NURS FPX 4900 Assessment 3
Phillip September 17, 2023 No Comments

NURS FPX 4900 Assessment 3 – Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations

NURS FPX 4900 Assessment 3 –  Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations

Student Name

Capella University

NURS-FPX4900: Capstone Project for Nursing

Prof.

Date

 

Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations

This capstone project investigates the application of healthcare technology, care coordination, and community resources to address the case of childhood obesity in a 10-year-old child named John. This project will investigate how healthcare technologies can support John’s fight against obesity and boost his general well-being. Besides, we will assess the significance of seamless care coordination in handling obesity and its associated health concerns in pediatric settings. This involves a joint effort from different health disciplines to devise a comprehensive care plan suitable for John. Lastly, we will explore potential local resources available for John and his family to help combat obesity and promote a healthier way of living. The discussion on each component will be explored comprehensively throughout this endeavor.

Examining the Impact of Healthcare Technologies on Clinical Obesity 

Impact of Healthcare Technologies on John’s Obesity

Healthcare technologies play crucial roles in child obesity management; Telehealth and electronic health records system (EHRs) are particularly impactful. Telehealth bridges communication gaps, providing real-time interaction between patients and their healthcare team (Haleem et al., 2021). It enables tracking patients’ progress, adjusting care strategies quickly, and delivering personalized feedback. This wide-coverage affordable solution facilitates positive health-behavior changes. EHRs consolidate all patient information – medical history, medications, lab test results, etc., enabling healthcare providers to make informed decisions. They also allow early detection of potential health risks and contribute to care coordination across various specialties (Ehrenstein et al., 2019). For example, if a patient requires assistance from a dietitian, EHRs’ seamless data sharing ensures an informed, comprehensive, and effective treatment approach. Moreover, EHRs generate extensive databases that can be used for population-based interventions and research. They can provide anonymous data, useful in studying obesity progression, response to treatment, and disease outcomes. This can inform evidence-based practices and influence health policy decisions. Telehealth and EHRs significantly impact obesity management by enhancing communication, real-time response, comprehensive data availability, and seamless care coordination. Such integration of care technology can drastically improve patient outcomes.

Advantages and Disadvantages of Specific Technologies

Advanced technologies, including telehealth and EHRs, have significant implications for healthcare. Telehealth removes geographical restrictions, making healthcare more accessible, especially for remote populations, and can be cost-effective by reducing travel costs and, in some instances, reducing hospital readmission rates (Haleem et al., 2021). However, it relies heavily on user technical aptitude, which can be challenging for some demographics, particularly older people. Technical issues can also disrupt service and negatively affect treatment quality (Gajarawala & Pelkowski, 2020). EHRs, meanwhile, offer comprehensive health history access, improving care quality and coordination by minimizing repetitive tests and allowing seamless information sharing among healthcare providers (Quinn et al., 2019). However, they are associated with potential data security risks and high implementation costs, particularly challenging for small healthcare facilities (Yeo & Banfield, 2022). While these technologies have revolutionized healthcare delivery, potential drawbacks should be recognized and addressed to maximize benefits.

Consistency of Technology Use in Nursing Practice

Technology, specifically telehealth and mobile health applications, is integral to modern nursing practice and patient care. Telehealth allows for consistent contact and timely professional input beyond traditional clinical environments. It is instrumental in managing chronic conditions like obesity, allowing regular check-ins, and advising on dietary and physical activity. Virtual consultations and health education seminars provide continual patient support (Haleem et al., 2021). Simultaneously, mobile health applications allow patients to self-monitor behaviors, including eating habits, weight, and physical activity.

This fosters patient involvement in their healthcare journey leading to improved outcomes. However, maintaining patient motivation becomes crucial as app usage may fall over time. Among other advancements, the Electronic Health Record (EHR) system is a revolution in healthcare. EHRs efficiently document and retrieve patient data, facilitating interdisciplinary collaboration, which is essential in obesity management and often necessitates a combined approach from dietitians, therapists, and medical specialists (Dash et al., 2019). Despite the cost and implementation challenges, the long-term benefit of an integrated EHR system cannot be ignored. Overall, technology optimization enhances healthcare; however, the accompanying challenges should be seen as improvement opportunities rather than barriers.

