Category: MSN

NURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster Name Capella university NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1 Prof. Name Date Abstract  This quality improvement initiative, rooted in the Plan-Do-Check-Act (PDCA) cycle, addresses the intricate biopsychosocial complexities surrounding diabetes and renal failure management, with Mrs. Smith’s case as a focal point. The project aims to optimize patient outcomes through a collaborative approach involving Continuous Glucose Monitoring (CGM) implementation, comprehensive education, and financial aid strategies. By integrating interprofessional teamwork, encompassing endocrinologists, nurses, dietitians, and social workers, the effectiveness and efficiency of the intervention are bolstered. The project anticipates benefits such as enhanced patient well-being, improved care quality, and streamlined healthcare processes, contributing to broader population health advancements. This initiative aims to drive sustained improvements in patient care and overall healthcare delivery through continuous assessment and adaptation. Quality Improvement Methods To promote continuous improvement in managing diabetes and renal failure, particularly for patients like Mrs. Smith, we propose utilizing the PDCA cycle. This method involves four key steps: planning the intervention, implementing the plan, checking the results, and acting on what is learned to refine the process. In Mrs. Smith’s case, PDCA can be applied to monitor and adjust her blood glucose levels and renal function. For instance, the initial plan may involve introducing CGM and diuretics (Yi et al., 2023). The “do” phase would implement these interventions, while the “check” phase involves regular monitoring of blood glucose and renal function tests. The “act” phase would use the gathered data to tweak the intervention, ensuring continuous improvement. This cyclical approach ensures that adjustments can be made based on real-time data, thereby addressing her care’s physiological (biological) and behavioral (psychosocial) aspects. The PDCA cycle promotes continuous improvement by providing a structured yet flexible framework that can be repeatedly refined (Yi et al., 2023). Limitations of PDCA Despite its strengths, the PDCA cycle presents several challenges. One significant limitation is the potential for resistance to change, particularly from patients who may find new technologies like CGM intimidating or cumbersome. To mitigate this, comprehensive education and support systems need to be established. Patients should be thoroughly educated about the benefits and use of CGM, and support from healthcare professionals should be readily available to address any concerns (Sugandh et al., 2023). Additionally, financial barriers may hinder the consistent implementation of interventions, especially for patients like Mrs. Smith, who face economic constraints. Connecting patients to financial assistance programs can help overcome this barrier (Du et al., 2022). Furthermore, adapting the PDCA cycle to manage biopsychosocial considerations requires a multidisciplinary approach, integrating input from endocrinologists, nephrologists, dietitians, and social workers to comprehensively address all aspects of the patient’s condition. This collaboration ensures that interventions are holistic and patient-centered. By anticipating these challenges and proactively developing strategies to address them, the PDCA cycle can effectively facilitate continuous quality improvement in managing complex conditions like diabetes and renal failure (Du et al., 2022). Evidence-Supported QI Methods Evidence supports the effectiveness of the PDCA cycle in managing diabetes and renal failure in patients like Mrs. Smith. CGM has been shown to significantly improve glycemic control by providing real-time feedback, enabling timely interventions and adjustments to insulin therapy (Martens et al., 2021). Studies demonstrate that CGM users experience fewer episodes of hypoglycemia and better overall glucose management, which directly supports the “check” and “act” phases of the PDCA cycle. Furthermore, the use of diuretics to manage renal function is backed by guidelines from the American Diabetes Association (ADA), which recommends diuretics for patients with edema and early-stage renal damage to prevent further deterioration (Afify et al., 2023). This evidence reinforces the planning and implementation stages of the PDCA cycle, ensuring that the interventions are both evidence-based and practical. The most valuable evidence for our project includes the ADA guidelines and the research by Martens et al. (2021), as these sources provide robust data supporting the integration of CGM and diuretics into the care plan. This evidence informs the specific QI approach by validating the chosen interventions and ensuring they are aligned with best practices for managing diabetes and renal failure, thereby enhancing patient outcomes like Mrs. Smith’s. Identify Knowledge Gap  While evidence supports the effectiveness of CGM and diuretics, there may be gaps in understanding how these interventions translate into long-term outcomes for patients like Mrs. Smith. Additionally, the optimal frequency and duration of CGM usage in managing blood glucose levels still need to be clarified in specific contexts. Further research could explore the impact of socioeconomic factors on medication adherence and its interaction with financial assistance programs in improving health outcomes for diabetic patients (Kvarnström et al., 2021).  