Health & Medical Question

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 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.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 1Develop 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 2Submit 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.
• I am including the papers from Assessment 1-3

RUNNING HEAD: Assessment 1 Assessing
Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and
Policy Considerations
Yasmine Francois
NURS-FPX 4900
Capella University
Professor Deanna Golden
Diabetes
The individual under study is my brother’s wife, for whom I have obtained consent to
share personal health information. Given her Haitian descent, age older than 35, and overweight
status, my BIL’s wife was at risk for gestational diabetes (GDM) and hypertension. Diagnosed at
24 weeks during her first pregnancy, she expressed frustration at not knowing earlier,
emphasizing the importance of awareness for implementing necessary changes in diet and
exercise for a healthier pregnancy. Globally, the prevalence for GDM is estimated to be at
approximately15%. (Melchior et al., 2017) GDM is currently the most common medical problem
of pregnancy. (McIntyre et al., 2019) Gestational diabetes, according to the American Diabetes
Association is: “diabetes diagnosed in the second or third trimester of pregnancy that was not
clearly overt diabetes prior to gestation”. (Mitanchez et al., 2020) Risk factors for developing
GDM include advanced maternal age, (≥35 yrs.), overweight or obesity, excessive gestational
weight gain, excessive central body fat deposition, family history of diabetes, and short stature.
(McIntyre et al., 2019)
Barriers and Literature Review:
The lack of postpartum follow-up care for partners of individuals with Gestational
Diabetes Mellitus (GDM) has been identified as a significant barrier, as observed both in my
practice and supported by literature findings (Muhwava et al., 2018a). To ensure the reliability of
data, a comprehensive review of literature within the last five years was conducted using Capella
library filters to specifically include peer-reviewed sources. This approach aims to incorporate
the most recent and validated information related to postpartum care practices for individuals
with GDM.
Additionally, during this literature review, it was noted that the guidelines outlined by the
American Diabetes Association regarding the diagnosis and management of GDM are widely
adhered to within the healthcare community (Goyal et al., 2020). This recognition reinforces the
importance of understanding and implementing established guidelines in clinical practice to
ensure consistent and evidence-based care for individuals with GDM. The alignment with
recognized guidelines can contribute to improved patient outcomes and standardization of care
practices across healthcare settings.
Being that she is my brother wife posed educational challenges, demanding a cautious
approach to prevent being perceived as intrusive. Successful engagement involved active
listening, empathy, creativity, and flexibility, all essential elements to inspire change without
coming across as preachy. Collaborative efforts played a crucial role in proposing Specific,
Measurable, Achievable, Relevant, and Time-bound (SMART) goals tailored to meet the unique
needs of the partner. This approach fostered a supportive and effective educational environment,
promoting a shared commitment to health and well-being.
The guidelines set forth by the American Diabetes Association for the “diagnosis and
management of Gestational Diabetes Mellitus (GDM) are widely followed” (Goyal et al.,
American Diabetes Association “Standards of Medical Care-2020 for Gestational Diabetes
Mellitus”: A Critical Appraisal 2020). This acknowledgment underlines the significance of
adhering to established standards in ensuring comprehensive and evidence-based care for
individuals with GDM.
Moreover, research has been conducted to assess the effectiveness of metformin
compared to glyburide in the management of GDM. A 2015 meta-analysis and systemic review
indicated that neonatal hyperglycemia was better controlled with the use of metformin.
Consequently, there has been a shift towards incorporating metformin in pregnancy as a
preferred choice for managing GDM, reflecting the commitment to optimizing outcomes for both
mothers and newborns.
In 2011, the American Diabetes Association (ADA) initially altered its recommendation,
transitioning from a two-step strategy for the screening and diagnosis of Gestational Diabetes
Mellitus (GDM) to a one-step strategy. However, by 2014, the ADA revisited this decision and
amended its viewpoint. The revised recommendation proposed the use of either a one-step or
two-step strategy. This adjustment aimed to facilitate the identification of different degrees of
hyperglycemia severity and maternal and fetal risks. The rationale behind this inclusive approach
was to enhance generalizability, avoid conflicts, and respect varied viewpoints, particularly in
instances where the evidence was equivocal (Goyal et al., American Diabetes Association
“Standards of Medical Care-2020 for Gestational Diabetes Mellitus”: A Critical Appraisal 2020).
The American Diabetes Association (ADA) has established clear guidelines for the
timing of tests to be performed during pregnancy and postpartum. There is an increased
emphasis on testing for hyperglycemia at the first prenatal visit, particularly for women at high
risk. This emphasis is in response to the growing lifetime risk of developing diabetes for the
woman and the potential health consequences for her children (Goyal et al., American Diabetes
Association “Standards of Medical Care-2020 for Gestational Diabetes Mellitus”: A Critical
Appraisal 2020). This approach underscores the importance of early and targeted screening to
identify and manage gestational diabetes promptly.
