NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Name

Capella university

NURS-FPX 4900 Capstone project for Nursing

Prof. Name

Date

Intervention Presentation and Capstone Video Reflection

Hello, I am _______, a baccalaureate nurse. Today, I will present insights from my capstone project on the prevalent issue of Hypertension (HTN). HTN is a significant health challenge that affects individuals’ well-being. The development of HTN is complex and multifactorial, arising from genetic predisposition, lifestyle habits, dietary choices, and environmental influences. It has a profound impact on cardiovascular and mental health, adversely affecting critical organs such as the heart, kidneys, and brain (Defianna et al., 2021).

This capstone project focuses on Edward, a 46-year-old patient diagnosed with HTN, emphasizing a patient-centered approach at Stanford Medical Center (SMC) Minnesota. Healthcare providers aimed to improve Edward’s quality of life and satisfaction by implementing a personalized, coordinated care plan. Utilizing transformational leadership and integrating technology, they effectively managed Edward’s critical condition, resulting in positive outcomes. This study explores Edward’s evaluation of the plan’s execution and its impact. It is supported by adherence to policies such as the Minnesota Board of Registered Nursing (NPA). Lastly, I will discuss how this capstone project has enriched both my personal and professional development, enhancing the quality of my clinical practice.

Intervention Effects on Patient Satisfaction and their Life-Quality

The interventions executed to address Edward’s HTN have enhanced his satisfaction and well-being. These interventions include managing HTN through approaches like the Dietary Approaches to Stop Hypertension (DASH) diet, Physical Activity Counseling (PAC) programs, and behavioral change counseling (Junior et al., 2020). Feedback from Edward and his family was overwhelmingly positive, highlighting the significant impact of these interventions.

This included using telehealth for video consultations and utilizing wearable devices to monitor BP (Theodoridis et al., 2023). The intervention seamlessly integrated medication reminders to improve HTN management. Educational support strengthened their understanding of HTN, empowering individuals to manage complications. For example, this initiative aimed to enhance self-management, leading to improved HTN management by promoting a healthy diet and physical activity. Healthcare professionals employ a coordinated care approach, customizing treatment plans to meet each patient’s unique needs, building trust, and improving outcomes (Junior et al., 2020).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

In the coordinated care approach, healthcare experts devised a personalized treatment plan tailored to Edward’s specific needs and preferences using the ADKAR change model. This method involved ensuring Edward was informed about the intervention, focusing on his unique requirements, and providing a mutual understanding of the DASH diet. By implementing this customized strategy, the effectiveness of Edward’s HTN management improved, building his confidence and trust in his healthcare team (Samanta et al., 2023).

Edward expressed a desire to take responsibility for his health (D), representing a willingness to adhere to a healthy diet and adopt healthier behaviors. Moreover, integrating community resources such as educational programs and support groups provided Edward with valuable knowledge (K) and social support. He appreciated the ability (A) to access educational resources more conveniently through telehealth platforms and wearable devices for remote BP monitoring.

These technological supports facilitated timely interventions and reinforcement (R) of his treatment plan, reducing the need for frequent clinic visits while ensuring continuous care provision (Samanta et al., 2023). These interventions enhanced Edward’s experience by promoting convenience, personalized care, empowerment, and improved health outcomes. They positively impacted his family by alleviating concerns and ensuring Edward’s well-being, contributing to his enhanced quality of life. Edward expressed satisfaction with the intervention, observing a significant improvement in his well-being.

Using Peer-Reviewed Literature and Evidence for Planning and Implementation

Scholarly articles were integral in updating Evidence-Based Practice (EBP) throughout the capstone project. Edward benefited from engagement with an interdisciplinary healthcare team comprising nurses, physicians, cardiologists, and nutritionists, facilitating coordinated care interventions. I extensively relied on evidence and literature to ensure a solid foundation and effective implementation during both the planning and execution phases. The CRAAP test covers Currency, Reliability, Accuracy, Authority, and Purpose, guiding the evaluation of peer-reviewed information related to HTN (Ali et al., 2023).

Utilizing reputable databases like PubMed and esteemed organizations such as the Centers for Disease Control and Prevention (CDC) ensured the reliability (R) of the literature (CDC, 2023). It provided EBP for managing Edward’s HTN, which was renowned for its accuracy (A) and efficacy. The research focused on publications from the last five years to maintain currency (C), gathering insights from authoritative authors to establish credibility (A) with the purpose (P) of optimizing HTN management through strategies like the DASH diet, PAC programs, and lifestyle modifications (Ali et al., 2023; Junior et al., 2020).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

During the initial planning stages of a transformative care plan aimed at achieving long-term positive outcomes, continuous monitoring of BP to track HTN was prioritized. Smartwatches and other wearable devices were recommended for monitoring BP, heart rate, and physiological responses. Edward responded favorably to the convenience of these monitoring methods and expressed satisfaction with the intervention plan. Furthermore, lifestyle modifications were informed by the latest evidence-based research, directly addressing Edward’s unhealthy dietary habits and behaviors (Giansanti, 2024).

