Category: NURS-FPX6011

NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice Name Capella university NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health Prof. Name Date Implementing Evidence-Based Practice Background of the Clinical Problem Hypertension remains a significant global health concern characterized by persistently raised blood pressure. Hypertension increases the risk of cardiovascular conditions, strokes and more serious complications. The problem seems to be worse in most rural areas of West Virginia (WV), where the challenge of managing hypertension is exacerbated by limited access to healthcare services, poor health literacy, and socioeconomic disparities. Around 43.4% of WV’s population is impacted, with 17.1% of women in the state suffering from high blood pressure (America Health Rankings, 2024). Major contributing factors include unhealthy habits, hereditary tendencies, inadequate knowledge regarding modern technology and failure to adhere to treatment plans. In WV, clinical care providers face challenges following standard guidelines due to staff shortages, technology gaps, and difficulties in rural settings. PICOT Question “In adults aged 40-65 with hypertension in rural WV communities (P), how does the implementation of telehealth-based hypertension management programs with virtual health consultation (I), compared to conventional in-person healthcare (C), influence the management of hypertension and patient adherence to treatment plans (O) over twelve months (T)?” This question aims to measure the effectiveness of telehealth-based hypertension management programs with virtual health consultations compared to traditional in-person healthcare. Focusing on telehealth solutions, it seeks to understand how these platforms can enhance hypertension management and patient adherence to treatment regimens. This analysis will propose an advanced approach to improving hypertension care for adults aged 40-65. Furthermore, this assessment will highlight the use of technology in supporting patient-centered approaches in the management of hypertension. Action Plan to Implement the Evidence-Based Project An evidence-based initiative to improve hypertension management for adults aged 40-65, I have established a strategic plan in rural WV communities. This plan integrates evidence-based proposals for practice transformation to improve hypertension management. Integrating home blood pressure monitors connected to a telehealth platform enables patients to transmit their readings and promptly receive feedback, requiring fewer clinic visits. Telehealth monitoring and follow-up programs considerably enhance the outcomes of patients with hypertension by allowing ongoing remote monitoring and virtual check-in services (Coman et al., 2024). Moreover, mobile applications that connect with Electronic Health Records (EHRs) to send progress notifications ensure real-time data sharing between patients and providers and improve hypertension management. It allows for timely care adjustments.  Telehealth-based educational programs focusing on lifestyle modifications such as balanced diet, exercise and stress management empower patients to take an active role in their care (Coman et al., 2024). Culturally appropriate virtual workshops encourage peer learning and community support, encouraging participation among the rural population. The integration of behavioral health into telehealth programs allows patients to access virtual counseling and behavioral therapy sessions to manage stress, a significant contributor to hypertension (Pasha et al., 2021). For instance, mindfulness and relaxation training tailored for rural communities enhances stress management. Additionally, telehealth supports medication adherence through automated reminders, digital tools like pill dispensers, and virtual pharmacist consultations, providing education and motivation for consistent treatment (Pasha et al., 2021). Proposed Timeline for Implementation   Months 1-2: Develop and test educational resources for home-based blood pressure monitoring, including video guides and written materials. Select and set up remote guidance and train healthcare providers to use the telehealth platform. Months 3-4: Start registering eligible patients aged 40-65 in the telehealth program. Provide initial training sessions on how to use the platform and remote monitoring tools. Conduct baseline health evaluations, such as blood pressure readings, to establish initial patient data. Initiate virtual health consultations with patients. Months 5-8: Implement the telehealth-based hypertension management program, including regular virtual check-ins and ongoing coaching. Encourage consistent use of home blood pressure monitoring devices and track data through the telehealth system. Schedule follow-up virtual consultations to monitor adherence and adapt treatment plans. Months 9-12: Conduct a mid-point review to evaluate patient progress, treatment adherence, and patient satisfaction with the telehealth service. Gather feedback through patient surveys and healthcare provider assessments to identify program strengths and areas for improvement. Use collected data and feedback to refine and optimize the program. Tools or Resources Required  High-quality, validated blood pressure monitors are reliable, user-friendly tools integrated with a telehealth platform to measure blood pressure accurately at home. Comprehensive educational resources such as virtual consultations and guides on managing hypertension, healthy lifestyle options, and medication adherence are available for patients. Additionally, healthcare providers receive a structured training