Phillip September 17, 2023 No Comments

NURS FPX 4900 Assessment 5 – Intervention Presentation and Capstone Video Reflection

NURS FPX 4900 Assessment 5 – Intervention Presentation and Capstone Video Reflection Student Name Capella University NURS-FPX4900: Capstone Project for Nursing Prof. Date Intervention Presentation and Capstone Video Reflection Hello everyone, my name is Kayleen, and I have served as a registered nurse at Kindred Hospital Los Angeles for approximately 18 months. In today’s presentation, I wish to share my reflections on my capstone project, focusing on my young patient, John, a 10-year-old clinically diagnosed with obesity. John’s case exhibits the concerning epidemic of childhood obesity, underscored by his unhealthy lifestyle and inadequate awareness of its long-term health implications. John’s condition has already led to significant health issues, including early onset of diabetes and hypertension. After investing considerable hours scrutinizing his situation and identifying achievable objectives, I devised an intervention plan pivotal to John’s case. The program focused on nutritional education and lifestyle modifications to evoke an adequate response from John and his family. In this capstone reflection, I will detail the project’s course, its impact on John’s health, and the knowledge I gained from this invaluable experience.  Evaluating the Impact of Intervention on Patient Satisfaction and Life Quality  The implemented intervention, comprising a nutritional intervention program and a physical activity regimen, was targeted to address John’s clinical obesity. Being an impressionable 10-year-old, John was at the center of this plan. Feedback provided by John’s family proved to be most encouraging. Over time they felt more confident about handling John’s health, and the behavioral changes in his nutrition habits improved drastically. Providing nutritious, calorie-appropriate meals became more accessible as the family learned to decipher nutritional facts on food packaging and the importance of portion control (Xiang et al., 2021). The program also imparted hands-on training for simple, healthy recipes ensuring John could enjoy varied meals without compromising his health. The physical activity component was tailored to John’s interests, ensuring sustainability. He commenced with short walks, gradually increasing to age-appropriate exercises. Incorporating activities he enjoyed, like swimming and cycling, made the physical regimen a fun routine rather than a chore, nurturing an active lifestyle. The transformation was also psychological. John reported heightened self-esteem and increased energy levels, which improved his performance in school. His educators noted a significant positive change in his attentiveness and participation. In summary, the intervention had a salient impact on John’s health, his family’s understanding and management of his condition, and their overall quality of life. A sense of agency replaced their initial hopelessness, John’s health improved, and they demonstrated the determination to sustain these lifestyle modifications, proving the intervention’s success. Utilizing Evidence and Scholarly Literature in Capstone Project Planning and Implementation The planning and implementation of this capstone project, focusing on managing clinical obesity, was guided by a robust engagement with evidence-based practice (EBP). This approach emphasizes the integration of clinical expertise, patient preferences, and the most current, high-quality research into the decision-making process for patient care. An extensive review of peer-reviewed literature was conducted to conceive and implement this project thoroughly. We utilized insights from a comprehensive literature review to chart the course of our project. This informed approach ensured that our interventions were founded on substantiated techniques and the latest advancements in the field. This critical insight shaped our project direction significantly. As a result, we created a robustly structured program focusing on rigorous dietary changes and consistent physical exercise. Poraj-Weder et al. (2021) trailblazing research was pivotal, forming a crucial foundation for our project. Their insightful findings underscored the dominance of organized efforts over self-propelled weight-loss initiatives. The second key piece was a work by Gadsby et al. (2020) that highlighted the considerable impact of local environments on obesity prevalence, steering us to incorporate community-level interventions into our project, such as encouraging physical activities in safe neighborhood spaces and promoting healthier food choices in local grocery stores.  Tham et al. (2022) emphasize the enduring need for support even after initial interventions such as surgery. This insight led us to incorporate consistent follow-up and support sessions into our project to help keep our patients on track and encourage the sustainability of healthy lifestyle changes. Finally, a study highlighted the significance of tailoring interventions to suit patients’ preferences and conditions. These tailored strategies enhance the effectiveness of treatment and uphold the patient’s values and autonomy during care (Ricci et al., 2021). In reflecting on our capstone project, Evidence-Based Practice (EBP) was unquestionably integral and immensely valuable at every stage, from planning to implementation. The blend of thoroughly vetted evidence from scholarly literature, our clinical insight, and an empathetic understanding of our patient’s needs and choices guaranteed the project was efficient, pertinent, and mindful of the individuals we were committed to assisting. Evaluating the Use of Healthcare Technology in Enhancing Capstone Project Outcomes and Communication The vital role that health technology played in my capstone project with John, a 10-year-old struggling with clinical obesity, cannot be overstated. We banked heavily on tools like Electronic Health Records (EHRs) and remote healthcare solutions. EHRs were integral to the project because they enabled us to keep a detailed, up-to-date, and readily accessible record of John’s health journey. This ensured that whichever healthcare professional handled John’s care at any given time referred to the latest information about his health progress. In addition, we utilized telehealth services which were a game-changer, mainly because of the pandemic-induced limitations (Houser et al., 2019). These services gave us a platform to contact John and his family constantly. Regardless of the hurdles, we provided health education and dietary advice, facilitated exercise classes, and carried out routine check-ins with John. We leveraged services like Zoom to keep disruptions at bay and ensure that John was receiving uninterrupted care and guidance, which was very instrumental in the success of our project. Through all these, we learned that blending traditional healthcare methods with modern technology can yield impressive results. Furthermore, we paired our interventions with the use of a health-tracking app along with fitness wearables, allowing John to monitor his eating habits and physical activities. This was

