Category: NURS-FPX4900

Capella 4900 Assessment 6 Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date

Capella 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Intervention Presentation and Capstone Video Reflection Good afternoon, everyone! My name is ——–, and I appreciate you all for joining me for this video presentation. Today, I’ll discuss the evidence-based intervention I developed and implemented in my capstone project. This intervention plan was designed explicitly for Jonathan Thompson, a middle school teacher recently diagnosed with Type 2 Diabetes (T2D), who faced challenges in managing his condition effectively. Let’s explore how this intervention plan significantly improved Jonathan’s health outcomes and overall quality of life. Contribution of an Intervention to Patient Satisfaction and Quality of Life The intervention for Jonathan Thompson’s Type 2 Diabetes included a comprehensive diabetes education program, Continuous Glucose Monitoring (CGM) systems, telemedicine, and enhanced care coordination among his healthcare team and community resources. This intervention implemented for Jonathan Thompson to manage Type 2 Diabetes (T2D) significantly enhanced his satisfaction and quality of life, as well as that of his family. Jonathan shared that the comprehensive diabetes education program greatly empowered him and his family by increasing their understanding of T2D and equipping them with essential self-management strategies, lifestyle modifications, and medication adherence techniques. They particularly appreciated the Continuous Glucose Monitoring (CGM) systems and telemedicine, which made managing the condition more convenient and less stressful by enabling remote monitoring and virtual consultations. The improved care coordination among Jonathan’s healthcare team ensured a holistic, patient-centered approach that addressed his unique needs and preferences, leading to more effective and personalized care. This approach was instrumental in improving Jonathan’s health outcomes and overall well-being. However, Jonathan also mentioned difficulty with the initial setup and learning curve associated with the new CGM system. It took him some time to become comfortable with the technology and integrate it seamlessly into his daily routine. Despite this initial challenge, Jonathan and his family found that the ongoing support and education provided by the healthcare team helped them overcome this hurdle, ultimately enhancing their ability to manage T2D effectively. Overall, the intervention’s focus on comprehensive, personalized, and accessible care significantly improved Jonathan’s and his family’s satisfaction and quality of life, as evidenced by their positive feedback and increased confidence in managing his condition. Use of Evidence and Peer-Reviewed Literature to Plan and Implement a Capstone Project In planning and implementing my capstone project for Jonathan Thompson’s Type 2 Diabetes (T2D) management, I extensively used evidence and peer-reviewed literature to ensure the intervention was grounded in the latest and most effective practices. The principles of evidence-based practice were integral to every phase of the project, guiding the development of a comprehensive and personalized care plan for Jonathan. Firstly, I reviewed numerous peer-reviewed articles and clinical guidelines on T2D management, focusing on the most effective self-management strategies, lifestyle modifications, and medication adherence techniques. Research studies highlighted the benefits of diabetes education programs in improving patient knowledge and self-management skills (Powers et al., 2020). This evidence-informed the creation of a tailored diabetes education program for Jonathan and his family, ensuring it was comprehensive and aligned with best practices. Additionally, I examined the efficacy of Continuous Glucose Monitoring (CGM) systems and telemedicine in enhancing diabetes management. Studies demonstrated that CGM systems significantly improve glycemic control and reduce complications by providing real-time glucose readings and enabling timely interventions (Lin et al., 2021). Similarly, telemedicine increased access to care and support, particularly in managing chronic conditions like T2D (Ju, 2020). These findings led to the inclusion of CGM and telemedicine as key components of Jonathan’s intervention plan, ensuring he had continuous monitoring and remote access to his healthcare team. The principles of evidence-based practice were also reflected in the emphasis on care coordination and the use of community resources. Literature on interdisciplinary collaboration and community-based interventions indicated that these approaches improve patient outcomes by providing holistic, patient-centered care and addressing social determinants of health (Chen et al., 2022). By integrating these elements into the intervention, I ensured that Jonathan received coordinated care that leveraged the expertise of various healthcare professionals and community support systems. Leveraged Health