Role of Health Policies and Regulations Assignment
Note: Expect to spend at least 2 hours with the patient, family, or group you’ll be working with during this portion of your practicum, assessing the health problem you’ve defined from a leadership, collaboration, communication, change management, and policy perspective. This includes time you may elect to spend in consultation with subject matter or industry experts. You’ll report on the results of this work as part of your next assessment.
For this portion of your practicum, consider the following:
• Identify the patient, family, or group you intend to work with.
• Think about what you hope to learn.
o What’s your rationale for choosing this particular patient, family, or group?
• Consider how you’ll present your ideas about the problem to the patient, family, or group and convince them of its significance.
• Which leadership, collaboration, communication, and change management skills will you need to apply in order to work successfully with your chosen patient, family, or group?
• Which potential barriers do you foresee in presenting the problem to this patient, family, or group?
• Which change management strategies might you employ to overcome these barriers?
o For example, you might consider creating a sense of urgency supported by data or policy requirements. Role of Health Policies and Regulations Assignment
Introduction
Nurses in all professional roles work to effect positive patient outcomes and improve organizational processes. Professional nurses are leaders in problem identification, planning, and strategy implementation—skills that directly affect patient care or organizational effectiveness.
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Too often, change agents jump to a conclusion that an intervention will promote the envisioned improvement. Instead, the ideal approach is to determine which interventions are appropriate, based on an assessment and review of credible evidence. Interventions could be patient-facing or involve a change in policy and process. In this assessment, you’ll identify and make the case for your practicum focus area, then explore it in depth from a leadership, collaboration, communication, change management, and policy perspective.
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). Role of Health Policies and Regulations Assignment
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 Practicum Focus Sheet: Assessment 1 [PDF], which provides guidance for conducting this portion of your practicum.
Instructions
Complete this assessment in two parts.
Part 1
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.
Part 2
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 Practicum Focus Sheet [PDF] 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 Core Elms Volunteer Experience Form. Role of Health Policies and Regulations Assignment
Requirements
The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
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. Role of Health Policies and Regulations Assignment
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.
Discuss research on the effectiveness of leadership strategies.
Define the role that you anticipate leadership must play in addressing the problem.
Describe collaboration and communication strategies that you anticipate will be needed to address the problem.
Describe the change management strategies that you anticipate will be required to address the problem.
Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form.
Organize content so ideas flow logically with smooth transitions.
Apply APA style and formatting to scholarly writing.
Additional Requirements
Format: Format your paper using APA style. APA Style Paper Tutorial [DOCX] is provided to help you in writing and formatting your paper. Be sure to include:
A title page and reference page. An abstract is not required.
Appropriate section headings.
Length: Your paper should be approximately 5-7 pages in length, not including the reference page.
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
Define a patient, family, or population health problem that’s relevant to personal and professional practice.
Competency 2: Make clinical and operational decisions based upon the best available evidence.
Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population problem.
Competency 5: Analyze the impact of health policy on quality and cost of care.
Explain how state board nursing practice standards and/or organizational or governmental policies could affect a defined patient, family, or population problem.
Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to a defined patient, family, or population problem and document the practicum hours spent with these individuals or group in the Core Elms Volunteer Experience Form. Role of Health Policies and Regulations Assignment
Competency 8: Integrate professional standards and values into practice.
Organize content so ideas flow logically with smooth transitions.
Apply APA style and formatting to scholarly writing.
Leadership, Collaboration, Communication, Change Management, and Policy Considerations
Improving patient outcomes is a product of various professional nursing strategies. To achieve these outcomes, the agents of change – the nurses – plan and execute the best interventional strategies. Professional nurses identify health problems, assess the problem, plan the interventions to address these problems, and strategize implementation, among other concepts. The purpose of this paper is to identify a health problem and explain how nursing leadership, communication, nursing collaboration, change management, and state and federal policies would affect this health problem.
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Definition of Problem
Obesity and overweight have been health problems worldwide. There has been an exponential increase in rates of obesity and overweight worldwide among younger populations (Kinlen et al., 2018). It has become a global health concern among children and adolescents, thus raising awareness about preventive health (Suh & Kim, 2019). Overweight and obesity place individuals at risk of various diseases, including but not limited to hyperlipidemia, diabetes mellitus, hypertension (Landsberg, 2018), gallstones, sleep apnea, osteoarthritis, and stroke. Mental health complications are also seen with obesity ad overweight (CDC, 2022). Depression and anxiety are the main mental illnesses associated with obesity.