program that develops their ability to use the telehealth system and interact with their patients remotely (Khanijahani et al., 2022). Moreover, technical assistance assists with any issues related to the telehealth platform or monitoring devices, further supporting patients. The integrated remote monitoring system is an easy-to-navigate patient portal where individuals can review their health records, schedule virtual visits, and communicate with their care team. Advanced data security will ensure the protection of patient information and compliance with privacy standards. For continuing improvement, feedback tools such as surveys and questionnaires are in place to generate patient and provider input (Khanijahani et al., 2022). This action plan is structured to be both feasible and effective. It focuses on critical strategies to advance hypertension management using evidence-based methods. Our goal is to enhance hypertension care in rural communities of WV by integrating telehealth platforms that support virtual consultations and comprehensive patient education. Stakeholders and Opportunities for Innovation The success of the hypertension management initiative in rural WV relies on the collaboration of multiple stakeholders. Healthcare experts, including nurses, cardiologists and medical technologists are vital in overseeing and delivering the intervention. The patients aged 40-65 with hypertension are central to the initiative and participate in telehealth consultations and virtual platforms. Administrative teams and IT experts will facilitate telehealth integration. Engaging with insurance providers to obtain coverage for the necessary devices and services is essential. Additionally, dietitians and behavioral health experts will provide important support and knowledge to help make the program more effective (Pasha et al., 2021). This initiative provides significant scope

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan Name Capella university NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health Prof. Name Date Evidence-Based Population Health Improvement Plan Greetings to all, and thank you for being here today. My name is Lupi. I am presenting a population health improvement plan to address the pressing issue of hypertension in the rural communities of West Virginia (WV). Hypertension is a condition of persistently high blood pressure, often exceeding 140/90 mmHg. It increases the risk of cardiovascular disease, stroke, and kidney damage (Chang et al., 2022). Today, we will explore the data and strategies to address this problem at the community level. This plan emphasizes important factors contributing to the problem, including inadequate technology facilities, healthcare access, unhealthy lifestyle habits and cultural impacts that delay early detection and reliable treatment. Through targeted interventions, we can significantly impact the health of our rural communities. Community Data Evaluation Environmental and Epidemiological Data Information Epidemiological Data Source of Evidence Validity and Reliability  Adult worldwide population affected by hypertension 1.28 billion (WHO, 2023) High validity and reliability Hypertension statistics in the communities of WV 43.4% overall population and 17.1% female are hypertensive. (America Health Rankings, 2024) High validity and reliability Contributing Factors    Limited healthcare access, unhealthy lifestyle habits, physical inactivity and family history deteriorate the disease. (Chang et al., 2022).  High validity and reliability The annual economic burden of hypertension on the US $79 billion (CDC, 2024) High authority and reliability Education levels in WV 500,120 West Virginians aged 25+ had a high school diploma, and 210,631 had some college but no degree. (Statista, 2023) National survey, regularly updated Annual costs of hypertension management $130–$200 billion (CDC,2022) High authority and reliability NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan WV is home to a varied population. According to the World Health Organization, about 1.28 billion adults are impacted by hypertension (WHO, 2023). In WV, around 43.4% of the overall population is affected by hypertension. More than 17.1 % of West Virginian women are hypertensive (America Health Rankings, 2024). The epidemiological figure suggests that hypertension is a significant health concern in WV. Major contributing factors to this disorder include limited access to healthcare, poor technology knowledge, unhealthy lifestyle habits, physical inactivity, and family history (Chang et al., 2022). Moreover, the Centers for Disease Control and Prevention (CDC), reported that the economic burden of hypertension on healthcare in the United States (U.S) is substantial, estimated at $79 billion annually (CDC, 2024). Considering the broader costs associated with hypertension management, this figure can range from $130 billion to $200 billion annually (CDC, 2022). In WV, educational attainment impacts health outcomes, as 500,120 residents aged 25 and older hold a high school diploma, and 210,631 have some college experience without earning a degree (Statista, 2023). Addressing these interconnected issues is crucial for improving public health and alleviating the widespread impact of hypertension. NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan Environmental factors play a crucial role in the high rates of hypertension in rural communities of WV. One significant issue is limited healthcare access, as many low-income areas face substantial obstacles in obtaining essential medical services and preventive care. This restriction contributes to elevated hypertension