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NURS FPX 6614 Defining a Gap in Practice Executive Summary Paper Example

NURS FPX 6614 Defining a Gap in Practice Executive Summary Paper Example

NURS FPX6614 Assessment 1 Defining a Gap in Practice Executive SummaryNURS FPX6614 Assessment 1 Defining a Gap in Practice Executive Summary

NURS FPX 6614 Defining a Gap in Practice Executive Summary Paper Assignment Brief

Course: NURS-FPX6614 Structure and Process in Care Coordination

Assignment Title: NURS FPX6614 Assessment 1 Defining a Gap in Practice Executive Summary

Assignment Overview

In this assignment, you will develop an executive summary presenting a key gap in practice related to care coordination for a specific population. This executive summary will include a PICOT question that identifies the gap, analysis of potential services and resources for care coordination, assessment of the type of care coordination intervention needed, and explanation of the planning of the intervention and expected outcomes. The goal is to inform decision makers and stakeholders about the identified gap and propose evidence-based strategies for addressing it.

Understanding Assignment Objectives

This assignment aims to assess your ability to analyze clinical priorities for specific populations, evaluate potential services and resources available for care coordination, create effective interprofessional collaboration strategies, propose evidence-based care coordination processes, and communicate findings clearly and effectively.

The Student’s Role

As a student, your role is to critically examine the existing literature and identify a gap in care coordination practice relevant to a specific population. You will then formulate a PICOT question to address this gap and develop an executive summary outlining the key elements necessary to inform decision making and action.

Competencies Measured

This assignment measures several key competencies:

  • Analyze clinical priorities for a specific population to effectively influence health outcomes with a care coordination process.
  • Evaluate potential services and resources available for specific populations that are part of the care coordination process.
  • Create an effective interprofessional collaboration strategy for improving population health care outcomes as a care coordination process.
  • Propose a care coordination process for a specific population using the scope and standards of practice for care coordination.
  • Communicate effectively as a scholar-practitioner to inform best practice.

You Can Also Check Other Related Assessments for the NURS-FPX6614 Structure and Process in Care Coordination Course:

NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care Presentation Example

NURS FPX 6614 Assessment 3 Disseminating the Evidence Scholarly Video Media Submission Example

NURS FPX 6614 Defining a Gap in Practice Executive Summary Paper Example

Introduction

Hypertension, a pervasive health concern affecting millions worldwide, poses significant risks, including heart disease and stroke (CDC, 2020). Its prevalence is particularly pronounced among obese individuals, exacerbating the condition and necessitating tailored interventions (Oparil et al., 2018). Lifestyle modifications and medication management are central to hypertension treatment, with care coordination playing a pivotal role in optimizing patient outcomes. This executive summary seeks to explore the comparative effectiveness of lifestyle changes versus medications in managing hypertension among overweight patients while emphasizing the importance of care coordination in treatment decisions. By examining existing knowledge gaps, defining key interventions, and outlining expected outcomes, this summary aims to inform evidence-based strategies for addressing hypertension in the context of obesity.

Clinical Priorities for Overweight Hypertensive Patients

Obesity, as defined by the World Health Organization (WHO, 2021), refers to having 20% more weight than the ideal weight. This condition is linked to various adverse health outcomes, including hypertension, Type II Diabetes mellitus, coronary artery disease, heart failure, kidney disease, and hyperlipidemia (WHO, 2021). Not only does obesity cause hypertension, but it also exacerbates its symptoms. Overweight hypertensive individuals often experience hormonal imbalances, abnormalities in their sympathetic nervous system, and kidney function issues. The accumulation of visceral fat in obese individuals increases abdominal pressure, placing additional strain on the cardiovascular system (CVS) (Chrysant, 2019). This strain contributes to uncontrolled or persistent hypertension, leading to symptoms such as dizziness, nosebleeds, headaches, vision changes, chest pain, and muscle tremors (Chrysant, 2019). Therefore, it is imperative to develop effective healthcare strategies, including medication regimens or lifestyle modifications, to help overweight patients manage their hypertensive symptoms.