The Transtheoretical Model (TTM) was employed, integrating its stages of change, which have proven effective in managing Edward’s HTN. This model recognizes patients’ initial unawareness of their health issues and resistance to change. In subsequent stages, individuals contemplate behavioral changes, prepare through resource gathering, and take action (Matsuzaki et al., 2021). Initially unaware of the severity of his condition and resistant to change, Edward was able to comprehend, consider, and adhere to treatment guidance through educational programs and community support. For instance, the HTN management plan included the DASH diet and behavioral lifestyle adjustments, effectively controlling HTN (Arend et al., 2022). The DASH diet prioritizes fruits, vegetables, and low-fat dairy to mitigate HTN risks. PAC programs promote physical activity and lifestyle changes to enhance heart health and reduce BP in hypertensive patients (Matsuzaki et al., 2021). 

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Literature-based evidence facilitated the implementation of this intervention, prioritizing cost-effectiveness as a central goal. Utilizing telehealth services for remote monitoring reduced the need for frequent clinic visits, saving Edward time and transportation costs. A coordinated approach to HTN management involves healthcare providers across various disciplines to minimize complications and associated healthcare expenditures, including emergency department visits. Furthermore, educational support and community resources such as the American Heart Association (AHA) and the YMCA Blood Pressure Self-Monitoring Program, along with online peer-support groups, empowered the patient to self-manage HTN through education and support, thereby reducing healthcare service costs (AHA, 2024; The YMCA, 2024).

To Improve Outcomes Degree to Leveraged Healthcare Technology

In my planned approach, I effectively utilized technology to enhance outcomes and streamline interactions with Edward and his healthcare team. By integrating telehealth platforms and digital monitors for remote tracking of BP and cholesterol, the medical staff improved the convenience, accessibility, and proactive management of HTN. Utilizing wearable devices like smartwatches enabled real-time monitoring of Edward’s BP, facilitating prompt interventions and adjustments to his treatment plan. Video consultations and follow-ups facilitated efficient communication between Edward and the healthcare team (Giansanti, 2024).

The integration of Health Information Technology (HIT), such as Electronic Medical Records (EMR) and telehealth platforms, enables real-time monitoring of patients like Edward, facilitating prompt interventions and personalized care adjustments. Research suggests that these technologies enhance care quality by ensuring precise data recording, improving communication among healthcare providers, and reducing medical errors (Hare et al., 2021). EMRs were utilized for coordination, allowing for documentation, feedback collection, progress tracking, and timely addressing of concerns preventing medical errors. This technological integration improved Edward’s engagement, allowing him to monitor his progress actively and access educational resources and reminders (Li et al., 2022).

Opportunities for improvement include ensuring that technology is accessible to all patients managing conditions like HTN. Additionally, an inclusive EMR system is crucial for effective HTN management, providing security and coordination among healthcare providers. The project highlighted the importance of modifying educational materials to enhance patients’ languages, cultures, and beliefs for complete care. Continuous staff training in emerging skills such as Artificial Intelligence (AI) and Machine Learning (ML) should be implemented following adequate resource allocation and staff preparation to enhance outcomes (Visco et al., 2023).

Capstone Project Planning and Implementation Influenced by Health Policy

The development and implementation of a personalized and coordinated care plan for managing Edward’s HTN have been guided by various medical guidelines. The Minnesota board of nursing has played a crucial role in shaping healthcare practices, education, and policy priorities in promoting patient-centered care. This has significantly influenced the coordinated approach undertaken in the capstone project. Furthermore, the Minnesota Nursing Practice Act (NPA) by the Minnesota Board of Registered Nursing emphasis on ethical decision-making has promoted Edward’s active involvement, ensuring the principles of autonomy and justice are upheld. By adhering to Minnesota nursing board guidelines, evidence-based practices have been integrated into Edward’s tailored HTN treatment plan (Minnesota Board of Nursing, n.d.).

The Affordable Care Act (ACA) supports Edward by expanding access to telehealth services for HTN management, offering convenient and cost-effective treatment tailored to his specific needs. This initiative aims to improve Edward’s access to affordable healthcare services, which is aligned with ACA initiatives such as Medicaid expansion and efforts focused on achieving positive health outcomes (Angier et al., 2020). Moreover, compliance with the Health Insurance Portability and Accountability Act (HIPAA) is crucial in managing HTN to safeguard Edward’s privacy and confidentiality.

