear. Good communication builds partnerships, boosts teamwork, and helps keep medical mistakes from happening (Barr, Vania, Randall & Mulvale, 2017). Through communication, healthcare workers can also give the patient the information they need, care for the patient, and track their progress as they get better.
State Board of Nursing Standards for Nursing Practice and Organizational/Governmental Policies
The National Cancer Act of 1971 was made by the US government to help fight cancer. Its goal is to change the Public Health Service Act to help the National Cancer Institute and support the national effort to fight cancer (Polite et al., 2017). This act was also made to give contracts for research, improve research facilities, lead cancer control activities, create a global cancer research information bank, and give grants for research. It was also set up to work with other government, state, or public organizations as well as private businesses to improve the fight against cancer in health care.
Additionally. The World Health Organization has set up a cancer nursing curriculum, which includes cancer education programs for nurses, to help care for people with cancer. This program wants to make sure that its member countries are healthy by making people more aware of cancer. Cancer awareness gives cancer patients and the people who care for them the information they need to know how to live better and accept their conditions.
Cancer specialists who are advocates for oncology work out and give the US government advice about important changes to cancer care. If this change isn’t thought about, workers at the local, regional, and provincial levels might not be able to use chemotherapy better or learn about evidence-based chemotherapy care (Shafter et al., 2018). To help people with cancer get chemo, health care workers work in a variety of settings, on different teams, and under different laws. These nurses don’t always have access to the procedures, ethics, education, continuing capability programs, and chemotherapy skills needed for best practice. Because of this, these standards and values are needed to give cancer patients health care.
(O’Regan et al., 2019) say that people who are getting chemotherapy for cancer and their families need to know how to take care of themselves and how to find the resources they need to handle problems carefully. In the case of a child patient, the patient’s family or caretaker must know how to get the help they need to deal with problems. Most of the time, the most dangerous effects of chemotherapy for cancer happen when the patient is at home. The person getting care must be cared for by the healthcare team and given the information they need to do their job. To get this knowledge, education and training are very important. This intervention should make it easier for cancer patients to get good health care and give them a good place to heal. Intervention may also give patients protective care and even lower the bills of the patient’s family.
Intervention Planned to Fix Patient’s Health Problem
Most people have to pay a bit more to treat cancer. In our case, the cancer patient’s family is having trouble paying their bills. This is because cancer patients have to go through chemotherapies on a regular basis, which makes them weak. This intervention will make it safer for most families to treat their patients.
One thing that could be done is to set up free cancer screening clinics so that cancer can be found in its early stages. When families work together to buy health insurance for their families, the hospital bills for cancer patients may be paid for by the insurance companies. A second way to help is through education and training. It tells the public how to avoid getting cancer and what steps to take (Alkaraz et al., 2020). Patients who are getting chemotherapy for cancer and their families need to know how to take care of themselves and where to find help when problems arise.
What will be done with technology, care coordination, and community resources
Technology is an important part of making healthcare better. Technology has given us new ways to fight cancer that can be cured by taming the immune system.
So, technology can be used to make cancer vaccines that protect people from getting cancer and find cancer early, when it can still be cured. CAR-T cell treatment has also been made possible by technology (June et al., 2018). It involves taking the patient’s immune T-cells and changing their genes so that they only attack a certain type of cancer antigen. By focusing on specific treatments for cancer cells, CAR-T is changing the way we think about cancer treatments. This is a great idea that could help fight cancer in the future.
When someone has cancer, they and their family have to deal with a lot of problems and worries. In this case, community resources are needed to help cancer patients and their families with the many problems they are facing. A cancer diagnosis brings up a wide range of worries and problems (Haines, 2020). Patients and their families should be able to get help from community resources for many problems that come up. The community can do a lot to help cancer patients and their families with things like paying hospital bills, getting them to and from appointments, giving them emotional support, and giving them accurate, reliable information about treatment options, clinical trials, and dealing with cancer’s side effects. Both health care workers and the community help provide healthcare because they care about the health of the patient and his or her family.
Conclusions
In the end, the main points of this assessment will help the two people with cancer, their families, and the community deal with cancer. The intervention suggested by this assessment will be a big part of helping cancer patients, not just these two, but also people who might get cancer in the future. Communication and working together help the healthcare team work well together, stay on track, and be clear. With the government’s help on cancer research facilities and new ways to fight cancer, I think we’ll have a good healthcare system in the near future.
References
Gopee, N., & Galloway, J. (2017). Leadership and management in healthcare. Sage. Teczke, M., Sansyzbayevna Bespayeva, R., & Olzhabayevna Bugubayeva, R. (2017). Approaches and models for change management. Jagiellonian Journal of Management, 3(3).
Barr, N., Vania, D., Randall, G., & Mulvale, G. (2017). Impact of information and communication technology on interprofessional collaboration for chronic disease management: a systematic review. Journal of health services research & policy, 22(4), 250-257.
Polite, B. N., Adams-Campbell, L. L., Brawley, O. W., Bickell, N., Carethers, J. M., Flowers, R., … & Paskett, E. D. (2017). Charting the future of cancer health disparities research: a position statement from the American Association for Cancer Research, the American Cancer Society, the American Society of Clinical Oncology, and the National Cancer Institute. Cancer Research, 77(17), 4548-4555.
Schaffer, J. R., Haag, S. G., Borazanci, E. H., & Von Hoff, D. D. (2019). Oncology Navigation: A Virtual Model to Promote Self-Advocacy in the Cancer Continuum. Journal of Oncology Navigation & Survivorship, 10(1). https://www.jons-online.com/issues/2019/january-2019-vol-10-no-1/2217-oncology-navigation-a-virtual-model-to-promote-self-advocacy-in-the-cancer-continuum
O’Regan, P., McCarthy, G., O’Reilly, S., Power, D., Bird, B. H., Murphy, C. G., & Hegarty, J. (2019). Cancer‐related fatigue and self‐care agency: A multicentre survey of patients receiving chemotherapy. Journal of clinical nursing, 28(23-24), 4424-4433.
June, C. H., O’Connor, R. S., Kawalekar, O. U., Ghassemi, S., & Milone, M. C. (2018). CAR T cell immunotherapy for human cancer. Science, 359(6382), 1361-1365.
Alcaraz, K. I., Wiedt, T. L., Daniels, E. C., Yabroff, K. R., Guerra, C. E., & Wender, R. C. (2020). Understanding and addressing social determinants to advance cancer health equity in the United States: a blueprint for practice, research, and policy. CA: a cancer journal for clinicians, 70(1), 31-46. https://doi.org/10.3322/caac.21586
