Category: NURS-FPX6030

NURS FPX 6030 Assessment 6 Final Project Submission Name Capella university NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date Abstract Type 2 Diabetes Mellitus (T2DM) is caused by the inability of individuals to respond to insulin. It is more common among those who lead sedentary lifestyles and consume calorie-dense foods. This capstone project focuses on delivering tailored self-management skills through education among adult T2DM patients. The study will follow adult T2DM patients for six months. The primary goal was to improve adult T2DM patient conditions and medical care through better self-management skills. According to the findings, educational programs increase adult patients’ standard of life by increasing their understanding and awareness of healthy behaviors and their ability for self-management. Adult patients who acquire self-management education show significant promotion in their health and adopt healthy eating habits compared to individuals with conventional treatment without specific education. Including telehealth services like mobile apps and telemedicine accelerates the instructional process for adult T2DM patients. Incorporating stakeholder opinions, state organization regulations, and ethical considerations improves the intervention plan. The research findings revealed that care practitioners enhance the health condition of adult T2DM patients by offering education to improve self-management and minimize hospitalizations.  Introduction The primary focus of the capstone project is to meet the complex needs of adult T2DM patients. T2DM is a common and demanding disorder that causes insulin resistance and harms various organs in the body. High death rates, low living quality, and severe economic and resource burdens on medical systems highlight the problem. It has been revealed that T2DM healthcare and associated repercussions comprise about 12% of worldwide health costs. T2DM caused 4.2 million deaths around the world in 2019. T2DM is the main trigger of roughly $720 billion in therapeutic costs (Garcia et al., 2020). The capstone project will focus on adult T2DM patients in a clinical environment. The capstone project centers on adult T2DM patients with complex healthcare demands. Self-management concerns substantially impact the population, leading to hospitalizations and increased complications (Sayuti et al., 2024).  The intervention plan for adult T2DM patients is extensive, including a self-management education program. The effort intends to enhance self-care practices in T2DM patients by providing tailored education on self-management, encouraging adherence to therapy, symptom identification, and behavioral changes (Ernawati et al., 2021). The need to alleviate the suffering and poor quality of life encountered by adult T2DM patients requires the implementation of an intervention plan. Adults with T2DM confront daily challenges, including chronic tension and anxiety and an increased risk of psychological problems, including eating disorders (Visagie et al., 2023). Incorporating a self-care educational program enhances the quality of life while giving practical advice to improve eating habits among adult T2DM patients, improving health outcomes (Griffin et al., 2019). The intervention strategy, which involves multidisciplinary collaboration among nurses, clinicians, dieticians, health instructors, and administrators, aims for effective interventions in the healthcare system (Shrestha et al., 2022). Incorporating nursing care models, state laws, and leadership tactics improves patient outcomes by encouraging medical practitioners to coordinate and work together. Education programs for T2DM patients increase knowledge and adjust lifestyle and eating habits, improving health (Ernawati et al., 2021).  Furthermore, the evaluation strategy will track the intervention’s outcomes for six months. The evaluation plan measures the intervention’s influence on the health of adult T2DM patients through surveillance metrics such as glucose levels and Body Mass Index (BMI), and analyzing complication reduction and hospitalization rates. The survey approach will be used to acquire feedback and questionnaire data to analyze the intervention’s efficiency. Pre- and post-tests can be undertaken to examine the progress in knowledge, comprehension, and attitudes toward medicines and self-management among adult T2DM patients (Griffin et al., 2019). Evaluation of the Best Available Evidence In-depth literature research was conducted using Medline, Google Scholar, CINAHL, and PubMed databases to assess the intervention. The study focused on the educational programs’ impact on self-management and lifestyle modifications among adult T2DM patients. It significantly impacts standards of life, related complications, and hospitalization rates. The findings reveal that education programs improve patients’ self-management abilities and optimize their medical conditions through behavioral modification (Ernawati et al., 2021). Problem Statement (PICOT) In adult patients with type 2 diabetes mellitus (P), does implementing the patient education programs (I), compared to standard care without specific