Nurses occupy a unique position in the healthcare field, wielding the capability to
influence healthcare through the shaping of policies. The existence of well-defined policies is
crucial as they serve to establish and harmonize appropriate standards and processes, ensuring
the delivery of quality care. This influential role of nurses in policy development was highlighted
by Burke, emphasizing the importance of nurses in not only delivering care at the bedside but
also actively participating in the creation and implementation of policies that guide healthcare
practices (Burke, “Influence through policy: Nurses have a unique role” 2016). This recognition
underscores the profound impact that nursing professionals can have on healthcare systems and
the overall well-being of patients.
The American College of Nurses, the National League for Nursing, and the American
Nurses Association all acknowledge the pivotal role of nurses in the formulation of policies.
These esteemed organizations expect nurses to actively engage with policy issues as an integral
aspect of their professional role. Burke emphasizes this recognition in her work, “Influence
through policy: Nurses have a unique role” (2016), underlining the expectation that nurses
contribute to and influence policies that shape the healthcare landscape. This acknowledgment
reinforces the professional responsibility of nurses to not only provide direct patient care but also
actively participate in the policy-making processes that impact the broader healthcare system.
Navigating the role of a sister-in-law and sister while encouraging a healthier pregnancy
for my sister-in-law (SIL) presented unique educational challenges. Recognizing that simply
providing information wouldn’t lead to automatic change, especially outside a clinical setting,
required a thoughtful approach. Active listening, empathy, creativity, inspiration, and flexibility
became essential tools in facilitating change without coming across as authoritative or preachy.
In avoiding the stereotypical MIL role, I engaged in active listening to understand my
SIL’s perspective and challenges. Empathy played a crucial role in acknowledging her journey
and aspirations for a healthier pregnancy. To inspire change, I approached the conversation with
creativity, steering away from a didactic tone. Rather than telling her what to do, I asked about
her goals for morning blood sugar levels. If those goals weren’t met, I expressed sympathy and
inquired about her daily diet and exercise routines to explore ways to align them with her desired
blood sugar parameters. This approach allowed for a positive exchange where I could offer
suggestions without being perceived as imposing, and I consistently praised and encouraged her
successes to maintain motivation.
In our conversations, I applied several essential skills, including communication,
collaboration, and change management. Active listening played a pivotal role, allowing me to
understand her frustrations, intentional changes, and goals. Instead of dismissing small steps in
progress, I made a conscious effort to acknowledge and respect them, creating a foundation of
mutual respect.
Encouragement became a key element of our discussions, emphasizing the positive
aspects of the changes she was making. Through ongoing conversations, I fostered a
collaborative environment where we could work together to address challenges and set Specific,
Measurable, Achievable, Relevant, and Time-bound (SMART) goals. By suggesting SMART
goals, we transformed undefined objectives into tangible, manageable steps that guided and
directed the change process. This collaborative approach ensured that the goals were meaningful,
achievable, and aligned with her aspirations for a healthier pregnancy.
Overcoming the perception barrier with my sisterr-in-law (DIL) posed a significant
challenge, as she preferred me to be seen as “just a sister” rather than a nurse. The difficulty lay
in her reluctance to receive medical education from her sister-in-law. To address this hurdle, I
strategically approached education by shifting the focus away from personal expertise to
authoritative voices in the field.
Recognizing her discomfort with direct medical guidance from me, I engaged in
conversations with my brother and SIL, where we discussed relevant research findings. By
presenting information through the lens of research and expert opinions, I ensured that it wasn’t
solely my voice they heard but rather insights from credible sources. This approach allowed me
to share valuable information without appearing prescriptive or imposing, fostering an
environment where education could be received more openly and collaboratively.
Research indicates that managers with a direct leadership style have a positive impact on
staff behavior and patient satisfaction (Asif et al., 2019). It’s essential to distinguish between the
roles of a nurse leader and a nurse manager. Nurse leaders are directly involved with patients and
the care team, focusing on the overall well-being of individuals under their care. On the other
hand, nurse managers oversee the day-to-day operations of the unit, ensuring that everything
runs smoothly and efficiently (Breaking Down Nursing Leadership & Management Roles:
USAHS 2021). Both roles are crucial in healthcare settings, with leadership and management
working synergistically to provide optimal patient care and support for the healthcare team.
Addressing the challenges of gestational diabetes mellitus (GDM) requires a
compassionate approach to establish trust and respect. Recognizing that implementing necessary
changes can be challenging, it is crucial to approach education with empathy and an
understanding of the difficulties involved. A key aspect to cultivate is the ability to think
creatively and critically.
Merely instructing someone to exercise or providing facts may not be sufficient to inspire
change. Instead, there should be a mutual integration of effective teaching methods and
evidence-based practices. Encouraging better health practices by highlighting the long-term
consequences for both the mother and the baby, coupled with emphasizing the significance of
individual actions, may serve as a catalyst for positive change. Additionally, involving my
brother in the healthcare of his wife proved instrumental in promoting increased activity levels,
contributing to the overall encouragement of positive health behaviors for my sister-in-law.