Change Strategy Foundation  The project is anchored in successful change strategies such as CGM, financial assistance for medication adherence, diuretics, and comprehensive education (Kvarnström et al., 2021). These strategies are informed by evidence-based practices and guidelines from reputable sources like the ADA and NANDA (ADA, 2022; NANDA, 2020). Successful implementation of CGM and medication assistance programs has been demonstrated in similar QI projects, showcasing their effectiveness in improving patient outcomes. For instance, CGM helps maintain blood glucose levels within the target range, reducing spikes from 200-350 mg/dL to 80-130 mg/dL fasting and less than 180 mg/dL postprandial (Lin et al., 2021). These strategies are relevant and appropriate for this QI project as they address specific clinical needs such as controlling blood glucose levels, managing renal function, and ensuring medication adherence in patients like Mrs. Smith, ensuring a comprehensive and evidence-based approach to quality improvement (Lin et al., 2021). Potential Challenges and Solutions  Implementing CGM and financial assistance programs faces challenges such as initial costs and patient acceptance. To address this, patients and healthcare providers will receive comprehensive training sessions and ongoing support. Collaborating with financial aid organizations and community organizations can help mitigate financial barriers. Resistance to change and adherence issues arise, requiring tailored educational interventions and close monitoring of patient progress. Regular feedback and quality improvement assessments will help identify and address emerging challenges throughout the implementation process

NURS FPX 6021 Assessment 2 Change Strategy and Implementation Name Capella university NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1 Prof. Name Date Change Strategy and Implementation Patients with kidney failure often experience re-hospitalizations. These readmissions significantly affect their quality of life and well-being. The stress from dealing with multiple illnesses and undergoing complex treatments during these frequent hospital stays is a significant concern for their overall health. In this proposal, I suggest implementing a change strategy at Antelope Valley Hospital, where I currently work, to address traumatic stress in kidney failure patients. The plan includes analyzing current and desired outcomes through a data table and outlining strategies for improving the quality of care and patient outcomes. Data Table of Clinical Outcomes  Clinical Outcomes Current State Desired State Mortality Rate Currently, the hospital data shows that 30% of patients have died within 3-6 months of discharge due to complicated states and recurrent hospital stays.  The desired state is to decrease the mortality rate to 15%. According to Wu et al. (2023), early identification of complications and comprehensive discharge care can reduce mortality rates.  Mental Illnesses At present, 55% of patients with kidney failure are displaying signs of traumatic stress, anxiety, and depression as a result of repeated hospitalizations. These symptoms are adversely affecting their healing process and overall well-being. The desired goal is to decrease this ratio to 30% through mental health support programs and trauma-informed care (Shouket, 2024) Medication Compliance About 90% of patients are encountering medication non-compliance. Improve medication compliance rate to 80%. Dijkstra et al. (2021), elaborate that patient education, complete supervision from care providers, and medication scheduling can result in improved adherence among kidney failure patients.  Quality of Life Approximately 45% of patients have decreased quality of life due to stress and recurrent hospital stays.  Our goal is to improve the quality of life for kidney disease patients and only 5% of cases remain. To achieve this, we intend to create a supportive atmosphere, encourage social interactions, and cater to patients’ psychosocial requirements (Arms & McCumber, 2023). NURS FPX 6021 Assessment 2 Change Strategy and Implementation The data is sourced from Antelope Valley Hospital’s Health Management Information Systems (HIMS). We ensured the data collection and reporting complied with the Health Insurance Portability and Accountability Act (HIPAA). Theodos and Sittig (2020) mention that this act focuses on protecting patients’ medical information. The data’s uncertainties and ambiguities necessitate acquiring additional information for clarity. The additional information should be related to factors such as patient’s socioeconomic status and social support networks, which influence their health outcomes. Furthermore, comparing the experiences of kidney failure patients with those without kidney diseases but facing similar levels of hospitalization-related stress could shed light on the unique challenges faced by the our concerned population.  