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NURS FPX 6011 Assessment 1 Concept Map

Student Name

Capella University

NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Prof. Name

Date

Introduction 

Patient engagement is the process of actively involving the patient in their own healthcare and treatment journey, empowering their decisions regarding their treatment, and allowing them to feel charged with their well-being and how they ought to be treated, which results in better health outcomes, improved patient satisfaction, and lowered healthcare costs (Bombard et al. 2018). This method of treatment is an active one in which the person being treated is directly involved in giving care instead of just receiving it.

Health quality concepts highlight patient-centeredness, education, and empowerment as key aspects of care quality and delivery (Marzban et al., 2022); hence, many professionals consider this concept of patient engagement as a quality driver. Throughout the literature, patients hold a unique position as crucial stakeholders in healthcare and decision-making, which shows the present need to involve people in their own care and treatment processes (Sharma et al., 2018). Following this, studies have highlighted that providing a tailored plan of care and engaging patients in their care allows practitioners to expect better treatment adherence, outcomes, and prognosis (Engle et al., 2021).

Through this current assignment, the aim is to discuss the significance of patient engagement in treatment and how this aspect of patient engagement can help improve the overall quality of care. Also, the goal is to learn about information and communication technology usage and how it might help cancer patients, while highlighting the strategies and values of the technology modes. 

The Importance of Patient Engagement in the Management of Low-Income Cancer Patients

Patient engagement is essential in the management of low-income cancer patients because it can contribute to an improvement in the quality of care provided to these patients by assisting in the fulfillment of their individual needs within the constraints of their financial resources. Coming from a low-income background is a significant factor that may impact their ability to adhere to the treatment; therefore, it is important to involve patients in the design of their care, delivery, and evaluation of the health services (Fernandez-Lazaro et al., 2019). Patient engagement can help in addressing the disparities in accessing healthcare and the outcome of treatment, as by involving the patient in decision-making processes, healthcare providers can gain a better understanding of the unique needs and preferences of the patients (Marzban et al., 2022).

Patients with low income and chronic disease may lack treatment compliance and adherence due to obvious affordability issues. Therefore, it is important to engage such patients in their care as it allows them to understand the importance of adherence to treatment, follow-ups, and medication in the longer run, resulting in fewer rehospitalizations, fewer critical conditions, and better health outcomes. By involving such patients in decision-making while considering economic concerns, healthcare providers can increase their compliance with treatment. Also, cancer patients with low incomes face difficulties accessing healthcare services due to their financial limitations.

NURS FPX 6011 Assessment 1 Concept Map

While patient engagement can help healthcare professionals identify and address such barriers, it can also help them receive timely and appropriate care, such as timely cancer screening diagnostic tests and treatment options. Similarly, such patients require tailored and specific treatment plans that address their perception of illness, preferences for treatment, and end-of-life care choices, hence engaging the patients in open and respectful discussion while keeping their financial and cultural values and perspectives in mind while developing treatment plans that align with their needs for better acceptance and outcome.

Use and Impact of Information and Communication Technology Tools

Information and Communication Technology tools can improve consumer literacy for cancer patients. Health literacy is the ability to understand, utilize, and access health information to make decisions for one’s health. For cancer patients, having the literacy to understand, access, and utilize accurate and comprehensible health information that is reliable and relevant to their condition helps them to opt for treatment options and self-care strategies that are tailored for them and can help them (Holden et al., 2021). ICT provides cancer patients and their families with easy access to up-to-date information about the type of cancer, treatments, side effects, and supportive care.

Mobile applications, educational websites, and other online mediums can help leverage literacy levels. Also, ICT tools enable remote consultation and telehealth services, allowing patients to connect with professionals to access care (Zhang et al., 2022). Similarly, other ICT tools include wireless devices, telehealth, or telemedicine apps that can help the patient track their medication and other vitals daily and help them reach professionals timely (Housten et al., 2020). Furthermore, these tools allow individuals to connect with other people with similar issues. allowing them to find solace in other people who are facing similar issues and helping them to cope better and be motivated by seeing others battling cancer.

NURS FPX 6011 Assessment 1 Concept Map

However, there are a few lags that are still concerned about using the ICT tools for certain populations: people with low literacy or elderly people who are not gadget-friendly may find it hard to access these tools; people who have low income may have difficulty buying and utilizing these tools; or people who are on substantial support may require more physically prepared and effective care than ICT tools can provide. Also, aspects of data security and privacy are significant considerations that may hinder the usage of ICT tools. Therefore, it is important to first address and understand the unique aspects of every individual and tailor the technology according to the individual to provide effective care.

Value and Relevance of Technology 

The value and relevance of the ICT tools for cancer patients coming from low-income backgrounds depend on the patient’s needs and preferences for the treatment, the quality and usability of the tool, the availability and accessibility of the tool, and the training that is provided to the patient to access them. Also, a technology need assessment (2015) is usually carried out to assess what kind of technology is required to provide an affordable yet sustainable communication medium that helps patients. Major stakeholders in such aspects are the resources of the country or facility that incorporates the ICT tools, as the utilization and facilitation of low-income patients are largely dependent on the government and policymakers.

