NURS FPX 5005 Assessment 4 Patient Care Technology
Student Name Capella University NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Prof. Name Date Analysis of Technology in Nursing Practice This paper delves into diverse aspects of technology in patient care, exploring its applications, advantages, and challenges. Focusing on electronic health records (EHRs), the study examines their implications for patient care and nursing practice, covering utility, benefits, limitations, and ethical/regulatory considerations. Effects of Technology on Patient Care and Nursing Practice EHRs, digitized repositories of patients’ medical data accessible through healthcare organizations’ computer systems or mobile devices, serve as comprehensive guardians of medical histories. These histories include diagnostic information, treatment plans, allergies, infections, laboratory findings, billing details, radiology images, vaccination records, and physical/mental health indicators (Grewal et al., 2019). Effects on Patient Care EHRs expedite and enhance patient treatment, enabling nursing staff to quickly discern patients’ needs, facilitating more effective clinical interventions (Abul-Husn & Kenny, 2019). EHRs systematically aggregate and disseminate patient data to all caregivers, ensuring comprehensive information sharing. Effects on Nursing Practice Nursing professionals view EHRs as tools to contextualize patient data and facilitate interprofessional communication, especially for patients in critical conditions or under close observation (Wisner et al., 2019). Accessed through a secure portal, EHRs empower nurses to efficiently retrieve patient information, leading to improved intervention planning. Advantages and Disadvantages Advantages Drawbacks Concerns about malpractice liability, high implementation costs, and potential decreases in overall productivity (Upadhyay & Hu, 2020). Communication of Data EHRs facilitate structured and unstructured communication channels. Structured pathways, like computerized provider entry (CPOE), convey medication and allergy information, while unstructured pathways employ clinical notes (Zhang et al., 2020). Additionally, EHRs contribute to secure communication by integrating encryption algorithms into conventional medical cloud models. Identifying Criteria to Evaluate Data EHRs benefit from the commercialization and development of 5G technology, enabling nurses to communicate with patients via messages, emails, or phone calls from anywhere. Healthcare organizations establish online portals to engage patients, particularly those from remote areas, collecting and evaluating patient data before disseminating it to the broader medical team (Zhang et al., 2020). Controls and Safeguards to Maintain Patient Safety and Confidentiality Modern technologies deepen patient-staff communication and access to intervention updates, enhancing the nursing staff’s understanding of patients’ conditions. Safeguarding data involves granting portal access credentials to relatives or family members of patients with mental or visual impairments (Lee, 2017). Privacy concerns necessitate open dialogues with patients to prevent unauthorized data use. Proper staff training in data storage and monitoring is essential to ethically optimize patient health information within EHRs. Evidence-Based Strategies to Improve the Application of Patient Care Technology The Health Insurance Portability and Accountability Act (HIPAA) of 1996 mandates national standards to protect patients’ medical information from unauthorized disclosure (Shachar, 2022). Compliance with HIPAA Privacy and Security Rules ensures patient consent before data disclosure, enhancing patient care technology by improving health insurance portability and safety standards. Conclusion Patient care technology is pivotal in healthcare, fostering communication between healthcare organizations and patients through devices like blood pressure monitors, blood glucose monitors, and patient location trackers. While offering benefits, challenges such as staff training, data security, and patient privacy considerations must be addressed for ethical and effective utilization. References Abul-Husn, N. S., & Kenny, E. E. (2019). Personalized medicine and the power of Electronic Health Records. Cell, 177(1), 58–69. Bani Issa, W., Al Akour, I., Ibrahim, A., Almarzouqi, A., Abbas, S., Hisham, F., & Griffiths, J. (2020). Privacy, confidentiality, security, and patient safety concerns about Electronic Health Records. International Nursing Review, 67(2), 218–230. Grewal, D., Hulland, J., Kopalle, P. K., & Karahanna, E. (2019). The future of technology and marketing: A multidisciplinary perspective. Journal of the Academy of Marketing Science, 48(1), 1–8. NURS FPX 5005 Assessment 4 Patient Care Technology Lee, L. M. (2017). Ethics and subsequent use of Electronic Health Record data. Journal of Biomedical Informatics, 71, 143–146. Shachar, C. (2022). HIPAA, privacy, and reproductive rights in a Post-Roe era. JAMA, 328(5), 417. Upadhyay, S., & Hu, H. (2020). Clinicians’ lived experiences on the impact of Electronic Health Records (EHR) on quality and safety. Academy of Management Proceedings, 2020(1), 12928. Wisner, K., Lyndon, A., & Chesla, C. A. (2019). The Electronic Health Record’s impact on nurses’ cognitive work: An integrative review. International Journal of Nursing Studies, 94, 74–84. NURS FPX 5005 Assessment 4 Patient Care Technology Zhang, J., Liu, H., & Ni, L. (2020). A secure energy-saving communication and encrypted storage model based on RC4 for EHR. IEEE Access, 8, 38995–39012.
NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project
Student Name Capella University NURS-FPX 6618 Leadership in Care Coordination Prof. Name Date Purpose of Planning and Presenting a Care Coordination Project This assessment is projected toward developing a care coordination project plan for chronic care patients in the Virginia community. Elderly people in the Virginia community suffer from chronic diseases, resulting in higher comorbidities and mortalities. The quality of care provided to chronic disease patients lacks adequate care coordination, leading to poor health outcomes in elderly patients. The hospital readmission rates are devastatingly increasing daily due to poor management of chronic conditions like diabetes, hypertension, renal diseases, chronic obstructive pulmonary disease, etc. Moreover, medication error rates are burgeoning in chronic care patients due to a lack of coordination among healthcare professionals. As a care coordinator project manager at Sentara Northern Virginia Medical Centers, I am developing a care coordination project plan for the described population, which requires care coordination from multiple organizations. This care coordination plan will help the elderly population inflicted with chronic conditions manage their condition with a coordinated and patient-centered care approach. Vision of Interagency Coordinated Care for Chronic Care Patients The primary vision of interagency coordination care for chronic care patients is patient-centered and collaborative care, prioritizing the overall well-being of elderly population with chronic conditions. This is possible by integrating a multidisciplinary team collaboration of healthcare professionals, including physicians, nurses, pharmacists, social workers, dieticians, etc. The care coordinating teams will enable effective care delivery through adequate coordination and collaboration, leaving no room for errors or treatment delays. Therefore, effective sharing of patient health data among healthcare professionals is neccessary. This can be done by using healthcare technologies such as electronic health records that enhances smooth coordination and communication, as the EHR can be integrated into multiple organizations (Southerland et al., 2020). A patient-centered care approach can be delivered in several ways, from onsite followups to online consultations by telehealth technology. By leveraging technology, healthcare providers can give consolidated care remotely, and patients can acquire coordinated care in the comfort of their homes. Furthermore, patient-centered care clinics can be established for this population, serving as a central point for chronic patients. This will provide consolidated care to chronic care patients from physical, mental, and emotional perspectives (Corazzini et al., 2019). Additionally, healthcare professionals must be provided with ongoing training and educational programs to gain the necessary skills and knowledge to deliver consolidated care with improved quality to treat chronic conditions. This will pave a constant roadway for healthcare professionals to provide a continuity of care for chronic care patients. Underlying Assumptions and Areas of Uncertainty The underlying assumption of this vision is that healthcare professionals can overcome barriers to collaboration and eradicate fragmented care by working together and coordinating care in the best interest of patients. Moreover, with advancements in healthcare technologies, healthcare professionals can share patient data and enable care coordination. The trained healthcare workforce can find better ways to provide consolidated care. However, the uncertainties in fulfilling this vision pertain to various factors, such as stagnant behaviors of patients, inadequate healthcare teams, resource limitations, and interoperability challenges (Gunnarson, 2022). These areas of uncertainty must be considered while developing and implementing a care coordination plan for the affected population. Mandatory Organizations and Groups to Participate in Care Several organizations and groups must participate to provide consolidated and holistic care for chronic disease patients. These identified organizations that must contribute to improving coordinated care for chronic patients include “Virginia’s Department of Health,” “Virginia’s Association of Area Agencies on Ageing,” and “National healthcare organizations” such as the “American Heart Association (AHA),” “American Diabetes Association (ADA),” and “American Nursing Association (ANA).” The Virginia Department of Health advocates the prosperity of public health, including care for chronic patients. They have worked on various initiatives to prevent chronic diseases and manage them effectively (Virginia Department of Health, n.d.). Therefore, their vital participation can promote coordinated care among chronic disease patients. Likewise, Virginia’s Association of Area Agencies on Ageing is a widespread network of agencies in