Running head: POPULATION HEALTH PROBLEM SOLUTION 1
NURSFPX 4900 Assessment 4: Patient, Family, or Population Health Problem Solution
Summary Of Target Population and Need to Implement Intervention
According to the American College of Cardiology and the American Heart Association guidelines, roughly 1 in 5 U.S. Hispanics developed hypertension over six years. The rates of incidental hypertension were significantly higher among Hispanics/Latinos of Caribbean background (Schoenthaler et al., 2020). All U.S. Hispanic/Latino groups have poor
HTN treatment and control rates. Poor medication adherence is a significant factor in poor blood pressure control and results in 125,000 fatalities yearly (Schoenthaler et al., 2020). The adherence strategies are unsuccessful in community-based primary care offices, where most Latino patients visit. To address the racial differences in blood pressure control between Hispanics and whites, the implementation of specific treatments to improve medication adherence in the Hispanic population is necessary. This project seeks to address this gap by creating an intervention to increase Hispanics' education adherence. The proposed intervention uses culturally appropriate text messaging and reading material to educate participants on medication adherence. Text messaging as a reminder system, in addition to education, has been found to promote health literacy and compliance, resulting in increased adherence to medicines and, as a result, improved patient outcomes (Heine, 2020).
Role Of Leadership, Change Management And Ethics In Addressing Medication Non-
Adherence
The project will try something new in the current system to modify the outcomes connected to medication adherence at the healthcare facility that is the subject of this Capstone. Enhancing patient involvement, facilitating drug identification and self-
administration, improving patients' medication-taking abilities and behaviors, and improving POPULATION HEALTH PROBLEM SOLUTION 2
self-monitoring and feedback to patients and clinicians about their medication use are essential interventions (Kini & Ho, 2018). Scalable and straightforward adherence tactics should be employed more widely in the short term until their eventual integration into successful complex and personalized programs. When simple adherence methods with even minimal impact sizes at the individual level translate to the broader population level, they can
generate a substantial cumulative public health benefit by dramatically leveraging treatment efficacy (Kini & Ho, 2018).
Pender's Health Promotion Model can explain, predict, and influence patients' health-
promoting behaviors. This Capstone will examine the challenges to medication adherence among hypertensive Hispanics using Pender's health promotion paradigm (Parson et al., 2011). According to the interviews with the individuals in this study, the most significant barriers to medication adherence are forgetfulness, side effects, and symptom relief. Knowing
about potential roadblocks to behavior change might assist patients in locating resources to help them overcome these obstacles. As a result, providing education about potential barriers to change and the benefits of behavioral adjustments for improved illness management and self-care may be the critical components of this nurse-led intervention for hypertension patients.
For this Capstone, developmental transformation is the best method for change implementation. Developmental changes will improve existing processes and procedures. As the healthcare facility of study interest undergoes developmental change, it will experience steady improvements in response to the need for higher efficiencies, the correction of existing
flaws, or the enhancement of earlier success. Because the developmental gains are typically moderate and non-disruptive, they will face less workplace pushback (Ján & Veronika, 2017).
NURSFPX 4900 Assessment 4: Patient, Family, or Population Health Problem Solution
Summary Of Target Population and Need to Implement Intervention
According to the American College of Cardiology and the American Heart Association guidelines, roughly 1 in 5 U.S. Hispanics developed hypertension over six years. The rates of incidental hypertension were significantly higher among Hispanics/Latinos of Caribbean background (Schoenthaler et al., 2020). All U.S. Hispanic/Latino groups have poor
HTN treatment and control rates. Poor medication adherence is a significant factor in poor blood pressure control and results in 125,000 fatalities yearly (Schoenthaler et al., 2020). The adherence strategies are unsuccessful in community-based primary care offices, where most Latino patients visit. To address the racial differences in blood pressure control between Hispanics and whites, the implementation of specific treatments to improve medication adherence in the Hispanic population is necessary. This project seeks to address this gap by creating an intervention to increase Hispanics' education adherence. The proposed intervention uses culturally appropriate text messaging and reading material to educate participants on medication adherence. Text messaging as a reminder system, in addition to education, has been found to promote health literacy and compliance, resulting in increased adherence to medicines and, as a result, improved patient outcomes (Heine, 2020).
Role Of Leadership, Change Management And Ethics In Addressing Medication Non-
Adherence
The project will try something new in the current system to modify the outcomes connected to medication adherence at the healthcare facility that is the subject of this Capstone. Enhancing patient involvement, facilitating drug identification and self-
administration, improving patients' medication-taking abilities and behaviors, and improving POPULATION HEALTH PROBLEM SOLUTION 2
self-monitoring and feedback to patients and clinicians about their medication use are essential interventions (Kini & Ho, 2018). Scalable and straightforward adherence tactics should be employed more widely in the short term until their eventual integration into successful complex and personalized programs. When simple adherence methods with even minimal impact sizes at the individual level translate to the broader population level, they can
generate a substantial cumulative public health benefit by dramatically leveraging treatment efficacy (Kini & Ho, 2018).
Pender's Health Promotion Model can explain, predict, and influence patients' health-
promoting behaviors. This Capstone will examine the challenges to medication adherence among hypertensive Hispanics using Pender's health promotion paradigm (Parson et al., 2011). According to the interviews with the individuals in this study, the most significant barriers to medication adherence are forgetfulness, side effects, and symptom relief. Knowing
about potential roadblocks to behavior change might assist patients in locating resources to help them overcome these obstacles. As a result, providing education about potential barriers to change and the benefits of behavioral adjustments for improved illness management and self-care may be the critical components of this nurse-led intervention for hypertension patients.
For this Capstone, developmental transformation is the best method for change implementation. Developmental changes will improve existing processes and procedures. As the healthcare facility of study interest undergoes developmental change, it will experience steady improvements in response to the need for higher efficiencies, the correction of existing
flaws, or the enhancement of earlier success. Because the developmental gains are typically moderate and non-disruptive, they will face less workplace pushback (Ján & Veronika, 2017).