Obesity, as a health problem, is complex and multifaceted. There is no simple solution to this health problem; thus, many healthcare professionals can play certain roles in achieving the prevention health promotion. This health problem requires concerted efforts from other fields of practice at the population level. Global health means local health too and without addressing the local health, the problem becomes a global health concern. At an individual and local level, various actions can be taken to prevent obesity and its related complication. Role of Health Policies and Regulations Assignment
Patient Problem
My patient in this capstone project is called Angie. Angie is a 25-year-old white female who is also a friend. She is the second born in a family of 2 with both parents alive. The father just suffered acute myocardial infarction 3 months ago. The mother had cholecystectomy for symptomatic gallstones five years ago. Two of her maternal uncles are diabetic, and one is hypertensive. Angie just graduated with a bachelor’s degree from the university and hopes to land a job soon. She also hopes to start her family with her fiancé after landing a job. However, she has been worried over information that she got from the internet that suggested she may be infertile. Her last measured weight was 196 pounds, and she is 5”3 tall. Her body mass index (BMI) is 34.7 kg/m2. Objectively, Angie has obesity, class I. She fears that she may get complications that arise from her obesity. Her health problem has not caused her any illnesses so far. On some occasions, she has faced discrimination over her weight – both verbal and behavioral.
Angie’s weight has been a problem for her because she has tried weight-loss interventions but sometimes ends up eating twice the daily number of calories after physical exercises and a period of dieting. Her weight has been rising despite these interventions. From our last discussion with her, she had no evidence of significant depression or anxiety. Her subjective description of her mood and affect were normal, and there were no sleep problems. Her main concern was the positive family history of health complications that had been associated with obesity. Having read on the internet, she fears that she may get obesity, diabetes, and heart diseases in the future. Her current weight and evidence from the literature can substantiate these health problems. Having verbally consented to be included in my capstone project, I intend to work with Angie. Her health problem is relevant to my future practice as a baccalaureate-prepared nurse. She requires preventive, promotive, and curative care that will require a multidisciplinary approach, and as a nurse, my input is relevant in ensuring leadership, collaboration, change management, and communication. Role of Health Policies and Regulations Assignment
Evidence from Literature
Obesity is no longer a disease of adults or a specific race but a global health concern. Individuals with obesity experience psychological, physical, social, and economic issues. According to Moini et al. (2020), obesity has many complications in various body organ systems. These complications are associated with a shorter lifespan and reduced quality of life. Psychosocial problems are related to poor body image, dissemination, low self-esteem, and other people handling these individuals with prejudice. Obese individuals have at once attempted to reduce their weight on their own through dieting and increasing physical activity. Not always do these self-interventions lead to successful outcomes. Sometimes, a phenomenon called weight cycling occurs where these individuals will regain weight after losing.
Angie most likely has weight cycling and is suffering the psychological consequences of obesity. Weight cycling affects the cardiovascular system as well as other organ systems (Moini et al., 2020). Physiological stress and increased cardiovascular disease risks are some of the effects of rapid weight-loss strategies and weight cycling (Artioli et al., 2019). Paradoxically, obesity increases cardiovascular disease risk, while aggressive strategies to treat obesity, such as rapid weight loss, also increase cardiovascular disease risks. Therefore, the plan for weight management requires an evidence-based basis.
Obesity is one of the most known and studied complications of obesity. Recent trends have reported type 2 diabetes among the youthful population. According to Artioli et al. (2019), insulin resistance is responsible for the development of diabetes mellitus type II. In children and adolescents, diabetes mellitus type 2 has been observed and reported in metabolic syndromes. Severe obesity and associated dyslipidemia are also significant complications that affect the young and obese population. Among females, infertility arises from polycystic ovarian syndrome, which is characterized by obesity. Therefore, Angie’s fear is evidence-based, and she needs preventive care. Role of Health Policies and Regulations Assignment
Obesity care is influenced by attuites of caregivers, social perceptions, and those of healthcare professionals. In a study by Darling & Atav (2019), perceptions and attitudes varied between nurses and social workers, influencing the care that their obese patients receive. Depression and anxiety become a menace to these individuals as their obesity progresses. These psychological changes are associated with the social environment and genetic predisposition (Fulton et al., 2022). These items of literature used in substantiating the significance of Angie’s health problem show that obesity is, indeed, a multifaceted problem. They reflect every detail that is seen in obese and overweight. I have observed self-esteem issues and sometimes mood problems in these individuals. Most diabetic or hypertensive adults that I observe design my training are physically heavy and overweight.
Role of Health Policies and Regulations
Federal and state-based policies have been in place to prevent obesity. The government has approached the matter through legislation and health programs. State boards of nursing have implemented these policies at school, in the community, and within health institutions. An example of such policies is the city taxation on unhealthy foods, including sugar. Increment in taxations on sugar aims at reducing its consumption and reducing obesity among consumers. Health laws and programs such as provision by the Child and Adult Care Food Program (CACFP) and US Department of Agriculture (USDA) food policies have been in place to prevent obesity. Nurses, especially community health nurses, should be conversant with these policies and programs when effectuating their interventions at the community health level. The state boards of nursing implement national policies and programs at the state level, thus it is within the nurse’s scope to adhere to state obesity policies and implement these policies in their practice. As a nurse, I will be obliged to participate in policy implementation as well as policy-making as part of the scope of practice in the care of my patient.