Nurses must strictly adhere to HIPAA regulations when utilizing telehealth platforms EMR, ensuring the protection of sensitive health information and promoting secure communication (Gyamfi et al., 2022). Additionally, guidelines from the AHA and the YMCA Blood Pressure Self-Monitoring Program provided valuable insights for the project. It offers suggestions on key focus areas, such as DASH diet and medication management, which were integrated into Edward’s personalized treatment plan (AHA, 2024; The YMCA, 2024).

Role of Nurses in Implementation

I actively contributed to support Edward’s HTN management within my nursing practice. Nurses carefully followed Minnesota Nursing Practice Act (NPA) guidelines, emphasizing patient-centered care, EBP, and ethical standards during interventions. Nurses adhered to ACA and HIPAA regulations, designing accessible and cost-effective interventions while ensuring regulatory compliance (Angier et al., 2020). By applying HTN management guidelines, nurses promoted evidence-based strategies, enriching policy development and improving patient outcomes and satisfaction. I integrated EBP to tailor a comprehensive HTN treatment plan that was aligned with Minnesota Nursing Practice Act (NPA)  standards and personalized to meet the patient’s specific needs (Gyamfi et al., 2022).

Outcomes of Project

My capstone project outcomes closely aligned with my initial expectations upon evaluation. The intervention strengthened Edward’s management of HTN, leading to evident improvements in his health. Critical measures of effective management included maintaining stable BP levels monitored through wearable devices and mitigating cardiovascular risks through regular health checks. Edward experienced improvements in lifestyle adjustments and dietary modifications, underscoring the intervention’s positive influence on his quality of life (Arend et al., 2022).  

With evidence-based strategies, integrated technology, coordinated healthcare, and community support, the HTN intervention demonstrates broad applicability and potential as a best-practice model. Implementing the DASH diet for HTN management significantly enhances patient outcomes (Arend et al., 2022). Its patient-focused approach can be tailored for diverse healthcare environments, benefiting individuals with similar health challenges like diabetes mellitus, congestive heart failure, and hyperlipidemia. These conditions, like HTN, can benefit from personalized and coordinated care approaches, empowering patients through technology and education, including effective coping strategies. Therefore, taking proactive measures to mitigate risks associated with health conditions such as HTN and diabetes can lead to effective management (Defianna et al., 2021).

Practicum Hours Spent

During the practicum, I allocated three hours to Edward, concentrating on documenting, implementing, and assessing interventions for HTN management. By the end of nine practicum hours, I engaged directly with Edward and his family, discussing various aspects of his health, such as health issues, financial constraints, and strategies for maintaining a healthy diet. This thorough comprehension enabled healthcare providers, including myself, to develop a customized care plan aligned with Edward’s preferences. The assessment process integrated telehealth services, input from Edward and his family, and remote monitoring data from wearable devices, ensuring streamlined management.

Professional and Personal Growth

The planned intervention and implementation of the RN-to-BSN development marked a pivotal achievement in my nursing career, indicating personal and professional development. Throughout the program, I explored nursing theories, EBP, leadership principles, and healthcare policies more deeply. Applying these insights in the capstone project, I devised, implemented, and evaluated an intervention personalized to address Edward’s requirements for managing HTN. Collaborating with healthcare experts, utilizing community resources, and upholding ethical standards enriched my professional network, improved my communication skills, and strengthened the importance of patient-centered care. 

Leadership in care coordination, change implementation, and outcome evaluation has enhanced my leadership skills and decision-making abilities. I now possess the confidence to effectively manage conditions like HTN and diabetes mellitus through practical strategies I have developed. Furthermore, I efficiently manage my healthcare with best practices and guide my family toward making healthy choices. Additionally, I have created a deep appreciation for the importance of privacy and security in healthcare information, prompting me to exercise vigilance. Continuous self-reflection and a steadfast commitment to ongoing learning have been essential to my personal and professional growth throughout this transformative journey.

Conclusion

The capstone project on HTN at SMC underscored the importance of patient-centered care. Edward’s personalized intervention, integrating advanced technology, led to substantial improvements in his health outcomes. It also demonstrated the essential principles of evidence-based practice, ethical standards, and ongoing learning in nursing. Additionally, effective HTN dietary management played a crucial role in his care plan.