education (C), lead to improved self-management skills (O) over six months (T)? Needs Assessment The project addresses an essential gap in health promotion and healthcare improvement for adult T2DM patients. The key requirement is to adopt a comprehensive care solution with tailored self-management assistance delivered through educational programs. Patients benefit from educational initiatives beyond conventional T2DM patient care without specific education. Addressing this requirement is critical considering the complexities of T2DM care, where successful outcomes depend on the patient’s capacity to manage their illness through lifestyle adjustments and symptom surveillance. Addressing this requirement is critical because of the high rates of hospital readmissions and low standard of life encountered by adult T2DM patients, which is caused by inadequate self-management.  The research of Powers et al. (2020), supports the urgency of this need. Diabetes Self-Management Education and Support (DSMES) deals with the extensive combination of medical, instructional, emotional, and behavioral elements of treatment required for regular self-care, offering a framework for assisting T2DM patients in self-care with precision and better outcomes. Similarly, Ernawati et al. (2021), illustrated that educational programs are crucial in motivating T2DM patients to adopt and sustain lifestyle alteration, enhancing their medical conditions. It helps to improve the understanding, perspectives, and skills required for effective self-management. Furthermore, Tamiru et al. (2023), stressed the importance of nurses’ competence in educating T2DM patients, stating that nurse-led DSME can lower baseline glycosylated hemoglobin A1c levels. Furthermore, it substantially shifts in psychological outcomes, self-care behaviors, and physical outcomes. This evidence emphasizes the necessity of educational programs for managing T2DM through self-management skills. The basic assumption in this analysis is that education programs will result in improved health outcomes for T2DM patients. Population and Settings The capstone project focuses on the adult T2DM patient population who lack adequate self-care abilities to manage their health condition. This population is particularly affected by difficulties in self-managing their disease, which frequently leads to hospital readmissions. According to Gek et al. (2020), adult T2DM patients account for one-fifth of the

NURS FPX 6030 Assessment 5 Evaluation Plan Design Name Capella university NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date Evaluation Plan Design Outcomes of the Intervention Plan The outcomes targeted by the intervention plan centered on telemedicine services offering remote monitoring and consultations for elderly individuals above 65 with hypertension serve two key objectives. The aim is to reduce 30-day hospital readmission rates, indicating a pivotal aspect of the intervention’s purpose: enhancing hypertension management. By mitigating the need for hospital readmissions due to hypertension-related complications, the intervention strives to demonstrate improved control over the condition, thus preventing potential exacerbations and associated hospitalizations. This outcome lays the groundwork for enhancing the quality and safety of care by alleviating strain on healthcare facilities and minimizing the risks linked with repeated hospital stays (Caballero et al., 2023). Secondly, the intervention seeks to bring about an improvement in hypertension management overall. This broader outcome encapsulates the overarching goal of the intervention and project, which is to empower elderly individuals to manage their hypertension through telemedicine services better. This outcome will involve improving the patients’ average systolic and diastolic blood pressure readings. This will be measured through regular remote monitoring data collected via telemedicine devices. The intervention aims to equip patients with the tools and resources necessary for enhanced blood pressure control and improved overall health outcomes by facilitating remote monitoring and consultations. Such an outcome not only paves the way for achieving better health outcomes but also establishes a framework for enhancing care quality, safety, and experience (Li et al., 2022). Evaluation Plan for Intervention Impact The telemedicine-based hypertension management intervention evaluation plan for elderly individuals focuses on measuring the 30-day hospital readmission rates for hypertension. Utilizing telemedicine platforms, electronic health records, and patient surveys will facilitate data collection. This will be followed by comparing it with the baseline data for this metric, accounting for 8.5% of hypertensive patients (Brunner-La Rocca et al., 2020). Moreover, on average, the baseline data of systolic and diastolic blood pressure are 140 mmHg and 90 mmHg. Statistical analyses, including descriptive and inferential methods, will be employed to compare pre-intervention and post-intervention data, assessing the significance of observed changes (Horn et al., 2021).  