Virginia that works for chronic diseases among elderly people and promotes healthy aging. This organizational group can provide their services in delivering coordinated care for patients with chronic conditions. Moreover, national healthcare organizations like AHA and ADA provide guidelines on coordinated care for managing heart diseases and diabetes, respectively, commonly prevalent among elderly people. Lastly, the ANA must participate in care for this population group as nurses are inherently care coordinators and collaborate with other healthcare professionals in delivering coordinated care to patients. Therefore, they can actively provide consolidated care to elderly patients in managing their chronic conditions. Identified Members of Interprofessional Care Coordination Team The interprofessional care coordination team must comprise primary care physicians, nurses, pharmacists, social workers, dieticians, case managers, telehealth specialists, community health workers, health educators, and mental health specialists. These team members will collaborate and provide concerted care to chronic disease patients (Khatri et al., 2023). The primary care physicians will develop patient care plans with pharmacists and nurses. Mental health specialists will ensure elderly patients are mentally well by providing them with mental health services and counseling. The social and community health workers will address social determinants of health for these patients and connect patients with community resources. The dieticians will provide nutrition counseling for patients requiring lifestyle modifications. The case manager will oversee care transitions, ensure seamless communication, and manage overall initiative for delivering coordinated care to the affected population. Lastly, telehealth specialists will ensure steady remote consultations by facilitating telemedicine and remote monitoring services. These team members will be able to provide coordinated care with effective planning. Analysis of Environmental and Provider Capabilities Considering the insightful and comprehensive analysis of environmental and provider capabilities, several factors impact care coordination for chronic care patients. Factors like healthcare policy and regulations on data sharing and telehealth regulations impact the environmental ability to provide adequate coordinated care. Moreover, the availability of funding and reimbursement, technology infrastructure, and public health literacy are primary environmental factors that may hinder care coordination.
NURS FPX 6612 Assessment 3 Patient Discharge Care Planning
Student Name Capella University NURS-FPX 6612 Health Care Models Used in Care Coordination Prof. Name Date Patient Discharge Care Planning This assessment concentrates on formulating discharge care plans for Marta Rodriguez, recently hospitalized due to a severe accident en route to college. Following a four-week trauma center stay involving multiple surgeries and antibiotic treatment, ensuring coordinated care for Marta is imperative. In my role as the senior care coordinator, I will present Marta’s case in an upcoming interdisciplinary team meeting to deliberate on her discharge plans. Longitudinal, Patient-Centered Care Plan To guarantee Marta Rodriguez receives comprehensive, patient-centered care, the interdisciplinary team will integrate Health Information Technology (HIT) components to enhance communication and coordination throughout her care journey. These HIT elements include electronic health records (EHRs), secure messaging platforms, telehealth technology, and medication reconciliation tools. EHRs will facilitate real-time access and updates to Marta’s medical records, facilitating the development of a comprehensive care plan (Schwab et al., 2021). Secure messaging platforms will streamline communication among team members, especially regarding changes in Marta’s condition, appointments, and medication schedules (Flickinger et al., 2022). Telehealth technology will allow remote monitoring of Marta’s vital signs, enabling early intervention (Chowdhury et al., 2020). Additionally, medication reconciliation tools will ensure the accuracy of her medication list, thereby reducing medication errors. NURS FPX 6612 Assessment 3 Patient Discharge Care Planning To prevent Marta’s readmission within 48 hours after discharge, the inter-professional team must ensure Marta receives adequate education, support, and follow-up care (Oksholm et al., 2023). The use of HIT elements can reinforce these efforts. For example, telehealth technology can monitor Marta’s post-discharge progress, provide virtual support, and identify potential issues that might lead to readmission. Furthermore, secure messaging platforms can offer Marta timely and accurate information regarding her medication and follow-up appointments. Simultaneously, incorporating these HIT elements will promote care coordination for Marta by fostering communication and collaboration among team members. Access