Care Coordination and Utilization of Community Resources

Care coordination in health management involves collaborating with various healthcare providers (nurses, physicians, dietitians, psychologists, physiotherapists, etc.) to confirm that the patient receives comprehensive care. The aim is to ensure consistency across different care stages, leading to positive outcomes. Kepper et al. (2021) concluded that care coordination is vital for chronically ill patients like the obese, where long-term, consistent, and multi-faceted health interventions are necessary. Care coordination offers improved health outcomes by guaranteeing comprehensive, continuous care, thus minimizing medical errors. Furthermore, it facilitates personalized and patient-centered care that enhances patient satisfaction. Care coordination can also reduce healthcare costs by lessening the frequency of hospital readmissions and circumventing redundant testing. 

Community resources are assets within a community designed to improve its members’ quality of life. For obesity management, these resources may include community fitness and rehabilitation centers, nutritional support groups, and accessible recreational parks for physical activity. The idea is to give patients a supportive structure around them, aiding in their commitment to healthier lifestyles. According to a study by Lee et al. (2019), communities that provided these resources saw an increase in positive obesity outcomes, including sustained weight loss and improved mental health. Community resources augment the accessibility of essential health services, making them less intimidating and more comprehensive for patients. These resources create a supportive structure that encourages and motivates patients towards healthier lifestyles, fostering commitment to their health goals. More importantly, community resources are instrumental in promoting health equity by empowering socially, geographically, or culturally marginalized groups without access to healthcare services. Lastly, these resources allow health interventions to be tailored to each community’s diverse needs and assets, thus improving their efficacy. 

Current professional practices in healthcare highlight the significance of care coordination in enhancing patient outcomes and overall organizational efficacy. It ensures the systematic provision of patient care comprehensively and continuously. For instance, in my nursing practice, a thorough care plan integrates a diversity of healthcare professionals – dietary specialists, physiotherapists, and psychological counselors – working in cohesion to maintain a consistent care program. Concurrently, community resources foster an accessible environment for healthcare service provision while augmenting the extensiveness of such services. The practical application entails directing patients to use community resources such as local culinary courses or gyms to bolster the established healthcare plan. While this integrated approach has demonstrated favorable outcomes, it is crucial to highlight potential barriers impeding its application. Sociocultural and financial limitations are prominent barriers. The economic constraints of certain patients may restrain them from accessing paid facilities such as gym memberships or from procuring healthy food alternatives. Culturally-induced biases or unsupportive familial structures may not recognize the severity of conditions such as obesity, thus discouraging the utilization of available healthcare resources. Furthermore, disjointed communication among healthcare providers can compromise the effectiveness of care coordination (Deslippe et al., 2023). Therefore, identifying and implementing strategies to overcome these barriers is vital for an efficient care coordination mechanism and resource availability at the community level.

Nursing Practice Standards and Policies for Healthcare Technology, Care Coordination, and Use of Community Resources

Comprehensive nursing practice standards and policies greatly influence technology employment, care coordination, and community resource utilization. These components are interconnected and crucial for effective and efficient patient care.  ANA standards support using health care technology, such as Electronic Health Records (EHRs), for evidence-based care, provided patient privacy is ensured. Similarly, HIPAA guidelines safeguard the security and confidentiality of health information, especially in digital forms like EHRs and telehealth (Keshta & Odeh, 2020). ANA standards advocate for patient-centered care coordination, promoting shared decision-making and seamless care transitions. Compliant with this, care coordinated for patients will ensure all decisions will be made together with patients and communication among healthcare providers will be smooth. HIPAA policies will further guide this by providing that any communication involving the patient’s health information will be done securely, respecting their privacy (American Nurses Association, 2020).

According to ANA, nurses must identify and connect with community resources to support patient care. Similarly, HIPAA underlines that patients’ consent should be obtained and their privacy ensured while sharing information with community resources. Therefore, appropriate community resources will be identified in patient care, and patient data will be shared with them securely, adhering to all privacy standards  (Edemekong et al., 2022). These standards and policies guide actions in a way that ensures quality care, respects patient privacy, and considers the cost to the systems and individuals. They will shape the approach to addressing care problems and guide future interactions with healthcare technology, care coordination, and utilization of community resources.

The core principles of nursing ethics, including autonomy, beneficence, nonmaleficence, and justice, play a critical role in the decision-making process concerning the adoption of health technologies, choices in care coordination, and the utilization of community resources (Varkey, 2021). These ethical principles serve as a compass in ensuring patient-centered care, judicious use of resources, and the welfare of the patient, in this case, John. Applying these ethical principles guides care providers in their professional practice and ensures that patient choices, rights, and interests are safeguarded.

