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NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care

Student Name Capella University NURS-FPX 6614 Structure and Process in Care Coordination Prof. Name Date Enhancing Interprofessional Collaboration for Obesity and Hypertension Management Slide 1: Introduction Greetings, everyone. I am Charmaine Kenneth, and I extend a warm welcome to all participants present at this meeting. I wish to acknowledge the esteemed healthcare professionals in our audience, including nurses, physicians, hospital administrators, nutritionists, physiotherapists, and information technologists. This presentation will delve into the importance of interprofessional collaboration in addressing the healthcare needs of overweight hypertensive patients. Our collective efforts aim to educate these patients on the advantages of embracing a healthier lifestyle. While both lifestyle modifications and antihypertensive medications can aid patients dealing with obesity and hypertension, research suggests that patients may encounter medication side effects within the initial six months (Cosimo Marcello et al., 2018). Consequently, adherence to prescribed medications might become challenging. However, evidence indicates that lifestyle modifications, such as dietary improvements and physical activity, can effectively lower blood pressure and reduce body weight without adverse effects (Cosimo Marcello et al., 2018). Thus, healthcare providers must collaborate to devise strategies that educate patients on adopting healthier lifestyle choices, thereby assisting obese hypertensive patients in cultivating better habits. Slide 2: Strategies for Enhancing Interprofessional Collaboration Overview of Evidence-Based Practice Enhancement Every day, new discoveries emerge, leading to enhanced treatments and more effective care approaches for patients. Recent studies provide improved techniques and stronger evidence to support patient care. Continuous research yields valuable insights that can aid healthcare providers in delivering optimal care (O’Cathain et al., 2019). Organizations should initiate training programs in relevant areas to bolster evidence-based practices among healthcare professionals. Allocating sufficient time for healthcare staff to review and implement research findings proves beneficial. Experts in evidence-based approaches can serve as mentors and educators, enriching their colleagues’ knowledge (Lafuente et al., 2019). Moreover, healthcare leaders should facilitate access to resources supporting evidence-based literature and provide necessary support. This approach not only enhances evidence-based practices but also fosters interprofessional collaboration within healthcare settings (Lafuente et al., 2019). Slide 3: Planning Stages Explanation To promote evidence-based practices and foster interprofessional collaboration, the following steps can be taken: Slide 4: Educational Services and Resources Educational Methodologies Slide 6: Collaboration and Implementation Implementation Process Lee and Bae (2018) propose that the Chronic Care Model (CCM) facilitates improved care coordination. This model aids healthcare professionals in formulating treatment strategies following comprehensive patient assessments. With the assistance of CCM, healthcare providers and patients collaboratively establish and achieve support goals (Lee and Bae, 2018). The care coordination team, comprising the patient, their family, primary care provider, care coordinator, nutritionists, physiotherapists, and peer psychologist, should fulfill their respective treatment responsibilities. Furthermore, they should provide intervention and follow-up monitoring. Establishing a comprehensive care team tailored to the needs of obese patients is crucial in managing hypertensive symptoms effectively (Lee and Bae, 2018). Subsequently, designing quality management processes and monitoring activities becomes imperative after patient education. Slide 7: Collaboration Plans Facilitating Collaboration among Team Members To foster collaboration among team members, I propose establishing a social platform for communication among professionals from diverse disciplines. Weekly team meetings, brainstorming sessions, or clusters will provide platforms for discussing patients and devising optimal care plans (Moser et al., 2018). Additionally, integrating collaboration into routine activities can enhance communication and information sharing. Regular staff collaboration fosters a cooperative atmosphere and enhances workforce unity, morale, and productivity. Implementing a HIPAA-compliant text messaging platform could further facilitate effective staff collaboration (Ganapathy et al., 2020). Slide 8: Outcomes Evaluation Assessment of Results The OECD has delineated six criteria for assessing a strategy: relevance, comprehensibility, effectiveness, efficiency, impact, and sustainability (OECD, 2021). These criteria will enable us to evaluate process outcomes more precisely. Slide 9: Conclusion Effective interprofessional collaboration holds the promise of achieving goals for patients with obesity and hypertension. It facilitates the development of precise and efficient educational methods for overweight hypertensive patients, motivating them to adopt healthier habits. Through enhanced collaboration, healthcare staff exchange information, ideas, and respect each other’s roles and responsibilities. References  Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020). Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare, 8(3), 323. https://doi.org/10.3390/healthcare8030323 Arenson, C., & Brandt, B. F. (2021). The importance of interprofessional practice in family medicine residency education. Family Medicine. https://doi.org/10.22454/fammed.2021.151177 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 Chike-Harris, K. E., Durham, C., Logan, A., Smith, G., & DuBose-Morris, R. (2021). Integration of telehealth education into the health care provider curriculum: A review. Telemedicine and E-Health, 27(2), 137–149. https://doi.org/10.1089/tmj.2019.0261 Cosimo Marcello, B., Maria Domenica, A., Gabriele, P., Elisa, M., & Francesca, B. (2018). Lifestyle and hypertension: An evidence-based review. Journal of Hypertension and Management, 4(1). https://doi.org/10.23937/2474-3690/1510030 Frank, H. E., Becker‐Haimes, E. M., & Kendall, P. C. (2020). Therapist training in evidence‐based interventions for mental health: A systematic review of training approaches and outcomes. Clinical Psychology: Science and Practice, 27(3). https://doi.org/10.1111/cpsp.12330 Gajarawala, S., & Pelkowski, J. (2020). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013 Ganapathy, S., de Korne, D. F., Chong, N. K., & Car, J. (2020). The role of text messaging and telehealth messaging apps. Pediatric Clinics of North America, 67(4), 613–621. https://doi.org/10.1016/j.pcl.2020.04.002 NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care Lafuente-Lafuente, C., Leitao, C., Kilani, I., Kacher, Z., Engels, C., Canoui-Poitrine, F., & Belmin, J. (2019). Knowledge and use of evidence-based medicine in daily practice by health professionals: a cross-sectional survey. BMJ Open, 9(3), e025224. https://doi.org/10.1136/bmjopen-2018-025224 Lee, J. J., & Bae, S. G. (2018). Implementation of a care coordination system for chronic diseases. Yeungnam University Journal of Medicine, 36(1), 1–7. https://doi.org/10.12701/yujm.2019.00073 Moser, K. S., Dawson, J. F., & West, M. A. (2018). Antecedents of team innovation in health care teams. Creativity and Innovation Management, 28(1), 72–81. https://doi.org/10.1111/caim.12285 O’Cathain, A., Croot, L., Duncan, E., Rousseau, N., Sworn, K., Turner, K. M., Yardley, L., & Hoddinott, P. (2019). Guidance on how to develop complex interventions to

NURS FPX 6614 Assessment 1 Defining a Gap in Practice

Student Name Capella University NURS-FPX 6614 Structure and Process in Care Coordination Prof. Name Date Defining a Gap in Practice: Executive Summary Currently, hypertension affects approximately 116 million individuals in the United States (CDC, 2020). Elevated blood pressure, caused by the forceful circulation of blood throughout the body, results in the thickening of the left ventricular walls of the heart. This thickening is associated with severe cardiac events such as heart attacks, heart failure, and sudden cardiac death (Oparil et al., 2018). Moreover, evidence indicates that individuals who are obese are more susceptible to hypertension symptoms, necessitating healthcare interventions including medications or lifestyle modifications (Semlitsch et al., 2021). The integration of team-based care and the care coordination process holds promise in improving patient health outcomes. This executive summary aims to compare the effectiveness of lifestyle modifications versus medication regimens in managing hypertensive symptoms among overweight patients and assess the influence of care coordination on patient decision-making. Clinical Priorities for Overweight Hypertensive Patients The World Health Organization defines obesity as having a weight exceeding 20% of the ideal weight (WHO, 2021). Being overweight or obese is associated with various adverse health consequences, including hypertension, Type II Diabetes mellitus, coronary artery disease, heart failure, kidney disease, and hyperlipidemia (WHO, 2021). Obesity not only predisposes individuals to hypertension but also exacerbates its symptoms. Overweight hypertensive patients exhibit altered hormonal signals, abnormalities in the sympathetic nervous system, and impaired kidney function. Excessive visceral fat, characteristic of obesity, places additional strain on the cardiovascular system (CVS) (Chrysant, 2019). This heightened CVS strain ultimately leads to uncontrolled or persistent hypertension, resulting in symptoms such as dizziness, nosebleeds, headaches, vision changes, chest pain, and muscle tremors (Chrysant, 2019). Thus, it is imperative to develop effective healthcare strategies, encompassing medication regimens or lifestyle modifications, to help overweight patients manage their hypertensive symptoms. Care Coordination and its Role Care coordination plays a pivotal role in aiding healthcare providers in assisting overweight hypertensive individuals in managing their hypertension symptoms. Streamlined care coordination processes facilitate improved