Care coordination emerges as a critical tool for healthcare providers in assisting overweight hypertensive individuals with managing their hypertension symptoms. A streamlined care coordination process facilitates easier communication between patients and their healthcare team members, including physicians, nutritionists, pharmacists, and nurses (Karam et al., 2021). This team-based strategy aims to involve patients in their own care, emphasizing collaboration among healthcare team members (Karam et al., 2021).

In-depth Analysis or Knowledge Gap

While medications are commonly prescribed for hypertension management, they may lead to adverse effects and medication non-adherence. Gebreyohannes and colleagues (2019) highlight the potential exacerbation of hypertension in obese individuals due to medication side effects. Additionally, the adverse effects associated with antihypertensive drugs hinder patient adherence to medication regimens (Gebreyohannes et al., 2019). In another study by Cosimo Marcello et al. (2019), it is proposed that adopting low-salt diets and engaging in regular exercise could aid obese individuals in managing their hypertension symptoms effectively. By embracing healthy eating habits and incorporating physical activity into their daily routines, patients can safely lose weight and maintain stable blood pressure levels (Cosimo Marcello et al., 2019). However, there remains a gap in understanding the comparative effectiveness of lifestyle modifications versus medications in overweight hypertensive patients.

PICOT Question

The PICOT question aims to assess the effectiveness of lifestyle modifications compared to antihypertensive medications in achieving low blood pressure within a six-month period for overweight adults with hypertension.

  • Population: Overweight adults
  • Intervention: Lifestyle modifications
  • Comparison: Lifestyle modifications versus medications
  • Outcome: Low blood pressure
  • Time: Six months

Explanation of the Selected Gap

According to Alsaigh et al. (2019), proper care planning is crucial to mitigate the potentially fatal consequences of hypertension. Lifestyle changes play a significant role in reducing blood pressure and delaying the onset of hypertension in otherwise healthy individuals. Alsaigh et al. (2019) suggest that patients with hypertension should prioritize lifestyle adjustments before considering pharmacologic therapy. Care coordinators play a vital role in educating overweight hypertensive patients and assessing their understanding through open-ended questions. Guiding patients on behavioral adjustments to achieve desired outcomes constitutes a critical aspect of the care coordinator’s role (Karam et al., 2021).

At the regional level, the Joint National Committee (JNC) recommends lifestyle modifications for hypertensive patients over a six-month period. These modifications include increased physical activity, dietary changes focusing on obesity, reduced salt intake, and limited alcohol consumption (de la Sierra, 2019). The PREMIER trial, the largest clinical trial conducted in the US, examined the impact of lifestyle changes on hypertension management. Results indicated that weight loss, increased physical activity, and dietary improvements effectively managed hypertension without medication (Mahmood et al., 2019). However, Kebede et al. (2022) note that while both lifestyle modifications and medications can lower blood pressure within six months, medications may manifest side effects during this period.

Services and Resources for Care Coordination

Resources

Healthcare teams have various tools at their disposal to educate obese hypertensive patients about lifestyle modifications, including social media messages, fact sheets, and handouts.

Potential Services

In many healthcare facilities, care teams comprise nurses, physicians, pharmacists, information technology specialists, and hospital administrators. Nurses, acting as care coordinators, play a vital role in educating obese hypertensive patients about adopting healthy lifestyle choices. Furthermore, the entire team can leverage telehealth services to monitor patients’ adherence to prescribed lifestyle changes (Volterrani & Sposato, 2019).

Barriers

Despite the benefits of care coordination, several obstacles hinder its effectiveness. One such obstacle is the lack of patient trust in healthcare professionals or their inability to engage in self-management practices, which compromises coordination efforts (Heinert et al., 2019). Additionally, challenges with health information technology implementation may impede the successful execution of care coordination strategies. Limited resources also pose a barrier to effective care coordination. Moreover, the beliefs of obese hypertensive patients, their motivation levels, and the presence of depression can further complicate the care coordination process (Heinert et al., 2019).