Overall, the evaluation plan offers a thorough comprehension of the influence of the intervention on hypertension management and reduction in hospital readmission rates by enhancing healthcare access among elderly individuals. Assumptions underlying the evaluation plan include the availability of necessary technological infrastructure and the validity and reliability of collected data sources (Caballero et al., 2023). Discussion Advocacy Nurse’s Role in Leading Change and Driving Improvements Nurses are essential in generating improvements and leading change when it comes to utilizing telemedicine to manage hypertension. Nurses can serve as champions for telemedicine adoption, advocating for its integration into practice and providing education and support to patients and interdisciplinary healthcare teams. Their role involves facilitating communication and collaboration among team members and ensuring that telemedicine technologies are utilized effectively to optimize patient outcomes (Choi et al., 2021). Nurses also play an essential role in patient education, empowering individuals to actively engage in their hypertension management through telemedicine platforms. Additionally, nurses contribute to the ongoing evaluation and refinement of telemedicine interventions, providing valuable insights into their feasibility, effectiveness, and impact on patient care. Assumptions underlying this analysis include nurses’ willingness and ability to adapt to telemedicine technologies, commitment to patient-centered care, and capacity to effectively lead change initiatives within healthcare settings (Choi et al., 2021). Impact on Nursing and Interprofessional Collaboration The intervention plan of implementing telemedicine services for hypertension management among elderly individuals aged 65 and above significantly impacts nursing and interprofessional collaboration within the healthcare field. Firstly, it enhances nursing by expanding nurses’ roles beyond traditional care settings, empowering them to leverage telemedicine technologies to deliver comprehensive care remotely. Nurses become pivotal in facilitating patient education, medication management, and lifestyle counseling through telemedicine platforms, thereby improving efficiency and access to care (Choi et al., 2021). Moreover, the intervention plan strengthens interprofessional collaboration by fostering communication and teamwork among healthcare professionals in hypertension management. Physicians, pharmacists, dietitians, and other specialists can collaborate seamlessly through telemedicine platforms, sharing real-time patient data and coordinating care plans effectively. This interdisciplinary approach ensures a holistic and coordinated approach to patient care, improving outcomes for the target population (Mabeza et al., 2022). Additionally, the healthcare field gains several benefits from the intervention plan. It enhances healthcare accessibility for elderly individuals, particularly those in rural or underserved areas, by overcoming geographic barriers through telemedicine. Furthermore, it optimizes healthcare resources by reducing pointless hospital stays and optimizing how care is delivered (Mabeza et al., 2022). However, uncertainty and knowledge gaps exist, including telemedicine interventions’ long-term effectiveness and sustainability and patient acceptance and adherence to telemedicine technologies. Further research and evaluation are needed to address these uncertainties and inform future telemedicine implementations effectively. Future Steps To enhance the current telemedicine project for hypertension management among the elderly, several improvements can be implemented to maximize impact and leverage emerging technology and care models. Integrating Artificial Intelligence (AI) and predictive analytics could refine risk assessment and personalize interventions. This advancement could proactively determine who will experience problems and adjust treatment regimens accordingly, assuming reliable data sources and infrastructure (Ahmed & Al-Bagoury, 2022). Additionally, expanding the use of remote monitoring devices, such as wearable biosensors, could give healthcare providers access to real-time data, enabling the early diagnosis of changes in blood pressure and reducing cardiovascular risks, assuming patient acceptance and compliance (Ahmed & Al-Bagoury, 2022). Reflection on Leading Change and Improvement Engaging in the capstone project of telemedicine for hypertension management has profoundly shaped my ability to lead change, offering valuable insights into navigating the complexities of integrating innovative healthcare technologies. This experience has enhanced my critical thinking and problem-solving skills, empowering me to address challenges and adapt to evolving healthcare landscapes. Reflecting on future leadership roles, I am inspired to continue cultivating these leadership capabilities through ongoing professional development and learning opportunities. Setting goals for personal growth, I aim

