Patient, Family, or Population Health Problem Solution Essay

Adolescent mental health problems are a major global health concern. Generally, mental health issues are rising gradually in society. Adolescent mental health is vital in shaping their mental health as adults. Many mental health issues such as depression, anxiety, post-traumatic stress disorder, attention-deficit hyperactivity disorder, and eating disorders begin in early development. More than half begin by age 14, and more than 75% begin by age 25 (Sweeney et al., 2019). Thus, adolescents’ mental health is very significant to their adult mental health and the total population health. With the rising cases of adolescent and adults mental health problems, nursing practice is affected by the increasing workload and case complexity. Mental health issues also pose a significant patient safety and quality care delivery problem. Hence, the problem is significant to nursing practice. This essay analyzes the various factors that influenced the development of an online mental health program to address adolescents’ mental health issues.

Leadership and Change Management Strategies

Leadership and change management strategies greatly influenced the development of the proposed intervention. Shared decision-making and open and free communication are leadership and change management strategies that helped the development of the proposed intervention (Pieterse et al., 2019). They helped gather relevant information from other healthcare providers, healthcare leadership, and the patient group. Shared decision-making also helps resist staff to accept change. Open and free communication-enabled all stakeholders to contribute and express their concerns without limitations or fear. Good communication improves interprofessional communication and is the cornerstone of quality healthcare decisions. It also ensures informed decision-making, enhancing change acceptance and implementation of change interventions (Pieterse et al., 2019). A critical analysis of the information gathered helped decide the best intervention- an online mental health program. Every stakeholder was accorded an equal chance in decision-making, ensuring that the decisions made were the best as agreed upon by the stakeholders.

Ethical decision-making is a prerequisite in healthcare quality improvement. Several ethical principles influenced the decision. Autonomy, confidentiality, and beneficence were the most important ethics to consider (Butts & Rich, 2019). The intervention intends to improve adolescents’ autonomy through information and guidance. Adolescents suffer trauma, and their information should be protected to avoid further psychological damage. Thus, anonymity in the online program will ensure anonymity while still maintaining high-quality and safe consultation. The intervention will also relay advantages such as quality consultation and helpful online resources.

The senior students, third and fourth years, were the chosen group for the interaction when finding the solution to the rising adolescent mental health issues. Consulting the group vulnerable has several advantages. It helped understand the causes, aggravating factors, and the actual magnitude of the problem from the adolescent’s perspective. It also helped receive possible solutions from their suggestions on managing their mental health. After gathering and considering their proposed solutions, these adolescents are likely to participate in the interventions.

Strategies for Communication and Collaboration

Collaboration is integral to ensure the success of healthcare activities. Recognizing and rewarding collaborative behavior is a collaborative strategy that motivates the patient group to participate in the communication process (Rosen et al., 2018). Setting clear and mutual goals and objectives will help collaborative work achieve the common goals. Clarity of goals also helps stakeholders avoid deviations that waste time and stay committed to achieving goals (Rosen et al., 2018). Simple psychological rewards such as clapping hands for a teen who answers a question are effective adolescents. Using appropriate tools and channels for communication is an effective strategy to ensure a team’s success. Adolescents prefer audio-visual tools such including presentations, videos, and charts to understand better and maintain attention. Understanding the patient group is integral in determining the best communication and collaborative strategies.

Contributions of State Board Nursing Practice Standards and/or Organizational or Governmental Policies

Healthcare improvement projects must comply with organizational, local, state, and federal policies and regulations to succeed. Several governmental policies and acts were integral in developing this proposal. These include the nursing practice act by the state board of nursing that regulates the nurses’ scope of practice and professional standards. The national mental health act also helped understand the scope of nursing practice in mental healthcare to ensure the strategy complies with these policy stipulations. Under the national mental health act, school health programs have had marked success in reducing students’ mental health problems (O’Reilly et al., 2018). Other programs such as community programs and state-run community centers have helped reduce the rates of mental health issues and associated consequences such as violence.