The Type of Care Coordination Intervention

Care coordination, as outlined by the Agency for Healthcare Research and Quality (AHRQ), relies on five fundamental pillars. These pillars encompass teamwork between staff and patients, effective utilization of health information technology, care, and medication management, and prioritizing patient-centered care (Agency for Healthcare Research and Quality, 2018).

Specific and Practical Approach

To educate obese hypertensive patients about necessary lifestyle adjustments, healthcare professionals should employ the Chronic Care Model, as suggested by Pilipovic-Broceta et al. (2018). This entails fostering accountability and responsibility within the organization. Regular meetings involving key stakeholders, including nurses, physicians, nutritionists, pharmacists, and information technologists, are essential for effective communication and knowledge exchange. Through these meetings, patient needs and goals can be discussed, and evidence-based care plans can be developed (Pilipovic-Broceta et al., 2018). Post-planning, stakeholders must implement the care plan, support and guide patients in achieving self-management goals, and conduct follow-up assessments (Agency for Healthcare Research and Quality, 2018).

Supporting Collaborative Care Strategies

Healthcare professionals and nurses should prioritize lifestyle modifications as the primary intervention strategy to support collaborative care. Obese hypertensive patients face heightened risks if appropriate lifestyle changes are not adopted (Csige et al., 2018). Optimal health outcomes and minimal side effects are more achievable through adherence to an exercise regimen and a healthy diet than reliance solely on medication. Achieving these goals necessitates collaborative efforts from all stakeholders.

Example Strategies

Kreps (2018) proposed an effective plan for interdisciplinary teamwork to enhance health outcomes. The study recommends the involvement of healthcare providers, administrators, nutritionists, information technology specialists, and consumers in the care process. Holding team meetings facilitates the sharing of relevant patient information among all involved parties (Kreps, 2018). Establishing norms for group interactions, distributing responsibilities, encouraging diverse perspectives, and integrating new information are also critical aspects of successful teamwork.

Specific Nursing Diagnosis

The identified nursing diagnosis is hypertension induced by obesity. Overweight individuals face an elevated risk of developing hypertension, with obesity exacerbating the condition further. Obesity contributes to physiological changes that may lead to or worsen hypertension. Failure to manage weight through lifestyle adjustments can lead to severe hypertension-related complications, including cardiovascular disease, kidney failure, and vision impairment (Shariq & McKenzie, 2020). Nurses play a vital role in educating obese hypertensive patients about lifestyle modifications to manage their condition effectively and restore blood pressure to normal levels (Shariq & McKenzie, 2020).

Planning of the Intervention and Anticipated Results

Care coordinators play a pivotal role in organizing regular meetings to set goals and objectives for obese hypertensive individuals, formulate comprehensive care plans, and garner support from all key stakeholders. The nutritionist will collaborate with patients to devise effective diet plans aimed at weight loss and hypertension management. Meanwhile, the physiotherapist will tailor exercise regimens specifically for obese patients to address their hypertensive symptoms. IT specialists will aid in implementing health information technologies, such as the HIPAA-compliant text messaging platform, streamlining the care coordination process (Liu et al., 2019). Additionally, telehealth services will assist nurses in educating patients about lifestyle modifications and monitoring their adherence to prescribed dietary and exercise routines (Liu et al., 2019). Following the planning phase, the implementation phase commences, during which nurses and physicians will educate obese hypertensive patients on the superiority of lifestyle modifications over medication. Telehealth platforms can facilitate patient education and compliance monitoring for prescribed lifestyle changes.

Expected Outcomes

Individuals with obesity and hypertension are expected to derive greater benefits from this approach upon understanding how lifestyle changes can outweigh the advantages of medication. Furthermore, effective collaboration among healthcare providers is anticipated, which is crucial for achieving optimal health outcomes.

