Patient, Family, or Population Health Problem Solution

Patient, Family, or Population Health Problem Solution

Assessment 5: Intervention Presentation and Capstone Video Reflection

Video Script

Hello all, my name is…., and in my practicum, I worked with Emily, who suffers from depression. Today, I will share the intervention I built with the family and Emily, and we will discuss my growth throughout the project. The objective of the intervention is to give Emily a thorough plan that will help her overcome her depression, improve her quality of life, and provide her with long-term coping mechanisms. I employed an evidence-based approach, integrated healthcare technology, and coordinated care to manage  Emily’s depression. In this video, I will discuss in detail the components of the intervention process, offer the results that have been achieved for Emily and her family, and talk about how this experience shaped my development as a baccalaureate nurse. Furthermore, I’ll summarize the key lessons learned and how this project prepared me for future nursing tasks.

Throughout this project, I dedicated substantial time to working with Emily and her family, totaling approximately 40 practicum hours. These hours included conducting assessments, developing and implementing the intervention plan, and providing continuous support and follow-up. This hands-on experience was instrumental in understanding the complexities of managing depression and highlighted the importance of a comprehensive, multidisciplinary approach to achieving positive patient outcomes.

Impact of the Intervention on Patient Satisfaction and Quality of Life

Emily, a 28-year-old, is faced with unemployment-related challenges as well as the co-existing condition of depression and hypertension management. She experiences some of the following symptoms: continual sadness, tiredness, and social isolation. This indicates the complex relationship between mental and physical health. The attention and the role that depression plays in the lives of people explain the value and the need for person-centered approaches.

The treatment process for Emily involved a multidimensional approach that strategized on tackling the symptomology from all angles, thus guaranteeing her good overall health in the long run. The strategy was based on applying a comprehensive set of evidence-based therapeutic modalities, pharmacological interventions, lifestyle modifications, and psychological support approaches (González-Valero et al., 2019). Cognitive-behavioral therapy (CBT), which helps most people with such problems, was a good method for Emily to master the techniques of negating negative thought patterns, learning survival skills, and how to solve problems. The introduction of mindfulness techniques like meditation and deep breathing was done. These approaches of developing mindfulness and lowering her stress level were the primary objectives for Emily.

Moreover, Emily was prescribed medicines, specifically SSRIs (selective serotonin reuptake inhibitors), which helped to alleviate her symptoms and stabilize her mood to adequately affect her daily life (González-Valero et al., 2019). Along with psychotherapy by a psychiatrist, we decided to start with antidepressant therapy, which was aimed at regulating her depression and improving her capacity to function. Personally overseeing the process of taking medication, as well as the monitoring of the side effects, was the most important step for ensuring drug effectiveness and safety.

In addition to that, modifications to her style of life were suggested to Emily to improve her general well-being and help in the treatment procedure. With regard to  (Hickmann et al., 2022), daily exercises, nutrition norms, good sleep hygiene, and stress management methods were considered vital parts of her self-care plan day by day. The comments from Emily and her family worked as helpful indicators of how the program has contributed to the quality of life and helped to improve patient satisfaction. Emily was very happy that she was prioritized. She described the monumental change that the program uplifted into her life. She mentioned that now she was hopeful for her future because she felt less anxious in her state of mind and started having a feeling of control over her mental well-being. Furthermore, Emily’s emotions, energy, and social interactions greatly improved, which was associated with significant improvement in the behavioral aspect of her family members, which then initiated emotional and cognitive healing.

The intervention proved to be highly efficient as Emily showed remarkable symptoms of patient improvement, which included her being more involved in activities, better communication, and more advanced coping skills. According to Emily, this empowered her, enabling her to self-manage her symptoms through the application of the provided strategies and resources during the intervention. She exhibited remarkable mental strength and developed advanced coping styles, which in the end, resulted in her positive mood and satisfaction with the care provided. The healthcare team helped Emily’s depression comprehensively and individualized the patient’s treatment plan. So, they successfully improved their quality of life and satisfaction with the treatment.

