NURS FPX 4900 Capstone Project for Nursing Assessment 3 Instructions: Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations

Sample Answer for NURS FPX 4900 Capstone Project for Nursing Assessment 3 Instructions: Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations Included After Question

Please use stroke for the assessment as it will be used throughout the remaining assessments.

A Sample Answer For the Assignment: NURS FPX 4900 Capstone Project for Nursing Assessment 3 Instructions: Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations

Title: NURS FPX 4900 Capstone Project for Nursing Assessment 3 Instructions: Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations

Assessing Problem

Healthcare technologies have significantly revolutionized the provision of patient care in the modern world. Healthcare organizations constantly embrace new technologies to ensure they meet the actual and potential needs of their health populations. Healthcare technologies have been shown to enhance care outcomes such as quality, safety, and efficiency of patient care. Effective management and prevention of stroke recurrences can be achieved using health information technologies. Therefore, the aim of this section of the project is to examine the advantages and disadvantages of technology use in stroke management, barriers, benefits of care coordination and community resources and its barriers, and influence of nursing standards and organizational policies on technology use in stroke management. It also explores the effect of local, state and federal laws on scope of practice in relation to technology use in stroke patients.

Advantages of Healthcare Technologies

Several healthcare technologies can be used to promote safety, quality, and efficiency in the care given to patients with stroke. Over the past years, the use of digital technologies has gained considerable popularity due to their effectiveness in use with patients suffering from chronic conditions. Digital technologies are categorized into groups such as mobile health, wearable devices, telemedicine, telehealth, personalized medicine, and health information technology (Blek et al., 2018). Robotics technology has also been proposed for use in providing stroke patients with home-based rehabilitation services (Willems et al., 2021). Besides rehabilitation, robotics promises to play a vital role in helping patients to undertake their daily activities and solve problems efficiently.

The use of different healthcare technologies in stroke management is associated with a number of benefits. One of them is the reduction in costs incurred by patients and healthcare systems in managing stroke. Healthcare technologies such as telehealth and telemedicine enable timely and remote interaction between stroke patients and healthcare providers. Healthcare providers use the systems to address the concerns of their patients. As a result, telehealth and telemedicine eliminate the need for unnecessary hospital visits by stroke patients. It also prevents complications, leading to reduction in the rates of unnecessary hospitalization, hence, cost effectiveness. The provision of timely and efficient care through telehealth and telemedicine promotes patient satisfaction and quality of care. Healthcare technologies such as mobile health also promote improved adherence, lifestyle and behavioral modification by patients. The technologies provide patients and their significant others with vital information on self-care management of their health problems (Blek et al., 2018). Consequently, there is the reduction in the risk of adverse events due to improved treatment adherence and lifestyle and behavioral modification by patients.

Disadvantages of Healthcare Technologies

Despite the above benefits, healthcare technologies use in stroke management is however associated with a number of disadvantages. One of the leading disadvantages of healthcare technologies used in stroke management is data privacy and security issues. Health information technologies such as telehealth are prone to cyber-attack incidences. Unauthorized parties can access the systems, leading to the loss of data privacy and confidentiality (Schuster et al., 2018). The other disadvantage associated with healthcare technologies used in stroke management and other chronic diseases is costs incurred in their adoption. Often, healthcare organizations incur high costs in acquiring, maintaining, and training their healthcare providers on the use of the healthcare technologies. The high costs make it difficult for healthcare organizations to prioritize the implementation of use of health information technologies in patient care (Kerure et al., 2020).

The other disadvantage of healthcare technologies is the disruption of workflow. Accordingly, the implementation of new healthcare technologies requires healthcare providers to change their routines of patient care. Healthcare providers have to be trained and assisted on the efficient use of the systems to address the care needs of the patients. The result is that the normal processes will be interrupted, leading to potential decline in productivity of healthcare organizations (Schuster et al., 2018). There is also the evidence that the use of health information technologies such as electronic health records in patient care may lead to unintended consequences. For example, the technologies may increase the rate of medical errors, overdependence on technologies, alteration in the organizational power structure, and negative emotions (Kerure et al., 2020). The changes may affect safety, quality, and efficiency of patient care, hence, the disadvantage. The above disadvantages are consistent with the experiences in my healthcare organization.

Barriers and Costs Associated with Technologies

The use of specific technologies such as digital technologies is associated with a number of barriers as well as costs in healthcare. One of the barriers is the lack of competencies for technology use among healthcare providers. The lack of the desired knowledge and skills by healthcare providers limit the use of healthcare technologies in stroke management. The other barrier is institutional support. Adequate institutional support in the form of provision of human, financial, and material resources is important in implementing technology use in stroke management. Inadequate support due to factors such as the lack of funds for technology use therefore affects sustainability of the desired interventions (Wildenbos et al., 2018). The last barrier is the lack of the desired competencies by stroke patients. Often, patients do not have the competencies needed to use digital technologies for managing their conditions (Nittari et al., 2020). As a result, the desired outcomes of technology use in patient care are not achieved if the competency level of the patients is not improved.

