NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

Assessment Overview

A concise capstone summary of a 60-year-old case with fasting glucose of 280 mg/dL and A1c of 10 (type 2 diabetes)—the design focuses on nursing-led, validation-predicated operation through DSMES, life change, remote monitoring, medicine adherence, interprofessional collaboration, and policy/leadership considerations to meliorate issues and reduce walls.

What’s Included:

Sample Assessment Paper

Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

NURS FPX 4900 Assessment 1:In this assessment, I will assess the population health problem of smoking. This paper will primarily examine the leadership necessary for promoting smoking cessation, as well as the need for collaboration and communication to achieve the desired results. We’ll also emphasize the perpetration of a change operation strategy to encourage tobacco smokers to quit. Originally, the focus is on programs that impact tobacco use and ameliorate health conditions.

Tobacco Use and Smoking Cessation: A Population Health Concern

This design will address the population health concern of smoking cessation due to the significant use of tobacco products. A group of immature boys who have been using tobacco products for a long time are admitted to the Dignity Health-California Hospital Medical Center due to emphysema. As part of my regular duties in the respiratory ward, I approached these boys, all of whom had a strong history of tobacco use. Now, as their health condition is worsening, they are willing to quit smoking and have a healthier life.

Their keen interest in smoking led me to work with this group to ameliorate their health and restore lung function. The group of boys reported that they started smoking tobacco during their teenage times and became addicted, which caused significant damage to their lungs. When their respiration was severely impacted and their cough worsened due to continuous smoking over time, the group of boys sought relief from this dependence and aimed to improve their health.

NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

Tobacco smoking is a global issue that kills nearly 8 million people every time. About 22.3% of the entire world population is engaged in the use of tobacco products, with 7.8% of women and 36.7% of men being active stoners (World Health Organization, 2023). Tobacco smoking causes significant damage to the vulnerable system and enhances inflammation, habitual obstructive pulmonary complaint (COPD), and emphysema. This increases their chances of bacterial and viral infections (Cattaruzza et al., 2020). It’s also the driving factor of lung cancer in people due to dangerous damage to the lungs.

It has caused 610,000 deaths due to lung cancer in China and contributed to 17% of the frequency of cancer due to smoking (Parascandola & Xiao, 2019). These data show the presence and connection of this healthcare issue, as well as its significance in reducing current tobacco use rates. This problem is particularly applicable to my practice because I see people in my sanatorium suffering from the dangerous impacts of smoking, analogous to lung cancer cases, COPD cases, and cardiovascular cases. Additionally, this issue is personally relevant to me because my father was an active smoker, and I lost him to lung cancer caused by his continuous smoking. Therefore, I am responsible for working with this group to promote smoking and ameliorate their health issues.

The Guiding Nursing Actions for Smoking Cessation

Nurses play a broad part in promoting health within hospitals and communities. Nurses can be the right leaders for supportive care and inspiring cases to ameliorate their health. One significant nursing action can be smoking cessation training by nurses in promoting smoking cessation. This training, along with smoking cessation interventions by nurses, can promote smoking cessation among smokers, similar to tone efficacy (Li et al., 2021). The interventions for nurse-led smoking cessation programs will include administering the 5As (Ask, Advise, Assess, Assess, and Arrange) approach to address smoking and its conclusion (Grech, 2021).

Nurses can also provide online courses on smoking conduct and how to promote smoking cessation through cognitive gesture operation. The course will comprise four assignments on smoking, its conclusion plan, and interventions. In the last assignment, the nurse will introduce pharmacological and non-pharmacological treatments for nicotine dependence (La Torre et al., 2019). Additionally, nurses can connect smokers to smoking cessation programs through community support groups, where these groups can implement smoking cessation interventions (Tsoh et al., 2022).

NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

These validated resources outline practices that align with our nursing standards within the healthcare association. The sanatorium has appointed babysitters to educate smokers on the damages of tobacco smoking and ways to overcome dependence. nurses These sources of validation are authentic and reliable, as they were published in recent times and provide accurate information substantiated by results and applicable references. We can estimate the unreliability of these sources using the CRAAP criteria. It stands for Currency, Applicability, Authority, Accuracy, and Purpose. When the validation-predicated source meets all these criteria, it showcases its credibility and authenticity (Muis et al., 2022).

The implicit walls to the operation of these validation-predicated practices can be as follows:

  • One implicit wall to the operation of these validation-predicated practices is the lack of respectable training in promoting smoking cessation education.
  • There’s a deficit of coffers to grease smoking conclusion practices.
  • Lack of provocation and consistency.
  • Collaboration is hindered by negative perceptions at nurses’ stations regarding smoking and quitting.
  • Negative social influences include peer pressure to bomb (Li et al., 2021).

Effect of Nursing Board Standards, Organizational/Governmental Policies

The American Nursing Association (Corpus) has proposed its statement on preventing tobacco use and promoting a tobacco-free community. For nurses, it’s imperative to be tobacco-free part models for their cases, workplaces, homes, and overall communities. Such behavior will motivate others to stick to healthy habits and quit smoking (American Nurses Association, n.d.). Additionally, they should receive training in culturally competent strategies to address tobacco use and take on leadership roles that improve access to quality care.