NURS FPX 6030 Assessment 4 Implementation Plan Design Name Capella university NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date Implementation Plan Design The intervention plan for the previous PICOT question uses multiple teaching methods, such as case-based teaching, simulation, and interprofessional education. This assessment will delve into how the proposed plan will be implemented by focusing on management perspectives and techniques, implications of changes, stakeholders’ involvement, and a timeline for implementation to address PICOT questions for LPN faculty in Metropolitan Community College. Management and Leadership Implementation of the proposed intervention plan requires visionary leadership and effective management strategies. The leadership strategies include transformational leadership, where the faculty members are motivated to have a standard and articulate goal of the intervention plan to facilitate teaching and learning and enhance the educational experience for LPN students. Moreover, this leadership style will teach the need for interprofessional collaboration among faculty members to improve teaching methods (Shields & Hesbol, 2019). For this purpose, the leader will foster an inclusive environment that encourages input and feedback from all faculty team members. Team leaders will provide adequate and necessary resources to support and train the members to ensure they are well-equipped to implement diverse teaching methods effectively (Shields & Hesbol, 2019). Integrating management strategies such as collaborative planning, task delegation, monitoring and evaluation, and conflict resolution are important for successfully implementing the proposed intervention plan. The leaders will plan collaborative meeting sessions with faculty members from multiple disciplines to seamlessly integrate case-based teaching, simulation, and interprofessional education. NURS FPX 6030 Assessment 4 Implementation Plan Design The management and leaders will also delegate discrete roles to each faculty member for maximal efficiency (Campbell et al., 2020). This will be followed by establishing a system for ongoing monitoring and evaluation from faculty and students to make data-driven adjustments as needed. A proactive approach to identifying and addressing potential conflicts is implemented to promote constructive dialogue and resolution (Campbell et al., 2020). To promote interprofessional collaboration during the implementation of the proposed plan, comprehensive training, and interprofessional workshops must be implemented as these strategies encourage continuous professional development on chosen teaching methods. Furthermore, it facilitates discussions on the benefits and challenges of interprofessional education (Leidl et al., 2020). The conflicting data are related to faculty resistance, where some faculty members might resist the change of teaching methods due to personal preferences and lack of familiarity with new teaching methods. Additionally, some critics deem the resource constraint a barrier to implementing diverse teaching methods as time, budget, and technology are required to implement these options successfully. The alternative perspectives include addressing resistance through a robust communication strategy, providing ongoing support, and prioritizing resource allocation based on critical components of an intervention plan (Li et al., 2021).  Implications of Change in Care Quality, Care Experiences and Cost-Effectiveness Implementing proposed strategies such as case-based teaching, interprofessional education, and simulation will likely enhance the quality of education by providing a more comprehensive and hands-on learning experience for LPN students. This will ultimately create competent LPNs who can exhibit high-quality care through their enhanced knowledge of nursing practices (Sistermans, 2020). Additionally, diverse teaching methods, including simulation and case-based teaching, can increase student engagement and enthusiasm for learning nursing practices. The students will be adept in improving patient care experiences as they have learned from simulation-based methods and case-based teaching methods. The intervention plan also aims to reduce costs associated with retraining or addressing gaps in knowledge post-graduation as LPN students are effectively engaged in learning through diverse teaching methods of the proposed intervention (Hung et al., 2021). The unknown and missing information includes the long-term impact of the intervention plan on LPN graduates’ performance in the field and their ability to adapt to evolving healthcare needs. Furthermore, how students will adapt to diverse teaching methods and whether their overall satisfaction with educational experience will improve are persisting knowledge gaps. These uncertainties and missing information areas require further analysis and research. Delivery and Technology Case-based teaching can be effectively delivered by conducting interactive workshops and seminars focusing on real-world cases related to nursing practices within LPN curricula. This engages faculty in discussions, case analyses, and problem-solving sessions to enhance their teaching methods and facilitate learning in the course (Zhao et al., 2020). Similarly, a simulation strategy can be delivered by creating realistic simulated scenarios and technology-based learning where clinical situations