NURS FPX 4900 Assessment 6
Student Name Capella University NURS 4900 Capstone Project for Nursing Prof. Name Date
NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection
Student Name Capella University NURS 4900 Capstone Project for Nursing Prof. Name Date Intervention Presentation and Capstone Video Reflection Hi, my name is Cindy and I am a Baccalaureate nurse. Today I am presenting a capstone reflection video on the management of type II diabetes for chronic diabetics. Type II diabetes is one of the chronic diseases which is characterized by persistent uncontrolled blood sugar levels especially hyperglycemia or raised blood sugar levels after the intake of carbohydrates. This is non-insulin-dependent diabetes because hyperglycemia persists despite high insulin levels in the body, which is termed insulin resistance (Westman, 2021). According to CDC’s statistics, more than 37 million Americans are diagnosed with diabetes and about 95% of these people have type II DM (CDC, 2022). This statistic develops room for bringing reforms in the population related to the management of diabetes. These reforms involve the education and reinforcement of behavioral changes in the patients who are diagnosed with the condition. Healthy People 2030 defines health behavioral modification as a key objective in terms of decreasing the global burden of diseases (U.S. Department of Health and Human Services, n.d.). Some of the non-pharmacological interventions for the management of diabetes include lifestyle modification (dietary changes, stress management, and physical activity) and self-management of diabetes through blood glucose monitoring and tracking the records. NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection For this capstone project, I have been working with a patient, John, who has been a chronic type II diabetes patient. He is also suffering from obesity, blurred vision, and extreme fatigue. He has a family history of the same condition and his uncle and father have been suffering from the disease already. John has certainly been trying various lifestyle modification techniques and medicinal treatments to control his blood sugar levels. Despite his efforts, he still encounters uncontrolled sugar levels. In this capstone project, I have developed several interventions for John which included the introduction of Continuous Glucose Monitoring (CGM) devices for self-management and record keeping, a smartphone app for live coaching, some pharmacological advancements, and consultation with a multidisciplinary team through telehealth. Contribution of the Interventions to the Patient’s Satisfaction and Quality of Life Next, I will present the contribution of these interventions to John’s quality of life and satisfaction. Evidence-based interventions are proven to be effective in improving patients’ satisfaction levels and quality of life. Self-management of diabetes has been considered an effective intervention for chronic diabetics. This includes self-monitoring of blood glucose levels, ensuring a healthy diet, engaging in physical activities, complying with medication, and preventing further complications (Adhikari & Santosh, 2021). The successful ways of performing these actions are through monitoring blood glucose levels, keeping track of the readings, medicines, eating a healthy diet, and exercising, and consulting with the healthcare team for effective management. For this purpose, a CGM device was introduced for John. The CGM is a device that provides continuous glucose readings for patients and healthcare providers, which helps in the identification of hypo/hyperglycemia events with no symptoms and tracking the record (Miller, 2020). He was given complete training about the use of this device and how to report his blood glucose levels to healthcare providers. This device was connected to his smartphone app, where as soon as he entered the glucose reading, he received live health coaching from the providers. This coaching included immediate actions (medicine and rest) if needed, short-term actions (coping from stress, physical activity, and diet changes), and/or long-term actions (medicine modifications, nutritional consultation, physical rehabilitation, doctors’ visit, etc.). Moreover, on his appointments with doctors, his medicines were also changed so that effective results can be checked. For monitoring and evaluation of these outcomes, telehealth was used for constant updates, and for healthcare providers to ensure that interventions introduced for John are effective and successful. NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection These interventions were presented to the patient in person while providing the CGM device, the use of the device was demonstrated to John, and a re-demonstration was asked at the end. I developed an individualized smartphone app for him which was set up for immediate coaching and I also came prepared with some posters related to diet and exercise for his self-awareness. John, really appreciated my efforts for him as I arranged a CGM device for him and developed an app with the help of the IT department in my hospital. He was so excited to use these applications as they looked really fun to him and he thought it would be a great way for him to manage his diabetes. Besides this, he felt assured that even if he is apart from the hospital, he will timely receive his consultation and coaching using telecommunication methods. We also discussed some of the lifestyle modification methods and his compliance with his medication. We did not only discuss dietary changes and physical activities but also discussed with him the ways he can control his sugar cravings, like going for natural sugar in fruits, eating regularly, and maintaining quality over quantity. He was also recommended adding short time-period exercises to his routine. Furthermore, he was given advice