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In a 5–7 page written assessment, define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective. Plan to spend approximately 2 direct practicum hours meeting with a patient, family, or group of your choice to explore the problem and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

  • SUBJECT; DIABETIC FAMILY MEMBER* if you need more detail say the family member is my mother.

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Introduction

This assessment lays the foundation for the work that will carry you through your capstone experience and guide the practicum hours needed to complete the work in this course. In addition, it will enable you to do the following:

· Develop a problem statement for a patient, family, or population that’s relevant to your practice.

· Begin building a body of evidence that will inform your approach to your practicum.

· Focus on the influence of leadership, collaboration, communication, change management, and policy on the problem.

Preparation

In this assessment, you’ll assess the patient, family, or population health problem that will be the focus of your capstone project. Plan to spend approximately 2 hours working with a patient, family, or group of your choice to explore the problem from a leadership, collaboration, communication, change management, and policy perspective. During this time, you may also choose to consult with subject matter and industry experts about the problem (for example, directors of quality or patient safety, nurse managers/directors, physicians, and epidemiologists).

To prepare for the assessment, complete the following:

· Identify the patient, family, or group you want to work with during your practicum. The patient you select can be a friend or a family member. You’ll work with this patient, family, or group throughout your capstone project, focusing on a specific health care problem.

· Begin surveying the scholarly and professional literature to establish your evidence and research base, inform your assessment, and meet scholarly expectations for supporting evidence.

In addition, you may wish to complete the following:

· Review the assessment instructions and scoring guide to ensure that you understand the work you’ll be asked to complete and how it will be assessed.

· Review the , which provides guidance for conducting this portion of your practicum.

Use to define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective and establish your evidence and research base to plan, implement, and share findings related to your project.

Connect with the patient, family, or group you’ll work with during your practicum. During this portion of your practicum, plan to spend at least 2 hours meeting with the patient, family, or group and, if desired, consulting with subject matter and industry experts of your choice. The hours you spend meeting with them should take place outside of regular work hours. Use the provided for this assessment to guide your work and interpersonal interactions. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

· Define a patient, family, or population health problem that’s relevant to your practice.

· Summarize the problem you’ll explore.

· Identify the patient, family, or group you intend to work with during your practicum.

· Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population.

· Explain why this problem is relevant to your practice as a baccalaureate-prepared nurse.

· Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to the patient, family, or population problem you’ve defined.

· Note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice.

· Explain how you would know if the data are unreliable.

· Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem you’ve defined.

· Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem.

· Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.

· Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your practicum.

· Explain how state board nursing practice standards and/or organizational or governmental policies could affect the patient, family, or population problem you’ve defined.

· Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem.

· Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.

· Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of this problem.

· Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the patient, family, or population problem you’ve defined.

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Sample Answer

 

 

 

Relevance to Nursing Practice:

As a nurse, I am deeply concerned about the impact of diabetes on individuals and their families. Diabetes is a chronic condition that requires ongoing management and self-care. Nurses play a crucial role in educating patients, monitoring their health status, and providing support to help them achieve optimal health outcomes. By addressing the challenges faced by my mother, I can gain valuable insights into the complexities of diabetes management and identify opportunities for improvement in patient care.

Evidence-Based Support:

The literature supports the challenges faced by individuals with diabetes. Studies have shown that factors such as lack of knowledge, poor self-management skills, and limited access to healthcare resources can contribute to poor glycemic control and adverse health outcomes. Additionally, research has highlighted the importance of nurse-led interventions in improving diabetes self-management and reducing complications.

Barriers to Evidence-Based Practice:

Several barriers can hinder the implementation of evidence-based practice in diabetes care, including:

  • Limited healthcare access: Individuals with limited access to healthcare may struggle to receive timely and appropriate care.
  • Lack of health literacy: Low health literacy can impede patients’ ability to understand and follow treatment plans.
  • Healthcare provider attitudes and behaviors: Negative attitudes or lack of empathy can impact the patient-provider relationship and hinder effective communication.

Nursing’s Role in Policy Making:

Nurses play a crucial role in shaping healthcare policy. By advocating for policies that support diabetes prevention and management, nurses can improve patient outcomes and reduce healthcare costs. This includes advocating for increased funding for diabetes education and prevention programs, expanded access to affordable medications and medical devices, and improved reimbursement for diabetes self-management education.

Theories and Frameworks:

The Health Belief Model can be applied to understand the factors influencing my mother’s health behaviors. By assessing her perceived susceptibility, severity, benefits, and barriers to adopting healthy behaviors, I can tailor interventions to address her specific needs. Additionally, the Transtheoretical Model can be used to guide behavior change interventions, such as helping my mother progress through the stages of change towards improved self-management.

Impact of Policies and Regulations:

State and federal policies, such as the Affordable Care Act, have expanded access to health insurance and preventive care. However, challenges remain, such as affordability and coverage for essential medications and supplies. Nurses can advocate for policies that improve access to affordable care and support self-management programs.

Leadership Strategies:

To improve outcomes for individuals with diabetes, nurses can:

  • Empower patients: Encourage self-management and decision-making.
  • Collaborate with healthcare teams: Work with physicians, pharmacists, and other healthcare providers to coordinate care.
  • Advocate for policy change: Promote policies that support diabetes prevention and management.
  • Educate the public: Raise awareness about diabetes and its complications.

By addressing these challenges and implementing evidence-based strategies, nurses can help individuals with diabetes achieve optimal health and well-being.

Full Answer Section

 

 

 

 

 

 

Defining the Patient, Family, or Population Health Problem: A Diabetic Family Member

Problem Statement:

My mother, a 65-year-old woman, has been living with Type 2 Diabetes for over a decade. Despite consistent medical care, she struggles with managing her blood sugar levels, leading to complications such as frequent hypoglycemic episodes and delayed wound healing. This situation highlights the challenges faced by individuals with diabetes in adhering to treatment regimens and achieving optimal health outcomes.

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