The key aspect of the value and relevance of the technology depends on its accessibility, such as if the consumer can access the technology through, for example, text messages, mobile apps, or telehealth mediums that can offer resources that help the patient understand their treatment and conditions (Haleem, et al., 2021). Secondly, The cost-effectiveness of the tool can help in mitigating the financial barriers by providing an under-budget of cost-effective options such as remote consultations that reduce travel costs, support groups, and fundraisers that help in taking the expense off the patient’s shoulder.

Thirdly, recommend care and monitoring that allow the patient to be actively involved in the care and help them access medication through online platforms in places where access to healthcare services is limited. Then, the support and social networking help the patient gain emotional, financial, and practical support and motivate patients for treatment adherence, and lastly, the personalized treatment options help the patient make decisions based on their current needs and acknowledge their preferences for treatment.

Strategies for leveraging technology and how it mitigates risk

Multiple strategies can leverage the technology and reduce the risk of adverse outcomes.

  1. Multilingual health mobile applications can help make the technology more accessible to a low-income and diverse population where they can access the application in their native languages, while the risk of adverse outcomes such as data breaches can be controlled through encryption and two-way authentication protocols for data security and safety.
  2. Providing access to telemedicine and other online platforms that can provide information regarding medication and their accurate use can help the patient accurately adhere to medication, while the risk can be mitigated through better health literacy initiatives such as teaching patients informed consent and the rights of patients that allow the individual to tap accurate and authentic information.
  3. Having Artificial Intelligence (AI) systems for analyzing the patient’s data and their preferences and making personalized care plans for the patients will allow every patient to have a care plan that is according to their needs; however, data security and privacy are important aspects here as well.

Conclusion 

In conclusion, engaging cancer patients in their care provides an additive to the care provision and treatment adherence, while the ICT tools can help in providing easy-to-access care that is personalized, effective, and compliant with the patient’s needs and preferences. Similarly, having access to evidence-based practices helps in managing the health, financial, and cultural aspects of the care as well as tailoring the plans as per the patient’s values and preferences. Mobile applications and utilizing AI in tailoring plans are highly favored strategies that can help in making these plans more accurate as per the need; however, data security concerns should be mitigated for seamless usage.

References 

Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., Onate, K., Denis, J.-L., & Pomey, M.-P. (2018). Engaging Patients to Improve Quality of care: a Systematic Review. Implementation Science13(1), 1–22. https://implementationscience.biomedcentral.com/articles/10.1186/s13012-018-0784-z

Engle, R. L., Mohr, D. C., Holmes, S. K., Seibert, M. N., Afable, M., Leyson, J., & Meterko, M. (2021). Evidence-based practice and patient-centered care: Doing both well. Health care management review46(3), 174–184. https://doi.org/10.1097/HMR.0000000000000254

Fernandez-Lazaro, C. I., García-González, J. M., Adams, D. P., Fernandez-Lazaro, D., Mielgo-Ayuso, J., Caballero-Garcia, A., Moreno Racionero, F., Córdova, A., & Miron-Canelo, J. A. (2019). Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study. BMC Family Practice20(1). https://doi.org/10.1186/s12875-019-1019-3

NURS FPX 6011 Assessment 1 Concept Map

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors international2, 100117. https://doi.org/10.1016/j.sintl.2021.100117

Holden, C. E., Wheelwright, S., Harle, A., & Wagland, R. (2021). The role of health literacy in cancer care: A mixed studies systematic review. PLOS ONE16(11), e0259815. https://doi.org/10.1371/journal.pone.0259815

Housten, A. J., Gunn, C. M., Paasche-Orlow, M. K., & Basen-Engquist, K. M. (2020). Health Literacy Interventions in Cancer: a Systematic Review. Journal of Cancer Education36(2), 240–252. https://doi.org/10.1007/s13187-020-01915-x

Marzban, S., Najafi, M., Agolli, A., & Ashrafi, E. (2022). Impact of Patient Engagement on Healthcare Quality: A Scoping Review. Journal of patient experience9, 23743735221125439. https://doi.org/10.1177/23743735221125439

Sharma, A. E., Rivadeneira, N. A., Barr-Walker, J., Stern, R. J., Johnson, A. K., & Sarkar, U. (2018). Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health affairs (Project Hope)37(11), 1813–1820. https://doi.org/10.1377/hlthaff.2018.0716

TECHNOLOGY NEEDS ASSESSMENTS. (2015). https://unfccc.int/ttclear/misc_/StaticFiles/gnwoerk_static/TNA_key_doc/137ce42be33c4341a9b9e6679f7f8539/4a057ad243164ac6bbaa62bcb96bc39a.pdf

Zhang, Y., Xu, P., Sun, Q., Baral, S., Xi, L., & Wang, D. (2022). Factors influencing the e-health literacy in cancer patients: a systematic review. Journal of Cancer Survivorshiphttps://doi.org/10.1007/s11764-022-01260-6

NURS FPX 6011 Assessment 1 Concept Map