Implementing the Plan, Do, Study, Act (PDSA) model was a deliberate choice after a
thorough evaluation of the situation. This model offers the best opportunity for success due to its
adaptability to the general population, simplicity in use, and ease of understanding. Participants
can actively engage in the process by identifying their goals, recognizing when changes have
been achieved, and determining what adjustments are needed to attain further accomplishments.
This approach minimizes the need for continuous monitoring, empowering individuals to take an
active role in their progress (Connelly, 2021).
The collaborative efforts of my brother and SIL form an effective team dedicated to
maintaining optimal blood glucose levels. Recognizing the potential lifelong consequences for
their children, my brother has embraced the keto diet, focusing on reducing carbohydrates and
incorporating more fresh fruits and vegetables into their daily meals. To overcome the common
hurdle of being too busy to go to the gym, they have invested in home gym equipment, fostering
a convenient and accessible approach to regular physical activity. This proactive lifestyle
adjustment demonstrates their commitment to the health and well-being of both the mother and
the unborn child.
The research article highlighted that the management of diabetes during pregnancy is
primarily directed toward healthcare professionals in hospital settings (Muhwava et al., 2018).
Nurses play a crucial role in enhancing outcomes by effectively communicating the hospital’s
vision, emphasizing patient and family involvement in the care process. When all stakeholders,
including patients, families, hospital staff, and support clinicians, align with the shared vision,
the quality of care significantly improves. Involving patients and their families from the
beginning fosters a sense of ownership and commitment to their care journey. Addressing
concerns proactively, providing compassionate care, and encouraging open communication
contribute to a positive care experience, ultimately reducing readmissions. (Source: Supporting
Patient and Family Engagement: Best Practices for Hospital Leaders, n.d.)
The nursing management of Gestational Diabetes Mellitus (GDM) encompasses
comprehensive care throughout the prenatal, intranatal, and postnatal periods. During the
prenatal phase, screening for GDM risk factors is essential, emphasizing a focus on decreasing
modifiable risks rather than intervention after diagnosis. Prevention has proven cost-effective,
reducing expenses compared to the costs associated with diagnosis and treatment. The prenatal
management involves glycemic control, monitoring, and lifestyle modifications, including diet
and exercise.In the intranatal period, nursing management aims to assist the patient in monitoring
and controlling blood glucose levels. The goal during labor is to maintain optimal blood glucose
levels, providing the patient with sufficient energy for the demands of the labor
process.Postnatally, the management of the GDM woman concentrates on lowering blood
glucose levels through medication, maintaining lifestyle changes, and conducting follow-up
screenings for early detection of Type 2 Diabetes. This comprehensive approach ensures ongoing
care and support for the patient’s health and well-being. (Source: Mensah et al., 2020).
Governments play a crucial role in implementing healthcare measures targeting at-risk
populations, particularly in preventing diabetes throughout the life course. Timpel, Harst,
Reifegerste, Weihrauch-Blüher, Schwarz’s paper emphasizes the significance of simple and
easily conducted lifestyle interventions. A Finnish study highlighted that such interventions
could effectively decrease the incidence of Gestational Diabetes Mellitus (GDM) when initiated
early and continued throughout life.
The interventions recommended by the study include regular dietary counseling and
physical activity, both before, during, and after pregnancy. Additionally, the positive and longterm benefits of breastfeeding contribute to reducing short-term and long-term health
consequences. The paper underscores the need for governments to support the development of
educational programs for pregnant women, fostering a holistic approach to healthcare that spans
various life stages. (Source: Timpel et al., 2019)
Ensuring long-term follow-up for individuals with Gestational Diabetes Mellitus (GDM)
is crucial for managing the associated consequences. Unfortunately, the current state of longterm follow-up is inconsistent due to the absence of a standardized care approach. The
multidisciplinary team approach required to address the various co-morbidities of pregnant
women makes it challenging to establish a uniform system.
Issues such as the lack of a verification system for follow-up appointments and poor
communication between healthcare providers contribute to what is known as the “silo effect” in
healthcare. This effect hampers the seamless flow of information across different levels of care.
Nurses, given their unique position in patient care, can play a vital role in addressing these
challenges. They can assist patients in navigating the complex healthcare system by providing
follow-up calls, reminders, and support in making appointments. Such proactive involvement
helps bridge gaps in care coordination and ensures that individuals with GDM receive the
necessary follow-up care for long-term health outcomes. (Source: Muhwava et al., 2018b)
In conclusion, addressing Gestational Diabetes Mellitus (GDM) goes beyond mere
management; prevention must be the primary focus. The World Health Organization
recommends comprehensive community-based measures to combat obesity, a significant risk
factor for GDM. These measures include restricting the advertising of unhealthy foods to
children, enhancing school meals through quality standards, implementing taxes on sugar or fat
to reduce the consumption of unhealthy foods, and promoting daily physical activity in schools.