Change Strategies for Clinical Outcomes Focusing on mental health concerns and enhancing medication adherence are crucial clinical goals for kidney failure patients at Antelope Valley Hospital. As such, our objective is to reach these desired outcomes by implementing a psychological support program and initiatives to improve medication adherence. Comprehensive Psychological Support Programs The initiative will integrate a mental health team into patient care, offering psychological support. Key components will be educational programs, peer support networks, and counseling sessions. According to Shouket (2024), these efforts aim to alleviate chronic illnesses’ psychological and emotional burdens, ultimately enhancing patients’ quality of life. Critical factors for effectively executing this strategy at Antelope Valley Hospital include adequate training and education for healthcare professionals, pooling mental health resources within the community, and developing clear protocols for information sharing within the interdisciplinary team. However, the team should consider the challenges of staff resistance due to workload, resource constraints for hiring teams and expanding support programs, and stigmatization associated with mental health support-seeking behaviors. Comprehensive training programs highlighting the benefits of integrating mental health care will overcome staff resistance. Moreover, planned resource allocation and budgeting are imperative to avoid intentional resource constraint issues. Finally, awareness and educational campaigns will help destigmatize mental help-seeking behaviors (Muhorakeye & Biracyaza, 2021).  Medication Adherence Initiatives To implement these initiatives, a team of pharmacists, nurses, and physicians would collaborate to optimize medication regimens. Their purpose would be to provide medication-related instructions, simplify medication schedules, and address barriers to medication adherence (Dijkstra et al., 2021). This strategy not only helps in improving medication adherence but also reduces patients’ anxiety and stress associated with managing complex medication regimens. Initiatives include a standardized medication reconciliation process, electronic medication reminders and pill organizers to support patients, and culturally sensitive medication utilization and management education. The team would phase challenges such as lack of coordination among patients and providers and financial barriers among the patient population. To bridge coordination gaps, we will develop effective communication channels within the team and with patients. Moreover, collaboration with private and public insurers will help address cost barriers for needy patients.  Change Strategies Justification  Evidence from the literature supports the integration of psychological interventions for chronic disease patients. Studies have demonstrated that mental health interventions such as psychoeducation and peer-support programs lead to better patient emotional and psychological outcomes, reducing symptoms’ severity and improving satisfaction (Longley et al., 2023; Shouket, 2024). These strategies enhance patients’ recovery and improve their well-being during treatment and multiple hospital admissions. However, conflicting perspective in the literature describes the stigma interlinked with mental health services, which prevents patients from actively participating in these initiatives (Muhorakeye & Biracyaza, 2021). Such a perspective highlights the importance of community-based awareness programs for early identification and treatment to augment patients’ psychological well-being.  Additionally, medication adherence initiatives such as patient education, electronic reminders and pill organizers, and medication reconciliation processes are supported by literature as best strategies to improve medication compliance. Taibanguay et al. (2019) emphasize the impact of comprehensive education about medication utilization and management, allowing patients to understand the importance, eventually increasing their medication compliance. Similarly, reminders and pill organizers are effective for patients with complex medication therapies and chronic conditions requiring long-term management through medications (Dijkstra et

NURS FPX 6021 Assessment 1 Concept Map Name Capella university NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1 Prof. Name Date Intensive Care Unit  St. Anthony Medical Center Home Health Agency  Narrative This narrative explains the concept maps developed for a patient, Mrs. Smith, in two different healthcare settings, the Intensive Care Unit (ICU) and St. Anthony Medical Center Home Health Agency. In this narrative, we cover the additional evidence that provides linkages between the concept maps for a comprehensive understanding of each concept map and its significance in nursing care. Moreover, we discuss the value and relevance of the evidence used to create these concept maps. Lastly, we detail how interprofessional collaboration is imperative to achieve desired outcomes for the patient in all healthcare settings.  