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:   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).  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). 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

Phillip September 15, 2023 No Comments

NURS FPX 4040 Assessment 3 – Annotated Bibliography on Technology in Nursing

NURS FPX 4040 Assessment 3 – Annotated Bibliography on Technology in Nursing Student Name Capella University NURS-FPX4040 Managing Health Information and Technology Prof. Date Annotated Bibliography on Technology in Nursing The technology chosen for this annotated bibliography is Telehealth in Nursing. The thought of technology revolutionising healthcare delivery, especially nursing care, has excited me to uncover its potential impact on patient care and our nursing methods. Telehealth’s promise to connect healthcare providers and patients across distances through virtual consultations and monitoring intrigued me, offering a new way to overcome barriers (Paterson et al., 2020). I plunged into trusted databases like PubMed, CINAHL, and Google Scholar using selected search terms like “benefits of telehealth,” “challenges of telehealth in nursing,” and “its broader impact on patient care.” Annotated Bibliography Bellantoni, J., Clark, E., Wilson, J., Pendergast, J., Pavon, J. M., White, H. K., Malone, D., Knechtle, W., & Jolly Graham, A. (2022). Implementation of a telehealth videoconference to improve hospital‐to‐skilled nursing care transitions: Preliminary data. Journal of the American Geriatrics Society, 70(6), 1828–1837. https://doi.org/10.1111/jgs.17751 This study dives into telehealth videoconferencing and its potential to enhance the process of transferring patients from hospitals to skilled nursing care facilities. The main goal is to use technology to bridge the gaps that often arise when older adults move from acute care settings to qualified nursing centres. What’s exciting is how much this technology can improve patient safety and the overall quality of care. Telehealth videoconferencing could make handoffs between different care settings much smoother, reduce communication mistakes, and help healthcare teams work together better. And that means when patients make these transitions, they’re safer, and their care is even better. Bringing telehealth into the mix benefits nursing practices, too – it ensures that patient care is always steady and well-coordinated, no matter where they’re moving. The whole healthcare team, from the hospital to the skilled nursing care staff, also gains from this improved communication and collaboration. Teamwork is essential for giving patients the best care possible and avoiding any mistakes that could hurt them. The article addresses a big concern in senior care: making sure those transitions from one care place to another are smooth and safe. And by studying how telehealth fits into all of this, the article gives healthcare professionals like us some beneficial info. It helps us see the good sides, the challenges, and the strategies we should consider when bringing telehealth technology into these critical moments of healthcare. This article is like a guide for us, backed up by evidence, so we can make good choices, work together well, and ensure patients get the best results when moving between care settings. Gifford, A. H., Ong, T., Dowd, C., Van Citters, A. D., Scalia, P., Sabadosa, K. A., & Sawicki, G. S. (2021). Evaluating barriers to and promoters of telehealth during the COVID-19 pandemic at U.S. cystic fibrosis programs. Journal of Cystic Fibrosis, 