Benefits of Care Coordination and Utilization of Community Resources

Care coordination and effective utilization of community resources are essential ways in which the optimal outcomes of stroke patients can be achieved. Care coordination entails the organization of the patient care activities and sharing information among multiple healthcare providers to achieve enhanced outcomes. Care coordination in stroke management is associated with several benefits. One of the benefits is patient and provider satisfaction with the care. The incorporation of inputs from different healthcare providers ensures that high quality care that addresses the unique needs of the patients is offered. Healthcare providers are able to evaluate the effectiveness of the adopted interventions, hence, their satisfaction with their roles in patient care. Care coordination also reduces the rate hospital admissions and unnecessary visits. The incorporation of multidisciplinary views on the management of the patients result in the early identification and management of potential problems. The concerns of the patients are also addressed in a timely manner, eliminating the need for unnecessary hospital visits and hospitalization (Parsons et al., 2021). Care coordination also promotes efficiency in care, as evidenced by the increased access to specialty care and reduction in hospital visits and hospitalization rate.

Effective use of community resources is also important in the management of stroke. The efficient use of resources is associated with a number of benefits. One of them is the empowerment of the stroke patients and their significant others to manage and meet their health-related needs. Patients and their families learn of the ways in which they can utilize the available community resources optimally to achieve their health outcomes. Effective use of community resources also contributes to effective coping by patients and their significant others. Community resources such as social support from community members promote acceptance by the patients and their families as well as eliminating stigma and stereotypes associated with stroke and other chronic illnesses (Montano et al., n.d.). The effective use of care coordination and community resources in my organization is consistent with those seen in evidence-based resources.

Barriers to the use of Care Coordination and Community Resources

A number of barriers hinder the effective utilization of care coordination and community resources to meet the care needs of patients with stroke. One of the barriers is high workload. High workload being experienced by healthcare providers act as a critical barrier to care coordination and effective utilization of community resources. High workload limits the engagement of healthcare providers in additional patient care activities through care coordination and utilization of community resources (Pappalardo et al., 2019). The other barrier is the lack of institutional and community resources. Institutional resources such as qualified staffs, finances and technologies are needed for effective care coordination. Similarly, adequate community resources are essential to enable healthcare providers and patients to achieve their diverse health needs. Insufficiency or lack of these resources therefore acts as barriers. The other barrier is technology barriers. Some technologies needed for care coordination may be complex for use by healthcare providers. The complexity acts as a barrier in cases where the staffs do not have the desired competencies for use of the technologies for patient care (Zimmerman et al., 2021). The above barriers to care coordination and community resources utilization align with those being experienced in my practice site.

Influence of State Board of Nursing Practice Standards and/or Organizational or Government Policies

State board of nursing practice standards, organizational and government policies has a direct influence on technology use in patients with stroke. Accordingly, the state board of nursing practice standards develops competencies that nurses must demonstrate in the use of health information technologies in patient care. The competencies include ensuring the safe and efficient use of health information technologies in patient care. Nurses must also demonstrate competencies in the protection and promotion of data integrity in the use of health information technologies. They ensure the privacy and confidentiality of the patient data are maintained to promote the meaningful use of health information data in nursing practice. Organizational and government policies also influence the use of health information technologies in providing care to patients with stroke. Health organizations develop policies to guide nurses and other healthcare providers in accessing and using health information (Nittari et al., 2020). Government policies and regulations such as HIPAA ensure that nurses and other healthcare providers adhere to the rules developed in their states and institutions to guide the meaningful use of health information technologies and data.

The above standards and policies will guide my actions in applying technology, care coordination, and community resources to address care quality, patient safety and costs to stroke patients and health organizations. Firstly, I will use the standards to ensure the protection of the rights of the patients to privacy and confidentiality in data. I will ensure that I adhere to the professional, organizational, and state policies guiding the use of health information technologies in patient care (Willems et al., 2021). I will also use the policies to inform quality improvement interventions adopted in my practice to ensure safety, efficiency, quality, care coordination and effective use of community resources in my practice. I will ensure that quality improvement initiatives aim at strengthening the meaningful use of data to provide evidence-based care to patients and enhance efficient use of community resources as well as care coordination (Brooks et al., 2020).

Effects of Local, State and Federal Policies

Local, state and federal policies will also affect my scope of practice with the context of technology use, care coordination and community resources. Adoption of new policies and regulations related to technology use in nursing and healthcare will translate into the change in the practices used in patient care via technology. Changes in policies related to care coordination such as reimbursement models will also translate into the transformation of the approaches utilized to align with the provisions (Butts & Rich, 2019). Similarly, changes in policies related to the use of community resources may affect the scope of practice and roles of nurses in ensuring the efficient and effective use of community resources to address the care needs of the patients.

