Name

Capella University

FPX 6614

March, 2024

Hypo NURS FPX 6614 Assessment 3

Disseminating the Evidence Scholarly Video Media Submission

Embarking on this scholarly video submission is an exciting opportunity to share the outcomes and insights derived from the comprehensive care coordination intervention for heart patients. As an advanced practice healthcare provider, the completion of this project necessitates a professional and confident presentation style that reflects both the challenges encountered and the successes achieved. This recorded presentation serves as a vital medium to disseminate evidence-based findings to a peer-reviewed media platform. The goal is not only to showcase the enhanced outcomes but also to provide a transparent account of the entire intervention process, encompassing data collection and analysis methodologies. This approach aligns with the commitment to knowledge-sharing and aims to empower fellow healthcare professionals and stakeholders to replicate and adapt similar projects to diverse patient care settings. By addressing this final activity, the intent is to contribute to the ongoing discourse in healthcare, fostering a culture of continuous improvement and evidence-based practices (Engle et al., 2021).

Care Coordination Efforts Related to Clinical Priorities

In addressing the clinical priorities relevant to heart patients, the care coordination intervention focused on a targeted population characterized by cardiovascular health disparities. The Population, Intervention, Comparison, Outcome, and Time (PICOT) question guiding this effort was formulated to inquire about the impact of a comprehensive care coordination model on the reduction of cardiovascular risk factors in underserved communities. Through rigorous analysis of clinical priorities, it became evident that factors such as socioeconomic status, access to preventive care, and health literacy significantly influenced heart health outcomes in this specific population (Heeringa et al., 2020). The intervention, therefore, strategically integrated initiatives addressing these priorities, including community-based educational programs, collaboration with local health agencies, and tailored interventions to improve health literacy among patients. This comprehensive approach aimed not only to manage existing cardiovascular conditions but also to prevent future complications by mitigating underlying risk factors prevalent in the target population.

Key Implications

Analyzing the care coordination efforts related to clinical priorities underscored the importance of tailoring interventions based on the identified disparities and social determinants of health within the population. The PICOT-guided approach ensured a systematic examination of the impact of care coordination on clinical priorities, providing a nuanced understanding of the complex interplay between healthcare delivery and patient outcomes. Key implications drawn from this analysis highlighted the effectiveness of community-centric interventions in addressing clinical priorities, thereby contributing to improved heart health outcomes (Nielsen et al., 2021). The video presentation will elucidate these findings, offering a transparent overview of the challenges, strategies, and outcomes encountered during the care coordination intervention. Through the dissemination of this evidence-based information, nursing professionals and stakeholders can glean insights into the practical application of care coordination in addressing clinical priorities, fostering a culture of continuous improvement in patient care settings.

Change in Practice Related to Services and Resources

In the scholarly video for the peer-reviewed media platform, the focus is on elucidating the change in practice related to services and resources within the care coordination intervention for heart patients. A meticulous evaluation of potential services and resources available for the specific population forms the foundation of this change. By assessing the unique needs of heart patients, the care coordination team can identify key areas where additional services or resources may enhance patient outcomes (Allen et al., 2021). This process involves a comprehensive analysis of the existing healthcare landscape and available support systems, ensuring that the interprofessional care coordination team is well-equipped to address the multifaceted needs of heart patients.

The video presentation then delves into a detailed description of the proposed change in practice concerning services and resources available for the interprofessional care coordination team. This encompasses a strategic alignment of services and resources with the identified clinical priorities, ensuring a targeted and effective intervention. The key care coordination efforts are highlighted, emphasizing how these efforts contribute to improved patient outcomes and a more streamlined healthcare delivery process (Swift et al., 2021). The concise, well-reasoned explanation for the change in practice is underpinned by credible evidence, drawing on scholarly sources and evidence-based practices. This approach not only provides transparency about the decision-making process but also instills confidence in the proposed changes, promoting their sustainability and potential for positive impact.