commonly encountered by LPNs in their practices are replicated (Mulyadi et al., 2021). For this purpose, dedicated training sessions can be scheduled where faculty members can promote these activities by accessing simulation resources and technologies. Lastly, interprofessional education can be fostered by organizing interdisciplinary workshops that bring faculty members from multiple professions to deliver collaborative education and share multiple perspectives. This co-teach delivery method allows faculty members to promote a seamless delivery of nursing-oriented lectures that cover patient care from multiple perspectives (Gonçalves et al., 2021). The proposed delivery methods are based on several assumptions, including faculty’s willingness to participate in workshops, seminars, and training sessions, appropriate access to simulation resources, and availability of online platforms to facilitate virtual collaboration and resource sharing (Zhao et al., 2020).  Evaluating Technological Actions Current technological options for case-based teaching and interactive workshops include interactive learning platforms such as Learning Management Systems (LMS). These tools help virtual learning through interactive features that allow the creation and sharing of case-based modules, quizzes, and discussions. Moreover, Artificial Intelligence (AI) in case development can be used as innovative technology to create case scenarios tailored to students’ learning needs in the LPN program (Aldahwan & Alsaeed, 2020). Simulation software such as Virtual Simulation (VS) enables realistic healthcare scenarios, providing a safe environment for students to practice clinical skills. Moreover, online collaboration platforms such as Zoom or Microsoft Teams facilitate cultural interprofessional workshops, allowing faculty from different disciplines to collaborate remotely. This tool promotes interprofessional education among LPN students in the LPN program (McKinlay et al., 2021). The unknowns and missing information still exist in utilizing these technological options for chosen delivery methods, such

NURS FPX 6030 Assessment 3 Intervention Plan Design Name Capella university NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date Intervention Plan Design This assessment extends the conversation about the intervention devised for the Population, Intervention, Comparison, Outcome, and Time (PICOT) question. This novel approach has been formulated and explored in the preceding assessments. The PICOT question follows the intervention of implementing telemedicine, especially remote monitoring, and consultations, for managing hypertension among elderly people above 65 and how it improves hypertension management and reduces hospital readmission rates for them. This evaluation explores the intervention strategy and considers pertinent theoretical, ethical, and legal viewpoints. Intervention Plan Components The intervention plan for hypertension management in elderly adults aged 65 and above focuses on implementing telemedicine services tailored for remote monitoring and consultation alongside patient education, medication management, and lifestyle modification guidance in the comfort of patients’ homes. These components collectively aim to improve hypertension management outcomes by addressing barriers to care, enhancing patient engagement, optimizing medication adherence, and promoting healthy lifestyle behaviors (Caballero et al., 2023). Telemedicine services offer convenient access to healthcare, while remote patient education and support empower individuals to manage their condition actively. Medication management through telemedicine ensures optimal drug therapy, and lifestyle modification guidance promotes sustainable behavior changes. Evaluation criteria include blood pressure control rates and a reduction in 30-day hospital readmission compared to baseline data of 8.5% for hypertension-based readmission rates (Brunner-La Rocca et al., 2020). This will enable healthcare providers to assess the effectiveness of the intervention and tailor care to individual patient needs. Cultural Needs and Characteristics of Population and Setting The cultural needs and characteristics of the target population, elderly adults aged 65 and above diagnosed with hypertension, significantly influence the development of intervention plan components. These needs can include satisfying elderly individuals with diverse cultural backgrounds, beliefs, and preferences regarding healthcare. Therefore, intervention components such as patient education and support must be culturally sensitive and tailored to meet the unique needs of this population (Forbes & Chakraborty, 2023). For example, educational materials should be provided in languages understood by the target population, considering literacy levels and preferred modes of communication. Additionally, cultural beliefs surrounding health and illness may influence attitudes toward medication adherence, dietary habits, and lifestyle behaviors. Therefore, lifestyle modification guidance should consider cultural preferences and traditions related to food, physical activity, and stress management. Furthermore, the setting of Senior Health Services must accommodate the cultural needs of elderly adults (Forbes & Chakraborty, 2023).  