Technology in Improving Outcomes and Communication in Capstone Project In my capstone project for managing Jonathan Thompson’s Type 2 Diabetes (T2D), healthcare technology was pivotal in enhancing patient outcomes and facilitating communication. The strategic use of Continuous Glucose Monitoring (CGM) systems and telemedicine significantly improved Jonathan’s diabetes management, providing real-time data and enabling remote consultations. The CGM system was instrumental in continuously tracking Jonathan’s blood glucose levels, offering him and his healthcare team immediate insights into glucose trends and patterns. This real-time monitoring allowed for timely adjustments to his treatment plan, reducing the risk of hyperglycemia and hypoglycemia. Jonathan reported feeling more in control of his condition and appreciated the immediacy and accuracy of the data provided by the CGM. The system also alerted him to any dangerous fluctuations, improving his overall safety and health outcomes. Capella 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection Telemedicine was another crucial component that enhanced communication and access to care. Regular virtual consultations with healthcare providers allowed Jonathan to receive ongoing support and education without the need for frequent in-person visits. This was particularly beneficial given Jonathan’s busy schedule as a middle school teacher. The convenience and flexibility of telemedicine enabled more consistent follow-ups and better adherence to his management plan, ultimately leading to improved glycemic control and overall health. While these technologies were largely successful, future practice has opportunities for further improvement. One potential enhancement could involve integrating more comprehensive telehealth platforms that offer chat functionalities and automated reminders for medication and appointments. These features could give patients a more holistic support system, increasing engagement and adherence (Ganapathy et al., 2020). Influence of Health Policy on Planning and Implementation of Capstone Project Health policy significantly shaped my capstone project’s planning and implementation phases on managing Type 2 Diabetes (T2D) for Jonathan Thompson. Specifically, policies related to telehealth and reimbursement for remote monitoring technologies influenced the intervention’s

Capella 4900 Assessment 4 Patient Family or Population Health Problem Solution Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Patient, Family, or Population Health Problem Solution Diabetes Mellitus (DM) is a prevalent health condition marked by high blood sugar levels; millions of people are affected globally. There are serious health dangers associated with it, including cardiovascular complications, neuropathy, and kidney disease. Jonathan Thompson, a 45-year-old middle school teacher, grapples with the emotional, physical, and socioeconomic burdens associated with his recent diagnosis of Type 2 Diabetes (T2D). Despite these challenges, Jonathan can successfully leverage technology, care coordination, and community resources to navigate his diabetes management journey effectively. Recognizing the importance of addressing Jonathan’s unique needs, this intervention aims to develop a personalized, evidence-based plan to optimize his health outcomes and quality of life. Role of Leadership and Change Management Leadership and change management are crucial in tackling diabetes mellitus (DM). In healthcare, effective leadership involves guiding teams and mobilizing resources to improve patient outcomes. For diabetes management, leaders raise awareness, advocate for policy changes, and implement evidence-based interventions. Change management focuses on systematically planning, implementing, and evaluating healthcare practices and systems changes to enhance care delivery. Leaders communicate the vision for change, build consensus, and support the transition to new care models. In addressing Jonathan’s Type 2 Diabetes (T2D), leadership played a pivotal role in guiding healthcare teams and implementing effective interventions. Nursing leaders inspired and motivated interdisciplinary teams to work collaboratively towards common goals, such as improving patient outcomes and enhancing the quality of care for individuals with T2D. Employing transformational and participative leadership strategies fostered a culture of shared decision-making, innovation, and continuous improvement within healthcare organizations (Olesen et al., 2020; Weiss et al., 2023). These leadership approaches empowered healthcare professionals to develop comprehensive care plans tailored to Jonathan’s needs, ensuring that interventions were patient-centered and evidence-based. Capella 4900 Assessment 4 Patient Family or Population Health Problem Solution Change management also played a critical role in addressing the complexities of T2D management for Jonathan. Effective change management strategies were essential for overcoming resistance to change, implementing new practices or technologies, and