to uniform information about Marta will enable the development of a comprehensive care plan. Furthermore, EHRs will allow team members to track Marta’s progress, ensuring she receives appropriate care throughout her recovery. By harnessing HIT elements, the inter-professional team can deliver a patient-centered, coordinated, and effective care plan tailored to Marta’s unique needs. Data Reporting Data reporting holds immense significance in the healthcare industry, shaping care coordination, administration, clinical efficiency, and interdisciplinary innovation in treatment. In Marta Rodriguez’s case, data reporting pertaining to her behaviors can enhance the quality of her care and support her recovery in three key ways: Care Coordination: Data reporting can facilitate care coordination among inter-professional team members by providing a shared understanding of Marta’s condition and progress (Brooks et al., 2020). For instance, data on Marta’s medication adherence, vital signs, and symptoms can be reported through EHRs or secure messaging platforms, enabling effective collaboration in her care management and reducing the risk of complications or readmissions. Care Management: Data reporting can shape care management by identifying areas where Marta may require additional support or interventions. Information on her pain levels, mobility, and nutritional status, for example, can be reported to the team, allowing them to adjust her care plan as needed to improve its quality and enhance her recovery. Inter-professional Innovation: Data reporting can drive innovation in inter-professional care by providing insights into Marta’s behaviors and preferences. Data regarding her language preferences or cultural background can be shared with the team, enabling them to tailor their care to her specific needs, thereby promoting patient-centered care and better outcomes. To ensure data quality, the team should implement data validation protocols, conduct regular audits, and provide training on data entry and reporting best practices. Additionally, the data must be relevant to Marta’s care goals and aligned with evidence-based practices, allowing the team to make informed decisions and provide her with the best possible care. Client’s Record Influencing Health Outcomes Patient records play a pivotal role in improving health outcomes. Marta Rodriguez’s case demonstrates how interprofessional teams can leverage Health Information Technology (HIT) to collect, analyze, and share information from client records, ultimately enhancing patient care and outcomes. This discussion explores how data obtained from patient records can positively influence health outcomes and how interprofessional teams can coordinate their efforts using HIT. HIT enables interprofessional teams to gather and analyze data from client records, offering insights into trends, patterns, and care gaps (Leslie & Paradis, 2018). For instance, Marta’s records can provide valuable information about her medical history, medication regimen, and health status, facilitating the development of a comprehensive care plan tailored to her unique needs. HIT can also help identify potential risks, such as adverse drug reactions or postoperative complications, enabling prompt intervention to prevent negative health outcomes. Moreover, HIT enhances care coordination among interprofessional team members. By sharing information from client records, team members can collaborate more effectively in managing patient care. Tools like EHRs and secure messaging platforms enable real-time communication, ensuring that all team members are up-to-date with the latest patient information. This reduces the risk of miscommunication and errors, ultimately leading to improved health outcomes for the patient. NURS FPX 6612 Assessment 3 Patient Discharge Care Planning Effective coordination of findings among interprofessional team members requires clear communication, a shared care plan, and a willingness to collaborate towards common goals (Rawlinson et al., 2021). HIT tools provide a centralized platform for accessing and sharing information, ensuring that all team members have a comprehensive understanding of the patient’s care needs. This collaborative approach enables the provision of holistic care that addresses all aspects of the patient’s health, resulting in better health outcomes. Positive health outcomes can be influenced by the use of HIT to collect, analyze, and distribute data from patient records. Interprofessional teams can utilize HIT tools to coordinate their efforts, ensuring access to the latest patient information. Through effective collaboration and the proficient use of HIT tools, these teams can provide patient-centered care that comprehensively addresses all aspects of the patient’s health, leading to improved health outcomes. Conclusion Marta Rodriguez’s post-discharge care involves a patient-centered approach
NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures
Student Name Capella University NURS-FPX 6612 Health Care Models Used in Care Coordination Prof. Name Date Triple Aim Outcome Measures Introduction I am ________, the case manager at Sacred Heart, a rural hospital. This presentation aims to guide hospital members in achieving care coordination through the Triple Aim process. Purpose This presentation aims to enlighten Sacred Heart Hospital’s leadership on care coordination, aligning practices with Triple Aim objectives for the rural population. It also seeks to enhance understanding of supporting models for Triple Aim, focusing on the Patient-Centered Medical Home (PCMH) and Transitional Care. Triple Aim The Triple Aim focuses on improving healthcare quality with objectives centered on enhancing patient experience, healthier populations, and lower healthcare costs. This presentation details how the Triple Aim contributes to community health, patient care experience, and cost reduction. Patient Experience of Care Triple Aim prioritizes improving patient experience by reducing waiting times, improving communication, and involving patients in treatment plans. Patient satisfaction positively impacts adherence to treatment, engagement in care, and overall health outcomes. Enhancing Community or Population Health The Triple Aim aims to improve community health by recognizing and addressing health needs. Care coordination is crucial in identifying high-risk patients and ensuring they receive appropriate care. Collaboration with community partners for preventive measures is essential. Reducing Per Capita Costs Efficient care coordination contributes to reducing healthcare costs by minimizing waste, unnecessary procedures, and preventing readmissions. Collaboration with community partners and preventive care further decreases healthcare costs. In conclusion, achieving Triple Aim objectives requires healthcare providers to enhance patient experience, community health, and minimize healthcare costs. Effective care coordination plays a critical role in achieving these goals. Analyzing the Relationship Between Health Models and Triple Aim The PCMH and Transitional Care models align with Triple Aim objectives, focusing on patient-centered care, improving population health, and reducing healthcare costs. These models show potential in enhancing patient outcomes and care coordination. Structure of Healthcare Models PCMH and Transitional Care models enhance care quality through a team-based approach, emphasizing comprehensive and coordinated care. They rely on electronic health records, evidence-based guidelines, and interdisciplinary teams to ensure appropriate care. Evidence-based Data Shaping the Care Coordination Process Care coordination in nursing relies on evidence-based data to identify patient needs, barriers to care, and develop tailored interventions. This data-driven approach improves patient outcomes, promotes continuity of care, and reduces the risk of medical errors. Governmental Regulatory Initiatives To achieve Triple Aim, Sacred Heart Hospital can incorporate regulatory initiatives like the Medicare Shared Savings Program (MSSP) and the Hospital Readmissions Reduction Program (HRRP). These programs incentivize care coordination, improve quality, and reduce healthcare costs. Process Improvement Recommendations to Stakeholders Stakeholders, including hospital administration, healthcare providers, patients, caregivers, and Vila Health representatives, should be informed about the need to update the care coordination process. Addressing questions about resources and timeline concerns will ensure successful implementation. References Bravo, F., Levi, R., Perakis, G., & Romero, G. (2022). Care coordination for healthcare referrals under a shared‐savings program. Production and Operations Management. https://doi.org/10.1111/poms.13830 Fønss Rasmussen, L., Grode, L. B., Lange, J., Barat, I., & Gregersen, M. (2021). Impact of transitional care interventions on hospital readmissions in older medical patients: A systematic review. BMJ Open, 11(1), e040057. https://doi.org/10.1136/bmjopen-2020-040057 Kangovi, S., Mitra, N., Grande, D., Long, J. A., & Asch, D. A. (2020). Evidence-based community health worker program addresses unmet social needs and generates positive return on investment. Health Affairs, 39(2), 207–213. https://doi.org/10.1377/hlthaff.2019.00981 NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures Kaufman, B. G., Spivack, B. S., Stearns, S. C., Song, P. H., O’Brien, E. C., & Kansagara, D. (2018). Impact of patient-centered medical homes on healthcare utilization. American journal of managed care, 24(5), 237-243. M., S., & Chacko, A. M. (2021, January 1). 2 – Interoperability issues in EHR systems: Research directions (K. C. Lee, S. S. Roy, P. Samui, & V. Kumar, Eds.). ScienceDirect; Academic Press. https://www.sciencedirect.com/science/article/pii/B9780128193143000021 McNabney, M. K., Green, A. R., Burke, M., Le, S. T., Butler, D., Chun, A. K., Elliott, D. P., Fulton, A. T., Hyer, K., Setters, B., & Shega, J. W. (2022). Complexities of care: Common components of models of care in geriatrics. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.17811 NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures Ruediger, M., Kupfer, M., & Leiby, B. E. (2019). Decreasing re-hospitalizations and emergency department visits in persons with recent spinal cord injuries using a specialized medical home. The Journal of Spinal Cord Medicine, 44(2), 221–228. https://doi.org/10.1080/10790268.2019.1671075 Shahsavari, H., Zarei, M., & Aliheydari Mamaghani, J. (2019). Transitional care: Concept analysis using Rodgers’ evolutionary approach. International Journal of Nursing Studies, 99, 103387. https://doi.org/10.1016/j.ijnurstu.2019.103387
NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment
Student Name Capella University NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Comprehensive Needs Assessment Conducting a comprehensive needs assessment is imperative for healthcare professionals to utilize diverse resources that enhance patient care. This assessment is crafted to identify gaps in patient care and address them through effective care coordination. It also facilitates the recognition of patients’ needs and the development of strategies to assess and meet those needs. The importance of care coordination in patient care is emphasized, and various strategies to enhance patient care are explored. The assessment also delves into interdisciplinary team collaboration in the context of care coordination. Current Gaps in Patient Care A case study involving a 79-year-old diabetic patient, Mr. Decker, illustrates existing gaps in patient care. Factors such as Mr. Decker’s low-income status, insufficient communication about post-discharge care, and lack of post-discharge evaluation contribute to gaps in his care. Utilizing the Patient-Centered Assessment Method, the assessment tool emphasizes an effort-based approach to address not only Mr. Decker’s physiological needs but also his social, religious, and psychological requirements (Perazzo et al., 2020). Informational Needs for Optimal Patient Care To assess the current level of care, essential patient information includes medical records (e.g., age, weight, allergies), emotional behavior, desires, medical schedule, and religious beliefs. Gathering additional necessary data involves conducting preliminary discussions and interviewing Mr. Decker’s family members, considering factors such as his interests, diet, and social connections. Electronic health records, patient registration documents, and routine follow-up procedures are also employed, ensuring adherence to HIPAA compliance (Shah & Khan, 2020). Societal, Economic, and Interdisciplinary Factors Impacting Patient Care Factors such as financial crisis, aging, and insufficient social support significantly impact patient care. Aging, in particular, poses additional risks for complications in chronic patients like Mr. Decker. Economic determinants, such as Mr. Decker’s low income, affect his access to recommended therapies. Limited social support from family members further complicates post-discharge procedures, potentially leading to serious complications (Ko et al., 2019; Palileo-Villanueva et al., 2022). Professional Standards and Care Coordination Outcomes Organizations like the National Quality Forum and the Agency for Healthcare Research and Quality play crucial roles in establishing standards for safety, care coordination outcomes, and evaluation benchmarks. Models such as the Care Coordination and Transition Management Logic Model and evidence-based practices contribute to effective care coordination, focusing on patient-centered care and multidisciplinary collaboration (Hofmann & Erben, 2020; Artiga et al., 2020). Evidence-Based Practices for Patient Care Coordination Evidence-based strategies like GENESIS, routine evaluation of older patients, and the sepsis six bundles are recommended for managing elderly patients with infection. These practices aim to identify and address infection outbreaks, monitor essential signs, and provide timely interventions to reduce mortality rates associated with sepsis (Kregel et al., 2022; LeRoith et al., 2019; Bleakley & Cole, 2020). Benefits of a Multidisciplinary Approach to Patient Care A multidisciplinary approach in healthcare enhances patient care by considering various aspects of a patient’s health simultaneously. This approach minimizes errors, particularly those related to socioeconomics and age-related variables. Mr. Decker’s care gaps, influenced by social, economic, and interprofessional factors, could have been mitigated through a multidisciplinary team. Research suggests that a multidisciplinary approach can reduce readmissions and provide more thorough care to patients (Ni et al., 2019). Conclusion In conclusion, care coordination is integral for improving overall patient care quality. Identifying and addressing gaps in patient care, particularly those influenced by