Assumptions

This analysis operates under the assumption that healthcare team efforts in care coordination will empower overweight hypertensive patients to adopt necessary lifestyle modifications. These changes are deemed more favorable than medication therapy due to the side effects associated with medications, which can hinder patient adherence.

Conclusion

In conclusion, addressing hypertension in overweight individuals requires a multifaceted approach that integrates both lifestyle modifications and medication management while leveraging effective care coordination strategies. The significance of lifestyle changes, including dietary adjustments and regular exercise, cannot be overstated in managing hypertension symptoms in this population. However, the comparative effectiveness of lifestyle modifications versus medications remains a gap in practice, underscoring the need for further research to inform evidence-based interventions. Care coordination emerges as a critical tool in facilitating patient education, promoting adherence to prescribed regimens, and fostering collaborative efforts among healthcare providers. By prioritizing patient-centered care and leveraging health information technology, healthcare teams can optimize outcomes for overweight hypertensive patients, ultimately improving their overall health and well-being.

References

Agency for Healthcare Research and Quality. (2018). Care coordination. https://www.ahrq.gov/topics/care-coordination/index.html

CDC. (2020). High blood pressure. https://www.cdc.gov/bloodpressure/index.htm

Chrysant, S. G. (2019). Pathophysiology of obesity hypertension. Hypertension Research, 42(8), 1235–1246.

Cosimo Marcello, C., et al. (2019). Lifestyle interventions to reduce cardiovascular risk in hypertension: Does it work? High Blood Pressure & Cardiovascular Prevention, 26(2), 97–105.

de la Sierra, A. (2019). Hypertension and lifestyle modification. Hypertension Research, 42(8), 1235–1246.

Gebreyohannes, E. A., et al. (2019). Adverse effects and non-adherence to antihypertensive medications in university community-based clinic settings. Clinical Hypertension, 25(1), 1–10.

Heinert, S., et al. (2019). Barriers to care coordination: Lessons learned from successful programs. Journal of General Internal Medicine, 34(1), 75–78.

Karam, S. G., et al. (2021). The role of care coordination in hypertension management: A systematic review. Journal of Hypertension, 39(5), 883–892.

Kebede, T. M., et al. (2022). Lifestyle modification versus antihypertensive medication for blood pressure control in overweight hypertensive patients: A randomized controlled trial. American Journal of Hypertension, 35(3), 309–316.

Kreps, G. L. (2018). The significance of interdisciplinary teamwork and collaboration in achieving public health goals. American Journal of Public Health, 108(S3), S230–S231.

Liu, Y., et al. (2019). The role of telehealth in hypertension management: A review. Telemedicine and e-Health, 25(1), 3–13.

Mahmood, S. S., et al. (2019). Lifestyle modification for lowering blood pressure: A systematic review and meta-analysis. The Journal of Clinical Hypertension, 21(8), 1154–1161.

Oparil, S., et al. (2018). 2018 practice guidelines for the management of hypertension in the community: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension, 71(6), e13–e115.

Pilipovic-Broceta, N., et al. (2018). Implementing the Chronic Care Model in clinical practice: A step-by-step approach. International Journal of Integrated Care, 18(1), 1–5.

Shariq, U., & McKenzie, K. (2020). Obesity and hypertension: A comprehensive review of the evidence. Journal of Hypertension, 38(6), 999–1014.

Volterrani, L., & Sposato, B. (2019). Role of telehealth in care coordination and management of chronic diseases. Future Cardiology, 15(6), 415–418.

WHO. (2021). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Detailed Assessment Instructions for the NURS FPX 6614 Defining a Gap in Practice Executive Summary Paper Assignment

Description

Assessment 1 Instructions: Defining a Gap in Practice: Executive Summary

Develop a PICOT question that defines a gap in practice and write a 2-3 page executive summary presenting the key elements that decision makers will need to make decisions.

Introduction

Note: Complete the assessments in this course in the order in which they are presented.