Assumptions include acknowledging potential disparities in access to technology and healthcare resources among different cultural groups. Therefore, telemedicine platforms should be user-friendly, with support available for individuals with limited digital literacy or technological proficiency at Senior Health Services (Omboni et al., 2020). The intervention plan components must be culturally competent, considering the target population’s diverse cultural needs and characteristics to ensure its effectiveness and acceptability. Theoretical Foundations Theoretical nursing models, like the Chronic Care Model, offer a robust framework for hypertension management interventions in elderly adults over 65. The CCM emphasizes patient-centered care and the use of community resources for managing chronic conditions like hypertension. However, it may not fully address the role of technology, a central component of the intervention plan (Proboningsih, 2023). Strategies from other disciplines, such as information technology and human-computer interaction, provide valuable insights into optimizing telemedicine technologies for remote monitoring and consultation for our target population. These strategies enhance usability, data security, and privacy protection, addressing weaknesses in theoretical nursing models (Quazi & Malik, 2022). Healthcare technologies like telemedicine platforms and home monitoring devices offer strengths in improving access to care and enhancing patient engagement. Still, disparities in technology access among elderly populations remain challenging (Qian et al., 2022). Collaborative efforts between nursing, technology, and other disciplines are essential for developing integrated intervention plans that maximize strengths and mitigate weaknesses across diverse domains, ultimately improving hypertension management outcomes in elderly adults. Justification of Major Components of the Intervention Plan The major components of the intervention plan for hypertension management in elderly adults are justified by contemporary evidence and best practices in the literature. For instance, patient education and support have consistently improved hypertensive patients’ medication adherence, lifestyle modifications, and overall health outcomes (Omboni et al., 2020). Similarly, telemedicine services, including remote monitoring and virtual consultations, have demonstrated effectiveness in improving access to care, patient satisfaction, and clinical outcomes in elderly populations with chronic conditions like hypertension (Caballero et al., 2023). Remote medication management, another critical component, is supported by evidence indicating the importance of tailored treatment plans and regular medication reviews in optimizing blood pressure control and reducing cardiovascular risk (Morrison, 2022). Additionally, lifestyle modification guidance through telemedicine aligns with recommendations from clinical guidelines and population-based studies, emphasizing the benefits of healthy eating, physical activity, stress management, and smoking cessation in hypertension management (Blumenthal et al., 2021). Conflicting data and alternative perspectives acknowledge concerns about the effectiveness of telemedicine, particularly in populations with limited digital literacy or access to technology, which may hinder equitable healthcare delivery. Additionally, questions regarding the sustainability of lifestyle changes highlight the need for ongoing support and resources to promote long-term adherence and behavior modification among elderly adults with hypertension (Forbes & Chakraborty, 2023). Stakeholders, Policy, and Regulations Stakeholders in telemedicine interventions for hypertension include healthcare providers, patients, technology developers, and policymakers. Each stakeholder has distinct roles and needs. Healthcare providers require training and user-friendly platforms for remote monitoring and consultations, while patients seek convenient access, privacy assurance, and clear instructions. Technology developers must create platforms accommodating elderly users’ needs, and policymakers must establish supportive policies and infrastructure (Hawlik et al., 2021). HIPAA regulations heavily influence telemedicine for our target population, mandating strict data protection measures and staff training (Jin et al., 2020). As a governing body, the Federal Communications Commission (FCC) aids telemedicine expansion through funding and regulatory support. Through programs like the Rural Health Care Program and the COVID-19 Telehealth Program, the FCC provides financial assistance to healthcare providers for acquiring telecommunication services, broadband connectivity, and

