NURS FPX 4900 Assessment 4
Phillip September 17, 2023 No Comments

NURS FPX 4900 Assessment 4 – Patient, Family, or Population Health Problem Solution

NURS FPX 4900 Assessment 4 – Patient, Family, or Population Health Problem Solution

Student Name

Capella University

NURS-FPX4900: Capstone Project for Nursing

Prof.

Date

Patient, Family, or Population Health Problem Solution

This capstone project embarks on a profound exploration of a comprehensive, interdisciplinary intervention strategy devised to tackle the pressing health issue of clinical obesity, presented by a young patient, a 10-year-old child named John. There is a keen interest in this healthcare concern due to the severe health implications that childhood obesity can bring about, profoundly affecting not only John’s current health status but also his long-term well-being. Obesity is a multifaceted health issue with the potential to unleash serious complications, including type 2 diabetes, cardiovascular diseases, and psychological disorders. Further, this problem echoes an alarming obesity epidemic in modern society, necessitating prompt and robust intervention from healthcare professionals. This envisioned intervention, guided by sound leadership, best practices in change management, and rigorous adherence to nursing ethics, aims to offer a far-reaching solution to manage John’s obesity. The primary objective is to lower the health risks associated with John’s condition and consequently boost his overall quality of life.

Leadership, Change Management, and Ethics in Developing An Obesity Management Intervention

Leadership is critical in responding to health challenges like John’s clinical obesity. From a leadership perspective, addressing such challenges involves setting a clear and unified goal for John’s health improvement, determining specific objectives, and rallying resources for implementing the intervention. Specifically, in John’s case, we will focus on developing and executing a physical activity plan and nutritional intervention program. Leaders bridge the multidisciplinary healthcare team and the patient, ensuring effective coordination of the proposed intervention. They foster a conducive environment for team members to contribute insights, allowing for the creation of a personalized, patient-centered intervention that aligns with patients’ specific health goals and capacities (Hitch et al., 2020). Simultaneously, change management is an integral part of this process, so the patient transitions seamlessly. In our case, John made specific changes to modify his lifestyle. Change management strategies in healthcare include a clear articulation of the detailed information related to the proposed change, provision of necessary resources, such as training for the nursing staff in specific intervention strategies, and a system for continuous monitoring and assessment of the progress of the intervention (Sung & Kim, 2021). 

The development of this intervention was strongly informed by a moral commitment to nursing ethics, which includes concepts such as beneficence, non-maleficence, autonomy, and justice. Concerning autonomy, it is crucial to involve John and his family in the decisions about the intervention ensuring they understand the intent and details of the program and consent to the same. For this purpose, a detailed presentation about the health condition is prepared to provide him with the necessary information to make decisions. The principle of beneficence drives the selection of intervention methods that would benefit John’s health, i.e., the physical activity program and nutritional changes through dietary plans. Non-maleficence means that the intervention should not harm; in this context, it mandates careful monitoring to ensure that dietary changes positively impact John’s health and that physical activity is undertaken safely (Varkey, 2021). The proposed intervention, thus, represents a comprehensive plan for physical activity and nutritional guidance. It includes a thorough assessment of John’s health status and dietary habits, following which a personalized care plan is developed. The care plan would detail John’s specific nutritional changes and physical activities. The focus is on gradual change, providing continued patient education and support. The effectiveness of the intervention is evaluated periodically, and changes are made as necessary.

Strategies for Effective Communication and Collaboration in Childhood Obesity Care

Successful communication and collaboration strategies are pivotal in supporting our patient, 10-year-old John, who is dealing with clinical obesity. His supportive network consists of his parents and primary school teachers.  Communication strategies for a ten-year-old child like John include clear and concise descriptions using age-appropriate, culturally sensitive, and understandable methods. Moreover, the benefits of incorporating John and his family’s input in managing and treating the health condition will result in improved adherence to proposed interventions, creating more awareness about the severity of the issue and contributing to a supportive environment for behavioral changes necessary in managing John’s condition. Best-practice strategies for effective communication and collaboration derived from current literature include:  

  1. Active Participation- Involving John in the planning and execution of his care plan promotes ownership, maintenance, and adherence to healthier behaviors (Luig et al., 2019). 
  2. Family-based Interventions- Addressing obesity involves concerted efforts from the family. Collaborative family sessions can help facilitate understanding and commitment toward healthier meal choices, reduce sedentary time, and increase physical activity (Varagiannis et al., 2021).
  3. School Collaboration- Collaborating with school professionals (i.e., counselors, teachers, and physical trainers) increases John’s exposure to consistent health messages (Luig et al., 2019). This encourages a positive environment that promotes better health decisions.  