fostering a culture of continuous learning and improvement within healthcare organizations. By engaging stakeholders, providing education and training, and establishing feedback mechanisms, nurse leaders facilitated the successful implementation of interventions to improve T2D management for Jonathan and other patients (Dankoly et al., 2020). Furthermore, nursing ethics guided the development and implementation of interventions for individuals like Jonathan with T2D. Ethical considerations, such as goodwill, nonmaleficence, and respect for patient autonomy, informed decision-making processes and ensured that interventions were in the patient’s best interest (Dankoly et al., 2020). Nurses upheld ethical principles throughout the intervention process, from assessment and planning to implementation and evaluation, to ensure that Jonathan received compassionate, high-quality care that respected his values, preferences, and cultural beliefs. Intervention Plan for Jonathan’s Diabetes Management The intervention I proposed for Jonathan’s Type 2 Diabetes (T2D) management encompasses multiple components aimed at improving his overall health outcomes. Firstly, implementing a comprehensive diabetes education program for Jonathan and his family will empower them with essential self-management strategies, lifestyle modifications, and medication adherence techniques. Additionally, Continuous Glucose Monitoring (CGM) systems and telemedicine will enable remote monitoring, consultations, and education, enhancing accessibility to care. Furthermore, improving care coordination among Jonathan’s healthcare team and community resources will ensure a holistic, patient-centered approach to T2D management, addressing his unique needs and preferences while promoting optimal health outcomes. This multifaceted intervention plan seeks to provide Jonathan with the necessary tools, support, and resources to manage his condition and improve his quality of life effectively. Strategies for Communicating and Collaborating with the Patient In Jonathan’s case, effective communication and collaboration are vital for improving outcomes associated with his Type 2 Diabetes (T2D). Clear and evidence-based strategies facilitate meaningful dialogue between Jonathan, his family, and healthcare providers. Firstly, Making decisions with Jonathan’s desires and preferences can be achieved using a patient-centered approach.  (American Association of Diabetes Educators, 2020). This involves actively listening to Jonathan and his family’s concerns, values, and goals regarding his T2D management. Utilizing techniques such as motivational interviewing can help uncover Jonathan’s perspective, fostering a collaborative relationship based on trust and mutual respect (Steffen et al., 2021). Additionally, leveraging technology enables continuous communication and engagement, providing timely support, education, and monitoring (Ju, 2020). By involving Jonathan and his family as active participants in his care team, healthcare providers can enhance treatment adherence, satisfaction, and overall health outcomes, ultimately leading to better management of T2D and improved quality of life for Jonathan. Capella 4900 Assessment 4 Patient Family or Population Health Problem Solution In healthcare, obtaining input from patients, families, or groups is crucial for achieving positive outcomes, and Jonathan’s case underscores this importance. When patients and their families actively participate in decision-making processes, interventions are enhanced in relevance and effectiveness. Their input provides valuable insights into their preferences, values, and lived experiences, which can significantly influence the success of treatment plans (Steffen et al., 2021). For Jonathan, involving him and his family in discussions about his Type 2 Diabetes (T2D) management ensures that interventions align with his unique needs and circumstances. By considering their input, healthcare providers can tailor interventions to address Jonathan’s concerns, cultural preferences, and treatment goals, fostering a collaborative and patient-centered approach to care (Stubbe, 2020). This improves treatment adherence and enhances patient satisfaction, engagement, and overall health outcomes. This highlights the tangible benefits of obtaining patient and family input in healthcare decision-making. Impact of Nursing Practice Standards and Governmental Policies on Intervention Development The American Nurses Association (ANA) standards provided valuable guidance in developing the proposed intervention for Jonathan’s Type 2 Diabetes (T2D) management. These standards emphasized the importance of patient-centered care, interdisciplinary collaboration, and evidence-based practice, all of which were foundational principles incorporated into the intervention plan (ANA, 2021). By prioritizing patient-centered care, the intervention focused on tailoring Jonathan’s care plan to his needs, preferences, and cultural background. This ensured that he received personalized