communication between patients and healthcare professionals, including physicians, nutritionists, pharmacists, and nurses (Karam et al., 2021). Care coordination involves a team-based approach aimed at involving patients in their own care alongside other healthcare team members (Karam et al., 2021). In-depth Analysis or Knowledge Gap While hypertension symptoms in overweight patients can be managed through medication, evidence indicates that medications may lead to adverse effects exacerbating the condition in obese hypertensive patients (Gebreyohannes et al., 2019). Furthermore, the side effects associated with antihypertensive medications can impede patient adherence (Gebreyohannes et al., 2019). Research by Cosimo Marcello et al. (2019) suggests that adopting low-salt diets and regular exercise may assist obese individuals in controlling their hypertension symptoms. The evidence demonstrates that patients can safely reduce weight and maintain stable blood pressure through a combination of healthy eating and regular exercise (Cosimo Marcello et al., 2019). PICOT Question In overweight adults with hypertension, do lifestyle modifications compared to antihypertensive medications result in lower blood pressure within a six-month period? Population: Overweight adults Intervention: Lifestyle modifications Comparison: Lifestyle modifications versus medications Outcome: Low blood pressure Time: Six months Explanation of the Selected Gap Proper care planning is essential to mitigate the potentially fatal consequences of hypertension, as noted by Alsaigh et al. (2019). Lifestyle changes play a significant role in reducing blood pressure and delaying the onset of hypertension in otherwise healthy individuals. Before initiating pharmacologic therapy, hypertensive patients should consider implementing lifestyle modifications (Alsaigh et al., 2019). Care coordinators play a crucial role in educating overweight hypertensive patients and assessing their knowledge level through open-ended questions. This is a pivotal aspect of the care coordinator’s role, as it involves instructing patients on making necessary behavioral changes to achieve desired outcomes (Karam et al., 2021). At the regional level, the Joint National Committee (JNC) recommends lifestyle modifications for hypertensive patients over a six-month period. These modifications include increased physical activity, dietary changes for obese patients, reduced salt intake, and limited alcohol consumption (de la Sierra, 2019). The PREMIER trial, the largest clinical trial in the US evaluating blood pressure management through lifestyle changes, demonstrated that weight loss, increased physical activity, and improved dietary choices effectively controlled hypertension without the need for medication (Mahmood et al., 2019). While both lifestyle modifications and medications can lower blood pressure within six months, medications may manifest side effects during this period (Kebede et al., 2022). Services and Resources for Care Coordination Resources: Healthcare teams can utilize social media messages, fact sheets, and handouts to educate obese hypertensive patients about lifestyle modifications. Potential Services: Care teams, consisting of nurses, physicians, pharmacists, information technology specialists, and hospital administrators, can collectively raise awareness among obese hypertensive patients about adopting healthy lifestyle choices. Telehealth can be employed to monitor patients’ compliance with prescribed lifestyle changes (Volterrani & Sposato, 2019). Barriers: Several obstacles hinder the care coordination process, including patients’ lack of trust in healthcare professionals, inability to engage in self-management practices, challenges related to health information technology, resource constraints, patient beliefs, motivation, and depression (Heinert et al., 2019). The Type of Care Coordination Intervention According to the Agency for Healthcare Research and Quality (AHRQ), care coordination is underpinned by five pillars, which include teamwork between staff and patients, effective health information technology utilization, care and medication management, and patient-centered care (Agency for Healthcare Research and Quality, 2018). Specific and Practical Way To educate obese hypertensive patients about appropriate lifestyle adjustments, healthcare professionals should utilize the Chronic Care Model. Healthcare organizations need to foster responsibility and accountability, holding regular meetings with key stakeholders such as nurses, physicians, nutritionists, pharmacists, and information technologists. These meetings facilitate communication, knowledge exchange, goal development, and evidence-based care planning (Pilipovic-Broceta et al., 2018). After the planning phase, stakeholders should proceed to implement the plan, assist patients in achieving self-management goals, and conduct follow-up assessments (Agency for Healthcare Research and Quality, 2018). Support the Strategy for Collaborative Care A collaborative care strategy should prioritize lifestyle modifications as the primary intervention for healthcare staff and nurses diagnosing hypertension induced by obesity. Overweight