Proposed Leadership Strategies
A multidisciplinary approach would confer the best results in the care for Angie. As such, a good team leader will be required for successful patient outcomes. As a clinical nurse leader in this team, leadership strategies for the nurse include care coordination, communication, and collaboration. As a leader, the nurse can first discuss the best management strategies with the patient. This will also include assisting the patient in goal setting and providing the best intervention to achieve these goals. The leader should also connect the patient to the best care professionals that would provide appropriate professional care to achieve the patient’s goals. The final leadership strategy is to coordinate the care for the patient. Therefore, communication and collaboration skills will be required to coordinate Angie’s care for the best outcomes.
Managing the perception and attitude of the care team is also a critical leadership strategy. According to Hitch et al. (2020), efforts to manage obesity inpatients should focus on managing the attitudes and perceptions of those around the patient. Being aware of the risks of obesity and the impact of stigma, discrimination, and stereotyping of obese patients is an essential aspect of clinical nurse leadership (Darling & Atav, 2019). Nursing leadership is, therefore, critical in Angie’s care. Role of Health Policies and Regulations Assignment
Conclusion
This capstone project is about an actual friend called Angie (not her real name) who has obesity with a BMI of 34.7. She has a positive family history of cardiovascular diseases that are usually associated with obesity. She is 25 years old, and she is worried that she may get thee complications in the future. She has tried personal interventions to manage her weight, but she gets weight cycling. She is most concerned about infertility that she read over the internet. Her health problems include the psychological consequences of obesity and the need for preventive health. Evidence from the literature supports the existence of her health problem and the clinical impact of the clinical condition. Therefore, there is to initiate and plan her care to achieve the best outcomes and prevent obesity complications. Her care requires a multidisciplinary approach, and the nurse has a central role in her care. Nursing leadership strategies such as care coordination, communication, and policy implementation. State board of nursing regulations and standards will also impact the role of the nurse in this team as well as the scope of practice. Role of Health Policies and Regulations Assignment
References
Artioli, G. G., Solis, M. Y., Tritto, A. C., & Franchini, E. (2019). Nutrition in Combat Sports. In Nutrition and Enhanced Sports Performance (pp. 109–122). Elsevier. https://doi.org/10.1016/b978-0-12-813922-6.00009-6
CDC. (2022, May 13). Health effects of overweight and obesity. Centers for Disease Control and Prevention. https://www.cdc.gov/healthyweight/effects/index.html
Darling, R., & Atav, A. S. (2019). Attitudes toward obese people: A comparative study of nursing, education, and social work students. Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing, 35(2), 138–146. https://doi.org/10.1016/j.profnurs.2018.07.009
Fulton, S., Décarie-Spain, L., Fioramonti, X., Guiard, B., & Nakajima, S. (2022). The menace of obesity to depression and anxiety prevalence. Trends in Endocrinology and Metabolism: TEM, 33(1), 18–35. https://doi.org/10.1016/j.tem.2021.10.005
Hitch, D., Pazsa, F., & Qvist, A. (2020). Clinical leadership and management perceptions of inpatients with obesity: An interpretative phenomenological analysis. International Journal of Environmental Research and Public Health, 17(21), 8123. https://doi.org/10.3390/ijerph17218123
Kinlen, D., Cody, D., & O’Shea, D. (2018). Complications of obesity. QJM: Monthly Journal of the Association of Physicians, 111(7), 437–443. https://doi.org/10.1093/qjmed/hcx152
Landsberg, L. (2018). Obesity. In Hypertension: A Companion to Braunwald’s Heart Disease (pp. 328–334). Elsevier. https://doi.org/10.1016/b978-0-323-42973-3.00035-4
Moini, J., Ahangari, R., Miller, C., & Samsam, M. (2020). Global health complications of obesity. Elsevier Science Publishing. https://doi.org/10.1016/c2018-0-03363-0
Santoro, N., Giannini, C., & Caprio, S. (2018). Obesity and type 2 diabetes in youths. In Nutritional and Therapeutic Interventions for Diabetes and Metabolic Syndrome (pp. 43–52). Elsevier. https://doi.org/10.1016/b978-0-12-812019-4.00004-0
Suh, S.-H., & Kim, Y.-S. (2019). Childhood obesity: Exercise physiologists’ perspective. In Global Perspectives on Childhood Obesity (pp. 59–78). Elsevier. Role of Health Policies and Regulations Assignment
