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NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

Student Name

Capella University

NURS-FPX 6614 Structure and Process in Care Coordination

Prof. Name

Date

Disseminating Evidence: Scholarly Video Media Submission

Abstract

This presentation delves into the dissemination of evidence in nursing, highlighting the significance of sharing knowledge and research within the healthcare community. The study investigates the effectiveness of lifestyle modifications versus antihypertensive medications in overweight adults with hypertension. Through a thorough analysis, it posits that lifestyle changes yield more favorable health outcomes in this demographic.

Introduction

Dissemination of evidence stands as a pivotal facet of nursing, involving the transmission of research and information among healthcare professionals (Chambers, 2018). It encompasses the communication of data and resources concerning evidence-based interventions (Chambers, 2018).

In healthcare, the introduction of novel techniques to a target audience relies on disseminating evidence-based practices (Purtle et al., 2020). To bridge gaps in evidence-based interventions and effectively address implementation challenges, it is imperative to employ strategies conducive to the acceptance and integration of evidence-based activities (Purtle et al., 2020). This video presentation endeavors to disseminate evidence-based approaches pertinent to my intervention and uphold positive outcomes.

Care Coordination Efforts

The PICOT Question

In overweight adults with hypertension, do lifestyle modifications compared to antihypertensive medications result in low blood pressure within 6 months?

  • Population: Overweight adults
  • Intervention: Lifestyle modifications
  • Comparison: Lifestyle modifications versus medications
  • Outcome: Low blood pressure
  • Time: Six months

Brief Introduction to the Issues

Obesity strongly correlates with hypertensive symptoms, exacerbating the condition in affected individuals. Studies suggest that obesity accounts for a significant proportion of primary hypertension cases (Ahmadi et al., 2019). Lifestyle modifications, such as dietary adjustments and increased physical activity, have been proposed as effective interventions for hypertensive individuals (Ahmadi et al., 2019). Conversely, antihypertensive medications have shown adverse effects within six months of use (Olowofela & Isah, 2018). Therefore, lifestyle changes are recommended over medication (Olowofela & Isah, 2018).

Healthcare practitioners play a pivotal role in influencing patient behavior by educating them about the benefits of lifestyle changes (Shayesteh et al., 2018). Educational initiatives are crucial in raising disease awareness and promoting behavior modification among hypertension patients (Shayesteh et al., 2018).

Care Coordination Efforts

Care coordination aims to enhance the delivery of healthcare services within and across systems (Kruk et al., 2018). A multidisciplinary healthcare team, comprising dietitians, nurses, cardiologists, information technologists, and physiotherapists, collaborates in the treatment of hypertensive patients. Team-based care engages patients in their healthcare decisions, with regular team meetings focusing on setting objectives and establishing patient-centered goals (Will et al., 2019).

The healthcare team adopts a holistic approach, with nutritionists offering evidence-based diet plans, physiotherapists providing tailored exercise regimens, cardiologists monitoring patients’ symptoms, and information technologists facilitating telehealth solutions (Nicolai et al., 2018).

Implications

The adoption of care coordination supports the achievement of the triple aim of health reform, enhancing patient quality and satisfaction (Kohl et al., 2018). By coordinating patient care and involving obese hypertensive patients in their treatment, healthcare professionals can foster improved health outcomes (Kohl et al., 2018).

Change in Practice Related to Services and Resources

Resources

Healthcare professionals should furnish patients with information regarding the benefits of lifestyle changes through fact sheets, guidelines, social media messages, and handouts (CDC, 2020).

Services

Care coordinators, encompassing nurses and other medical professionals, should extend support and encouragement to obese hypertensive patients, facilitating their active participation in managing their condition (Hansen et al., 2021). Additionally, healthcare providers can devise customized care plans and employ telehealth for patient education (Hansen et al., 2021).

Key Care Coordination Efforts

Team-based care is indispensable for attaining value-based care goals and enhancing the patient experience (Rollet et al., 2021). Multidisciplinary team meetings are pivotal in deliberating patient conditions, diagnoses, and treatment plans, ensuring adherence to evidence-based guidelines (Rollet et al., 2021).

Efforts to Build Stakeholder Engagement

Stakeholder engagement entails identifying, evaluating, organizing, and implementing actions to influence stakeholders (Sperry & Jetter, 2019). A stakeholder engagement plan should accommodate each stakeholder’s needs and demands (Sperry & Jetter, 2019).

Leading the Change in Practice

Nurses can apply Kurt Lewin’s change theory to initiate practice changes and involve stakeholders in intervention strategies for obese hypertensive patients (McFarlan et al., 2019). This process entails unfreezing, changing, and refreezing stages to garner stakeholder support, implement changes, and monitor compliance (McFarlan et al., 2019).

Encouraging and Building Stakeholder Engagement

Organizations should establish a robust stakeholder engagement strategy, commencing with a stakeholder engagement plan delineating stakeholders’ involvement, approach, and objectives (Boaz et al., 2018). Stakeholders’ needs, interests, and perspectives should be honored throughout the process (Boaz et al., 2018).