Capella 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations In tackling chronic diseases like diabetes mellitus, it is crucial to utilize technology to facilitate ongoing monitoring and regular follow-ups. Moreover, care coordination cannot be overemphasized in managing diabetes, which requires interdisciplinary collaboration. Lastly, community resources play a significant role in managing type 2 diabetes as they help patients become more vigilant about their disease and promote mindfulness and health literacy. This assessment will further delve into the case of Jonathen, a 45-year-old middle school teacher who has been recently diagnosed with type 2 diabetes, by taking the massive role of technology, care coordination, and community resources in managing his diabetes into consideration.  Impact of Healthcare Technology on Type-2 Diabetes The impact of healthcare technology on managing Type 2 Diabetes (T2D) for patients like Jonathan is profound, offering both advantages and disadvantages. Continuous glucose monitoring (CGM) systems, for instance, give Jonathan access to real-time blood glucose data to make appropriate adjustments to his diet, exercise, and medication. This technology enhances his self-management and offers peace of mind for Jonathan and his family by reducing the risk of severe hypoglycemic or hyperglycemic episodes (Lin et al., 2021). However, the cost of CGM devices and sensors and the learning curve associated with their use may present barriers for some patients, including Jonathan (Lin et al., 2021). Moreover, the accuracy and reliability of CGM systems can vary, necessitating careful calibration and interpretation by healthcare providers to ensure optimal outcomes. Telemedicine also plays a significant role in T2D management, allowing Jonathan to remotely consult with his healthcare providers, track his symptoms and medication adherence, and access educational resources. These technologies enhance convenience and accessibility, particularly for patients like Jonathan, who may face barriers to in-person healthcare services due to distance or mobility issues (Agastiya et al., 2022). Nonetheless, digital health literacy and access to reliable internet connectivity can be limiting factors for some patients, potentially exacerbating healthcare disparities. Capella 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations In professional practice, real-time blood glucose information is provided by Continuous Glucose Monitoring (CGM) devices for patients like Jonathan with Type 2 Diabetes (T2D). However, the initial cost of CGM devices and ongoing expenses for sensors can be barriers to access. Additionally, variations in accuracy and reliability require thorough patient education and provider oversight for optimal utilization. Telemedicine is increasingly used to facilitate remote consultations and education for T2D management, improving access to care for patients like Jonathan (Anderson et al., 2022). Yet, challenges such as limited internet access and digital literacy can impede its effectiveness. Addressing these barriers is crucial to harness the potential of telemedicine in enhancing patient outcomes and accessibility to care (Ju, 2020). Care Coordination and Community Resources for Diabetes Care Utilizing community resources and coordinating care is essential to resolve the complex challenges of Type 2 Diabetes (T2D) for patients like Jonathan. Jonathan’s healthcare team can enhance his T2D management and overall well-being by effectively coordinating care among various healthcare providers and leveraging community resources. Evidence suggests that care coordination raises patient satisfaction, lowers healthcare costs, and improves patient outcomes (Wang et al., 2020). For Jonathan, care coordination involves collaboration between his primary care provider, endocrinologist, nurse practitioner, dietitian, and other specialists to create a thorough care plan suited to his particular requirements and preferences. In professional practice, care coordination often involves regular communication among healthcare providers, shared decision-making with the patient, and electronic health records to ensure continuity of care. Jonathan’s healthcare team can work together to monitor his blood glucose levels, adjust his medication regimen, provide education on lifestyle modifications, and address any psychosocial factors impacting his T2D management. Furthermore, community resources, including support groups and diabetes education initiatives can complement Jonathan’s medical treatment by providing additional support and resources to manage his condition effectively (Powers et al., 2020). Despite the benefits of care coordination and community resources, several barriers may hinder their effective implementation. Capella 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations These barriers include fragmented healthcare systems, limited access to specialty care or community resources, lack of communication between healthcare providers, and socioeconomic factors such as transportation