Therefore, incorporating the viewpoints of John and his supportive network in the treatment plan and employing evidence-based communication methods can tremendously promote improved health outcomes for John.

Guided Intervention: Child Obesity and Policy-Driven Strategies

Several state board nursing practice standards and relevant organizational and governmental policies have mainly informed the design of the proposed intervention for John’s clinical obesity. Specifically, the California Board of Registered Nursing (BRN) outlines a standard on patient advocacy (Standard IV) that emphasizes the importance of effective and clear communication, active collaboration, and in-depth education for the patient. These components of the BRN standard informed the proposed intervention, ensuring that John and his family would be engaged appropriately and that there would be continuous collaboration among his caregivers (Nsiah et al., 2019).

Alongside this nursing practice standard, the Affordable Care Act (ACA) has significantly guided the development of the proposed intervention. Notably, the ACA supports early intervention and prevention programs for childhood obesity. The ACA provisions for Preventive Health Services emphasize the importance of regular health evaluations and dietary counseling for children at risk of obesity, which has been integrated into the intervention for John. For instance, a study by Smith et al. (2020) demonstrated that adopting and implementing child health interventions based on the ACA’s preventive perspective resulted in clinically significant weight outcomes.  

Moreover, the World Health Organization’s (WHO) Global School Health Initiative has advocated for school participation in addressing health issues, which guided our collaboration strategy with John’s school. Another study by Yuksel et al. (2020) confirmed positive behavioral changes and weight control in students when school-based intervention methods recommended by WHO were adopted. Therefore, the outlined nursing standards and health policies have significantly guided the conceptualization of the intervention. By adopting these best practices, which have been tested and demonstrated as effective in dealing with children’s obesity, we hope to effect positive change in John’s situation.

Improving Care Quality, Patient Safety, and System Costs through a Multifaceted Intervention for Childhood Obesity

The proposed intervention to address John’s obesity involves a two-pronged approach: increasing physical activity and improving nutritional habits. Individually and collectively, these measures will contribute to improved quality of care, enhanced patient safety, and reduced costs.  Alongside the studies already mentioned, more recent research has highlighted the positive effects of regular physical activity and dietary changes on pediatric health outcomes. For instance, Cordellat et al. (2020) confirmed that regular physical activity significantly improves cardiometabolic health and optimizes fat-free mass and bone health while reducing depressive symptoms and promoting neurocognitive health in obese children. Moreover, it was suggested that dietary interventions plus physical activity could improve insulin resistance and body composition in obese children. Combining these strategies provides holistic, personalized care that meets John’s needs and paves the way for long-term health benefits.

The link between obesity and various diseases has been well-established. Diabetes, cardiovascular disease, and metabolic syndrome are frequently cited. Thus, tackling obesity among children through dietary and physical activity interventions is critical to limit these associated diseases and guarantee a safer health trajectory. Early interventions, like the one proposed, help reduce weight and mitigate these health risks, thus enhancing patient safety. Early health interventions significantly reduce the risk of obesity-related diseases in adulthood (Heffron et al., 2020). As per the economic aspect, it is documented that obesity has a profound financial burden on individuals and healthcare organizations.

They identified substantial direct and indirect medical costs, including the impact on productivity, associated with obesity. Measures to mitigate the risk of obesity early in life, such as increased physical activity and nutrition therapy, can drastically reduce health and economic burdens. Interventions in childhood are cost-effective as they prevent the onset of obesity-related illnesses, thereby reducing individual and system-wide healthcare costs. Data proves the cost-effectiveness of preventative strategies compared with the high treatment costs associated with obesity in later life stages.  Benchmark data from sources like the Centers for Disease Control and Prevention (CDC) provide quality care measures and safety standards for addressing pediatric obesity. Furthermore, it offers insights into the direct and indirect costs of obesity, providing a framework for cost-saving actions. 

Incorporating Technology, Care Coordination, and Community Resources to Tackle Childhood Obesity

Technology has emerged as a powerful tool in managing health conditions, including obesity. For example, a study by Houser et al. (2019) identified that telehealth-supported interventions, which use technology to facilitate long-distance health care, reaffirmed efficacy in pediatric weight management. Mobile applications can also aid in promoting physical activities and tracking calorie intake. It emphasized the usefulness of wearable activity-tracking devices in monitoring daily physical activities and motivating lifestyle changes to manage obesity. Numerous studies support the efficacy of care coordination in addressing obesity.