Efforts to Build Stakeholder Engagement within the Inter-professional Team

In crafting the scholarly video for the peer-reviewed media platform, a crucial aspect is the detailed presentation of efforts to build stakeholder engagement within the interprofessional team during the care coordination intervention. The overarching strategy aimed at improving population health care outcomes involved creating an effective interprofessional collaboration plan. As a leader in practice, the initiative began with a comprehensive needs assessment to identify existing gaps and challenges in interprofessional collaboration for heart patient care (Jelen et al., 2024). The next step was to strategically engage stakeholders, including healthcare professionals, support staff, and administrators, to foster a collaborative mindset. This collaborative approach ensures diverse perspectives are considered, creating a shared commitment to the common goal of advancing the quality of care for heart patients.

Leading the change in practice required effective communication and transparent leadership. Stakeholder engagement was encouraged through open forums, regular team meetings, and tailored educational sessions (Qian et al., 2024). The strategy involved aligning the workforce with the proposed changes, emphasizing the collective expertise within the team. By summarizing these efforts in the video, the audience gains insights into the leadership approach, encouraging and building stakeholder engagement, which is fundamental to the success of the care coordination process.

Comprehensive Strategy to Address Uncertainties

A comprehensive strategy to address uncertainties is integral to the scholarly video. Acknowledging potential challenges in implementing the care coordination intervention, the presentation outlines a detailed plan to mitigate uncertainties. This involves a robust evaluation plan encompassing both quantitative and qualitative measures. Tracking HCAHPS scores, assessing medical error incidences, and obtaining feedback from the interprofessional team and patients form the core of the evaluation. By incorporating scholarly evidence supporting the effectiveness of enhanced collaboration models and aligning with the scope and standards of practice for care coordination, the video establishes a solid foundation for the proposed change (Schnurbein et al., 2022). This approach not only ensures evidence-based decision-making but also addresses uncertainties by providing a clear framework for ongoing evaluation, refinement, and sustainability of the care coordination process.

Recommending Next Steps that Support Thoughtful Resource Utilization

In crafting a scholarly video for a peer-reviewed media platform, the focus is on recommending next steps that support thoughtful resource utilization and sustain the positive outcomes achieved in the care coordination intervention for heart patients. Utilizing the scope and standards of practice for care coordination, the proposed care coordination process for the specific population is carefully outlined, ensuring ethical considerations are thoroughly integrated (Hart et al., 2020). Recommendations are presented in a clear and well-conceived plan, supported by credible evidence, to guide the future of the care coordination initiative.

  • Propose a Care Coordination Process

  • Develop a comprehensive care coordination process that aligns with the established scope and standards of practice for care coordination.
  • Integrate ethical considerations, prioritizing patient well-being, respecting autonomy, and ensuring equitable access to services within the proposed care coordination model.
  • Recommend Next Steps for Resource Utilization

  •    Provide thoughtful recommendations for resource utilization, emphasizing efficiency and efficacy in delivering patient care.
  •    Advocate for the creation of a safe environment within the care coordination process by implementing evidence-based practices and continuous quality improvement strategies.
  • Sustain Current Outcomes with Interprofessional Team

  •   Propose strategies to sustain the achieved outcomes by fostering ongoing collaboration within the interprofessional team.
  •    Implement regular evaluation processes, feedback mechanisms, and training programs to ensure the continued success of the care coordination intervention (Lavallee et al., 2020).
  • Moving Forward Recommendations

  •    Present recommendations for moving forward, encompassing the ongoing development of a collaborative culture, open communication channels, and shared decision-making within the interprofessional team.
  •  Emphasize the importance of adapting to evolving healthcare landscapes, staying updated on best practices, and remaining responsive to the dynamic needs of the patient population.
  • Astute and Well-Conceived Plan

  •    Summarize the recommendations in an astute and well-conceived plan, underlining the importance of evidence-based decision-making and ethical considerations in guiding the future of the care coordination initiative.
  •    Demonstrate how thoughtful resource utilization and a safe environment can be maintained and enhanced through strategic planning, ongoing education, and a commitment to continuous improvement.