on medication compliance like keeping reminders. This part thrilled him as he has been trying lifestyle changes but couldn’t improve because of a lack of consistency and compliance. Use of Evidence and Peer-Reviewed Literature for Implementation of Capstone Project Next, I will discuss how the evidence and peer-reviewed literature were used throughout the capstone project. So, from the start of the project, every intervention, strategy, policy, and implementation were conducted based on evidence-based literature. The Healthy People 2030 objectives for the management of diabetes advocated the need for planning and implementing this project. Some of these objectives include the reduction of diabetes cases and mortality associated with the condition, enhancement of formal diabetes education for adults, an increase in the number of people receiving type II diabetes prevention programs, and increasing the number of people who monitor their
NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution
Student Name Capella University NURS 4900 Capstone Project for Nursing Prof. Name Date Assessing the Patient, Family, or Population Health Problem Solution Cardiovascular disorders like heart attack, after cancer, are the second leading cause of mortality for millions worldwide. A cardiac arrest happens when a clot blocks blood flow to a section of the heart. When this blood clot breaks apart, blood flow begins to leak, and a piece of the heart muscle starts dying. According to the statistics, heart attack problems appear progressively between the age of 40-50 in individuals. Globally, 19 million deaths and 607.64 million cases of cardiovascular diseases like heart attacks were reported in 2020, representing an increase of 18% since 2010 (Tsao et al., 2023). The standard age-systematized mortality rate was 7354.05 per million in the U.S.(Tsao et al., 2023). In my mother’s case, a native U.S. female dealing with a heart attack presents complex challenges to us. Her lack of physical activity, stress, and financial issues have worsened her situation, making her feel overburdened by medication expenses and transportation costs for her frequent appointments. Our primary focus is facilitating my mother with self-management techniques related to heart attacks. These techniques include educating her about government policies that lessen her financial load and supporting her in using telemedicine to provide suitable and reachable care. We encourage her to join heart attack and stress-related support groups where she finds support, motivation, and valuable awareness that help her manage her heart attack problems better and improve her quality of life. The Role of Leadership and Change Management in Addressing Heart Attack Problem Effective nurse leadership is essential in guiding healthcare teams because they address patient, family, or public health issues. Nurses serve as frontline leaders. They ensure that clear goals are established and that a shared vision is adopted within the team. Nurses give leadership and inspiration and connect all team members to achieve goals like improving patient outcomes and experiences for effectively allocating resources (Collins et al., 2020). Leadership in nurses develops a culture of quality improvement that is necessary for dealing with health issues like heart attacks. Nurses ensure that clinical guidelines are implemented, followed by evidence-based care. They efficiently collaborate within interdisciplinary teams that highlight patient-centered care (Bendowska et al., 2023). Nurses adapt to new practices and innovations through change management strategies. Nursing leaders develop a culture of quality improvement within nursing teams and healthcare organizations to achieve their goals. Under their guidance, continuous feedback mechanisms are promoted that allow process refinement and implementation of the recent evidence-based care practices. This change is vital in treating cardiovascular illnesses like heart attack, in which nurses play an essential role in multidisciplinary teams. Their leadership strategy ensures team members collaborate effectively, follow clinical guidelines, and provide patient-centered care that respects patients’ opinions and preferences (Suvorova et al., 2023). NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution In my mother’s situation, nursing leaders perform an essential and considerate role in maintaining critical standards of ethics. Nurses are dedicated to ensuring her safety, well-being, and the protection of her autonomy at every stage of her care journey. Following these ethical principles, nurses organize the development of interventions like the multidisciplinary heart attack quick reaction team. Nursing leadership set a clear objective for the healthcare team regarding my mother’s circumstances. Nurses aim to save her life, minimize long-term health consequences, and ensure her well-being. Through excellent change management, the nurses involved the highly trained team in the healthcare process, which ensured that my mother received immediate and comprehensive care when needed. This organized combination of patient-centered care and ethical values improves the quality of care provided to my mum. When combined with good leadership and well-executed change management, this method dramatically improves her outcomes and experiences in heart attack management. Strategies for Collaboration and Communication with a Patient Effective communication focusing on the needs of patients and preferences is essential to reduce the gap between suggested guidelines and clinical practice. My mother is at the core of her medical journey in patient-centered care. Nurses are required to actively participate in care planning while respecting my mother’s preferences, values, and personal aspirations. Nurses play an essential role in applying this method because