Evidence and Peer-Reviewed Literature

I now want to go over how I developed my capstone project using evidence and peer-reviewed literature. In the beginning, I collected the information from reliable sources like government organizations’ websites, universities’ research centers, and mental health associations designed to fit the multidisciplinary approach taken in Emily’s case. For instance, I used the CDC and the NIMH as my sources of effective ways to deal with depression.

The application of the CRAAP model helped me analyze the real and credible nature of the evidence collected, hence confirming that this information was relevant to Emily’s situation and treatment. Through the analysis dimensions like currency, relevance, accuracy, authority, and purpose, I could confidently make a decision to include only the most competent and relevant data in her care plan.

The core principles of evidence-based practice (EBP) formed the basis of the development of interventions and, thus, were best suited to Emily’s needs. I have realized depression is the main concern of Emily through a comprehensive needs assessment. I have also evaluated to what extent this condition has influenced her life and well-being. This assessment was instrumental in picking up the most appropriate interventions and tools to solve her specific problems.

Skill training was a vital part of the instruction of Emily and her family about the strategies for coping with depression and the use of mental health support resources. I equipped them with some essential tools and techniques to help them manage Emily’s condition and promote her overall wellness.

Furthermore, constant feedback and regular outcome evaluation enabled me to see Emily’s progress closely and to fine-tune her care plan where necessary. By tracking outcomes and asking for feedback from Emily and the rest of her care team, I could guarantee that the interventions remain responsive to her changing needs and circumstances, which will help improve the outcomes of her treatment and quality of life.

Health Care Technology

In the capstone project, I applied healthcare technologies such as telehealth along with other technologies to impart health outcomes to Emily’s family. Online services, like televideo conferences and remote monitoring, allow covering real distances, causing easy cooperation between the care team and viewing via televideo consultations (Gajarawala & Pelkowski, 2021). Platforms like Zoom and Microsoft Teams provided us with real-time connections, which strengthened our relationship and allowed us to be there for her.

Furthermore, the digital cognitive tests and biomarker tests enabled early identification and tailored interventions for Emily’s depression. The cognitive behavioral therapy applications she was given provided her with the resources for self-management and empowerment, thus improving her participation in the treatment.

In the future, there will be chances for the advancement of telehealth and technology elements in the healthcare system. Equally important is offering accessibility and reliability for different patient groups, as well as the continuous training of healthcare professionals. Integrating telehealth platforms into the existing health information systems will enable a smooth data transfer among the providers and improve care coordination, resulting in favorable outcomes. Constant assessment and modification of telehealth technologies will be vital so that proper, patient-oriented care can be provided in the changing healthcare settings.

Impact of Health Policy

Health policy emerged as the driving force of the planning and implementation of my capstone project in the aspect of mental healthcare. Telehealth reimbursement policies, regulations for healthcare providers’ licensure across state lines, and HIPAA privacy laws affected the adoption and fusion of telehealth technologies in our project (McBain et al., 2023). Learning these regulations became a term for meeting the requirement and extracting the highest value of telehealth services to help improve access to care for Emily and other patients.

Additionally, my project was an integral part of the development process since it demonstrated the efficacy of telehealth in mental health care provision. By showing how telehealth intervention evoked positive results and satisfied patients, I gave proof to policymakers that telehealth coverage and medical insurance could be broadened. Moreover, due to the focus on baccalaureate-prepared nurses’ telehealth delivery and care coordination, my project comprehensively demonstrated the role of nursing advocacy in policymaking.

Being a baccalaureate-prepared nurse, I carried out my role of implementing and creating policies that prioritize patient-centered care, equity, accessibility, and services related to mental health. This included liaising with interdisciplinary teams, taking part in policy conversations, and crusading for medical legislation changes to promote telehealth mainstreaming and integration into healthcare delivery systems (Flaubert et al., 2021). Looking to the future, the baccalaureate degrees nurses will still be necessary for policy making and addressing issues to better healthcare and people’s health outcomes.