They must assess the tobacco stoners in their nursing practices and address their enterprises by administering the five A’s strategy. They must also contribute to tobacco control research and advocate for ongoing support and investigation (American Nurses Association, n.d.). These nursing morals can reduce the rates of tobacco use and promote smoking cessation among immature boys.

NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

The American Lung Association (ALA) has developed specific programs that can reduce smoking rates and ameliorate smoking cessation sweats. The policy on increased tobacco excise impositions helps discourage the consumption of tobacco products, including cigarette smoking, and can show lower purchasing due to high costs. Likewise, the policy regulating the trade of tobacco products prohibits sales to individuals under age 21, which will help prevent adolescents from developing a dependence on smoking (American Lung Association, n.d.). The ALA has supported the funding of evidence-based tobacco prevention programs, including smoking cessation initiatives, which improve access to these programs and encourage quitting among young people.

These programs can significantly reduce tobacco use among the community’s immature population and also promote the use of smoking cessation programs among active smokers (American Lung Association, n.d.). The Corpus and ALA programs positively impact the compass of practice in nursing. The nursing compass of practice is defined as the range of exertion and duties a nurse is anticipated to perform after respectable education, training, and instrumentation (McMichael & Markowitz, 2022). These programs expand the nursing compass of practice by providing enhanced access to smoking cessation programs, which can further educate tobacco users and help reduce the number of smokers in the community.

Improving Health Outcomes, Patient-Centered Care, and Patient Experience through Leadership Strategies

Transformational leadership can include leadership strategies that ameliorate health implications, case-targeted care, and patient guests. In this leadership style, leaders motivate others to achieve the desired goals by creating a compelling vision (Chua & Ayoko, 2019). The group of active smokers can be led by this leadership strategy and promote a smoking conclusion among them by furnishing support and relief in prostrating dependence. Additionally, it enhances time efficiency and productivity, improving behaviors related to quitting smoking (Wunderlich, 2020).

Ultimately, it results in better health issues. Furthermore, by motivating the affected individualities, healthcare professionals can promote case-centered care as their preferred care treatment, analogous to pharmacological or non-pharmacological interventions to overcome smoking dependence (Manning & Mattio, 2022). This leadership also improves the patient experience, as the affected people will enable tone-of-care conduct and admit case-centered care, analogous to customized smoking conclusion plans and supportive care (Nnate et al., 2021).

The Need for Leadership, Communication, Collaboration, and Change Management

Smoking is a challenging population health problem that requires an interdisciplinary team of doctors, nurses, psychologists, and counselors to establish a tobacco-free community. Therefore, healthcare associations must adopt a leadership style that stylishly suits their interest (Wunderlich, 2020). Likewise, smoking cessation requires open communication and collaboration on gesture changes and prostrating Jones. With open and transparent communication, active smokers can effectively share their struggles and efforts regarding smoking cessation. Likewise, a change operation strategy analogous to Kotter’s 8-Step Change Model (KCM) can create a sense of urgency among cases to quit smoking and improve their health to prevent future deadly complications (Moyo et al., 2023).

I’ve proved the two externship hours spent with the group of boys in the Capella Academic Portal Volunteer Experience Form.

Conclusion

The sanatorium admitted a group of youthful boys with emphysema and revealed their history of tobacco use. Still, the group wanted to quit smoking and ameliorate health issues. The nursing interventions substantiated by validation included training programs on smoking cessation, online education and support, and connecting smokers with smoking cessation programs by community support groups. The Corpus and ALA have provided guidelines for preventing tobacco use and promoting smoking cessation programs. Transformational leadership is vital to perfecting health issues, delivering case-centered; care to smokers, and enhancing their experience.

References

Step-by-Step Guide

  1. Identify problem & birth—confirm labs (FPG, A1c), symptoms, comorbid HTN, and social/financial walls.
  2. Assess medicine adherence, diet, alcohol use, exertion position, tech access, and support systems.
  3. Set SMART pretensions—e.g., reduce A1c in 3–6 months, increase diurnal physical exertion to 150 min, and achieve medicine adherence ≥ 90.
  4. Plan interventions DSMES enrollment, a substantiated diet plan with a dietician, alcohol-reduction counseling, home glucose monitoring/remote reporting, referral to support groups, and fitness offers.
  5. Assign places—the RN coordinates education and monitoring; the PCP/endocrinologist adjusts meds; and the dietician, apothecary, and social worker help.
  6. Apply—deliver education, force/teach glucometer use, schedule follow-ups, and connect to community resources for insurance support.
  7. estimate—track A1c, overeating glucose, BP, weight, adherence logs, DSMES completion, and case-reported issues at fated intervals.
  8. Sustain & scale—address policy/content gaps, use transformational leadership to bed changes, and reiterate via PDSA cycles.

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