Conclusion

In conclusion, our research journey delved into improving care coordination for heart patients through teamwork. We followed a clear roadmap, examining needs, involving the team, and boosting knowledge. By spotting assumptions and offering practical suggestions, we aim to enhance heart care. We also considered uncertainties and stuck to ethical standards, ensuring a solid foundation. Looking ahead, our plan promotes thoughtful resource use, sustaining positive results. This video shares our insights, advocating for better, ethical, and team-based healthcare practices, aiming to improve patient care and overall health systems.

References

Allen, K., Malone, E., Dionne, J. N., McCammon, S., Currie, E., Hicks, J., Tucker, R. O., Wallace, E., Elk, R., & Bakitas, M. (2021). Improving palliative care access through telehealth. Research in Nursing & Health, 44(1), 226–237. https://doi.org/10.1002/nur.22105

Engle, R. L., Mohr, D. C., Holmes, S. K., Seibert, M. N., Afable, M., Leyson, J., & Meterko, M. (2021). Evidence-based practice and patient-centered care. Health Care Management Review, 46(3), 174–184. https://doi.org/10.1097/HMR.0000000000000254

Hart, S. A., Tanel, R. E., Kipps, A. K., Hoerst, A. K., Graupe, M. A., Cassidy, S. C., Hlavacek, A. M., Clabby, M. L., Bush, L. B., Zhang, W., Banerjee, M. M., Pasquali, S. K., Gaies, M., & Madsen, N. (2020). Intensive care unit and acute care unit length of stay after congenital heart surgery. The Annals of Thoracic Surgery, 110(4), 1396–1403. https://doi.org/10.1016/j.athoracsur.2020.01.033

Heeringa, J., Mutti, A., Furukawa, M. F., Lechner, A., Maurer, K. A., & Rich, E. (2020). Horizontal and vertical integration of health care providers: A framework for understanding various provider organizational structures. International Journal of Integrated Care, 20(1). https://doi.org/10.5334/ijic.4635 

Jelen, A., Goldfarb, R., Rosart, J., Graham, L., & Rubin, B. B. (2024). A qualitative co-design-based approach to identify sources of workplace-related distress and develop well-being strategies for cardiovascular nurses, allied health professionals, and physicians. BMC Health Services Research, 24(1), 246. https://doi.org/10.1186/s12913-024-10669-x

Lavallee, D. C., Lee, J. R., Austin, E., Bloch, R., Lawrence, S. O., McCall, D., Munson, S. A., Nery-Hurwit, M. B., & Amtmann, D. (2020). mHealth and patient generated health data: Stakeholder perspectives on opportunities and barriers for transforming healthcare. MHealth, 6, 8–8. https://doi.org/10.21037/mhealth.2019.09.17 

Nielsen, R. E., Banner, J., & Jensen, S. E. (2021). Cardiovascular disease in patients with severe mental illness. Nature Reviews Cardiology, 18(2), 136–145. https://doi.org/10.1038/s41569-020-00463-7 

Qian, H., Ethan, M., & Sim, K. (2024). Inter-professional education interventions, and practice outcomes related to healthcare setting and patients within mental healthcare. Perspectives on Medical Education, 13(1). https://doi.org/10.5334/pme.1084

Schnurbein, G., Hollenstein, E., Arnold, N., & Liberatore, F. (2022). Remedies for tensions between volunteers and healthcare professionals in inter-professional collaboration. VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations. https://doi.org/10.1007/s11266-022-00492-5

Swift, J. K., Mullins, R. H., Penix, E. A., Roth, K. L., & Trusty, W. T. (2021). The importance of listening to patient preferences when making mental health care decisions. World Psychiatry, 20(3), 316–317. https://doi.org/10.1002/wps.20912

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