Furthermore, successful initiatives at institutions like the University of Washington
Medical Center emphasize the importance of creating a culture of patient and family engagement
from the outset. Involving the family in the patient’s care establishes a sense of “buy-in,”
ensuring that their concerns are addressed throughout the healthcare journey. This collaborative
approach acknowledges the significance of collective efforts in implementing and sustaining
meaningful change. In essence, the proverbial village, encompassing healthcare providers,
policymakers, communities, and families, plays a pivotal role in preventing and managing GDM
effectively. It requires a comprehensive and collaborative effort to create lasting positive health
outcomes.
References
Breaking Down Nursing Leadership & Management Roles: USAHS. University of St.
Augustine for Health Sciences. (2021, May 21).
https://www.usa.edu/blog/nursing-leadership-and- management/.
Burke, S. (2020, June 2). Influence through policy: Nurses have a unique role.
https://nursingcentered.sigmanursing.org/commentary/more-commentary/Vol42_
2_nurses- have-a-unique-role.
Goyal, A., Gupta, Y., Singla, R., Kalra, S., & Tandon, N. (2020, June 20). American
Diabetes Association “Standards of Medical Care-2020 for Gestational Diabetes
Mellitus”: A Critical Appraisal. Diabetes therapy : research, treatment and
education of diabetes and related disorders.
https://pubmed.ncbi.nlm.nih.gov/32564336/.
Connelly, L. M. (2021). Using the PDSA Model Correctly.(Understanding Research).
Medsurg Nursing, 30(1), 61-64.
McIntyre, H. D., Catalano, P., Zhang, C., Desoye, G., Mathiesen, E. R., & Damm, P.
(2019b). Gestational diabetes mellitus. Nature Reviews.Disease Primers, 5(1),
47. 10.1038/s41572- 019-0098-8
Melchior, H., Kurch-Bek, D., & Mund, M. (2017a). The Prevalence of Gestational
Diabetes: A Population-Based Analysis of a Nationwide Screening Program.
Deutsches Ärzteblatt International, 114(24), 412-418. 10.3238/arztebl.2017.0412
Muhwava, L. S., Murphy, K., Zarowsky, C., & Levitt, N. (2018a). Policies and clinical
practices relating to the management of gestational diabetes mellitus in the
public health sector, South Africa – a qualitative study. BMC Health Services
Research, 18(1), 349. 10.1186/s12913- 018-3175-x
Supporting Patient and Family Engagement: Best Practices for Hospital Leaders. (n.d.).
https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/e
ngagingf amilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf.
Timpel, P., Harst, L., Reifegerste, D., Weihrauch-Blüher, S., & Schwarz, P. E. H. (2019).
What should governments be doing to prevent diabetes throughout the life
course? Diabetologia, 62(10), 1842-1853. 10.1007/s00125-019-4941-y
RUNNING HEAD: Assessment 1 Assessing
Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and
Policy Considerations
Yasmine Francois
NURS-FPX 4900
Capella University
Professor Deanna Golden
Introduction
Depression, a complex mental health condition, is characterized by persistent feelings of
sadness, hopelessness, and reduced interest in regular activities. It goes beyond normal mood
fluctuations, significantly impairing an individual’s ability to function in various aspects of life.
Common signs include changes in sleep patterns, appetite, and activity levels, coupled with
difficulties in concentration and decision-making. The development of depression is often
influenced by a combination of genetic, biochemical, environmental, and psychological factors.
Traumatic experiences, ongoing stress, and imbalances in neurotransmitters, particularly
serotonin, can contribute to its onset. While depression can affect individuals across diverse
demographics, certain risk factors, such as a family history of the condition, may increase
susceptibility.Treatment typically involves psychotherapy, medication, or a combination of both.
Cognitive-behavioral therapy (CBT) and antidepressant medications are commonly utilized to
help patients effectively manage and alleviate symptoms (Qasim, 2023). Seeking professional
help is crucial for those experiencing depression, as untreated cases can have severe
consequences not only on mental well-being but also on physical health.Establishing a robust
support network comprising friends and family, making lifestyle adjustments, and adhering to a
comprehensive treatment plan are essential elements in the journey toward recovery from
depression.
Description of Patient Problem
The practicum involves collaborating with Anser Pierre Louis, a 40-year-old individual
currently grappling with depression. The importance of Anser’s case is evident, marked by
enduring symptoms such as pervasive sadness, disruptions in sleep, diminished energy levels,
and a notable loss of interest in previously enjoyable activities. The prolonged duration of these
symptoms has significantly impacted his ability to fulfill typical social, occupational, and
familial responsibilities. The visible expressions of despair and apparent difficulties in decisionmaking and attention underscore the severity of his condition.
Resolving Anser’s sadness is crucial not only for his mental health but also for his physical wellbeing. Prolonged periods of depression are correlated with an increased susceptibility to
cardiovascular disease and a decline in immunological functioning (Pereira, 2023). Additionally,
this illness has the potential to exacerbate pre-existing health conditions, which could hinder the
effectiveness of current medical interventions.
