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NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

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    NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

    Student Name

    Capella University

    NURS-FPX 6614 Structure and Process in Care Coordination

    Prof. Name

    Date

    Disseminating Evidence: Scholarly Video Media Submission

    Abstract: 

    This presentation centers on the dissemination of evidence in nursing, highlighting the importance of sharing knowledge and research within the healthcare community. The study investigates the efficacy of lifestyle modifications compared to antihypertensive medications in overweight adults with hypertension. Through a comprehensive analysis, the presentation argues that lifestyle changes yield more favorable health outcomes in this population.

    Introduction

    Dissemination of evidence is a critical nursing component involving the sharing of research and information with fellow healthcare professionals (Chambers, 2018). It encompasses communication of information and resources related to evidence-based interventions (Chambers, 2018).

    In healthcare, introducing new techniques to a target audience hinges on disseminating evidence-based practices (Purtle et al., 2020). To bridge gaps in evidence-based interventions and address implementation challenges effectively, it is imperative to utilize strategies facilitating the acceptance and integration of evidence-based activities (Purtle et al., 2020). This video presentation aims to disseminate evidence-based approaches related to my intervention and sustain positive outcomes.

    Care Coordination Efforts

    The PICOT Question

    In overweight adults with hypertension, do lifestyle modifications compared to antihypertensive medications result in low blood pressure within 6 months?

    • Population: Overweight adults
    • Intervention: Lifestyle modifications
    • Comparison: Lifestyle modifications versus medications
    • Outcome: Low blood pressure
    • Time: Six months

    Brief Introduction to the Issues

    Obesity is strongly associated with hypertensive symptoms, exacerbating the condition in affected individuals. Studies indicate that obesity is responsible for a significant proportion of primary hypertension cases (Ahmadi et al., 2019). Lifestyle modifications, such as dietary changes and increased physical activity, have been proposed as effective interventions for hypertensive individuals (Ahmadi et al., 2019). Conversely, antihypertensive medications have demonstrated adverse effects within six months of use (Olowofela & Isah, 2018). Therefore, lifestyle changes are recommended over medication (Olowofela & Isah, 2018).

    Healthcare practitioners play a crucial role in influencing patient behavior by educating them about the benefits of lifestyle changes (Shayesteh et al., 2018). Educational initiatives are essential in raising disease awareness and promoting behavior modification among hypertension patients (Shayesteh et al., 2018).

    Care Coordination Efforts

    Care coordination aims to enhance the delivery of healthcare services within and across systems (Kruk et al., 2018). A multidisciplinary healthcare team, consisting of dietitians, nurses, cardiologists, information technologists, and physiotherapists, collaborates in the treatment of hypertensive patients. Team-based care involves patients in their own healthcare decisions, with regular team meetings focused on setting objectives and creating patient-centered goals (Will et al., 2019).

    The healthcare team employs a holistic approach, with nutritionists providing evidence-based diet plans, physiotherapists offering tailored exercise regimens, cardiologists monitoring patients’ symptoms, and information technologists facilitating telehealth solutions (Nicolai et al., 2018).

    Implications

    The adoption of care coordination supports the achievement of the triple aim of health reform, improving patient quality and satisfaction (Kohl et al., 2018). By coordinating patient care and engaging obese hypertensive patients in their treatment, healthcare professionals can foster better health outcomes (Kohl et al., 2018).

    Change in Practice Related to Services and Resources

    Resources

    Healthcare professionals should provide patients with information about the benefits of lifestyle changes through fact sheets, guidelines, social media messages, and handouts (CDC, 2020).

    Services

    Care coordinators, including nurses and other medical professionals, should offer support and encouragement to obese hypertensive patients, facilitating their active participation in managing their condition (Hansen et al., 2021). Additionally, healthcare providers can create customized care plans and utilize telehealth for patient education (Hansen et al., 2021).

    Key Care Coordination Efforts

    Team-based care is essential for achieving value-based care goals and enhancing the patient experience (Rollet et al., 2021). Multidisciplinary team meetings are instrumental in discussing patient conditions, diagnoses, and treatment plans, ensuring adherence to evidence-based guidelines (Rollet et al., 2021).

    Efforts to Build Stakeholder Engagement

    Stakeholder engagement involves identifying, evaluating, organizing, and implementing actions to influence stakeholders (Sperry & Jetter, 2019). A stakeholder engagement plan should consider each stakeholder’s needs and demands (Sperry & Jetter, 2019).

    Leading the Change in Practice

    Nurses can apply Kurt Lewin’s change theory to initiate practice changes and engage stakeholders in intervention strategies for obese hypertensive patients (McFarlan et al., 2019). This process involves unfreezing, changing, and refreezing stages to gain stakeholder support, implement changes, and monitor compliance (McFarlan et al., 2019).

    Encouraging and Building Stakeholder Engagement

    Organizations should establish a robust stakeholder engagement strategy, beginning with a stakeholder engagement plan that outlines stakeholders’ involvement, approach, and objectives (Boaz et al., 2018). Stakeholders’ needs, interests, and perspectives should be respected throughout the process (Boaz et al., 2018).