rates, as residents do not have consistent access to blood pressure monitoring, affordable medications and guidance on lifestyle modifications (Thrift et al., 2020). Additionally, inadequate technology facilities and knowledge delay appropriate hypertension management. Physical activity levels in these areas are hindered by a lack of fitness facilities and safe, accessible spaces due to geographic isolation and insufficient infrastructure. Financial constraints exacerbate this issue by preventing many from affording gym memberships and reliable transportation to fitness centers. Moreover, socioeconomic status is also a significant factor, with hypertension being more prevalent in WV communities with lower income and education levels (Abrahamowicz et al., 2023). Limited educational attainment is associated with poorer health literacy, diminishing persons’ ability to make well-informed diet and physical activity decisions (Thrift et al., 2020). Finally, rural areas in WV face disparities in healthcare access, creating barriers to preventive care and effective treatment for hypertension. This unequal distribution of resources leads to cases of undiagnosed and unmanaged hypertension, perpetuating a cycle of adverse health effects. Meeting Community Needs Hypertension represents a major public health issue in rural WV communities, affecting low-income groups and minorities. This health improvement approach outlines the ethical interventions to reduce hypertension rates by addressing the prevailing environmental certainties, cultural barriers and health disparities in rural populations. Goals of the Health Improvement Plan Lower Hypertension Prevalence: The incidence of hypertension among adults will reduce by 15% within five years. Enhance Technology-Driven Healthy Living: Expand access to telehealth platforms and mobile apps that offer tools for diet modifications, medication tracking and personalized exercise plans by 10%. Advance Cultural Competency: Enhance culturally sensitive health education to address hypertension awareness and misconceptions within WV rural communities. Expand Preventive Care Access: Increase routine preventive healthcare appointments like regular blood pressure screenings and medication adherence by 15%. Rural communities in WV face significant socioeconomic challenges that complicate efforts to manage hypertension. The strategy will take into account various environmental factors. Low-income areas are classified as food swamps with limited access to fresh and balanced food. The limited availability of safe recreational areas like parks restricts opportunities for consistent physical activity. Disparities in healthcare access, especially for preventive services impede the early identification and management of hypertension in certain communities. Cultural norms related to technology use, diet and lifestyle influence food choices, physical activity and treatment adherence, contributing to different hypertension risks and health outcomes. Interventions to Meet Community Needs Several evidence-based approaches exist to address hypertension and promote healthier lifestyles. Community-based education programs on technology integration and nutrition education in the workplace and community centers, especially in the rural regions of WV, are effective approaches. These programs should incorporate telehealth services and mobile apps for regular blood pressure monitoring, virtual consultations, and Dietary Approaches to Stop Hypertension (DASH) diet,

NURS FPX 6011 Assessment 1 Concept Map Name Capella university NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health Prof. Name  Evidence-Based Patient-Centered Needs Assessment In medical care, an evidence-based, individualized evaluation of needs is essential to examine and comprehend patients’ specific circumstances. Osteoporosis is a disorder of the skeleton, resulting in a lowered density of bone as an outcome of declining mineral content and bone structure, increasing the risk of fracture. Women are more likely than men to develop osteoporosis because they have a lower bone density throughout menopause (Chin et al., 2022). The prevalence and impact of osteoporosis in women demonstrate that a concentrated needs evaluation is necessary to enhance their overall health. This assessment intends to undertake an individualized needs evaluation on osteoporosis to boost patient participation and outcomes. Importance of Addressing Patient Engagement Osteoporosis is a severe health concern to the global population, affecting one-third of women over 50. Fragility injuries are a clinical outcome of osteoporosis. It has been demonstrated that an initial rupture is a crucial threat to a subsequent fracture. It is a significant health hazard impacting roughly 200 million women worldwide (Villiers & Goldstein, 2022). It is also expected that by 2025, more than two million fractures from osteoporosis will happen in the United States with $25.3 billion (Kemmak et al., 2020). By managing osteoporosis, healthcare staff can reduce the economic healthcare burden on women. Acknowledging patient engagement in managing a health condition like osteoporosis is critical to attaining the best possible health outcomes. Patient engagement entails several activities through the active participation of patients in collaboration with medical specialists to collect information and formulate care plans, improving outcomes (Marzban et al., 2022). As adult women gain independence and autonomy, engagement in medical decisions and management is vital to developing self-efficacy to address their health issues more effectively. Patient engagement is critical for formulating