they ensure that my mother’s desires and requirements are considered and adequately incorporated into her treatment plan, resulting in a personalized and patient-specific approach to her care. (Kwame et al., 2021). Team-based care promotes teamwork among healthcare practitioners, including nurses. This collaboration promotes a coordinated approach to patient care, which improves communication and allows for collaborative decision-making among healthcare professionals. Because it depends on the experience of multiple team members, this strategy promotes more effective care and better treatment outcomes for my mother (Will et al.,2019). NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution Remote monitoring and telemedicine are beneficial therapies for post-heart attack therapy. They offer fast consultations and remote monitoring that minimize my mother’s need to travel long distances. It is helpful for her as she lives far from the hospital. Nurses use these technologies to detect risky changes in her state, resulting in a faster reaction and improved nurse-patient communication (Bitar & Alismail, 2021). These best-practice strategies and interventions significantly improve the quality of my mother’s care and her entire healthcare experience, ultimately leading to better outcomes. Recognizing that nurses are at the forefront of implementing such strategies. Nurses ensure that my mother’s specific requirements are fulfilled and that her treatment matches her preferences. SBAR (Situation, Background, Assessment, Recommendation) is a structured communication tool used in healthcare to ensure clear, concise, and effective patient communication. This tool promotes justice in healthcare by improving information exchange and decision-making (Lo et al., 2021). Specific State Board Nursing Practice Standards or Governmental Policies for Heart Attack The establishment of proposed interventions for my mother, who suffers from a heart attack, is heavily influenced by specific state board nursing practice standards and governmental policies. These policies and standards are a foundation for assuring the highest care quality and safety for heart attack patients,
NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations
Student Name Capella University NURS 4900 Capstone Project for Nursing Prof. Name Date Technology, Care Coordination, and Community Resources Heart Attack is a chronic health condition. Heart Attack patients like my mother have other health problems like stress and lack of physical activity, which are causes of heart attacks. This study investigates how to deal with chronic Heart Attack problems through the healthcare system, care coordination, and community programs. This paper will explore community resources, technologies, and care coordination. Impact of Healthcare Technology I spent nearly two hours discussing several pieces of information concerning my mother’s heart attack situation with my mother, the medical team, and the nursing staff. This session was beneficial in developing ideal strategies for handling this healthcare issue involving heart attack patients. Professionals pointed out the seriousness of heart attacks in terms of patient health. Various healthcare technologies have been developed in recent years to assist medical personnel in diagnosing, managing, and monitoring the circumstances of heart attack patients. To control heart attacks, both doctors and patients use a variety of measures. Patients who have had a heart attack use technology and software to efficiently manage their heart health, minimize the impact of their condition, manage heart-related problems, and improve their overall quality of life (Nadeem et al., 2021). Telemedicine provides critical benefits for heart disease patients in follow-up care. It acts as a vital link between necessary post-heart attack care and recovery. It provides rapid consultations and remote monitoring, decreasing patients’ need to travel long distances, mainly in rural or underserved areas. Nurses can identify any concerning changes in a patient’s condition via remote monitoring, allowing for fast response and comfort. This convenience saves patients time and money by improving outcomes and nurse-patient communication. That provides them comfort and stability during a vital stage of their recovery (Omboni et al.,2022). NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations Electronic health record systems are essential in improving patient care for people with heart disease by promoting efficient communication and coordination among healthcare professionals, including nurses. EHRs give nurses fast access to thorough patient information such as medical history, medications, test results, and treatment plans. The plenty of information allows nurses to provide more accurate and individualized care and ensure that patients receive the appropriate interventions at the appropriate time. EHRs allow nurses to collaborate in real time with other professionals like cardiologists and surgeons and support a multidisciplinary approach to heart attack care. This technology increases the quality and safety of care, resulting in better outcomes for patients with heart disease (Ali et al., 2020). Pacemakers and implantable cardioverter-defibrillators (ICDs) are necessary for managing and treating heart rhythm problems. These devices track the patient’s heart rate and rhythm and, when needed, accurate electrical impulses. This technology has various advantages for nurses. It delivers real-time data, and allows them to closely monitor the device’s operation and the patient’s cardiac condition. In routine check-ups, nurses change settings and examine the device’s effectiveness to ensure it matches the patient’s requirements. These devices provide life-saving interventions in an emergency, making them essential to patient care for people with heart