20(9-13), 9–13. https://doi.org/10.1016/j.jcf.2021.08.034 This study delves deep into telehealth and how it became a lifeline for U.S. cystic fibrosis programs during the challenging times of the COVID-19 pandemic. What shines through in this article is how telehealth transformed the safety and quality of care for patients dealing with cystic fibrosis. It’s like a lifeline that lets these patients have constant check-ins, consultations, and disease management without having to leave their homes. This kept them safer from infections and improved how they talked to their healthcare providers. Nurses played a significant role in this, too, being able to keep an eye on patients from a distance, educate them on their conditions, and make sure they followed their treatment plans. Even more impressive is how this whole system worked because of the strong teamwork among healthcare professionals – from nurses to doctors and all the support staff. This article stands out because it focuses on telehealth in cystic fibrosis programs, a very specialised area that could have lessons for healthcare in general. By diving into the challenges, solutions, and ways to make telehealth work, this research paints a complete picture of how to bring telehealth into healthcare settings. It’s a goldmine of insights for healthcare workers, giving a full view of how telehealth gets adopted, how it changes patient safety and care quality, what nurses do, and how different parts of the healthcare team work together. Kobeissi, M. M., & Hickey, J. V. (2023). An infrastructure to provide safer, higher quality, and more equitable telehealth. The Joint Commission Journal on Quality and Patient Safety, 49(7). https://doi.org/10.1016/j.jcjq.2023.01.006 Kobeissi and Hickey’s (2023) research is about setting the stage for a strong foundation in telehealth services that prioritise safety, quality, and fairness. Their study revolves around weaving telehealth seamlessly into the healthcare landscape to ensure better patient outcomes and equal access to care. What stands out is their emphasis on integrating telehealth into current practices while recognising its challenges and potential benefits. What echoes through their work is their firm belief that a well-thought-out approach to implementing telehealth can lead to positive changes in patient safety and the overall quality of care. They stress the need for structured telehealth systems that adhere to the highest security and quality standards. The authors highlight how telehealth can enhance patient safety and care quality by providing timely access to healthcare, minimising unnecessary delays, and improving communication between patients and providers. This resource is vital for nurses as it showcases their pivotal role in effectively rolling out telehealth services. They’re depicted as essential in remote patient monitoring, education, and follow-up care, ensuring patients receive comprehensive support. Furthermore, the article emphasises the importance of teamwork among healthcare providers to seamlessly integrate telehealth. It underscores the crucial need for collaboration between players – including nurses, doctors, and administrators – to successfully implement telehealth. What sets this publication apart is its thorough exploration of the essential elements needed for successful telehealth implementation. It doesn’t just focus on the positive aspects; it delves into potential challenges and provides strategies to overcome them. Notably, the article strongly emphasises delivering telehealth equitably, which