    Future Recommendations

    Sustaining the Current Outcomes

    To maintain existing patient outcomes, stakeholders should engage in regular inter-professional coordination through weekly team meetings, facilitating effective communication with patients (Kruk et al., 2018). Enhanced communication fosters trust and rapport, leading to improved health outcomes (Kruk et al., 2018). Healthcare professionals should prioritize patient information confidentiality and approach patient questions with a problem-solving mindset (McFarlan et al., 2019).

    Recommendations on Moving Forward

    To enhance care coordination for future patient care initiatives, healthcare providers should consider the following recommendations:

    1. Develop a stakeholder engagement plan.
    2. Address stakeholders’ needs.
    3. Utilize SMART goals for setting achievable patient objectives.
    4. Implement the Plan-Do-Study-Act cycle to assess changes.
    5. Leverage technology for inter-professional collaboration.

    Conclusion

    In conclusion, disseminating evidence in nursing involves sharing knowledge, insights, and research with healthcare professionals. Effective evidence dissemination is crucial for introducing new approaches to specific audiences. This video presentation aims to share knowledge and ideas related to my intervention plan for obese hypertensive individuals.

    References

    Ahmadi, S., Sajjadi, H., Nosrati Nejad, F., Ahmadi, N., Karimi, S. E., Yoosefi, M., & Rafiey, H. (2019). Lifestyle modification strategies for controlling hypertension: How are these strategies recommended by physicians in Iran? Medical Journal of the Islamic Republic of Iran, 33, 43. https://doi.org/10.34171/mjiri.33.43

    Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage stakeholders in research: design principles to support improvement. Health Research Policy and Systems, 16(1). https://doi.org/10.1186/s12961-018-0337-6

    CDC. (2020, January 28). Hypertension Resources for Health Professionals | cdc.gov. Centers for Disease Control and Prevention. https://www.cdc.gov/bloodpressure/educational_materials.htm

    Chambers, C. T. (2018). From evidence to influence. PAIN, 159, S56–S64. https://doi.org/10.1097/j.pain.0000000000001327

    Hansen, A. R., McLendon, S. F., & Rochani, H. (2021). Care coordination for rural residents with chronic disease: Predictors of improved outcomes. Public Health Nursing. https://doi.org/10.1111/phn.13038

    NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

    Kohl, S., Schoenfelder, J., Fügener, A., & Brunner, J. O. (2018). The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals. Health Care Management Science, 22(2), 245–286. https://doi.org/10.1007/s10729-018-9436-8

    Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., & Malata, A. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/s2214-109x(18)30386-3

    McFarlan, S., O’Brien, D., & Simmons, E. (2019). Nurse-leader collaborative improvement project: Improving patient experience in the emergency department. Journal of Emergency Nursing, 45(2), 137–143. https://doi.org/10.1016/j.jen.2018.11.007

    Nicolai, J., Müller, N., Noest, S., Wilke, S., Schultz, J.-H., Gleißner, C. A., Eich, W., & Bieber, C. (2018). To change or not to change – That is the question: A qualitative study of lifestyle changes following acute myocardial infarction. Chronic Illness, 14(1), 25–41. https://doi.org/10.1177/1742395317694700

    Olowofela, A. O., & Isah, A. O. (2018). A profile of adverse effects of antihypertensive medicines in a tertiary care clinic in Nigeria. Annals of African Medicine, 16(3), 114–119. https://doi.org/10.4103/aam.aam_6_17

    NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

    Purtle, J., Marzalik, J. S., Halfond, R. W., Bufka, L. F., Teachman, B. A., & Aarons, G. A. (2020). Toward the data-driven dissemination of findings from psychological science. American Psychologist, 75(8), 1052–1066. https://doi.org/10.1037/amp0000721

    Rollet, Q., Bouvier, V., Moutel, G., Launay, L., Bignon, A.-L., Bouhier-Leporrier, K., Launoy, G., & Lièvre, A. (2021). Multidisciplinary team meetings: Are all patients presented, and does it impact the quality of care and survival – A registry-based study. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-07022-x

    Shayesteh, H., Mirzaei, A., Sayehmiri, K., Qorbani, M., & Mansourian, M. (2018). Effect of an education intervention on the lifestyle of patients with hypertension among the rural population of Lorestan province. Journal of Lifestyle Medicine, 6(2), 58–63. https://doi.org/10.15280/jlm.2016.6.2.58

    Sperry, R. C., & Jetter, A. J. (2019). A systems approach to project stakeholder management: Fuzzy cognitive map modeling. Project Management Journal, 50(6), 875697281984787. https://doi.org/10.1177/8756972819847870

    Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-Based Care and Patient Satisfaction in the Hospital Setting: A Systematic Review. Advocate Aurora Health Institutional Repository. https://doi.org/10.17294%2F2330-0698.1695