Additional Evidence  First Concept Map An ICU nurse receives a 52-year-old female patient with a history of Type II Diabetes Mellitus. She is currently presenting complaints of increased fasting glucose levels, peripheral edema, blurred vision, tiredness and weakness, decreased urine output, shortness of breath, and nausea. Physicians have diagnosed her with Acute Renal Failure (ARF) and high blood glucose levels. The concept map covers three primary nursing diagnoses for this patient – altered nutrition: less than body requirements, impaired gas exchange, and excess fluid volume.  Second Concept Map  The patient is now discharged from the ICU and transitions to the Home Care Agency, where a nurse receives her with a recent history of hospitalization for ARF and high blood glucose levels. While the patient reported an improved fasting glucose level, increased urinary output, decreased peripheral edema, and enhanced well-being, she identified concerns such as reduced family interaction and limited cooking abilities. Based on the patient’s subjective data, we have developed nursing diagnoses on the risk of social isolation, risk of medication noncompliance, and risk of malnutrition.  Relevance and Value of Evidence The sources of evidence employed in making the concept map are relevant and provide valuable insights related to ARF and its complications.  The article by Ramakrishnan and Shankar (2020) offers valuable insights into the nutritional support strategies for patients with AKI in critical care settings. This applies to our scenario as Mrs. Smith was admitted to the ICU. It offers evidence-based recommendations to support healthcare providers in delivering appropriate nutritional support and improving patients’ quality of care. Koratala et al. (2022) provide information about fluid overload leading to pulmonary edema. Since Mrs. Smith is suffering fluid overload, this resource helps diagnose pulmonary edema as a common complication. Understanding diagnostic approaches outlined in the article can assist in timely and appropriate assessment to improve Mrs. Smith’s outcomes.  Another study that explores factors contributing to respiratory distress in ARF patients is essential to identify and manage her conditions, such as shortness of breath during her hospitalization (Panitchote et al., 2019).  Chadwick (2022) study highlights the importance of leg elevation in managing peripheral edema, a symptom presented by Mrs. Smith. The study explains that leg elevation can help reduce swelling by improving circulation and easing discomfort. Thus, this study is valuable and relevant to provide strategies for symptomatic management.  NURS FPX 6021 Assessment 1 Concept Map Patil and Salunke (2020) explain the relationship between fluid overload and ARF.  For Mrs. Smith, who is diagnosed with ARF and is presenting signs of fluid overload, this article provides essential information on the nursing assessment and management strategies for her condition. This information is valuable for effective patient care and effective treatment plans.  The article by Arms and McCumber (2023) is valuable as it provides information on assessing and managing social isolation. This issue is relevant in Mrs. Smith’s case as she is experiencing limited social support. The articles offer direction for home health nurses to intervene effectively in the risks of social isolation, enhancing patients’ overall well-being.  Dijkstra et al. (2021) are valuable resources for healthcare professionals to support patients with medication non-compliance. Understanding these concepts helps the home health agency support Mrs. Smith with managing medication regimens effectively.  Interprofessional Strategies  Interprofessional interventions in our concept maps will provide more comprehensive care and improve patient outcomes (McLaney et al., 2022). For example, nurses collaborating with physicians for medication management, dietitians for nutritional plans, physical therapists for chest physiotherapy and activities, and community workers to leverage community resources in patient care ensures a holistic approach to addressing Mrs. Smith’s needs and preferences for managing ARF and diabetes. However, several knowledge gaps and uncertain areas exist, such as the effectiveness of these strategies and the impact of patient’s socioeconomic factors. Moreover, effective coordination and communication among the team members remains a significant uncertain area, which can lead to poor execution of these strategies, eventually impacting patient outcomes.  References  Arms, T., & McCumber, S. (2023). Social isolation: Levels of response for nurse practitioners. The Journal for Nurse Practitioners, 19(1), 104391. https://doi.org/10.1016/j.nurpra.2022.06.016  Chadwick, S. E. (2022). The use of leg elevation in the treatment of chronic peripheral oedema. British Journal of Community Nursing, 27(Sup10), S28–S32. https://doi.org/10.12968/bjcn.2022.27.Sup10.S28  Dijkstra, N. E., Vervloet, M., Sino, C. G. M., Heerdink, E. R., Nelissen-Vrancken, M., Bleijenberg, N., De Bruin, M., & Schoonhoven, L. (2021). Home care patients’ experiences with home care nurses’ support in medication adherence. Patient Preference and Adherence, 15, 1929–1940. https://doi.org/10.2147/PPA.S302818  NURS FPX 6021 Assessment 1 Concept Map Koratala, A., Ronco, C., & Kazory, A. (2022). Diagnosis of fluid overload: From conventional to contemporary concepts. Cardiorenal Medicine, 12(4), 141–154. https://doi.org/10.1159/000526902  McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. Healthcare Management Forum, 35(2), 112–117. https://doi.org/10.1177/08404704211063584  Panitchote, A., Mehkri, O., Hastings, A., Hanane, T., Demirjian, S., Torbic, H., Mireles-Cabodevila, E., Krishnan, S., & Duggal, A. (2019). Factors associated with acute kidney injury in acute respiratory distress syndrome. Annals of Intensive Care, 9(1), 74. https://doi.org/10.1186/s13613-019-0552-5  Patil, V. P., & Salunke, B. G. (2020). Fluid overload and acute kidney injury. Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 24(Suppl 3), S94–S97. https://doi.org/10.5005/jp-journals-10071-23401  NURS FPX 6021 Assessment 1 Concept Map Ramakrishnan, N., & Shankar, B. (2020). Nutrition support in critically

NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal Name Capella university NURS-FPX 6016 Quality Improvement of Interprofessional Care Prof. Name Date Data Analysis and Quality Improvement Initiative Proposal Good morning, everybody. I am ………… Today, we are going to analyze the critical concern of patient falls at Springfield General Hospital in detail; specifically, we will look into adverse events such as John’s fall, which unveiled areas for lapses in communication, failure to follow set safety protocols, and monitoring of patients. Statistics show that these accidents result in avoidable harm, decreased patient satisfaction, and increased hospital readmission. Thus, our quality improvement initiative has drawn on the PDSA framework to identify these challenges and address them through enhanced fall-risk assessments, training for staff members, and appropriate use of certain technologies such as bed alarms and EHR alerts. We can and will create safer environments supportive of both the patients and staff while significantly reducing the rates of falls. Analysis of Health Care Issues Data reveals that the patient falls issue in Springfield General Hospital is a persistent health concern: it reveals fall rates within the healthcare facility exceed the set national benchmark standards. Though the national benchmark for fall rates reported was 3.44 falls per 1,000 patient bed days (Venema et al., 2019), the health facility reported 6.2 fall rates in 2021, 6.4 in 2022, and 6.7 in 2023. These indicate an exceptional deviation from the expected performance. Moreover, patient satisfaction scores decreased from 85% in 2021 to 70% in 2023, suggesting that safety concerns could be related to the perceived quality of care by the patients. Also, the average hospital stay length increased from 4.2 days in 2021 to 5.1 days in 2023, indicating possible fall-related injuries complications. The quality of the data is reliable, as it derives from hospital performance records and validated reporting systems. Nevertheless, additional insights are required to identify cause-and-effect factors. Relying on a greater measure of quantification will limit understanding without complementary qualitative data, such as interviews with staff, feedback from patients, or direct observational audits. Such inclusions may contribute to a more holistic assessment of the causes and opportunities for improvement. Metric 2021  2022 2023 National Benchmark Fall Rate (per 1000 bed days 6.2 6.4 6.7  3.44 Patient Satisfaction (%) 85 % 78 % 70 %  – Average Hospital Stay 4.2  4.6 5.1 – Recommendations for Quality Improvement General Hospital will standardize using the Morse Fall Scale (MFS) for fall-risk assessments in all patient units. This standardized tool helps a health care professional to assess the risk of falls in patients based upon a set of criteria that includes having had falls in the past, mobility problems, and mental status. The hospital seeks to enhance the identification of fall risks in patients. At the same time, interventions are promptly conducted to help prevent falls by encouraging its utilization through general training of its staff and frequent assessments (Baumann et al., 2022). Springfield General Hospital should ensure a better understanding of what has been achieved in fall prevention by undertaking patient satisfaction surveys on fall prevention and safety measures. These surveys will collect important feedback from patients regarding their perception of the hospital’s fall prevention policies, the effectiveness of personnel communication, and overall safety and security. This will allow for better refining of the strategy, keeping in view the patient’s perspectives while implementing fall prevention strategies in the future (Dykes et al., 2020). Quality Improvement Initiative Proposal The fall-prevention quality improvement initiative at Springfield General Hospital will be conducted during a designed PDSA cycle toward continuous improvement. During the Plan phase, the hospital will standardize MFS to assess the fall risk for all patient units. This scale will rate how likely a patient is to experience an unintentional fall due to factors like a history of falls, mobility problems, and mental status. In addition, the hospital will emphasize training staff members on the consistent use of MFS. The hospital will also frequently assess which patients are at risk and ensure prompt interventions (Baumann et al., 2022). Patient satisfaction surveys will be proposed to collect feedback on fall prevention and safety measures; this would give insight into whether a productive fall-reduction protocol is in place from the patient’s point of view. This will refine the approach of the hospital and ensure that strategies match the needs and expectations of the patients (Dykes et al., 2020).In the Doing phase, Springfield General Hospital will engage in training staff to ensure that fall risks are identified using the Morse Fall Scale in a consistent and effective manner. The patient satisfaction survey will be administered to assess the extent to which the hospital’s fall prevention measures are perceived and how they affect overall safety and care satisfaction. NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal A post-fall review system will be used to assess missed intervention opportunities and to refine protocols. During the Study phase, the hospital will analyze data from the fall rate, survey feedback, and fall review outcomes to assess the impact of these interventions. All changes in protocol will be made based on this data. Findings from the surveys and continuing assessments will drive improvements and adjustments that will help improve patient safety and reduce fall rates over time.The fall-prevention quality improvement initiative at Springfield General Hospital identifies several key knowledge gaps and areas of uncertainty. First, there is limited understanding of the specific causes behind patient falls, particularly about patient demographics such as age, comorbidities, and medication use. More detailed data on these factors could refine risk assessments and prevention strategies. Second, while the Morse Fall Scale (MFS) will be standardized for use across all patient units, it is unclear how consistently and effectively it is currently utilized by staff. A closer examination of staff adherence to the MFS and any barriers to its use would provide valuable insights for improving its implementation. Finally, while patient satisfaction surveys will offer feedback on fall prevention, further qualitative research, such

NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation Name Capella university NURS-FPX 6016 Quality Improvement of Interprofessional Care Prof. Name Date Quality Improvement Initiative Evaluation Springer General Hospital implemented a QI activity for Mr. John after the adverse event of his fall. Patient falls are an important safety concern in hospitals, and falls are reportedly one of the leading causes of injury, prolonged hospital stays, and increased mortality. According to Feng et al. (2022), hospitals globally experience approximately 134 million adverse events annually, leading to 2.6 million deaths, many of which are preventable falls. At Springfield General Hospital, QI initiative focuses on reducing fall-related incidents by adopting evidence-based, ready-to-implement fall prevention protocols such as frequent assessment of risk for falls, staff training, interdisciplinary communication, and combining the use of technology such as bed alarms and Electronic Health Records (EHR) alerts for at-risk patients.The incident involved Mr. John, who reported dizziness but was not reassessed for his fall risk. NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation A delayed response to his call light led him to try to walk unassisted and consequently fall, which could have been prevented had better communication, more improved adherence to fall prevention protocols, and timely interventions occurred. In the QI program at Springfield General, falls will be evaluated and mitigated using validated tools, such as the Morse Fall Scale. However, staff members will have to receive ongoing training on preventing falls by nurses and physical therapists, while technology-as in bed alarms and alerts from real-time EHR -will be incorporated to facilitate the early recognition of patients at risk of falls. However, one of the drawbacks highlighted in this program is the risk of staff alarm fatigue, which can lower the impact of these technologies. Moreover, the hospital was unable to distinctly ascertain the impact of these measures on all areas as different units were not using the new tools introduced to minimize falls in their entirety. These gaps in implementation and overcoming resistance to reporting adverse events for reasons of fear of job security will determine the success of this initiative. With these adjustments, the QI initiative at Springfield General Hospital shall make important cuts in fall-related incidents, improve patient safety, and secure a better environment of care for patients and healthcare providers. Evaluation of the Success of the Quality Improvement Initiative The QI initiative was assessed utilizing national benchmarks and outcome measures, such as a fall rate of 3.44 falls per 1,000 patient bed days, with this being one of the benchmark standards set for fall prevention performance (Venema et al., 2019). By comparing its fall rate to this benchmark, Springfield General can determine how effective its fall-prevention protocols are. Other interventions include the application of the Morse Fall Scale as a tool for assessing the individual’s fall