The HIPAA act social media use and patient safety information use helped determine the best strategies to ensure the program will ensure patient information safety and compliance with healthy social media activities. The act has successfully ensured that patients’ information is safe and healthcare providers use social media platforms to acceptable standards (Mbonihankuye et al., 2019). Under the national information technology initiative, the Agency for Healthcare Quality and Research (AHQR) stipulated effective healthcare technology use, especially electronic health records. These acts, regulations, and federal agencies helped shape and produce an effective strategy to manage adolescent mental health issues.

Online Mental Health Programs on Care Quality, Patient Safety, and Healthcare Costs

An online mental health program will significantly improve the quality of care, promote safety, and reduce healthcare costs. The online program is designed to maintain patient anonymity, increase confidentiality, and promote opening up. It will help the patients consult without fear, hence receiving better quality care (Sweeney et al., 2019). Online mental health programs will help all teens interact with each other; teens can also share personal experiences and strategies to cope with stressors and other mental health issues. In addition, teens will be taught acceptable behaviors to produce the desired mental health behavior and responsibility. Thus, online programs will help prevent adolescents’ violent behaviors, promoting adolescents’ safety (Skeen et al., 2019). In addition, the program will teach acceptable behaviors and safe interventions to their mental health issues, promoting their safety. The program will offer consultation services to help detect problems early, preventing disease complications that increase healthcare costs.

Some mental health problems can be fully treated, such as eating disorders and depression, reducing the costs of treating these conditions in their severe states (Odgers & Jensen, 2019). Patients undergoing treatment for mental health issues require consistent follow-up. The online program will be a good follow-up platform to provide social support to these patients. These interventions will help prevent readmission due to complications and disease relapses that stretch healthcare systems’ resources (Sweeney et al., 2019). Thus, the proposed intervention will help contain these costs to the individual and the system. An online adolescents’ mental health program will thus help improve the quality of mental healthcare, ensure patient safety, and reduce healthcare costs.

Technology, Care Coordination, and Community Resources in Adolescent Mental Health

Healthcare technology has infiltrated all hospital sectors and is associated with improved efficiencies in healthcare institutions. Technology, especially social platforms and online resources, helps reach many people bypassing geographical barriers and space limitations. Technology will help provide resources to a bigger audience and ensure effective remote consultation. Care coordination is integral in healthcare settings. Preparing distinct roles for every healthcare provider also helps avoid confusion, increase accountability and responsibility, and improve interprofessional collaboration (Storm et al., 2019). Care coordination will also ensure interventions’ immediacy, preventing unnecessary delays that lead to disease complications. In addition, it will ensure high-quality decisions that incorporate inputs from all healthcare disciplines.

Community resources will be integral to this program. Community centers will be a source of referral of patients. Patients from community centers and rehabilitation centers will be referred to the online program for re-initiation into the community. The program will also receive patients from other community organizations such as faith-based organizations. The community centers will also refer adolescents who require mild therapies and physical care. Other community resources include community groups that integrate services for specific conditions (Castillo et al., 2019). Successful groups include the alcohol anonymous and schizophrenia groups. These groups are integral in providing social inclusion, reducing stigma and discrimination, and promoting mental wellness (Castillo et al., 2019). Referral to these groups will further improve the mental health of adolescents.

Conclusion

Healthcare institutions require constant reevaluations and quality improvement projects to maintain high-quality care, accommodate ever-changing patient needs, improve patient safety, and contain healthcare costs. Healthcare leaders should thus focus on current best evidence-based practices and implement them in healthcare institutions. Adolescent mental health is a global health issue requiring attention from healthcare institutions. An online adolescent’s mental health program will help many adolescents avoid or recover from mental health problems. Healthcare technology, care coordination, and community resources are also formidable tools in managing adolescent mental health issues. hEalthcare institutions should collaborate with the community and the state and federal governments to contain the rising burden of adolescent mental health issues.

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References

Butts, J. B., & Rich, K. L. (2019). Nursing ethics. (3^rd Ed.). Jones & Bartlett Learning.