or financial constraints (Campbell & Egede, 2019). For Jonathan, barriers to accessing community resources include limited availability of diabetes education programs in his area or challenges in affording healthy food options. Overcoming these barriers requires proactive efforts from Jonathan’s healthcare team, including advocacy for expanded access to community resources, patient education on available services, and assistance navigating the healthcare system (Campbell & Egede, 2019). By addressing barriers and leveraging available resources, Jonathan’s healthcare team can empower him to manage his condition effectively, improve his quality of life, and reduce the burden of T2D on both him and his family. State Board/ Nursing Standards/Organizational Measures for Diabetes In considering state board nursing practice standards, such as those set forth by the American Nurses Association (ANA), alongside governmental policies like the Health Information Technology for Economic and Clinical Health (HITECH) Act, healthcare professionals gain a framework for ethical and professional practice in utilizing health technology, coordinating care, and leveraging community resources to address complex issues such as Type 2 Diabetes (T2D) management, exemplified by Jonathan’s case. The ANA’s standards emphasize the importance of interprofessional cooperation, patient-centered treatment, and evidence-based practice. Nurses adhering to these standards ensure that Jonathan receives high-quality, holistic care, considering his unique needs, preferences, and cultural background. By incorporating health technology into Jonathan’s care, nurses can meet ANA’s standards for utilizing resources effectively to enhance patient outcomes while respecting patient autonomy and privacy (American Nurses Association, 2021). Capella 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations Similarly, the HITECH Act was passed to encourage the adoption of electronic health records (EHRs) and other health information technologies. It

Capella 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Assessing the Problem: Quality, Safety, and Cost Considerations This paper discusses smoking cessation from quality, safety, and cost perspectives among a group of boys suffering from the consequences of long-term tobacco use at California Hospital Medical Center. The group of boys was eager to quit their smoking addiction and improve their health outcomes. Therefore, I aim to explore how smoking tobacco affects the care quality, the safety of patients, and financial implications for individuals and the system. The assessment also delves into policies and strategies that impact quality, cost, and safety considerations. Tobacco Use and Smoking Cessation Impact on Quality, Safety, and Costs Tobacco use in the form of smoking and other products is a significant community health problem that is affecting a vast population, particularly the young generation. This problem is a significant health threat to the development of respiratory and cardiovascular diseases and other lethal ailments like cancers (Siddiqi et al., 2020).  The higher incidence of smoking and a reduced frequency of smoking cessation plans lead to a higher burden of these diseases (Siddiqi et al., 2020). This requires extensive and complex care treatments to manage these diseases and chronic conditions, impacting the overall quality of care. Furthermore, smokers present complex health status due to higher risks of diseases associated with tobacco use (Cornelius, 2022). The incidence of high blood pressure, respiratory problems, chronic cough, and lung cancer. This complexity of the health profile makes it challenging for healthcare professionals to deliver optimal, streamlined care. This results in poor quality of care for smokers and increases further health risks (Elton-Marshall et al., 2020). Capella 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations Smoking tobacco also impacts patient safety due to the risks of developing lethal diseases like cancer and requiring surgical procedures for treatment. The dangerous compounds in smoking affect wound healing and increase the risk of infections and other adverse outcomes. This threatens patient safety during medical treatments (Alqahtani et al., 2020). Additionally, exposure to secondhand smoke impacts patient safety in healthcare settings, and non-smokers experience respiratory problems, exacerbations of pre-existing conditions, and enhanced susceptibility to infections. This ultimately impacts the patient safety of non-smokers (CDC, 2019).  