NURS FPX 4900 Assessment 2 Assessing the Problem: Quality Safety and Cost Considerations NR

NURS FPX 4900 Assessment 2 Assessing the Problem: Quality Safety and Cost Considerations NR

Technology, Care Coordination, and Community Resources Considerations

Healthcare technology is crucial nowadays for professionals to improve their outcomes of care. The mental health issue in many patients leads to hypertension problems in young and adult people in America; this public health concern should be addressed seriously because it brings many severe health consequences and fatalities. The current scenario is based on a public health problem based on a sixty-seven-year-old Somali patient named Ahmed Al Hassan, who had been suffering from chronic hypertension for the past four years, increasing the risk of cardiovascular disease, chest pains, and stroke. During the practicum hours, this RN discovered that Mr. Hassan used his blood pressure device at home to monitor his blood pressure only once or twice a week. He did not use any smartphone app or any smartwatch; he was not keen to read knowledge-based articles online while refrained from contacting any community support groups related to his healthcare problem. Since the hospital had no telehealth facility or technology to deal with his hypertension issues, the practicum two hours revealed several aspects that required incorporating technology in the organization to impact the patients’ wellbeing positively. During the practicum, I chose the work with my senior psychotherapist Dr. Professor Neil Hamilton. He suggested that the organization can improve its practice by using telehealth tools to strengthen hypertension patients’ self-management and care.  

Many scholars and researchers believe that using technologies and telehealth tools for healthcare management, such as hypertension management, can help nurses to improve their interventions and streamline their workloads. For example, according to the study conducted by    Venkateshmurthy (2018), the use of telephones and smartphones and other communication technologies can assist physicians in reducing hypertension in patients. These tools practically enhance the physician-patient connections and lower blood pressure to reduce the risk of cardiovascular diseases. The American Heart Association also suggests using telehealth tools for better management of blood pressure and hypertension. Nowadays, new applications such as smartphones and tablets are full of features and decision-making tools to educate patients and nurses about their roles and treatments. These novel technologies allow the implementation of strategies that reduce arterial hypertension in patients. A number of studies reveal that electronic or digital health tools use information and communication technologies by telemonitoring of blood pressure. The adoption of ICT for HBP self-measured values can revolutionize the idea of blood pressure measurement. This is why my conversation with the professor Dr. Neil helped me to realize the effectiveness of using telemedicine and telehealth  to improve the privacy, safety, and quality of patients and information.  

Despite many benefits of automated technologies for BP control and hypertension management, nurses and doctors are mostly and often confronted with technological issues that are beyond their control or understanding concerning effective management of hypertension. For example, oscillometer devices are expensive and not all professionals are able to use them with diligence in hospitals. Therefore, the cost of hospitals often increases due to the use of telehealth tools. Several types of studies have demonstrated the advantages of telemedicine, such as telehealth apps to reach a greater rate of high blood pressure management. Patients such as Mr. Hassan can use telemedicine services to measure and control their blood pressure rates when an emergency arises. In addition, using electronic health records (EHR) for blood pressure management can help to automate data and make it more accessible. Therefore, in the light of the evidence, it can be said that technology use organizations can improve timely administration of hypertension patients. 

Care Coordination and Community Resources for Hypertension 

Care coordination and utilization of community resources can play a huge role in the improvement of healthcare organizations in terms of enhancing patient care outcomes. Many researchers claim that there are several benefits of care coordination and the utilization of the right community resources to treat hypertension patients (Wang & Li, 2021). Nurses can use community resources to reduce HT repercussions and prevent serious cardiovascular issues in patients. Using these resources is vital in order to ensure that patients do not suffer a stroke due to hypertension or have a heart attack. Because hypertension can significantly damage blood vessels, the issue can be related to Mr. Hassan’s condition who constantly requires blood pressure treatment and measurement, which can help him improve his wellness. Like Mr. Hassan, many patients also choose to avoid traveling to hospitals and using the prescribed amount of medicines for too long. This cannot be a permanent cure of hypertension as coordinated care and interdisciplinary engagement is needed to help these financially restrained patients (Venkateshmurthy et al., 2018). This is where the telemedicine solutions bring good news for the community members and professionals, when used in conjunction with integrated care practices to treat hypertension, patients’ problems can be solved effectively.  

According to the study conducted by Timpel and Oswald (2020), the community resources are used in healthcare organizations to enhance professionals’ practices and help them to reduce potential barriers. For example, telehealth practices can help nurses reduce malpractices and medication errors. Even though telemedicine is challenging due to lack of technical knowledge and infrastructure, health care organizations can increase the speed of their practices and get rid of sluggish practices by using telemedicine. Another important telemedicine solution involves the use of artificial intelligence (AI) in healthcare settings. 

The opposing arguments are also given by Hong et al. (2018) study by explaining that language, software issues, and security problems can hinder nurses from using telemedicine effectively. Besides, lack of technological standards and inefficient IT teams can also make issues severe ; medical devices are costly and implementing them for wide-scale deployment treatment of hypertension can be costly due to providing training to staff workers. 

Integrated health care technology solutions and community resources can help nurses avoid Mr. Hassan’s neglect of the insulin calculation because of his poor conditions. The best community resources are the Center for disease control and Prevention (CDC) that offers a great division for treating cardiovascular and hypertension patients in the “Division for Heart Disease and Stroke Prevention” (Harmon Still & Jones, 2018). The division is helpful in educating the public and nurses about threats of hypertension. Moreover, more community-based resources can be used, such as kids’ educational programs, instructors’ education, parent’s education, etc. These educational programs can be planned by healthcare leaders where stakeholders can use their knowledge and experience to improve the patients’ wellbeing. Moreover, nurse-led-clinics in the United States can also help patients to deal with chronic stress and hypertension issues by providing safe and high-quality education to patients.   