The focus on Anser’s depression aligns with the comprehensive and patient-centered
approach inherent in nursing practice, particularly since Anser holds a bachelor’s degree in
nursing. Addressing depression, which affects both mental and physical aspects, requires a
thorough understanding of its signs and symptoms, along with the application of evidence-based
remedies. The collaborative nature of nursing becomes evident when working with an
interdisciplinary healthcare team, including professionals such as psychologists, psychiatrists,
and social workers. Together, they develop and implement a comprehensive care plan, taking
into account various factors and nuances. This may involve a combination of therapeutic
interventions, counseling sessions, and, when deemed appropriate, pharmaceutical therapies
(Esperat, 2023).
Equally important is providing emotional support, educational assistance, and access to
resources for Anser and his family, fostering a supportive environment that enhances his
recovery. In summary, the emphasis on collaborating with Anser Pierre Louis and addressing his
depression is not only relevant but also embodies the principles of baccalaureate-level nursing.
The goal is to contribute meaningfully to Anser’s rehabilitation process by integrating nursing
knowledge, implementing evidence-based interventions, and fostering effective communication.
This approach aims to empower Anser to regain control over his life and improve his overall
well-being.
Peer-Reviewed Literature Analysis
Nursing interventions for the identified problem of depression in patients, such as Anser
Pierre Louis, can be derived from scholarly articles and other professional sources. The literature
supports the principles of baccalaureate-level nursing education, emphasizing a holistic and
patient-centered approach. Cognitive Behavioral Therapy (CBT) is widely acknowledged as a
beneficial psychotherapy technique for treating depression, with studies indicating that it can
alleviate depressive symptoms, improve general functioning, and prevent relapse (Pereira, 2023).
The role of antidepressants in treating mild to severe depression is extensively explored and
recognized. Evidence-based guidelines for pharmaceutical therapies are available in the
American Psychiatric Association’s Practice Guideline for the treatment of patients with major
depressive disorder, providing a valuable resource for nurses and other healthcare professionals
in directing treatment. Patient education and family involvement, as observed in nursing practice,
align with recommendations from the literature. The importance of educating patients and their
families about depression, treatment options, and the significance of medication adherence is
underscored in the work of Steinman (2023). This aligns with initial observations while
counseling patients like Anser and involving their loved ones in the healing process.
It is imperative to rely on trustworthy data. Assessing the reliability of sources is crucial,
ensuring that they originate from reputable journals authored by recognized authorities on the
subject. The data becomes more reliable when consistent with other credible sources and adheres
to standard research procedures. Implementation of evidence-based practice in depression care
faces challenges such as time restrictions, resistance to change, and a lack of resources, as
highlighted in (Esperat, 2023). Research underscores the importance of organizational support,
training, and fostering a culture that promotes evidence-based practice to overcome these
obstacles. Collaborative care models, as demonstrated in research evaluating nursing standards
and policies, have a positive impact on enhancing depression outcomes. Integrating mental
health care into primary care settings is shown to improve depression outcomes, emphasizing the
significance of a collaborative and interdisciplinary approach (Qasim, 2023).
The literature on nursing’s influence on policymaking emphasizes the need to reduce
stigma and increase access to care for individuals with mental health issues. Nurses play a
significant role in shaping mental health policies, including those focused on prevention and
reducing hospital readmissions. Therapeutic relationships, a central aspect of nursing theory and
conceptual frameworks like Peplau’s Interpersonal Relations Theory, underscore the importance
of understanding the patient’s lived experience, promoting communication, and offering support.
This paradigm informs nursing actions in the treatment of depression.
In summary, evidence from the nursing literature supports a holistic and interdisciplinary
approach to treating depression. The research informs nursing practice by shedding light on
obstacles to evidence-based practice, showcasing the effectiveness of collaborative care models,
outlining the role of nurses in policymaking, and providing theoretical frameworks to guide
actions during the practicum. Delivering care based on evidence requires a meticulous review of
the reliability of the data.
Impacts of Policies and Practice Standards
State board nursing practice standards and corporate or governmental policies
significantly influence the development of the nursing profession and the handling of patient
depression. These standards typically delineate the scope of nursing practice and the requisite
skills and knowledge for nurses. For example, these standards may guide the assessment and
treatment of mental health conditions, facilitating nurses in recognizing and addressing signs of
depression. It is crucial to examine whether these guidelines and regulations effectively
contribute to the well-being of depressed patients. While research on the direct impact of nursing
practice standards on depression outcomes is limited, there is robust evidence that adhering to
evidence-based guidelines (embedded in practice standards) can enhance patient outcomes.
Research by (Kokole, 2023) supports norms that advocate for interdisciplinary approaches to
mental health care, emphasizing the effectiveness of collaborative care models. To effectively
shape healthcare systems to address mental health challenges, nurses must actively participate in
policy making. The literature underscores the importance of nurses advocating for legislation
that strengthens mental health services, eliminates stigma, and promotes access to care. The
principles of baccalaureate-prepared nursing align with the advantages of nurses engaging in
policy making, promoting a more holistic and patient-centered approach to mental health.