According to the Centers for Disease Control and Prevention (CDC), the healthcare systems incur a considerable amount of costs in treating diseases related to tobacco use (greater than $600 billion). These costs are relevant to hospitalization medical and surgical interventions (exceeding $240 billion) (CDC, 2022). Moreover, integrating smoking cessation programs has upfront costs but can be cost-effective in the long run (Farsalinos et al., 2020). By promoting smoking cessation, patients can recover from the harms of tobacco use and smoking-related diseases, leading to lower healthcare costs (Ugalde et al., 2021). Capella 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations Tobacco use also increases the financial burden on individuals due to the cost of medications and frequent hospitalization. Moreover, the long-term use of tobacco products affects the quality of life, which leads to low productivity and social isolation, contributing to personal costs ($180 billion) ((CDC, 2022; John et al., 2020). The supportive evidence is consistent with my nursing practice, and tobacco users endure poor care quality, reduced safety among patients, and higher costs.  Nursing Practice Standards and Organizational/ Governmental Policies The American Nurses Association (ANA) has provided standard practices for nurses on smoking cessation and prevention by guiding nurses on how to engage with smokers and providing tailored interventions such as implementing the five A’s (Ask, Advise, Assess, Assist, Arrange) strategy (ANA, 2020). Moreover, ANA guides nurses in developing cessation treatment plans considering each patient’s physical, emotional, social, and vocational needs. These practices enhance the quality of care for smokers. ANA also advocates for combining pharmacotherapy and behavioral and counseling support when required. This leads to providing holistic care for smoking cessation, improving the quality of care and patient safety (ANA, 2020). The American Lung Association (ALA) improves patient safety among smokers by devising policies on increasing federal cigarette tax to reduce the purchasing of cigarettes. This will enable people to avoid tobacco use and enhance patient safety as they will not engage in the addictive habits of smoking tobacco. Ultimately, the consequences of tobacco use will be prevented, and patient safety will be enhanced (ALA, 2022). The Affordable Care Act provides policy provisions that cover health insurance for smoking cessation programs and permit individuals of low-income backgrounds and the elderly to acquire these programs for free. Capella 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations This leads to reduced costs inflicted upon tobacco users for enrolling and attaining smoking cessation programs and treatment plans (American Lung Association, 2022). These practice standards and policies facilitate me in improving my scope of practice in nursing. By following ANA guidelines, I will be attentively implementing tobacco use cessation programs and interventions and delivering high-quality care. This will increase patient safety by improving smoking cessation. The ACA policies help me reduce the cost burden on individuals and communities of smoking cessation, and more people can join tobacco cessation plans (American Lung Association, 2022).  Strategies to Address Smoking Cessation and Improve Safety, Quality, and Reduce Costs Various evidence-based strategies can be adopted to promote smoking cessation and facilitate patients engaged in chronic use of tobacco. One such widely implemented practice is to develop and adopt comprehensive smoking cessation programs that consider behavioral and counseling support and the use of pharmacotherapy. The use of nicotine replacement therapy can be advocated as a smoking cessation aid. Smoking cessation interventions such as using text messages for reminders and sustained quitting-and-win competition will improve the quality of care and patient safety (Villanti et al., 2020). Moreover, this strategy reduces the costs incurred by patients and healthcare organizations due to adverse health implications such as cardiovascular diseases and lung cancer. These conditions require heavy finances to treat and

Capella 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations In this assessment, I will assess the population health problem of smoking cessation. This paper will mainly discuss the leadership necessary for promoting smoking cessation and the need for collaboration and communication to obtain desired results. Additionally, the change management strategy will be highlighted to drive smoking cessation among tobacco smokers. Lastly, the policies that impact tobacco use and improve health outcomes are emphasized. Tobacco Use and Smoking Cessation: A Population Health Concern This capstone project will delve into a population health concern of smoking cessation due to the significant use of tobacco products. A group of young boys who have been using tobacco products for a long time are admitted to the Dignity Health- California Hospital Medical Center due to emphysema. I approached these boys as it was my regular duty in the respiratory ward, and they all had a strong history of tobacco use in the past. Now, as their health condition is worsening, they are willing to quit smoking and have a healthier lifestyle. Their keen interest in smoking cessation led me to work with this group to improve their health and restore lung function. The group of boys informed that they indulged in