References

AHA. (2024). High blood pressure. American Heart Association. https://www.heart.org/en/health-topics/high-blood-pressure

Ali, S. M., Bakht, Jan, Alam, I., Almajwal, A., Osaili, T. M., r Obaid, Faris, M. E., Ismail, L., Najah, F., Radwan, H., Hasan, H., Hashim, M., Sharifa AlBlooshi, Bismillah Sehar, & Zeb, F. (2023). An innovative state-of-the-art health storytelling technique for better management of type 2 diabetes. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1215166

Angier, H., Huguet, N., Ezekiel-Herrera, D., Marino, M., Schmidt, T., Green, B. B., & DeVoe, J. E. (2020). New hypertension and diabetes diagnoses following the affordable care act medicaid expansion. Family Medicine and Community Health, 8(4), e000607. https://doi.org/10.1136/fmch-2020-000607

Arend, A., Vasquez, K. S., Guishard, D., Naji, M., Ronning, A., Alexander, G., Vasquez, D., Sylvester, C., Pagano, W., Khalida, C., Coffran, C., Ezeonu, T., Fofana, K., Bielopolski, D., Vaughan, R., Qureshi, A., Tobin, J. N., & Kost, R. G. (2022). Implementing DASH-aligned meals and self-measured blood pressure to reduce hypertension at senior centers: A RE-AIM analysis. Nutrients, 14(22), 4890. https://doi.org/10.3390/nu14224890

CDC. (2023). High blood pressure (Hypertension) information. CDC.gov. https://www.cdc.gov/bloodpressure/index.htm

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Defianna, S. R., Santosa, A., Probandari, A., & Dewi, F. S. T. (2021). Gender differences in prevalence and risk factors for hypertension among adult populations: A cross-sectional study in Indonesia. International Journal of Environmental Research and Public Health, 18(12), 6259. https://doi.org/10.3390/ijerph18126259

Giansanti, D. (2024). Joint expedition: Exploring telehealth and the digital healthcare landscape as a team integration. Healthcare, 12(5), 585–585. https://doi.org/10.3390/healthcare12050585

Gyamfi, J., Cooper, C., Barber, A., Onakomaiya, D., Lee, W.-Y., Zanowiak, J., Mansu, M., Diaz, L., Thompson, L., Abrams, R., Schoenthaler, A., Islam, N., & Ogedegbe, G. (2022). Needs assessment and planning for a clinic-community-based implementation program for hypertension control among blacks in New York city: A protocol paper. Implementation Science Communications, 3(1). https://doi.org/10.1186/s43058-022-00340-z

Hare, A. J., Chokshi, N., & Adusumalli, S. (2021). Novel digital technologies for blood pressure monitoring and hypertension management. Current Cardiovascular Risk Reports, 15(8). https://doi.org/10.1007/s12170-021-00672-w

Junior, A. E., Macêdo, G. A. D., Schwade, D., Sócrates, J., Alves, J. W., Farias-Junior, L. F., Freire, Y. A., Lemos, T. M. A. M., Browne, R. A. V., & Costa, E. C. (2020). Physical activity counseling for adults with hypertension: A randomized controlled pilot trial. International Journal of Environmental Research and Public Health, 17(17), 6076. https://doi.org/10.3390/ijerph17176076

Li, D., Luo, M., Liu, Y., Dong, J., Wang, G., Li, X., Yang, L., Wang, J., & Cao, P. (2022). Increased rates of health management and health education on hypertension and diabetes in inner Mongolia, China: 10-year population level trends (2009–2018). International Journal of Environmental Research and Public Health, 19(20), 13048–13048. https://doi.org/10.3390/ijerph192013048

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Matsuzaki, K., Fukushima, N., Saito, Y., Matsumoto, N., Nagaoka, M., Katsuda, Y., & Miura, S. (2021). The effects of long-term nutrition counseling according to the behavioral modification stages in patients with cardiovascular disease. Nutrients, 13(2), 414. https://doi.org/10.3390/nu13020414

Minnesota Board of Nursing. (n.d.). Other Minnesota statutes pertaining to nurses. Mn.gov. https://mn.gov/boards/nursing/laws-and-rules/related-laws/related-laws-nurses.jsp   

Samanta, Varaprasad, Gurumurthy, & Antony, J. (2023). Implementing lean six sigma in a multispecialty hospital through a change management approach. The Tqm Journal. https://doi.org/10.1108/tqm-02-2023-0043

The YMCA. (2024). Blood pressure self-monitoring. Www.ymca.org. https://www.ymca.org/what-we-do/healthy-living/fitness/self-monitoring

Theodoridis, X., Chourdakis, M., Chrysoula, L., Chroni, V., Tirodimos, I., Dipla, K., Gkaliagkousi, E., & Triantafyllou, A. (2023). Adherence to the DASH diet and risk of hypertension: A systematic review and meta-analysis. Nutrients, 15(14), 3261. https://doi.org/10.3390/nu15143261

Visco, V., Izzo, C., Mancusi, C., Rispoli, A., Tedeschi, M., Virtuoso, N., Giano, A., Gioia, R., Melfi, A., Serio, B., Rusciano, M. R., Di Pietro, P., Bramanti, A., Galasso, G., D’Angelo, G., Carrizzo, A., Vecchione, C., & Ciccarelli, M. (2023). Artificial intelligence in hypertension management: An ace up your sleeve. Journal of Cardiovascular Development and Disease, 10(2), 74. https://doi.org/10.3390/jcdd10020074