rhythm problems (Holtzman et al., 2020). Advantages of Healthcare Technology There are the following advantages related to healthcare technology: Disadvantages of Healthcare Technology There are following disadvantages of health care technology Integrating healthcare technology contains a vast potential, but it also raises several significant problems. The financial costs of implementing and maintaining these technologies create pressure on healthcare facilities, leading to higher healthcare costs for patients. Resistance to change in the healthcare sector inhibits the adoption of advanced technologies that hinder progress. Data privacy and security concerns are essential as collecting and storing sensitive patient information raises worries about protecting personal data, making preserving patient trust in healthcare technology critical. Dealing with health disparities is necessary; providing equal opportunity and digital literacy across different communities is essential for preventing technology from worsening current healthcare inequalities. An in-depth evaluation of these barriers and costs is required to utilize healthcare technology’s benefits while reducing possible drawbacks successfully. Care Coordination and Community Resources to Address Heart Problem Care coordination and community resources are increasingly employed in professional practice to manage heart disease. Many healthcare organizations now offer care coordination services to people suffering from heart disease and other chronic diseases. Many communities have resources to help people with heart disease. Million Hearts Cardiac Rehabilitation Programs are community resources that include planned exercise schedules, dietary advice, and instructional sessions. These programs support patients in recovering from a heart attack by improving their cardiovascular health and lowering the risk of future cardiac attacks. Rehabilitation is typically overseen by healthcare experts such as nurses and exercise physiologists (Ritchey et al., 2020). Care coordination programs are essential in ensuring that people with heart disease get a smooth and well-organized healthcare experience. These programs ensure patients receive timely and personalized care by bridging the gaps between healthcare professionals lowering the chance of misunderstanding or miscommunication. They are critical in reducing healthcare service breakdown, eventually supporting an integrated and prosperous patient experience that enhances care quality and patient outcomes (Garvin et al., 2021). NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations The American Heart Association (AHA) is a non-profit organization dedicated to improving the lives of those suffering from cardiovascular diseases, especially heart attack disease. The aim of AHA includes actively integrating community members in the path to better health. They provide educational tools to educate communities about healthy heart activities, eliminate health inequities, and address conditions such as heart attacks. These tools offer helpful information on family medical history, raising awareness of heart attack risk factors and emphasizing the importance of learning life-saving techniques. The American Heart Association’s community resources are strategically created to be easily understandable and available to those seeking a healthy and heart-conscious lifestyle (American Heart Association, 2022). Care coordination programs for heart attack patients provide significant benefits. Ritchey et al. (2020) showed that community services such as Million Hearts Cardiac Rehabilitation Programs managed by healthcare experts such as nurses and exercise physiologists directly and
NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations
Student Name Capella University NURS 4900 Capstone Project for Nursing Prof. Name Date Assessing the Problem Quality, Safety, and Cost Considerations Assessing a patient, family, or population health issue is essential in healthcare management and decision-making. It supports practical approaches to complicated issues that patients or groups could face. This method involves the complete study of the causes of the problems that impact patient well-being in healthcare systems and the identification of proper treatments. By carefully analyzing the problem, the healthcare professionals and government policies develop targeted evidence-based solutions for improving treatment quality, increasing patient safety, and saving costs. During my two-hour ward practicum, I learned about the disturbing rise in admission rate of individuals seeking treatment for heart-related issues. This is a personal concern for me because my mother suffers from cardiovascular problems caused by stress. I decided to approach her and question about her condition to gain a better understanding of the complication of her condition. She openly shared her medical history with me, which I will review later. This personal link strengthens my observations and emphasizes the importance of dealing with heart-related health issues in our culture. Impacts of Heart Attack on Care Quality, Patient Safety, And Costs to System The complex medical condition of a cardiac patient seriously impacts the quality of care provided, the safety of their treatment, and the overall medical costs. Heart Attack can be revealed in various ways, from medication management concerns to limited communication with healthcare providers. These heart-related issues can have severe consequences for individuals and the healthcare system. The impact of a heart attack patient on the quality of care is multidimensional. The concept of heart attack has evolved significantly since its first link with the physiological response to dangers. In the United States, heart disease is the leading cause of death. Heart attacks occur when a part of the heart muscle receives