Phillip September 15, 2023 No Comments

NURS FPX 4040 Assessment 1 – Nursing Informatics in Health Care

NURS FPX 4040 Assessment 1 – Nursing Informatics in Health Care Student Name Capella University NURS-FPX4040 Managing Health Information and Technology Prof. Date Nursing Informatics in Healthcare Nursing informatics is all about blending nursing, computer science, and information science to make healthcare better. It’s like using technology to make sure patients get top-notch care, things run smoothly, and we follow what works best. Nurse informaticists are the ones who make this happen. Nursing Informatics and the Nurse Informaticist  They handle healthcare info in clinics and hospitals, using their nursing know-how and techie skills to design and improve stuff like electronic health records and tools that help doctors make smart choices (Dash et al., 2019; HIMSS, 2019). This helps healthcare pros give patients great care, make good decisions, and improve how things work overall. Nurse informaticists have a vital role. They team up with IT experts to set up and manage health information systems, making sure things run smoothly. They’re the ones who bring electronic health records into the picture, helping things work better and ensuring that patient information stays safe. These nurse informaticists use data and smart tools to make sure healthcare professionals use the best information for treating patients. They’re also the guardians of patient data, putting strong locks on it to keep it safe. These experts dig into data, spot patterns, and offer suggestions for improving how care happens. All of this teamwork makes care processes better and keeps patients safer, fitting right in with the goal of giving patients top-notch care. Nurse Informaticists and Other Health Care Organizations Healthcare organizations have consistently recognized the invaluable impact of nurse informaticists on patient care quality and efficiency. These professionals seamlessly blend into interdisciplinary teams, fostering collaboration among various healthcare experts. Nurse informaticists act as bridges between technology and healthcare, driving innovation and refining clinical processes. Their pivotal role in implementing health information systems, like electronic health records (EHRs) and clinical decision support systems, has led to improved communication, streamlined workflows, and enhanced patient outcomes (Dash et al., 2021). Additionally, nurse informaticists effectively collaborate with nursing staff, providing ongoing training on healthcare technologies. They guide nurses through electronic systems, improving data accuracy and reducing errors. This approach empowers nurses to make informed decisions and boosts their confidence in adapting to technology changes. Nurse informaticists also play a crucial role in interdisciplinary teamwork by facilitating the exchange of vital patient information and supporting comprehensive care delivery. Their active participation in interdisciplinary activities reinforces a patient-centered approach (Kaihlanen et al., 2021). Overall, healthcare organizations’ experiences highlight nurse informaticists’ positive influence on patient care and organizational effectiveness, showcasing their vital role in bridging technology and clinical practice. Impact Of Full Nurse Engagement In Health Care Technology Working together with a diverse group of healthcare experts, nurse informaticists make patient care better by using technology in smart ways. They know a lot about nursing and tech stuff, so they connect the medical side and the tech side. They team up with nurses, doctors, IT specialists, and bosses to make health systems work well. This team effort is talked about in sources like the American Nurses Association and HIMSS. They’re all about health information systems, which help people communicate better, make good choices, and work together. When nurses get involved in healthcare tech, good things happen. They use technology to get accurate patient info, make smart decisions, and work together smoothly, all leading to better patient results. Their work also makes sure patient info stays safe and private. In the role of a nurse informaticist, working closely within an interdisciplinary team, and effectively managing patients’ protected health information (PHI) takes center stage to ensure privacy, security, and confidentiality. This involves adopting evidence-based strategies for safeguarding PHI. Establishing strict access controls and authentication measures is crucial to limit PHI access to authorized individuals. Role-based access control assigns specific roles, ensuring team members access only the information relevant to their responsibilities. Reinforced by robust authentication mechanisms like multi-factor authentication and biometrics, this strategy reduces the risk of unauthorized access, thereby enhancing data security and privacy (Javaid et al., 2023). Data encryption plays a pivotal role in safeguarding PHI in various scenarios. Encrypting data during transmission safeguards against unauthorized interception, while encrypting data at rest ensures its unreadability without the decryption key, even if accessed without authorization (Abbas et al., 2022). This approach aligns with established industry standards, supported by organizations like the National Institute of Standards and Technology (NIST) and the Office for Civil Rights (OCR). Nursing Informatics in Health Care Consistently educating and raising awareness among staff handling PHI is key to fostering a security-conscious culture. Well-informed employees are more likely to follow security protocols, swiftly identify potential threats, and respond effectively. Training covers topics such as recognizing phishing attempts, handling sensitive data, and understanding the essence of data security. Research by Khando et al. (2021) further underscores how regular training mitigates security breaches linked to human errors. Requiring Nurse Informatics in Healthcare Settings In today’s healthcare world, bringing nurse informaticists on board is backed by the changing landscape of technology and its big impact on patient care. Trusted sources like the American Nurses Association (ANA) highlight how nurse informaticists are crucial in blending technology smoothly to boost patient care, streamline how things work, and keep patient data secure. Academic articles, like the ones in the Journal of Healthcare Management, talk about how nurse informaticists make electronic health records work better to improve patient care and quality (Vos et al., 2020). As healthcare leans more on data and tech, nurse informaticists become the bridge between doctors and technology, making sure we use tech in the best way to help patients. This clear evidence shows how important nurse informaticists are in tackling challenges and grabbing opportunities in the world of technology. Opportunities and Challenges The introduction of a nurse informaticist role offers both exciting opportunities and unique challenges for nurses and the interdisciplinary healthcare team. This role sparks stronger collaboration between healthcare experts and tech-savvy professionals,

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