The scope of nursing practice is profoundly influenced by laws and legislation at the
local, state, and federal levels. The ability of nurses to provide timely and effective care within
the context of depression is directly affected by policies related to mental health funding,
insurance coverage for mental health services, and regulations governing advanced practice
nursing in mental health settings. Legislative changes have the potential to either encourage or
impede the implementation of best practices in depression nursing care, as noted by (Steinman,
2023). Ultimately, the effectiveness of treating a patient’s depression is significantly shaped by
nursing practice standards set by state boards, corporate or governmental policies, and legislative
frameworks.Several factors contribute to shaping nursing treatment for depression, including
adherence to evidence-based guidelines, the active role of nurses in policy-making, and the
impact of local, state, and federal laws. Nurses require a comprehensive understanding of these
complexities to successfully navigate and contribute to the continually evolving field of mental
health care. The interplay between nursing practice standards, policies, and legislative
frameworks underscores the importance of a holistic approach in addressing and treating
depression within the healthcare system.
Leadership Tactics
Anser Pierre Louis, currently grappling with depression, exemplifies why robust
leadership methods are essential for improving outcomes, patient-centered care, and the overall
patient experience. Positive patient outcomes and heightened satisfaction levels have been
correlated with transformative leadership traits such as inspiration, intellectual stimulation,
customized concern, and idealized influence (Qasim, 2023). Therefore, it is recommended to
apply the principles of transformative leadership when addressing challenges associated with
depression.
Leaders should take a multifaceted approach to address depression-related challenges.
Initially, fostering an environment that recognizes the significance of mental health and
embraces evidence-based methods is crucial. Leaders should advocate for healthcare providers to
undergo continuous training on cutting-edge depression treatment methods. Secondly, leaders
should actively seek additional funding for resources such as staffing and mental health services,
ensuring that individuals like Anser receive the care they require promptly.
In tackling the complexities of mental health, leaders should champion a collaborative
and interdisciplinary approach that values input from all team members. Successful depression
treatment necessitates teamwork and transparent communication. Leaders can facilitate this by
organizing regular interdisciplinary team meetings to enhance information sharing and care
coordination. To fully understand the patient’s needs and preferences, open lines of
communication among healthcare practitioners, patients, and their families are imperative.
Leaders should encourage the use of encrypted messaging platforms and other technological
tools to enhance team collaboration and interaction. By implementing these strategies, leaders
can contribute significantly to the improvement of depression care and patient outcomes.
To successfully transition toward more patient-centered and evidence-based depression care,
implementing change management measures is crucial. Involving frontline employees in the
decision-making process and providing them with the necessary tools to adopt new procedures
are essential steps. Pilot projects at a smaller scale can be implemented to test and refine
interventions before expanding them on a larger scale. Continuous assessment mechanisms and
feedback processes are fundamental for identifying problem areas and sustaining improvements.
In essence, effective leadership techniques grounded in transformational principles play a
pivotal role in enhancing outcomes, patient-centered care, and the overall patient experience for
individuals struggling with depression (Kokole, 2023). To navigate the complexities of mental
health treatment successfully, leaders must advocate for resources, foster a collaborative
environment, enhance communication channels, and apply change management tactics. When
these methods are employed, healthcare facilities can offer patients a holistic and personcentered approach to depression treatment.
Conclusion
In summary, the discussion has delved into the intricate facets of addressing depression in
nursing practice. Starting from defining the patient problem and analyzing evidence from
literature to understanding the influence of nursing standards, policies, and leadership strategies,
the conversation underscores the importance of a holistic and patient-centered approach for
effective care. By highlighting the significant role of nurses in policy-making and emphasizing
the necessity for collaborative, evidence-based practices, the discourse underscores the ongoing
commitment required to navigate and enhance mental health care outcomes.
References
Esperat, M. C. (2023). Interprofessional Collaborative Practice: Management of Chronic
Disease and Mental Health Issues in Primary Care. 138(1_suppl), 29S35S.
https://doi.org/10.1177/00333549231155469
Kokole, D. (2023). Protocol for a process evaluation of SCALA study – Intervention targeting
scaling up of primary health care-based prevention and management of heavy drinking
and comorbid depression in Latin America. 97, 102217–102217.
https://doi.org/10.1016/j.evalprogplan.2022.102217
Pereira, S. A. F. (2023). Strategic change in the health sector: a literature review and future
challenges. Journal of Organizational Change Management.
https://doi.org/10.1108/jocm- 05-2022-0144
Qasim, N. (2023). The impact of differentiated empowering leadership on employees’
depression: moderation of employees’ envy and gender. Gender in Management: An
International Journal. https://doi.org/10.1108/gm-01-2022-0013
Steinman, L. E. (2023). “We are the sun for our community:” Partnering with community health
workers/promotores to adapt, deliver and evaluate a home-based collaborative care
model to improve equity in access to quality depression care for older U.S. Latino adults
who are underserved. Frontiers in Public Health, 11.