risk, staff education and compliance rates, and the support of technology such as bed alarms and Electronic Health Record (EHR) alerts. These help monitor progress and ensure compliance with safety protocols. Such successful elements of this initiative have been the more consistent use of the Morse Fall Scale, the comprehensive training of staff, and the effective technological integration. These factors have improved the identification of risk factors, which in turn increased response times while reducing fall rates to 2.9 per 1,000 patient bed days. Several assumptions underlie the success evaluation: that falls are indeed reported accurately, with personnel feeling safe to do so; fall-prevention protocols, including the Morse Fall Scale, are uniformly applied across all units; the technology in place (bed alarms, EHR alerts) is functional and has been integrated into workflows effectively; and that staff received adequate training and are following protocols. Such assumptions are necessary to determine the impact of the QI initiative on the decrease of fall-related incidents and how it upholds the core values of Springfield General, such as safety, patient-centered care, and continuous improvement. Interprofessional Participants & Actions Quality improvement (QI) initiatives in the prevention of falls at Springfield General Hospital were significantly enhanced through contributions of an interprofessional team. Nurses, along with physical therapists and physicians, were all very integral in playing their parts within the initiative, giving each profession its own specific perspective. Nurses played a very integral role in identifying at-risk patients and executed fall-prevention protocols such as performing regular fall-risk assessments using the Morse Fall Scale (Baumann et al., 2022). Physical therapists also contributed through specialized interventions to enhance mobility and strength in the patients, which presumably mitigates falls. Physicians were able to offer insights about medication and overall health conditions that could predispose the patients to fall more than others. Feedback from these healthcare professionals was foundational for frequent meetings and input about the functionality of technologies such as bed alarms and EHR alerts. Together, their efforts helped enhance communication, create uniformity in treatment adherence, and time interventions around falls, resulting in a visible decrease in falls rates (Baumann et al., 2022). NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation However, even with these milestones, there existed areas of uncertainty and knowledge gaps that needed to be eliminated. For example, while the technology integration (e.g., bed alarms and EHR alerts) was generally well-received, concerns about alarm fatigue among staff emerged, potentially affecting their responsiveness (Baumann et al., 2022). Nurses reported that the frequency of alarms sometimes led to desensitization, making it harder to prioritize critical alerts. Although the Morse Fall Scale is widely used, some members of the team question whether it accurately accounted for all factors that contribute to fall risk, especially in patients who have complex medical histories. Additional training regarding the subtleties of fall risk and further data on exactly how specific patient populations respond to specific prevention strategies would have provided a more total conceptualization of the impact of the initiative. Further insights from the staff of all departments, and methods to further heighten technology integration, and the perfect usage and application of assessment tools may have possibly provided even better fall-prevention practices (Baumann et al., 2022). Additional

NURS FPX 6016 Assessment 1 Adverse Event or Near-Miss Analysis Name Capella university NURS-FPX 6016 Quality Improvement of Interprofessional Care Prof. Name Date Adverse Event or Near-Miss Analysis The near-miss incidents and adverse events take a very significant place among healthcare concerns because it is a matter of substantial risk for the safety of patients. Adverse events are undesirable clinical outcomes unrelated to a patient’s underlying condition. Such adverse events include prolongation of hospital stay, causing irreversible damage and requiring critical interventions to prevent death. In contrast, near-miss incidents offer critical learning opportunities by revealing hazards narrowly avoided. Feng et al. (2022) report that annually, hospitals across the globe suffer 134 million adverse events, leading to 2.6 million deaths. Such dire statistics raise an alarm on how frequent and drastic the situation is, involving instances like patient falls, medication errors, pressure injuries, and hospital-acquired infections. These events are often a result of lapses in the alertness of healthcare professionals. All these can be either prevented or minimized if there is vigilance and adherence to safety measures. This case review will analyze the incident of a particular patient fall at Springfield General Hospital, its outcomes, and practical recommendations for reducing its chances of happening again in the future. NURS FPX 6016 Assessment 1 Adverse Event or Near-Miss Analysis Mr. John is a 72-year-old male