NURS FPX 6030 Assessment 2 Problem Statement (PICOT) Name Capella university NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date Problem Statement (PICOT) Hypertension is an alarmingly prevalent chronic condition among aging populations. This condition affects individuals and burdens society with preventable morbidity and mortality. This widespread condition demands a comprehensive approach integrating innovative prevention, early detection strategies, and evidence-based management tailored to individual needs. This assessment builds on the PICOT question, particularly on hypertension for the aging population, and to mitigate the impact of hypertension on the population suffering from this condition. The PICOT question is: In elderly adults aged 65 and above with diagnosed hypertension (P), does access to telemedicine services (I) compared to in-person consultations (C) lead to improved management of hypertension and reduction in hospital readmission rates (O) over six months (T)? Need Assessment The project addresses a critical quality improvement need in hypertension management among elderly adults aged 65 and above. This demographic is at a heightened risk of hypertension-related complications, including cardiovascular events and organ damage. Roughly 1.28 billion adults between the ages of 30 and 79 globally are affected by hypertension, with the majority, approximately two-thirds, residing in low- and middle-income nations (WHO, 2023). This underscores the urgency of implementing effective management strategies. Additionally, hypertension imposes a financial burden on the country, amounting to approximately $131 to $198 billion annually, further emphasizing the imperative to improve management practices (CDC, 2021). The current rate of 30-day hospital readmissions for elderly people with hypertension accounts for 8.5%, with 22.9% of cases due to poor management of hypertension (Brunner-La Rocca et al., 2020). Considering these baseline data, it is crucial to address this issue and evaluate the success of this project by measuring the reduction in hospital readmission rates.   The assumptions are that the epidemiological data on global hypertension prevalence and its distribution across income levels and the financial burden estimates provided by organizations like the CDC are accurate and reliable for informing the need for quality improvement in hypertension management. By addressing this pressing need, the project aims to significantly enhance the quality of care, prevent complications, and notably improve health outcomes for elderly individuals with hypertension. Population and Setting The target population for the project is elderly adults aged 65 and above who are diagnosed with hypertension. It is crucial to address the identified need within this population because they are at a heightened risk of hypertension-related complications, including cardiovascular events and organ damage. Additionally, this demographic often faces challenges in accessing healthcare services and adhering to treatment regimens, making effective management strategies imperative to improve health outcomes and quality of life (WHO, 2023). The setting targeted for the project is Senior Health Services (SHS), which aims to provide comprehensive healthcare services for seniors; we can leverage their existing infrastructure and expertise to seamlessly integrate the telemedicine intervention into their workflow. Additionally, SHS can develop tailored approaches to ensure consistent follow-up and adherence to treatment plans among elderly patients with hypertension. The project can effectively reach and engage the target population by leveraging this setting, ultimately improving hypertension management outcomes. Quality Improvement Method Implementing a Plan-Do-Study-Act (PDSA) quality improvement method, the project could impact patient outcomes by systematically evaluating the effectiveness of telemedicine interventions for hypertension management in elderly adults aged 65 and above. This iterative approach allows continuous refinement of interventions based on real-world data and feedback, potentially leading to improved blood pressure control rates and overall health outcomes (Haffenden-Morrison, 2022). However, SHS may encounter challenges related to technology literacy among its elderly patient population with hypertension. Many seniors may need to become more familiar with telemedicine platforms or need access to devices and the internet. Additionally, elderly people with hypertension receiving care at SHS may express concerns about privacy and confidentiality when engaging in telemedicine appointments (Caballero et al., 2023). Intervention Overview One intervention to address the identified need for hypertension management in elderly adults aged 65 and above is the implementation of telemedicine services tailored explicitly for remote monitoring and consultation. This intervention provides access to telehealth platforms where patients can remotely measure their blood pressure using home monitoring devices and virtual consultations with healthcare providers for medication adjustments, lifestyle counseling, and treatment adherence support (Caballero et al., 2023). While telemedicine offers the convenience of remote access to healthcare services and may improve patient engagement, the weaknesses include ensuring technology access and proficiency among elderly individuals addressing concerns about privacy and confidentiality in virtual consultations. Moreover, the telemedicine strategy has a weakness in overcoming