Castillo, E. G., Ijadi-Maghsoodi, R., Shadravan, S., Moore, E., Mensah, M. O., Docherty, M., Nunez, M. G. A., Barcelo, N., Goodsmith, N., Halpin, L. E., Morton, M., Mango, J., Montero, J. E., Koushkaki, S. R., Bromley, E., Chung, B., Jones, F., Gabrielian, S., Gelberg, L., and Wells, K. B., (2019). Community interventions to promote mental health and social equity. Current psychiatry reports, 21(5), 1-14. https://doi.org/10.1007/s11920-019-1017-0

Mbonihankuye, S., Nkunzimana, A., & Ndagijimana, A. (2019). Healthcare data security technology: HIPAA compliance. Wireless Communications and Mobile Computing, 2019. https://doi.org/10.1155/2019/1927495

O’Reilly, M., Svirydzenka, N., Adams, S., & Dogra, N. (2018). Review of mental health promotion interventions in schools. Social psychiatry and psychiatric epidemiology, 53(7), 647-662. https://doi.org/10.1007/s00127-018-1530-1

Odgers, C. L., & Jensen, M. R. (2020). Annual Research Review: Adolescent mental health in the digital age: facts, fears, and future directions. Journal of Child Psychology and Psychiatry, 61(3), 336-348. https://doi.org/10.1111/jcpp.13190

Pieterse, A. H., Stiggelbout, A. M., & Montori, V. M. (2019). Shared decision-making and the importance of time. Jama, 322(1), 25-26. https://doi.org/doi:10.1001/jama.2019.3785

Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433. https://doi.org/10.1037/amp0000298

Skeen, S., Laurenzi, C. A., Gordon, S. L., du Toit, S., Tomlinson, M., Dua, T.,  Toit, S., Tomlinson, M., Dua, T., Fleischmann, A., Khol, K., Ross, D., Servili, C., Brand, A. S., Dowdall, N.,Lund, L., Westhuizen, Carvajal-Aguirre, L., de Carvalho, C. E., and Melendez-Torres, G. J. (2019). Adolescent mental health program components and behavior risk reduction: a meta-analysis. Pediatrics, 144(2). https://doi.org/10.1542/peds.2018-3488

Storm, M., Husebø, A. M. L., Thomas, E. C., Elwyn, G., & Zisman-Ilani, Y. (2019). Coordinating mental health Services for People with serious mental illness: a scoping review of transitions from a psychiatric hospital to community. Administration and Policy in Mental Health and Mental Health Services Research, 46(3), 352-367. https://doi.org/10.1542/peds.2018-3488

Sweeney, G. M., Donovan, C. L., March, S., & Forbes, Y. (2019). Logging into therapy: Adolescent perceptions of online therapies for mental health problems. Internet interventions, 15, 93-99. https://doi.org/10.1016/j.invent.2016.12.001

 

Assessment 4 Instructions: Patient, Family, or Population Health Problem Solution

Top of Form

Bottom of Form

• PRINT
• Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you’ve defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5-7 page analysis of your intervention.

Please submit both your solution/intervention and the 5-7 page analysis to complete Assessment 4.

Introduction

In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.

Preparation

In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:

• • Creating an educational brochure.
  • Producing an educational voice-over PowerPoint presentation or video focusing on your topic.
  • Creating a teaching plan for your patient, family, or group.
  • Recommending work process or workflow changes addressing your topic.

Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.

In addition, you may wish to complete the following:

• • Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
  • Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.

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Note: Remember that you can submit all, or a portion of, your draft assessment to Smarthinking for feedback, before you submit the final version. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions

Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.

Part 1

Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.

Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:

• • Leadership.
  • Collaboration.
  • Communication.
  • Change management.
  • Policy.
  • Quality of care.
  • Patient safety.
  • Costs to the system and individual.
  • Technology.
  • Care coordination.
  • Community resources.

Part 2

Submit your proposed intervention to your faculty for review and approval.

In a separate written deliverable, write a 5–7 page analysis of your intervention.

• • Summarize the patient, family, or population problem.
  • Explain why you selected this problem as the focus of your project.
  • Explain why the problem is relevant to your professional practice and to the patient, family, or group.