Future Recommendations

Sustaining the Current Outcomes

To sustain extant patient outcomes, stakeholders should engage in regular inter-professional coordination through weekly team meetings, facilitating effective communication with patients (Kruk et al., 2018). Enhanced communication nurtures trust and rapport, culminating in improved health outcomes (Kruk et al., 2018). Healthcare professionals should prioritize patient information confidentiality and address patient inquiries with a problem-solving mindset (McFarlan et al., 2019).

Recommendations on Moving Forward

To augment care coordination for future patient care initiatives, healthcare providers should contemplate the following recommendations:

  • Develop a stakeholder engagement plan.
  • Address stakeholders’ needs.
  • Utilize SMART goals for setting achievable patient objectives.
  • Implement the Plan-Do-Study-Act cycle to assess changes.
  • Leverage technology for inter-professional collaboration.

Conclusion

In conclusion, disseminating evidence in nursing entails sharing knowledge, insights, and research with healthcare professionals. Effective evidence dissemination is pivotal for introducing novel approaches to specific audiences. This video presentation endeavors to disseminate knowledge and ideas concerning my intervention plan for obese hypertensive individuals.

References

Ahmadi, S., Sajjadi, H., Nosrati Nejad, F., Ahmadi, N., Karimi, S. E., Yoosefi, M., & Rafiey, H. (2019). Lifestyle modification strategies for controlling hypertension: How are these strategies recommended by physicians in Iran? Medical Journal of the Islamic Republic of Iran, 33, 43. https://doi.org/10.34171/mjiri.33.43

Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage stakeholders in research: design principles to support improvement. Health Research Policy and Systems, 16(1). https://doi.org/10.1186/s12961-018-0337-6

CDC. (2020, January 28). Hypertension Resources for Health Professionals | cdc.gov. Centers for Disease Control and Prevention. https://www.cdc.gov/bloodpressure/educational_materials.htm

Chambers, C. T. (2018). From evidence to influence. PAIN, 159, S56–S64. https://doi.org/10.1097/j.pain.0000000000001327

Hansen, A. R., McLendon, S. F., & Rochani, H. (2021). Care coordination for rural residents with chronic disease: Predictors of improved outcomes. Public Health Nursing. https://doi.org/10.1111/phn.13038

Kohl, S., Schoenfelder, J., Fügener, A., & Brunner, J. O. (2018). The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals. Health Care Management Science, 22(2), 245–286. https://doi.org/10.1007/s10729-018-9436-8

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., & Malata, A. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/s2214-109x(18)30386-3

McFarlan, S., O’Brien, D., & Simmons, E. (2019). Nurse-leader collaborative improvement project: Improving patient experience in the emergency department. Journal of Emergency Nursing, 45(2), 137–143. https://doi.org/10.1016/j.jen.2018.11.007

Nicolai, J., Müller, N., Noest, S., Wilke, S., Schultz, J.-H., Gleißner, C. A., Eich, W., & Bieber, C. (2018). To change or not to change – That is the question: A qualitative study of lifestyle changes following acute myocardial infarction. Chronic Illness, 14(1), 25–41. https://doi.org/10.1177/1742395317694700

Olowofela, A. O., & Isah, A. O. (2018). A profile of adverse effects of antihypertensive medicines in a tertiary care clinic in Nigeria. Annals of African Medicine, 16(3), 114–119. https://doi.org/10.4103/aam.aam_6_17

Purtle, J., Marzalik, J. S., Halfond, R. W., Bufka, L. F., Teachman, B. A., & Aarons, G. A. (2020). Toward the data-driven dissemination of findings from psychological science. American Psychologist, 75(8), 1052–1066. https://doi.org/10.1037/amp0000721

Rollet, Q., Bouvier, V., Moutel, G., Launay, L., Bignon, A.-L., Bouhier-Leporrier, K., Launoy, G., & Lièvre, A. (2021). Multidisciplinary team meetings: Are all patients presented, and does it impact the quality of care and survival – A registry-based study. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-07022-x

Shayesteh, H., Mirzaei, A., Sayehmiri, K., Qorbani, M., & Mansourian, M. (2018). Effect of an education intervention on the lifestyle of patients with hypertension among the rural population of Lorestan province. Journal of Lifestyle Medicine, 6(2), 58–63. https://doi.org/10.15280/jlm.2016.6.2.58

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission

Sperry, R. C., & Jetter, A. J. (2019). A systems approach to project stakeholder management: Fuzzy cognitive map modeling. Project Management Journal, 50(6), 875697281984787. https://doi.org/10.1177/8756972819847870

Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-Based Care and Patient Satisfaction in the Hospital Setting: A Systematic Review. Advocate Aurora Health Institutional Repository. https://doi.org/10.17294%2F2330-0698.1695