insufficient blood flow and are significant causes of heart disease, with an estimated 750,000 happening yearly. According to National Health Interview Survey (NHIS) data, 47.2% of U.S adults have experienced heart attack symptoms. (Fang et al., 2019). Medication management can be affected if the patient struggles to take the medication with proper attention, leading to uncontrolled health conditions and lower treatment quality. Heart patients experience stress that causes issues with inadequate communication between the patient and healthcare providers, making it harder for them to explain their symptoms, potentially leading to misdiagnosis. Missed medical appointments occur due to excessive stress levels, resulting in delays in diagnosis and treatment. These aspects lower the overall quality of care offered to the patient (Pederson, 2023). NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations For my mother’s treatment framework, it is essential to understand that heart attacks can severely affect patient safety. A heart attack causes high-stress levels that affect her ability to think and focus, which causes medication errors and miscommunication with medical professionals during treatments and procedures. Heart problem weakens her immune system and increases her infection sensitivity, which is especially concerning in healthcare settings where the risk of infection is high. Heart attacks affect patients’ coordination and judgment, which increases the possibility of accidents such as falls resulting in injuries. Addressing and managing my mother’s condition is critical to efficiently promoting open communication with her healthcare team and providing emotional support throughout her healthcare journey to ensure her safety and well-being (Alqenae et al., 2020). It is essential to note that a heart attack can significantly impact healthcare costs regarding my mother’s health. She is experiencing a heart attack that leads to more healthcare usage with several visits to medical facilities, possibly burdening the healthcare resources and adding to more significant costs. Heart-related health problems lead to hospital readmissions, which considerably raise healthcare costs, mainly when my mother suffers from the stress that increases the risk of heart attack. As my mother is suffering from stress, which is a potential cause factor of heart attack. So, we are treating her mental health condition. The potential costs of therapy sessions, drugs, or even hospitalization are higher. It is essential to address and manage my mother’s stress levels and evaluate appropriate stress management measures in consultation to ensure her well-being and efficiently control healthcare costs (Selina et al., 2023). State Board Nursing Practice Standards, Organizational or Governmental Policies on Heart Attack and How Policy Affects Nursing Scope of Practice The State Board Nursing Practice Standards and Organizational or Governmental Policies are essential in addressing the quality of treatment, patient safety, and costs associated with heart attack patients in healthcare. The Texas Board of Registered Nursing has created policies to manage heart-related difficulties in patient care. These standards require nurses to assess patients for heart attacks and prepare treatment plans to manage any detected heart-related disorders successfully. Nurses educate patients about the influence of heart attacks on their health and provide them with critical heart management skills. Nurses collaborate with other healthcare experts to create and implement complete treatment procedures for those patients suffering from heart-related diseases. These policies promote a patient-centered approach that ensures the patients receive care that treats their immediate health concerns and allows them to manage heart attacks for increased well-being (Texas Board of Nursing, 2021). NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations The National Nurses United (NNU) policy encourages employers for training nurses to assess and manage the heart attack patients. This policy recognizes the critical effects of heart disease on patient health. Training nurses about the impacts of heart problems, monitoring heart attacks, initiating heart-related management programs, and coordination with other healthcare professionals will help in recognizing the problem. This policy is important because it allows nurses to give high-quality treatment to patients of heart attack. Nurses made stress management strategies for heart attack patients who suffer from stress, including relaxation techniques, cognitive behavioral therapy, and partnering with other healthcare experts to provide comprehensive care. The NNU policy on heart attacks is consistent with the Centers for Disease Control and Prevention (CDC) guidelines for
NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations
Student Name Capella University NURS 4900 Capstone Project for Nursing Prof. Name Date Family, Patient or Population Health Problem The health problem considered for this capstone project is related to my personal experience. My mother experienced a health condition that connected deeply with my personal and professional life. In the year 2014, my mother suddenly had significant back pain and shortness of breath. After knowing the seriousness of the situation, I quickly brought her to the Houston Methodist Hospital. The medical testing revealed slightly raised troponin levels, indicating a mini-heart attack. This critical incident provided a severe token of the prevalence and importance of a complex health issue. It became clear that several variables had contributed to her situation, including high blood glucose levels, raised cholesterol levels, and excessive triglycerides. All these factors affected her cardiovascular health and were identified in her case because of her less physical