patient admitted to the hospital after having undergone surgery to replace the right knee. He had a background of Type 2 diabetes mellitus and mild cognitive impairment. Upon admission, his vital signs were stable: BP 130/78, HR 75, and RR 16. After surgery, John was put on pain medication management and encouraged to engage in physical therapy. Nurse Clara, the orthopedic unit head nurse, did the initial fall risk assessment but failed to update it when John complained of dizziness from moving from his bed to his chair. However, Clara still assigned the junior nurse, Mia, to help John ambulate to the bathroom while adhering strictly to the four steps. Mia was attending to another patient and delayed response to the call light. Meanwhile, John, wanting not to wait, tried to get up alone to the bathroom. He was not steady on his feet and fell and struck his forehead to the floor. The staff attended promptly to John who was found confused and bleeding from a forehead laceration. A CT scan diagnosed John with a mild concussion and extended his hospital stay for five more days. This brought anger from John’s family toward the hospital staff, questioning why such a fall-prevention protocol had not been taken seriously. They filed a complaint against the hospital for negligence. Analysis of Implications of Adverse Event on Stakeholders The adverse event of John’s fall at Springfield General Hospital had wide-ranging implications for all stakeholders. In the immediate implication, John suffered from physical injury, delayed recovery, and emotional distress; in the long term, reduced mobility, increased dependency, and the fear of future falls. His family suffered from emotional turmoil, financial strain, and a loss of trust in the healthcare system. The effect of the incident on the interprofessional team was raised stress, scrutiny, and possibly blame: evidence of poor communication and lapses in safety practice. Hospital-level impacts included reputational damage, financial liabilities, and investments in corrective actions. The community’s confidence in the hospital’s safety standards was also affected and might affect health care-seeking behavior. Assuming that lapses in communication, incomplete patient monitoring, and insufficient adherence to safety protocols were causes of the event. There is also a strong assumption about the robust fall-prevention strategy, including the appropriate time assessment of risk and actual communication among the staff, which may have prevented the incident. Responsibilities include conducting a root cause analysis, providing immediate care, and transparently addressing the event with the patient and family. Preventive measures, including offering necessary training to the staff members, prompt responses to patients’ demands, and documentation improvements, are associated with preventing future incidents (WHO, 2020). This case underlines the interlink between the roles of different stakeholders and their associated requirement of a systemic approach to patient safety. The sequence of Events, Missed Steps, Protocol Deviation The adverse event of John’s fall was a result of deviations in the management rather than his condition. The missed critical steps comprised failure to reassess John’s risk for falling after he reported his feeling of dizziness, failure in communication by the nurses during the shift handover, and a delayed response to the call light. These lapses made John attempt to walk unobserved that led him to fall. Root cause analysis showed that there were lapses in the execution of fall-prevention protocols, including documentation and monitoring. The incident also showed lack of proactive measures by providing assistive devices for John or educating him on importance of raising a request for assistance. Had protocols been painstakingly followed, this would have been prevented. The interprofessional communication failures were central to this incident. Clear and structured handoffs would have communicated the elevated risk of falls with the next shift. Joint work among nurses and the physical therapy group would ensure a safer management of his mobility. The lack of documented real-time expectations and missed chances to address John’s dizziness points out knowledge deficits, specifically not appreciating how transient symptoms like dizziness can progress to an elevated risk of falls. Additional questions remain, such as whether staffing levels or workload contributed to the delayed response and whether the hospital’s fall-prevention training adequately prepared the staff. Addressing these uncertainties could provide deeper insights into preventing such adverse events in the future. Quality Improvement Actions and Technologies To avoid adverse events such as a fall by patients, implementation of evidence-based quality improvement actions and technologies will be required. One major action is routine fall risk assessments, using validated tools like the Morse Fall Scale, to identify which patients have specific risks and manage them appropriately (Kim et al., 2021). Staff members should participate in regular training sessions focused on fall-prevention protocols, including clear pathways and proper footwear,

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