Effects of Nursing Ethics

Nursing ethics will inform my approach to addressing the care needs of stroke patients using technology, care coordination and community resources. I will strive to ensure the protection of privacy and confidentiality of patient data in information technology use. I will also adhere to the developed rules and regulations related to the access to patient data and use in making informed decisions. I will promote ethical principles such as informed consent, non-maleficence and benevolence in the use of technologies. I will encourage active stakeholder collaboration, teamwork, open communication, and respect in care coordination. I will also encourage active participation of the community members in the use of community resources to meet the care needs of the patients with stroke (Butts & Rich, 2019). Lastly, I will uphold the principle of equity in the access to and utilization of community resources to address the care needs of the stroke patients.

Conclusion

In summary, technology, care coordination, and community resources are important in addressing the care needs of stroke patients. Nurses and other healthcare providers should work towards addressing barriers towards technology use, care coordination and effective utilization of community resources in addressing the care needs of stroke patients. Nursing standards, institutional, and government policies affect the above processes. Therefore, it is important to ensure ethics in care coordination, technology use and community resources utilization.

References

Blek, N., Szarpak, Ł., & Drejza, M. (2018). The use of digital technologies in stroke management in the world: An analysis of examples. Postępy Nauk Medycznych, 31, 361–365. https://doi.org/10.25121/PNM.2018.31.6.361

Brooks, C., Ballinger, C., Nutbeam, D., Mander, C., & Adams, J. (2020). Nursing and allied health professionals’ views about using health literacy screening tools and a universal precautions approach to communication with older adults: A qualitative study. Disability and Rehabilitation, 42(13), 1819–1825. https://doi.org/10.1080/09638288.2018.1538392

Butts, J. B., & Rich, K. L. (2019). Nursing Ethics. Jones & Bartlett Learning.

Kerure, A. S., Deshmukh, N. S., Rohatgi, S., & Agarwal, S. (2020). Evaluating the Advantages and Disadvantages of Teledermatology. Journal of Skin and Stem Cell, 7(4), Article 4. https://doi.org/10.5812/jssc.111118

Montano, A.-R., Cornell, P. Y., & Gravenstein, S. (n.d.). Barriers and facilitators to interprofessional collaborative practice for community-dwelling older adults: An integrative review. Journal of Clinical Nursing, n/a(n/a). https://doi.org/10.1111/jocn.15991

Nittari, G., Khuman, R., Baldoni, S., Pallotta, G., Battineni, G., Sirignano, A., Amenta, F., & Ricci, G. (2020). Telemedicine Practice: Review of the Current Ethical and Legal Challenges. Telemedicine and E-Health, 26(12), 1427–1437. https://doi.org/10.1089/tmj.2019.0158

Pappalardo, A. A., Paulson, A., Bruscato, R., Thomas, L., Minier, M., & Martin, M. A. (2019). Chicago Public School nurses examine barriers to school asthma care coordination. Public Health Nursing, 36(1), 36–44. https://doi.org/10.1111/phn.12574

Parsons, P. L., Slattum, P. W., Thomas, C. K., Cheng, J. L., Alsane, D., & Giddens, J. L. (2021). Evaluation of an interprofessional care coordination model: Benefits to health professions students and the community served. Nursing Outlook, 69(3), 322–332. https://doi.org/10.1016/j.outlook.2020.09.007

Schuster, R., Pokorny, R., Berger, T., Topooco, N., & Laireiter, A.-R. (2018). The Advantages and Disadvantages of Online and Blended Therapy: Survey Study Amongst Licensed Psychotherapists in Austria. Journal of Medical Internet Research, 20(12), e11007. https://doi.org/10.2196/11007

Wildenbos, G. A., Peute, L., & Jaspers, M. (2018). Aging barriers influencing mobile health usability for older adults: A literature based framework (MOLD-US). International Journal of Medical Informatics, 114, 66–75. https://doi.org/10.1016/j.ijmedinf.2018.03.012

Willems, E. M. G., Vermeulen, J., van Haastregt, J. C. M., & Zijlstra, G. A. R. (2021). Technologies to improve the participation of stroke patients in their home environment. Disability and Rehabilitation, 0(0), 1–11. https://doi.org/10.1080/09638288.2021.1983041

Zimmerman, W. D., Grenier, R. E., Palka, S. V., Monacci, K. J., Lantzy, A. K., Leutbecker, J. A., Geng, X., & Denny, M. C. (2021). Transitions of Care Coordination Intervention Identifies Barriers to Discharge in Hospitalized Stroke Patients. Frontiers in Neurology, 12, 671. https://doi.org/10.3389/fneur.2021.573294