barriers to consistent follow-up and adherence to treatment plans, particularly in populations with limited digital literacy or access to technology. Additionally, the effectiveness of telemedicine interventions may vary depending on the availability of resources and support systems within the target setting, necessitating careful consideration of implementation strategies and ongoing monitoring of outcomes (Caballero et al., 2023). Comparison of Approaches An interprofessional alternative to telemedicine remote monitoring and consultations for hypertension management in elderly adults 65 and above is in-person consultations involving a multidisciplinary healthcare team. In-person consultations allow for comprehensive assessments, including physical examinations and face-to-face interactions, which may enhance rapport-building and patient-provider communication. Additionally, direct observation of patients’ behavior and health status may facilitate more accurate diagnoses and treatment decisions (Wong et al., 2021). However, in-person consultations may pose challenges related to accessibility, particularly for elderly individuals with mobility limitations or residing in remote areas. Moreover, scheduling and travel logistics may be burdensome for patients, leading to potential barriers to accessing timely care. Additionally, in-person consultations may require increased healthcare resources and incur higher costs than telemedicine interventions. Thus, while in-person consultations offer advantages regarding comprehensive assessments and interpersonal interactions, they may not fully address the accessibility and convenience needs of the target population, especially within community-based healthcare settings (Wong et al., 2021). Initial Outcome Draft The outcome of the intervention is aimed at reducing the rate of hospital readmissions due to hypertension among elderly individuals at SHS. This initiative seeks to improve this demographic’s overall quality of care and health outcomes by implementing targeted interventions to enhance

NURS FPX 6030 Assessment 1 Conference Call Scheduling and Notes Name Capella university NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date MSN Practicum Conference Call  Date:  Attending: Meeting objectives: Using current and peer-reviewed literature to compare the efficacy of nurse-led transition-care programs in efficiently managing hospital resources. All the data gathered are securely documented and archived.   Topic Notes Documentation Noting the 20 hours of academic study per 100 practicum hours for PICOT research. Confirmation of the number of clinical hours consumed by preceptor through application or letters. Create a schedule for interprofessional collaboration meetings for clinical research to gather the findings on the role of nurse-led transition care in hospital resource management.  Action item: Systematically record the data findings to see the effectiveness of nurse-led transition care in hospital resource management. Develop guidelines for data input and archiving.  PICOT In pregnant women with a history of preterm birth, how does strategic management of a nurse-led transitional care program during the postpartum period, as compared to standard management practices in routine care, influence the efficiency of hospital resource management within a 12-month follow-up period? Population: Pregnant women with a history of preterm birth. Intervention: Strategic management of nurse-led transitional care program. Comparison: Standard management practices in routine care. Outcomes: Enhancement of hospital resource management Time Frame: Within a 12-month follow-up period. Action item: Conduct a thorough research delving into evidence-based research data to investigate the effectiveness of nurse-led transitional care program during the post-partum period on the efficiency of hospital resource management compared to traditional management practices in routine care.  Clinical Hours Seek authoritative consent for every clinical research session and demonstrate the frequency of clinical hours spent on this subject. Action item: Collaborate with hospital administration to conduct a survey on the utilization of hospital resources after nurse-led transitional care programs for women during the post-partum period. Review Demonstrate the pros and cons of nurse led-transition care program to evaluate efficiency of hospital resource management. Explore various types of nurse-led transitional care programs  The programs should be particularly for women who have given pre-term birth and are in post-partum period. Review the latest and current literature (published in the last five years) and analyze data to evaluate the effectiveness of this approach for managing hospital resources. Consider the implications of nurse-led transition care for hospital resource management. Action item: Conduct thorough research, upload/schedule/approve Clinical Time and Documentation, develop a survey, interview healthcare providers, document the research findings and discusses the implications of nurse-led transitional care for resource management. NURS FPX 6030 Assessment 1 Conference Call Scheduling and Notes