high-quality, relevant clinical practice guidelines for osteoporosis care. The National Academy of Medicine advocates that patients participate in guideline formulation panels with doctors, researchers, and other medical experts. Patient engagement affects the integration of patient-relevant issues, outcome decision-making, and approaches to guideline development (Morin et al., 2020). NURS FPX 6011 Assessment 1 Concept Map Care providers can empower osteoporosis patients to make well-informed decisions by engaging them in their care regimens. Furthermore, recognizing patients’ socioeconomic and cultural preferences makes medical care intervention easier to access, more pertinent, and more efficient. Such interventions can increase patient satisfaction, autonomy, and trust, lowering medical disparities and fostering justice and fairness in care plans (Verdonck et al., 2023). Recognizing cultural implications also enables caregivers to implement interventions consistent with women’s opinions, views, and customs, improving care regimen compliance. Additionally, addressing osteoporosis in women by employing the best evidence-based practices ensures that medical care is supported by scientific investigation and clinical proficiency (Nogués et al., 2022). It ensures that care providers make informed choices based on the most recent and pertinent knowledge, recommendations, and therapeutic alternatives (Verdonck et al., 2023). Patient Engagement Strategies Patient engagement methods are critical for managing osteoporosis patients because they promote self-management and encourage favorable lifestyle choices. Interventions tailored to cultural standards, linguistic preferences, and local resources encourage patient involvement. Patient involvement approaches, such as educational strategies, provide broad and easily accessible sources of knowledge regarding osteoporosis, its associated risks, and current therapeutic alternatives, empowering women to participate in their treatment actively (Pakyar et al., 2021). Women can acquire knowledge about their medical needs by reviewing booklets and infographics. For example, Azmi et al. (2023), demonstrated that a recently published e-book on bone wellness and osteoporosis awareness provides extensive information about bone wellness and lifestyle habits to lower the likelihood of osteoporosis. Pakyar et al. (2021), asserted that interactive educational sessions enable women with osteoporosis to learn about their medical condition actively. These involve group discussions guided by medical specialists in which patients engage in conversations, ask questions, and discuss their experiences with others. By including women with osteoporosis in the formal educational process, these sessions develop a sense of responsibility for their health, leading to self-care of their medical condition, particularly osteoporosis. NURS FPX 6011 Assessment 1 Concept Map Additionally, promoting shared decision-making between medical professionals and women with osteoporosis enables coordinated approaches to care. Healthcare practitioners can involve patients in shared decision-making by addressing treatment alternatives tailored to women’s needs and preferences (Nogués et al., 2022). Lastly, integrating tools and technologies that allow women to track their bone health and lifestyle variables, including physical activity, and examine medication compliance is crucial to increase patient involvement. For example, mobile apps, wearables gadgets, and online platforms can deliver instructions, gather data, and deliver tailored input to women, assisting them in staying engaged in managing their osteoporosis. These tools offer patients the opportunity to access educational material and assistance when they need it. They also ease communication between doctors and female osteoporosis patients, allowing continuous surveillance and continuity of care. Employing digital health technologies improves patient engagement and increases self-efficacy in managing their illness (Alhussein & Hadjileontiadis, 2022). Application and Effect of Information and Communication Technology Adopting Information and Communication Technologies (ICTs) benefits the medical provision by boosting tailored treatment, raising the standard of care, and empowering doctors and patients. Alhussein and Hadjileontiadis (2022), discovered that ICT tools, like mobile apps and internet-based educational platforms, assist women in comprehending osteoporosis and its associated dangers. ICTs, such as mobile osteoporosis apps, improve women’s health awareness. These applications provide health surveillance and instructional material to assist patients in efficiently dealing with their disease. They provide an efficient approach for osteoporosis patients to explore care options and strengthen self-care (Bendtsen et al., 2024). Moreover, Lewiecki and Bouchonville (2022), asserted that telehealth solutions are crucial for effectively managing diseases like osteoporosis. Evidence revealed that it can significantly reduce health disparities by offering quick access to medical assistance, reducing physical barriers, and improving disease management. Telehealth offers virtual assistance and interaction with care providers to osteoporosis patients, improving disease management. This assistance is critical for the patient’s understanding of lifestyle behavior, and self-management. It promotes customized sharing of information and remedies based on patients’ needs. NURS FPX 6011 Assessment 1 Concept Map It additionally assists osteoporosis patients in improving their care experience by increasing their comprehension of their condition (Saag