socioeconomic, age-related, and interdisciplinary factors, requires a comprehensive needs assessment. This assessment, coupled with evidence-based practices and adherence to professional standards, contributes to enhanced patient care. The incorporation of a multidisciplinary approach further strengthens patient care outcomes. References Artiga, S., Orgera, K., & Pham, O. (2020). Issue brief disparities in health and health care: Five key questions and answers. Deancare.com. https://deancare.com/getmedia/e00c9856-28d0-4c63-b2c0-9bf68cadcebb/Disparities-in-Health-and-Health-Care-Five-Key-Questions-and-Answers.pdf Bleakley, G., & Cole, M. (2020). Recognition and management of sepsis: The nurse’s role. British Journal of Nursing, 29(21), 1248–1251. https://doi.org/10.12968/bjon.2020.29.21.1248 Hofmann, F., & Erben, M. J. (2020). Organizational transition management of circular business model innovations. Business Strategy and the Environment, 29(6), 2770–2788. https://doi.org/10.1002/bse.2542 Ko, H., Park, Y.-H., Cho, B., Lim, K.-C., Chang, S. J., Yi, Y. M., Noh, E.-Y., & Ryu, S.-I. (2019). Gender differences in health status, quality of life, and community service needs of older adults living alone. Archives of Gerontology and Geriatrics, 83, 239–245. https://doi.org/10.1016/j.archger.2019.05.009 Kregel, H. R., Murphy, P. B., Attia, M., Meyer, D. E., Morris, R. S., Onyema, E. C., Adams, S. D., Wade, C. E., Harvin, J. A., Kao, L. S., & Puzio, T. J. (2022). The geriatric nutritional risk index as a predictor of complications in geriatric trauma patients. Journal of Trauma and Acute Care Surgery, 93(2), 195–199. https://doi.org/10.1097/TA.0000000000003588 LeRoith, D., Biessels, G. J., Braithwaite, S. S., Casanueva, F. F., Draznin, B., Halter, J. B., Hirsch, I. B., McDonnell, M. E., Molitch, M. E., Murad, M. H., & Sinclair, A. J. (2019). Treatment of diabetes in older adults: An endocrine society* clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 104(5), 1520–1574. https://doi.org/10.1210/jc.2019-00198 NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment Liu, X., Xu, Y., An, M., & Zeng, Q. (2019). The risk factors for diabetic peripheral neuropathy: A meta-analysis. Plos one, 14(2), 0212574. https://doi.org/10.1371/journal.pone.0212574 Mertens, F., Debrulle, Z., Lindskog, E., Deliens, L., Deveugele, M., & Pype, P. (2020). Healthcare professionals’ experiences of inter-professional collaboration during patient’s transfers between care settings in palliative care: A focus group study. Palliative Medicine, 35(2), 026921632096874. https://doi.org/10.1177/0269216320968741 Milgrom, J., Hirshler, Y., Reece, J., Holt, C., & Gemmill, A. W. (2019). Social support—A protective factor for depressed perinatal women? International Journal of Environmental Research and Public Health, 16(8). https://doi.org/10.3390/ijerph16081426 Namburi, N., & Lee, L. S. (2022). National quality forum.Europepmc.org https://europepmc.org/article/med/31751044 Ni, Y., Liu, S., Li, J., Dong, T., Tao, L., Yuan, L., & Yang, M. (2019). The effects of nurse-led multidisciplinary team management on glycosylated hemoglobin, quality of life, hospitalization, and help-seeking behavior of people with diabetes mellitus. Journal of Diabetes Research, 2019, 1–9. https://doi.org/10.1155/2019/9325146 NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment Villanueva, L. M.P., Palafox, B., Amit, A. M. L., Pepito, V. C. F., Ab-Majid, F., Ariffin, F., Balabanova, D., Isa, M.-R., Mat-Nasir,
NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice
Student Name Capella University NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health Prof. Name Date Implementing Evidence-Based Practice for Promoting Exercise Among Cancer Survivors Hey everyone.. I am Jessica. Cancer is one of the most lethal diseases that prevails in our society, with a low mortality and survival rate. Usually, cancer is diagnosed in the late stages, when radiation and chemotherapy become evident for the patient’s survival. The American Cancer Society has just recently announced the updated cancer incidence and death rates in the United States, which revealed a significant decline in the overall cancer mortality trend from 1991 to 2017 by a total of 29% (Siegel et al., 2019). There were an expected 19.3 million new instances of cancer (18.1 million excluding non-melanoma skin cancer) and roughly 10.0 million (9.7–10.2 million) deaths from cancer (9.9 million excluding non-melanoma skin cancer) globally in 2020. The uncertainty interval for this estimate is from 19.0 to 19.6 million (Hanahan, 2022). The term “cancer” refers to a wide variety of diseases, each of which has its own set of symptoms, approach to therapy, and outlook on survival. Cancer has a tremendous effect on the physical, emotional, and social well-being of individuals who are affected by it, beginning at the moment a diagnosis is made and continuing through the road of treatment and survival. The prognoses of a large number of cancer patients have