The conscientious application of nursing ethics also aids in bridging the gaps between legislative requirements and everyday nursing practices, ensuring that the execution of care, technology use, or community resource exploitation aligns with both the legal framework and the general welfare of the patient. Further interactions with John’s healthcare team provide the additional insight necessary for his care, and every hour spent, such as the two practicum hours recorded, will be carefully documented in the Capella Academic Portal Volunteer Experience Form, demonstrating adherence to professional guidelines and accountability.

Conclusion

In conclusion, managing obesity requires a multifaceted and integrated approach, particularly in children like 10-year-old John. Technology in healthcare, particularly electronic health records, can play a critical role in monitoring progress and coordinating care between different health professionals. Following the American Nurses Association’s standards and the Health Insurance Portability and Accountability Act’s guidelines will ensure this technology’s ethical and practical use to protect patient information while enhancing care. Moreover, being aware of and implementing local, state, and federal policies can positively impact the efficiency and effectiveness of patient care. In John’s case, regulations and guidelines on telehealth, for instance, can allow for a consistent approach when managing his health condition even from afar.

Simultaneously, integrating community resources can contribute to John’s well-being by making necessary interventions and support more accessible. Always at the forefront of every decision is the adherence to nursing ethics, which ensures that our approach to employing these resources is focused on John’s best interest. In essence, effectively addressing John’s clinical obesity requires technology, care coordination, and community resources underpinned with the highest ethical standards in nursing. With these factors working harmoniously and by policies and guidelines, we ensure not just John’s safety but also his potential for improved health in the long term.

 References 

American Nurses Association. (2020). Care Coordination and Registered Nurses’ Essential Role. ANA. https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/care-coordination-and-registered-nurses-essential-role/

Dash, S., Shakyawar, S. K., Sharma, M., & Kaushik, S. (2019). Big data in healthcare: management, analysis and prospects. Journal of Big Data, 6(1), 1–25. https://doi.org/10.1186/s40537-019-0217-0

Deslippe, A. L., Soanes, A., Bouchaud, C. C., Beckenstein, H., Slim, M., Plourde, H., & Cohen, T. R. (2023). Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: A qualitative systematic literature review. International Journal of Behavioral Nutrition and Physical Activity, 20(1). https://doi.org/10.1186/s12966-023-01424-2

Edemekong, P. F., Haydel, M. J., & Annamaraju, P. (2022). Health Insurance Portability and Accountability Act (HIPAA). Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK500019/

Ehrenstein, V., Kharrazi, H., Lehmann, H., & Taylor, C. O. (2019). Obtaining data from electronic health records. In www.ncbi.nlm.nih.gov. https://www.ncbi.nlm.nih.gov/books/NBK551878/

Gajarawala, S., & Pelkowski, J. (2020). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013

NURS FPX 4900 Assessment 3 – Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2(2). https://doi.org/10.1016/j.sintl.2021.100117

Kepper, M. M., Walsh-Bailey, C., Brownson, R. C., Kwan, B. M., Morrato, E. H., Garbutt, J., de las Fuentes, L., Glasgow, R. E., Lopetegui, M. A., & Foraker, R. (2021). Developing a health information technology tool for behavior change to address obesity and prevent adolescent chronic disease: Designing for dissemination and sustainment using the ORBIT model. Frontiers in Digital Health, 3(648777). https://doi.org/10.3389/fdgth.2021.648777

Keshta, I., & Odeh, A. (2020). Security and privacy of electronic health records: Concerns and challenges. Egyptian Informatics Journal, 22(2), 177–183. https://doi.org/10.1016/j.eij.2020.07.003

Lee, A., Cardel, M., & Donahoo, W. T. (2019). Environmental Factors Influencing Obesity. NIH.gov; MDText.com, Inc. https://www.ncbi.nlm.nih.gov/books/NBK278977/

NURS FPX 4900 Assessment 3 – Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations

Quinn, M., Forman, J., Harrod, M., Winter, S., Fowler, K. E., Krein, S. L., Gupta, A., Saint, S., Singh, H., & Chopra, V. (2019). Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. Diagnosis, 6(3), 241–248. https://doi.org/10.1515/dx-2018-0036 

Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119

Yeo, L. H., & Banfield, J. (2022). Human factors in electronic health records cybersecurity breach: An exploratory analysis. Perspectives in Health Information Management, 19(Spring), 1i. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9123525/