A study suggested that a patient-centered approach involving a coordinated team of health professionals dietitians, physical activity specialists, and psychologists – has succeeded in weight management intervention (Osmundsen et al., 2019). Community resources can significantly assist obesity mitigation efforts. Community-based after-school programs promote physical activity as a preventive and management measure for obesity. Public parks, community gardens, and local wellness initiatives can encourage healthy behaviors and contribute to obesity management. Therefore, the synergy of technology, care coordination, and the use of community resources forms an inclusive approach to managing childhood obesity. The integration of these interventions, as supported by literature, can help overcome the obesity challenge effectively.

Conclusion

In summary, this capstone project developed a comprehensive approach to tackle the pressing health issue of clinical obesity in children, specifically targeting young John. The intervention incorporated professional collaboration, parental involvement, and technology usage for a customized, comprehensive health plan. The technology, like mobile health apps, supported John in visualizing progress and fostering healthier habits. Integrating various healthcare professionals ensured the delivery of a holistic health regimen. Involving John’s family created a nurturing environment essential for the implementation of this regimen successfully. Using community resources offered a further supporting layer and opportunities for John to participate in physical activities and nutritional guidance. Acknowledging John’s unique needs and aspirations was central to the approach, emphasizing a humanized, tailored, and integrated approach to tackling health problems. More than the physical aspects of obesity, this approach aimed to create an inclusive intervention focusing on John’s emotional wellness and personal journey toward better health.

References 

Cordellat, A., Padilla, B., Grattarola, P., García-Lucerga, C., Crehuá-Gaudiza, E., Núñez, F., Martínez-Costa, C., & Blasco-Lafarga, C. (2020). Multicomponent exercise training and nutritional counselling improve physical function, biochemical and anthropometric profiles in obese children: A pilot study. Nutrients, 12(9), 2723. https://doi.org/10.3390/nu12092723

Heffron, S. P., Parham, J. S., Pendse, J., & Alemán, J. O. (2020). Treatment of obesity in mitigating metabolic risk. Circulation Research, 126(11), 1646–1665. https://doi.org/10.1161/circresaha.119.315897

Hitch, D., Pazsa, F., & Qvist, A. (2020). Clinical leadership and management perceptions of inpatients with obesity: An interpretative phenomenological analysis. International Journal of Environmental Research and Public Health, 17(21). https://doi.org/10.3390/ijerph17218123

Houser, S., Joseph, R., Puro, N., & Burke, D. (2019). Use of technology in the management of obesity: A literature review. Perspectives in Health Information Management, 16(Fall). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931046/

Luig, T., Elwyn, G., Anderson, R., & Campbell-Scherer, D. L. (2019). Facing obesity: Adapting the collaborative deliberation model to address a complex long-term problem. Patient Education and Counseling, 102(2), 291–300. https://doi.org/10.1016/j.pec.2018.09.021

Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2019). Registered nurses’ description of patient advocacy in the clinical setting. Nursing Open, 6(3), 1124–1132. https://doi.org/10.1002/nop2.307

Osmundsen, T. C., Dahl, U., & Kulseng, B. (2019). Enhancing knowledge and coordination in obesity treatment: A case study of an innovative educational program. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4119-9

NURS FPX 4900 Assessment 4 – Patient, Family, or Population Health Problem Solution

Smith, J. D., Fu, E., & Kobayashi, M. A. (2020). Prevention and management of childhood obesity and its psychological and health comorbidities. Annual Review of Clinical Psychology, 16(1), 351–378. https://doi.org/10.1146/annurev-clinpsy-100219-060201

Sung, W., & Kim, C. (2021). A study on the effect of change management on organisational innovation: Focusing on the mediating effect of members’ innovative behaviour. Sustainability, 13(4), 2079. https://doi.org/10.3390/su13042079

Varagiannis, P., Magriplis, E., Risvas, G., Vamvouka, K., Nisianaki, A., Papageorgiou, A., Pervanidou, P., Chrousos, G. P., & Zampelas, A. (2021). Effects of three family-based interventions in overweight and obese children: The “4 your family” randomised controlled trial. Nutrients, 13(2), 341. https://doi.org/10.3390/nu13020341

NURS FPX 4900 Assessment 4 – Patient, Family, or Population Health Problem Solution

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

Yuksel, H. S., Şahin, F. N., Maksimovic, N., Drid, P., & Bianco, A. (2020). School-based intervention programs for preventing obesity and promoting physical activity and fitness: A systematic review. International Journal of Environmental Research and Public Health, 17(1), 347. https://doi.org/10.3390/ijerph17010347

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