In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

• • Define the role of leadership and change management in addressing the problem.

• • • Explain how leadership and change management strategies influenced the development of your proposed intervention.
    • Explain how nursing ethics informed the development of your proposed intervention.
    • Include a copy of the intervention/solution/professional product.
  • Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.

• • • Identify the patient, family, or group.
    • Discuss the benefits of gathering their input to improve care associated with the problem.
    • Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.
  • Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.

• • • Cite the standards and/or policies that guided your work.
    • Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
  • Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

• • • Cite evidence from the literature that supports your conclusions.
    • Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
  • Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.

• • • Cite evidence from the literature that supports your conclusions.
  • Write concisely and directly, using active voice.
  • Apply APA formatting to in-text citations and references.

Additional Requirements

• • Format: Format the written analysis of your intervention using APA style. APA Style Paper Tutorial [DOCX] is provided to help you in writing and formatting your paper. Be sure to include:

• • • A title page and reference page. An abstract is not required.
    • Appropriate section headings.
  • Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
  • Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
  • Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Portfolio Prompt: Save your intervention to your ePortfolio. After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• • Competency 1: Lead people and processes to improve patient, systems, and population outcomes.

• • • Define the role of leadership and change management in addressing a patient, family, or population health problem.
  • Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.

• • • Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
  • Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.

• • • Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.
  • Competency 5: Analyze the impact of health policy on quality and cost of care.

• • • Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.
  • Competency 6: Collaborate interprofessionally to improve patient and population outcomes.

• • • Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.
  • Competency 8: Integrate professional standards and values into practice.

• • • Write concisely and directly, using active voice.
    • Apply APA formatting to in-text citations and references.

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Patient, Family, or Population Health Problem Solution Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Define the role of leadership and change management in addressing a patient, family, or population health problem and includes a copy of intervention/solution/professional product.	Does not describe leadership and change management strategies, and does not include a copy of the intervention/solution/professional product.	Attempts to describe leadership and change management strategies, and/or does not include a copy of the intervention/solution/professional product.	Defines the role of leadership and change management in addressing a patient, family, or population health problem and includes a copy of the intervention/solution/professional product.	Defines the role of leadership and change management in addressing a patient, family, or population health problem. Provides an articulate, cogent explanation of the influence that leadership strategies, change management strategies, and nursing ethics had on the development of an intervention and includes a copy of the intervention/solution/professional product.
Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.	Does not describe communication and collaboration strategies.	Attempts to describe communication and collaboration strategies.	Proposes strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.	Proposes clear, best-practice strategies, well-supported in the literature, for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem. Presents a strong case for the benefits of obtaining input from a patient, family, or group.
Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.	Does not describe state board nursing practice standards and/or organizational or governmental policies applicable to the development of a proposed intervention.	Attempts to explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.	Explains how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.	Provides an articulate, cogent explanation of how specific state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention. Describes credible research on the effectiveness of these standards and/or policies in improving outcomes.
Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.	Does not explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.	Provides an explanation, dependent upon unsubstantiated assumptions, of how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.	Explains how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.	Provides an articulate, cogent explanation of how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Conclusions are well-supported by credible evidence. Cites specific, relevant, and available sources of benchmark data.
Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.	Does not describe technology, care coordination, and community resources that can be applied in addressing a patient, family, or population health problem.	Attempts to explain how technology, care coordination, and community resources can be applied in addressing a patient, family, or population health problem.	Explains how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.	Provides an articulate, cogent explanation of how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem. Conclusions are well-supported by specific, credible evidence.
Write concisely and directly, using active voice.	Does not write concisely and directly, using active voice.	Writes passively, with a tendency toward wordiness.	Writes concisely and directly, using active voice.	Writes concisely and directly. Conveys precise and unequivocal meaning through clear and consistent use of active voice.
Apply APA formatting to in-text citations and references.	Does not apply APA formatting to in-text citations and references.	Applies APA formatting to in-text citations and references incorrectly and/or inconsistently, detracting noticeably from good scholarship.