https://doi.org/10.3389/fpubh.2023.1079319
RUNNING HEAD: Assessment 2 Assessing
Assessment 2: Assessing the Problem: Quality, Safety, and Cost Considerations
Yasmine Francois
NURS-FPX 4900
Capella University
Professor Deanna Golden
1
2
Introduction
To enhance the delivery of healthcare, it is crucial to thoroughly analyze how a health
issue impacts the quality of services, patient safety, and financial expenditures. This assessment
explores the repercussions of the highlighted issue on both the healthcare system and the
individuals it serves. To gain a comprehensive understanding of the challenges faced by patients,
their families, or the specific demographic under study, a minimum of two hours of hands-on
empirical investigation is essential. Within the healthcare sector, organizational data serves as a
valuable resource, encompassing essential indicators such as readmission rates, hospital-acquired
infections, incidents of falls, prescription errors, staff satisfaction, critical safety events, and
patients’ perceptions of their care. By utilizing these benchmarks, healthcare professionals can
assess their performance, generate reports on patient safety, and judiciously allocate limited
resources. In the current context, the pivotal role played by professional nurses becomes evident
as they actively engage in fundamental responsibilities, including collecting, documenting, and
overseeing comprehensive data related to quality and patient safety. Moreover, integrating
subject matter expertise and insights from industry specialists into the evaluation process aims to
establish a connection between theoretical knowledge and practical implications. The healthcare
sector can effectively address acknowledged health issues and strive to enhance the quality of
care, patient safety, and system costs through collaborative efforts guided by this approach.
Impacts on Patient Safety, Care, and Cost
The issue of patient depression has far-reaching implications for both individuals and the
healthcare system at large, significantly impacting the quality of care, patient safety, and
healthcare expenditures. Consistent with existing research findings, nursing practices align with
the recognition of these effects, underscoring the imperative to comprehensively address
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depression. Given its potential to exacerbate existing health conditions and impede the healing
process, depression serves as a substantial barrier to effective treatment provision.
A study conducted by Delman in 2023 reinforces these concerns, indicating that individuals
grappling with both depression and chronic medical conditions tend to engage in extensive
healthcare utilization decisions and face a higher likelihood of hospitalization. Nursing
experiences highlight the challenges encountered in addressing not only patients’ physical health
issues but also the complexities associated with untreated or poorly managed depression. This
underscores the significance of integrating healthcare approaches to ensure a holistic and
effective patient care strategy.
Moreover, patient safety is at risk, as individuals with depression may exhibit cognitive
impairment, making it challenging for them to adhere to treatment plans and actively manage
their health. This is particularly concerning, considering the World Health Organization’s
assertion that depression ranks as a significant global cause of disability. Reflecting on my
professional experiences, instances have been observed where individuals diagnosed with
depression struggled to adhere to prescribed medications or attend follow-up appointments,
presenting serious safety concerns. Addressing the intersection of mental health, particularly
depression, and physical health is essential for ensuring comprehensive and safe patient care.
Depression not only exacts a profound toll on individuals but also places a substantial financial
burden on both society and the affected individuals when left untreated. A study conducted by
Santos in 2023 estimated the annual cost of depression to the U.S. economy to exceed $200
billion. This comprehensive examination encompassed various dimensions, including direct
healthcare expenses, costs related to workplaces, and the financial strain experienced by families.
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In my professional experience, I have witnessed firsthand the strain that individuals with
untreated depression place on healthcare systems, necessitating repeated hospitalizations or
emergency medical treatments. This aligns with existing evidence that overwhelmingly supports
the notion that depression significantly impacts various facets of healthcare, including the quality
of care provided, patient safety, and overall healthcare costs. As a nurse, I find these conclusions
consistent with my personal observations and perspectives.
Challenges associated with managing comorbidities, promoting patient adherence, and
minimizing the economic burden are recurring themes in both scholarly research and practical
experiences. Effectively recognizing and treating depression is crucial for enhancing the quality
of healthcare, ensuring patient safety, and reducing individual and societal costs. A
comprehensive and integrated therapeutic approach is essential to successfully address the
multifaceted consequences of depression on healthcare outcomes.
Influence of Standards and Policies
The impact of depression on the quality of care, patient safety, and healthcare costs is
significantly influenced by the standards set forth by state boards of nursing practice, corporate
policies, and federal regulations. Adhering to these standards ensures the provision of nursing
care that is consistent and evidence-based. Numerous studies have sought to assess the
effectiveness of nurse practice guidelines and policies in improving care quality, patient safety,
and the efficiency of healthcare systems, consistently demonstrating their substantial impact on
healthcare outcomes.
For instance, in a study conducted by Steinman in 2023, a correlation was found between
the adherence to evidence-based depression therapy guidelines and improved patient outcomes,
coupled with lower healthcare costs. This underscores the importance of well-defined policies in
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guiding healthcare providers to deliver practical, safe, and cost-efficient care. Nurses operate
within the framework of established protocols concerning care quality, patient safety, and cost,
ensuring a standardized and effective approach to depression care.