activity and the stress of being alone. The stressful situation and limited physical activity led the disease to aggravate, eventually ending up in the hospital. Being a professional nurse, I not only assumed the role of a concerned family member but also utilized my understanding of the broader implications of heart disease and the importance of its effective management. Substantial Relevance of Heart Attack A heart attack happens when a coronary artery is blocked, resulting in a lack of oxygen flow to the heart’s muscles. Symptoms include pain in the chest, breath shortness, and back pain. High blood pressure, increased cholesterol levels, diabetes, obesity, and a family history of cardiovascular problems are all significant risk factors for the disease. Around 610,000 individuals die annually from heart attacks in the U.S., accounting for 1 in every 4 deaths. Moreover, around 2.35 million people are injured in car accidents yearly due to drivers experiencing heart attacks and losing control of their vehicles (Chowdhury et al., 2019). This high prevalence of the disease advocates the need for effective management so that the best possible care and treatment can be provided to people experiencing this health issue. Peer-Reviewed Literature and Professional Sources that Guide Nursing Actions Nurses are critical in managing cardiac disease, guided by peer-reviewed literature and professional sources. They educate patients about self-care practices like healthy lifestyles, diet, and physical exercises. A study by Son et al. (2022) presented the efficacy of nurse-led heart failure self-care education in improving patient outcomes, especially regarding readmissions and mortality. On the other hand, nurses’ constant commitment to supporting patients emotionally enables them to combat their disease and improve stressful situations (Cimmino et al., 2022). The above-cited clinical literature is reliable as it aligns with my nursing experiences. Additionally, data reliability is accessed by journal reputation, methodology, conflicts of interest, peer review status, and transparency. Considering these factors, informed decisions can be made about incorporating evidence into my practice by relying on critical thinking and nursing expertise. Potential Barriers to Evidence-Based Practice and Guiding Frameworks Implementing evidence-based practice (EBP) in heart attack care may encounter various challenges. These include a need for more awareness among healthcare professionals, limited resources, and resistance to change. Little knowledge about evidence-based practices and theoretical frameworks may hinder healthcare professionals from utilizing best practices in their workplaces. This may lead to using traditional measures, leading to several disease treatment and management gaps. NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations Healthcare organizations may need more resources while implementing evidence-based practices, leading to fragmented care. While resistance to change is another crucial barrier that may hinder healthcare professionals in implementing recent and evidence-based practices, patients may also need to show more support in adopting these practices due to the fear of their effectiveness and applicability. Addressing the aforementioned barriers and difficulties requires education, organizational support, resource improvement, and a commitment to quality improvement by implementing evidence-based practice and a guiding framework. State Board Nursing Practice Standards/Organizational or Governmental Policies Many state board nursing practice standards or policies of government impact heart attacks and help heart attack patients. The Nursing Practice Act developed by the Texas Board of Nursing specifies the basic standards for nursing practice, including specific heart attack prevention and treatment requirements. According to the standards, nurses are responsible for assessing high-risk patients, educating them about the signs and symptoms of a heart attack, and caring for patients with the disease (Texas Board of Nursing, 2021). These nursing standards assist nurses in managing the disease condition, improving patient outcomes, and minimizing the risk of disease aggravation. Health policies influence individuals’ and communities’ overall health and well-being. The Office of Disease Prevention and Health Promotion (ODPHP) has developed the “Healthy People 2030” policy with carefully chosen objectives. The objectives of this policy put a significant emphasis on ensuring the safety and well-being of people by improving the overall healthcare quality. One of its goals is to improve cardiac health and lower the mortalities of diseases like stroke and heart attack ( Department of Health and Human Services , 2020). NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations The foundation for health improved across the nation lies in the establishment of well-informed, evidence-based policies that address the diverse health needs of the population. Implementing these policies with clear goals and objectives can improve the healthcare system and patient care for chronic diseases. The policy mentioned above, and the standards of state board have a prominent affect on the scope of nursing practice by giving a clear roadmap to registered nurses for working. Policies and standards aim to ensure patient safety and quality of care by setting guidelines for medication administration, patient assessment, and other critical aspects of healthcare delivery. When registered nurses have a set of standards and clear objectives, they can follow these standards and guidelines to achieve the given goals for a better patient outcome. These policies and standards require nurses to continue their education and professional development, ensuring they stay updated with evolving practices and advancements in healthcare.