greatly improved as a result of recent developments in research, prevention methods, diagnostic procedures, and treatment modalities. NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice On the other hand, there is still a continuous need for additional research, early detection, effective medications, and extensive support systems in order to further improve cancer prevention and management and, ultimately, to improve the quality of life for people whose lives have been damaged by this disease. The aim of this poster presentation is to fill the gap between evidence-based practice and clinical practice and help the clinician have information that is embedded in the scientific findings and based on background information. PICOT Question Cancer requires a lifestyle change that helps manage a cancer-free life. Dietary habits, exercises, medications, and food choices have to be changed to manage bodily counts and spaces. The PICOT question seeks to investigate the impact of the exercise programs on the quality of life of cancer survivors as compared to standard care or non-exercise programs within 6 months of the intervention. If we open up the PICOT, The population in question is the cancer survivors, while the intervention that is being implemented is an exercise program, which is being compared to standard care or no exercise program, and the outcome is an improvement in the quality of life within the timeline of 6 months. Action plan Exercise has a significant role in bringing about active change in our lives. Similarly, incorporating exercise programs into the regimen of a cancer patient gives the ultimate hands-on assistance in bringing about change in one’s life. This program is based on a course of six months where the recently cancer-free patients were given a regimen of walking and doing low-paced exercises that would help them feel energetic and active. The action plan for this was to ensure that people who have recently survived cancer were encouraged to engage in physical activities such as walking and low-pace exercise to encourage them to develop healthy habits. Studies have highlighted that exercise has a significantly positive impact on cancer survivors and has been characterized as one of the most frequently advised activities to have in the patients’ regimen. Also, a study based on a breast cancer survivor revealed that exercise in the follow-up routine had a significantly positive response among patients. Similarly, a systematic review aggregated information regarding the benefit of exercise through a systematic review of existing systematic reviews in the cancer exercise literature (Stout et al., 2017). The review came to the conclusion that exercise is useful before, during, and after treatment for cancer, for all different forms of cancer, and for a range of impairments that are associated with cancer. When it comes to enhancing physical function and reducing the negative effects of cancer-related impairments, the optimal degree of exercise intensity is moderate to vigorous physical activity (Cormie et al., 2017). NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice An additional systematic review was conducted to provide a thorough summary of the information that is currently available from epidemiologic and randomized controlled trials evaluating the function of exercise in the management of cancer. Patients who exercised following a diagnosis of cancer were found to have a decreased relative risk of cancer mortality and recurrence in comparison to patients who engaged in no exercise or less exercise. Furthermore, patients who exercised following a diagnosis of cancer were reported to have experienced fewer or less severe adverse effects (Ferioli et al., 2019). NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice Stakeholders and Potential Barriers The following stakeholders would hold an important place in the implementation of the project: Similarly, the following are examples of potential barriers to the implementation of the project: Outcome Assessment: The outcome criteria can be evaluated through multiple sources, such as: Value and relevance The evidence that supports the necessity for a practice change to incorporate exercise into the treatment of cancer survivors is compelling and extremely pertinent. Exercise has been shown to offer numerous benefits for cancer survivors, including better physical function, quality of life, and cancer-related outcomes, and these benefits have been the subject of a number of systematic reviews and meta-analyses (Czosnek et al., 2021). As such, the findings of one systematic review indicated that exercise is beneficial before, during, and after therapy for cancer, for each and every form of cancer, and for a range of impairments that are associated with cancer (Campbell et al., 2019). Patients who exercised following a diagnosis of cancer were shown to have a decreased relative risk of cancer mortality and recurrence, and they reported fewer or less severe