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NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

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Capella University

NURS 4900 Capstone Project for Nursing

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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 prevention, early detection, and care. Implementing this policy enhances care quality, improving outcomes and lowering healthcare expenditures (NNU, 2019). The Affordable Care Act (ACA) significantly improves healthcare affordability, particularly for heart patients. The Affordable Care Act encourages the use of accessible and cost-effective care plans which enable the adoption of efficient and high-quality healthcare. This policy ensures heart patient safety and security inside healthcare facilities (Wolfe & Joynt, 2019). 

NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

Policies play an essential role in establishing the boundaries and duties of nursing practice, influencing the scope of what nurses can and cannot achieve. This impacts patient care, protocols, and the ethical framework under which nurses work. Understanding how policies affect the scope of nursing practice is essential because it provides a path for planning and implementing interventions. Nurses make informed decisions and take appropriate measures in patient care when they understand the policies that govern their profession. Policies serve as a guideline by directing nurses to provide care consistent with legal and ethical standards, eventually assuring the patient’s safety, well-being, and quality of care.

Strategies to Improve the Quality of Care, Patient Safety, and Reduce Costs

It is essential in healthcare to make strategies to improve the quality of care and safety of patients and reduce heart-related costs. These strategies are the goal to benefit both patients and the healthcare system. There are the following strategies:

  • Patient-centered care keeps the patient at the center of their medical experience. It requires active involvement of patients in care planning and decision-making by considering their preferences, values, and personal goals. This approach recognizes that patients are unique individuals with unique desires and needs. It aims to adapt treatment approaches to their specific desires. Patient-centered care increases the overall quality of care and results by developing a collaborative connection between healthcare practitioners and patients (Lindman et al., 2020).
  • Team-based care supports collaboration among healthcare providers develops a coordinated approach to patient care. Primary care doctors, cardiologists, nurses, and pharmacists collaborate to provide patients with a complete and coordinated treatment plan. This strategy gives an advantage to the experience of each team member which results in more effective care and better patient treatment outcomes. This strategy depends on the team’s effective communication and collaborative decision-making to provide a complete and patient-centered approach to medical care (Sabone et al.,2019).
  • Using telemedicine and remote monitoring technology to provide regular care to heart patients is a progressive strategy. Remote monitoring systems continuously track vital signs and critical health data, allowing immediate action when necessary.  Telemedicine platforms enable patients to obtain proper guidelines and stress management sessions when needed from the comfort of their own homes. This technology combination enables continuous support, enhanced patient safety and care quality, and cost-effective healthcare solutions (Farabi et al., 2019).


I experience the rising admissions of heart-related cases in hospitals. Heart attack significantly affects healthcare, compromising patient’s quality of care and safety resulting in higher costs. The Texas Board of Nursing standards, the UNN policy, and the ACA help in addressing these challenges. Strategies like patient-centered care, team-based collaboration, and telemedicine with remote monitoring offer ways to enhance the quality of care, safety of patients, and cost-effectiveness. These strategies aim to create a supportive, cost-effective healthcare environment for individuals having heart-related issues like my mother.


Alqenae, F. A., Steinke, D., & Keers, R. N. (2020). Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: A systematic review. Drug Safety, 43(6).    

Farabi, H., Rezapour, A., Jahangiri, R., Jafari, A., Rashki Kemmak, A., & Nikjoo, S. (2019). Economic evaluation of the utilization of telemedicine for patients with cardiovascular disease: A systematic review. Heart Failure Reviews. 

Fang, J., Luncheon, C., Ayala, C., Odom, E., & Loustalot, F. (2019). Awareness of heart attack symptoms and response among adults — United States, 2008, 2014, and 2017. MMWR. Morbidity and Mortality Weekly Report, 68(5), 101–106.  

Home | National Nurses United. (2019). National Nurses United.  

Lindman, B. R., Arnold, S. V., Bagur, R., Clarke, L., Coylewright, M., Evans, F., Hung, J., Lauck, S. B., Peschin, S., Sachdev, V., Tate, L. M., Wasfy, J. H., & Otto, C. M. (2020). Priorities for patient‐centered research in valvular heart disease: A report from the national heart, lung, and blood institute working group. Journal of the American Heart Association, 9(9). 

NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

Pederson, A. B. (2023). Management of depression in black people: Effects of cultural issues. Psychiatric Annals, 53(3), 122–125.  

Sabone, M., Mazonde, P., Cainelli, F., Maitshoko, M., Joseph, R., Shayo, J., Morris, B., Muecke, M., Wall, B. M., Hoke, L., Peng, L., Mooney-Doyle, K., & Ulrich, C. M. (2019). Everyday ethical challenges of nurse-physician collaboration. Nursing Ethics, 27(1), 206–220.  

Scott, A. C., McDonald, A., Roberts, T., Martin, C., Manns, T., Webster, M., Walker, D., Sandford, A., Scuffham, P., & Atherton, J. J. (2020). Cardiovascular telemedicine program in rural Australia. New England Journal of Medicine, 383(9), 883–884.  

Selina Marita Egger, Frey, S., Sauerzopf, L., & Meidert, U. (2023). A literature review to identify effective web- and app-based health interventions for stress management at work. Sage Journals, 71(10), 216507992311708-216507992311708.  

Texas Board of Nursing. (2021). Texas Board of Nursing – APRN Practice FAQ.  

Wolfe, J. D., & Joynt Maddox, K. E. (2019). Heart failure and the affordable care act. JACC: Heart Failure, 7(9), 737–745.  

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