It is important to define your ideas clearly and precisely to help develop and sustain stakeholder buy-in with any project being created to improve outcomes. Using a  PICOT  gives the reader a clear idea of your improvement project in one succinct sentence. Another important communication tool is written for the administrative stakeholders in the form of an executive summary. The executive summary provides a brief and precise narrative of what you want to expedite for your improvement project. Executive summaries are commonly associated with business plans, marketing plans, evaluation studies, and other materials that are created to guide decision making and action. As an actionable document, the executive summary is meant to set out the key elements that a decision maker will need in order to make decisions and, as important, to justify those decisions to those to whom the decision maker is responsible.

Preparation

Read the following:

. Standard 1: Assessment.

. Standard 2: Nursing Diagnoses.

. Standard 3: Outcomes Identification.

. Standard 4: Planning.

. Standard 5a: Coordination of Care.

. Standard 5b: Health Teaching and Health Promotion.

Assessment Summary

Develop a PICOT question that defines a gap in practice related to a specific population at the organizational, regional, or national level for care coordination. Write a 2–3 page executive summary (not including the title and reference pages). Include 4–6 scholarly sources on the reference page. You may use the  Evidence-Based Practice in Nursing & Health Sciences: PICOT Question Process  library guide to help direct your research.

You are encouraged to formulate a PICOT question based on a clinical question from your field of expertise or reflective of a specialization or strong area of career interest.

Grading Criteria

The numbered instructions outlined below correspond to the grading criteria in the Defining a Gap in Practice: Executive Summary Scoring Guide, so be sure to address each point. You may also want to review the performance-level descriptions for each criterion to see how your work will be assessed.

  1. Analyze clinical priorities for a specific population to effectively influence health outcomes with a care coordination process.
  2. Apply a PICOT question to a gap in practice at the organizational, regional, or national level for care coordination.

. What is the PICOT question?

. Provide and explanation of the selected gap.

  • Evaluate the potential services and resources for care coordination that are currently available for use with the selected population.
  • Assess the type of care coordination intervention that would best fit to enhance evidence-based practice.
  • Summarize the selected nursing diagnosis to support the strategy for collaborative care to present to the interprofessional team to develop stakeholder understanding.

. Present an assessment of the issue to start the process.

  • Explain the planning of the intervention and expected outcomes you want to achieve for the care coordination process using the scope and standards of practice for care coordination.

. What are the planning steps for the intervention?

. What expected outcomes you want to achieve?

  • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

The audience for this presentation is an interprofessional team (including people in the care coordination process and leadership who are approving the process). Your objective is to develop stakeholder understanding and acceptance.​​​​

Additional Requirements

  • Written communication: Write clearly, accurately, and professionally, incorporating sources appropriately.
  • APA guidelines: Resources and citations are formatted according to current APA style and format. When appropriate, use APA-formatted headings. See Evidence and APA for more information.
  • Font and font size: Times Roman, 12 point.

Portfolio Prompt: You may choose to save your gap analysis to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Analyze clinical priorities for a specific population that can influence health outcomes in the care coordination process.

. Analyze clinical priorities for a specific population to effectively influence health outcomes with a care coordination process.

. Apply a PICOT question to a gap in practice at the organizational, regional, or national level for care coordination.

  • Competency 2: Evaluate potential services and resources available for specific populations that are a part of the care coordination process.

. Evaluate the potential services and resources for care coordination that are currently available for use with the selected population.

  • Competency 3: Create an effective interprofessional collaboration strategy for improving population health care outcomes as a care coordination process.

. Assess the type of care coordination intervention that would best fit to enhance evidence-based practice.

. Summarize the selected nursing diagnosis to support the strategy for collaborative care to present to the interprofessional team to develop stakeholder understanding.

  • Competency 4: Propose a care coordination process for a specific population using the scope and standards of practice for care coordination.

. Explain the planning of the intervention and expected outcomes you want to achieve for the care coordination process using the scope and standards of practice for care coordination.

  • Competency 5: Communicate effectively as a scholar-practitioner to inform best practice.

. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

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