State Board/ Nursing Standards/Organizational Measures for Hypertension

The professional organizations are setting new criteria and principles that was mentioned in the two practicum hours. Patients of chronic hypertension will benefit from supporting programs of the government; this means that the US government and state governments are placing greater emphasis on improving healthcare systems for hypertension treatments using innovative technologies and regulations and creating new patient-centered laws to promote positive outcomes. For instance, the AHA suggests that the  best practice is self-management for improving hypertension; this can happen when correct measurements are provided for performance measurements. Following these policy and regulatory guidelines can improve the efficacy of health care interventions (Chen et al., 2019). The practicum hours concluded the nurses can improve their practices by examining specific health conditions addressed using telemedicine to improve the care coordination. Consequently, the efficient working environment in primary care units can help reduce re-admissions and reduce patients’ healthcare costs. 

Moreover, ethics matter in contemporary society to address the policy guidelines regarding using telemedicine for hypertension. Healthcare professionals have to involve in subtle interactions. Government decision-makers and cabinet ministers face ethical problems; relying on ethical considerations to use policy guidelines can improve revenues streams of hospitals. For example, sometimes, decision-makers face knowledge gaps that inhibit policy making processes. There should be a consensus on how policy analysts should work to provide the best guidelines to nurses for hypertension treatment. This is possible by assembling evidence related to the issue and factors which cause it (Bakr is, 2019). Also, projecting the potential outcomes of each alternative according to the criteria is vital. The ethical moves of policymakers and nurses can help to promote outcomes that are positive for hypertension management and can reduce costs of hospitals. 

Conclusion and Recommendations 

Telehealth tools for hypertension are used in modern medical centers to improve patients’ self-management. The ICT incorporation enhances BP control and helps nurses control patient information through electronic medical records. Nurses use several community resources for better care coordination such as the guidelines of the CDC and educational programs to improve patients’ wellbeing. The role of nursing standards and policies for better hypertension management can also reduce hospitals’ costs and also help nurses to understand ethical dilemmas and rules to promote better and positive outcomes. The practicum hours helped to understand detailed discussions to use telemedicine not improve care coordination of hypertension patients. 

The healthcare staff is advised to use more tablets and smartphones for nurses to improve remote collaboration with patients of hypertension to reduce the severity of this issue. Remote monitoring can enhance the nurse-patient interactions that will help to achieve low blood pressure goals. Moreover, using blood pressure monitor for the chosen patient and taking three measurements is not enough to reduce hypertension, using communication technology for Mr. Hassan such as decisional tools and educational technologies can help to improve awareness of hypertension in patients and nurses and will reduce costs and improve safety (Timpel, 2020). This requires doing telemonitoring of blood pressure and using ICT for reporting to doctors. 

Mr. Hassan was educated on the usage of monitoring tools that can aid in his treatment. Although hesitant at first, the patient agreed to give some methods a try. Mr. Hassan agreed to purchase an apple smart watch that he will wear to monitor his heart health and record his steps to encourage a healthier lifestyle. Mr. Hassan was educated that the smart watch was not a medical grade device but a good tool for personal accountability. Mr. Hassan agreed to connecting his at home monitor to an ICT device that would allow direct communication with his primary physician.

References

 Bakris, G., Ali, W., & Parati, G. (2019). ACC/AHA versus ESC/ESH on hypertension guidelines: JACC guideline comparison. Journal of the American College of Cardiology73(23), 3018-3026.

Chen, V., Ning, H., Allen, N., Kershaw, K., Khan, S., Lloyd-Jones, D. M., & Wilkins, J. T. (2019). Lifetime risks for hypertension by contemporary guidelines in African American and white men and women. JAMA cardiology4(5), 455-459.

Harmon Still, C., Jones, L. M., Moss, K. O., Variath, M., & Wright, K. D. (2018). African American Older Adults’ Perceived Use of Technology for Hypertension Self-Management. Research in Gerontological Nursing11(5), 249-256.

Hong, J. C., Padula, W. V., Hollin, I. L., Hussain, T., Dietz, K. B., Halbert, J. P., … & Cooper, L. A. (2018). Care Management to Reduce Disparities and Control Hypertension in Primary Care. Medical care56(2), 179-185.

Timpel, P., Oswald, S., Schwarz, P. E., & Harst, L. (2020). Mapping the evidence on the effectiveness of telemedicine interventions in diabetes, dyslipidemia, and hypertension: an umbrella review of systematic reviews and meta-analyses. Journal of medical Internet research22(3), e16791.

Venkateshmurthy, N. S., Geldsetzer, P., Jaacks, L. M., & Prabhakaran, D. (2018). Implications of the New American College of Cardiology guidelines for hypertension prevalence in India. JAMA internal medicine178(10), 1416-1418.

Wang, J. G., Li, Y., Chia, Y. C., Cheng, H. M., Minh, H. V., Siddique, S., … & Hypertension Cardiovascular Outcome Prevention, Evidence (HOPE) Asia Network. (2021). Telemedicine in the management of hypertension: Evolving technological platforms for blood pressure telemonitoring. The Journal of Clinical Hypertension23(3), 435-439.

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