The comprehensive intervention for Emily, which includes CBT, pharmacological treatments, lifestyle modifications, and telehealth technology, is highly generalizable. These components are universally applicable and can be adapted to various patient populations and settings. CBT and SSRIs are standard practices, while lifestyle changes like exercise and nutrition benefit all. Telehealth enhances accessibility, making it suitable for rural or underserved areas. The patient-centered approach ensures customization to individual needs, ensuring broad applicability across diverse contexts.

Capstone Project Outcomes Versus Initial Predictions

The results from my capstone project indeed corresponded with my initial presumptions, yet with some deviations of note. In terms of meeting expectations, the introduction of telemedicine for depression treatment went beyond what I anticipated. Initially, I expected that the use of the platform would be at a moderate level because of the challenges relating to technology and patients’ resistance to remote care. The vast majority, like Emily, took the telehealth option willingly, and they named convenience, accessibility, and comfort as the main forces behind the change. This surpassed my expectations and the proof of telehealth for betterment in mental health care provision.

Personal and Professional Growth

Having undergone the capstone project and RN-to-BSN program, I am proud to say that I have made great progress, including a higher level of consciousness of ethical care provision and due professionalism. Confronting a real-world situation during my capstone project, Sim was more beneficial and helped me to work on ethical dilemmas effectively. Through adherence to professional code and preserving the patient’s autonomous and confidential rights, I improved my ability to make well-considered decisions in such situations.

Furthermore, my participation in the RN-to-BSN program has reflected significant development in several facets of my life. The ability to communicate efficiently is a skill I have honed through the educational environment, presentations, and joint negotiations, allowing me to clearly articulate complicated concepts. Also, I have improved my reasoning and problem-solving abilities. So that I can now be able to look at multifaceted issues from different angles and a creative way to develop solutions.

I’m very glad for one specific aspect: my leadership talent growth and patient advocacy. As a capstone project, I was able to lead interdisciplinary groups, making those teams successful and even advocating for the patients. I’ve found this opportunity to be the driving force that has energized me to become a champion of equal access to healthcare services for those who are marginalized or have experienced discrimination.

Generally, my capstone project and the RN-to-BSN program have been transforming since with a deeper consciousness about ethical values, upstreaming my mastery and profession, and dedication to ongoing learning.

References

Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021). The Role of Nurses in Improving Health Equity. In www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK573898/

Gajarawala, S., & Pelkowski, J. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013

González-Valero, G., Zurita-Ortega, F., Ubago-Jiménez, J. L., & Puertas-Molero, P. (2019). Use of Meditation and Cognitive Behavioral Therapies for the Treatment of Stress, Depression and Anxiety in Students. A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 16(22), 4394. https://doi.org/10.3390/ijerph16224394

Hickmann, E., Richter, P., & Schlieter, H. (2022). All together now – patient engagement, patient empowerment, and associated terms in personal healthcare. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-08501-5

Institute for Quality and Efficiency in Health Care. (2013, August 7). Cognitive behavioral therapy. Nih.gov; Institute for Quality and Efficiency in Health Care (IQWiG). https://www.ncbi.nlm.nih.gov/books/NBK279297/

McBain, R. K., Schuler, M. S., Qureshi, N., Matthews, S., Kofner, A., Breslau, J., & Cantor, J. H. (2023). Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022. JAMA Network Open, 6(6), e2318045–e2318045. https://doi.org/10.1001/

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Present your approved intervention to the patient, family, or group and record a 10–15 minute video reflection on your practicum experience, the development of your capstone project, and your personal and professional growth throughout your RN-to-BSN program.

Patient, Family, or Population Health Problem Solution

Document the time spent (your practicum hours) with these individuals or groups in the Capella Academic Portal Volunteer Experience Form.