smoking tobacco in their teenage and got addicted, resulting in significant damage to their lungs. When their respiration was severely impacted, and their cough worsened due to continuous smoking for years, the group of boys wanted to get rid of this addiction and improve their health. Capella 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations Tobacco smoking is a global issue that kills almost 8 million people every year. About 22.3 % of the entire world population is engaged in the use of tobacco products, with 7.8 % of women and 36.7% of men being active users (World Health Organization, 2023). Tobacco smoking causes significant damage to the immune system, enhances inflammation, Chronic Obstructive Pulmonary Disease (COPD), and emphysema. This increases their chances of bacterial and viral infections (Cattaruzza et al., 2020). It is also the driving factor of lung cancer in people due to consistent damage to the lungs. It has caused 610,000 deaths due to lung cancer in China and contributed to 17% of the incidence of cancer due to smoking (Parascandola & Xiao, 2019). These data show the presence and relevance of this healthcare issue and its significance in reducing prevalent tobacco use rates. This problem is particularly relevant to my practice because I see people in my hospital suffering from the harmful impacts of smoking, such as lung cancer cases, COPD cases, and cardiovascular cases. Moreover, this issue is relevant to me personally as my father was an active smoker, and I lost him due to lung cancer as a result of continuous smoking. Therefore, I am responsible for working with this group to promote smoking cessation and improve their health outcomes. The Guiding Nursing Actions for Smoking Cessation Nurses play a broad role in promoting health within hospitals and communities. Nurses can be the right leaders for supportive care and inspiring patients to improve their health. One significant nursing action can be smoking cessation training by nurses in promoting smoking cessation. This training, along with smoking cessation interventions by nurses, such as self-efficacy, can promote smoking cessation among smokers (Li et al., 2021).  The interventions for nurse-led smoking cessation training programs will include implementing the 5As (Ask, Advise, Assess, Assess, and Arrange) approach to address smoking and its cessation (Grech, 2021). Nurses can also provide online courses on smoking behaviors and how to promote smoking cessation through cognitive behavior management. The course will comprise four lessons on smoking, its cessation plan, and interventions.  In the last lesson, the nurse will introduce pharmacological and non-pharmacological treatments for nicotine addiction (La Torre et al., 2019). Additionally, nurses can also connect smokers with smoking cessation programs through community support groups where they can implement smoking cessation interventions (Tsoh et al., 2022). Capella 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations These evidence-based resources describe the practices consistent with our nursing practices within our healthcare organization. The hospital has appointed nurses to educate smokers on the harms of tobacco smoking and ways to overcome addiction. These sources of evidence are authentic and reliable as they were published in recent years and provide accurate information substantiated by results and appropriate references. The unreliability of these sources can be estimated by using CRAAP criteria. It stands for Currency, Relevance, Authority, Accuracy, and purpose. When the evidence-based source meets all these metrics, it showcases its credibility and authenticity (Muis et al., 2022). The potential barriers to the application of these evidence-based practices can be as follows: Lack of adequate training on promoting smoking cessation education. Lack of resources to enable smoking cessation practices. Lack of motivation and consistency. Inadequate collaboration due to negative nurses’ attitudes and perceptions regarding smoking and quitting.  Negative social influences include peer pressure to smoke (Li et al., 2021). Effect of Nursing Board Standards, Organizational/ Governmental Policies   The American Nursing Association (ANA) has proposed its statement on preventing tobacco use and promoting a tobacco-free community. For nurses, it is imperative to be tobacco-free role models for their patients, workplaces, homes, and overall communities. This will motivate others to stick to healthy habits and quit smoking (American Nurses Association, n.d.). Moreover, they should be trained on culturally competent strategies to prevent tobacco use and claim leadership roles to provide enhanced access to quality care. They must assess the tobacco users in their nursing practices and address their concerns by implementing the five A’s strategy. They must also contribute to research tobacco control and advocate for prospective continuous funding and research (American Nurses Association, n.d.). These nursing standards can reduce the rates of