Professional organizations, such as the American Nurses Association, underscore the
critical role of nurses in enhancing patient safety through effective team collaboration and
communication. Following these recommendations, nurses prioritize interdisciplinary teamwork
and establish communication channels to facilitate a comprehensive and secure approach to
providing care for patients with depression. The integration of these standards and policies not
only ensures the consistency of care but also contributes to improved patient outcomes and more
efficient healthcare delivery.
The nursing scope of practice, as well as the quality of care, patient safety, and costs, is
significantly shaped by laws and legislation at the municipal, state, and federal levels. These
legal frameworks play a pivotal role in influencing the healthcare landscape and ensuring that
individuals suffering from depression have access to comprehensive and cost-effective coverage.
Mental health parity laws, for instance, mandate insurance companies to treat mental health on
par with physical health, thereby enhancing access to essential services for those dealing with
depression.
Research, such as the study conducted by Kokole in 2023, suggests that collaborative
approaches can lead to improved patient outcomes and cost savings. Consequently, it is rational
for states to adopt laws favoring integrated care models, emphasizing the importance of a holistic
and collaborative approach to healthcare.
Healthcare providers need to possess a thorough understanding of the regulations that
dictate the parameters of nursing practice to ensure safe and effective care delivery. This
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knowledge is particularly crucial for providing high-quality, cost-effective care to individuals
suffering from depression. Additionally, it empowers healthcare professionals to advocate for
systemic changes that could positively impact the overall health and well-being of individuals
affected by depression. By aligning legal frameworks with the principles of integrated care and
mental health parity, healthcare systems can work towards ensuring equitable access, promoting
patient safety, and optimizing the costs associated with depression care.
Proposed Enhancement Tactics
Various solutions can be proposed to optimize the quality of therapy, enhance patient
safety, and mitigate expenses for individuals undergoing depression, backed by a substantial
body of research providing evidence for their effectiveness. Integrated care models, which
integrate mental health and primary care services, have proven to enhance the quality of care and
improve patient outcomes, as evidenced by a trial conducted by Kokole in 2023. The findings of
this study suggest that such models are not only effective but also cost-efficient.
Telehealth services offer another impactful solution by increasing access to care and
improving mental health outcomes, particularly in the context of follow-up consultations and
support. Research indicates that telehealth has the potential to reduce overall healthcare costs
while enhancing patient outcomes. Educational and self-management programs have
demonstrated positive effects on outcomes and have been shown to reduce healthcare
consumption, as highlighted in a study conducted by Santos in 2023. These programs empower
individuals to actively manage their mental health and contribute to better overall outcomes.
The utilization of benchmarking and quality improvement programs is crucial for
identifying areas that require improvement and monitoring progress. Analysis of data from
reputable sources such as the Nationwide Database of nursing quality indicators and the agency
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for healthcare research and quality provides valuable insights that can guide healthcare providers
in implementing targeted improvements to enhance care quality and patient safety.
In summary, a combination of integrated care models, telehealth services, educational
and self-management programs, and quality improvement initiatives can collectively contribute
to optimizing the quality of therapy, improving patient safety, and mitigating expenses for
individuals undergoing depression. These evidence-based solutions pave the way for
comprehensive and effective approaches to depression care.
Interprofessional collaboration is a crucial approach that plays a pivotal role in
facilitating comprehensive and patient-centered treatment. A study conducted by Qasim in 2023
emphasized the positive effects of collaborative care strategies on patient outcomes.
Additionally, adopting value-based care models, which prioritize positive results and patient
satisfaction over the quantity of services provided, has the potential to enhance the quality of
treatment and mitigate avoidable expenses. Policy measures promoting value-based care, such as
the Hospital Value-Based Purchasing (VBP) Program implemented by the Centers for Medicare
& Medicaid Services (CMS), serve as noteworthy examples of initiatives aimed at improving
healthcare quality.
Healthcare practitioners can further enhance the quality of care, improve patient safety,
and reduce costs for individuals experiencing depression by employing evidence-based
strategies. Consistently evaluating and comparing care using available data sources aligns with
the concepts of patient-centered care and evidence-based treatment. This approach underscores
the importance of a thorough and collaborative approach to mental health care, emphasizing the
need for healthcare professionals to work together and utilize evidence-based practices to
provide effective and efficient care for individuals dealing with depression.
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9
References
Delman, J. (2023). Using Community-Based Participatory Research to Conduct a Collaborative
Needs Assessment of Mental Health Service Users: Identifying Research Questions and
Building Academic-Community Trust. 152483992311711-152483992311711.
https://doi.org/10.1177/15248399231171144
Kokole, D. (2023). Protocol for a process evaluation of SCALA study – Intervention targeting
scaling up of primary health care-based prevention and management of heavy drinking
and comorbid depression in Latin America. 97, 102217–102217.
https://doi.org/10.1016/j.evalprogplan.2022.102217
Qasim, N. (2023). The impact of differentiated empowering leadership on employees’
depression: moderation of employees’ envy and gender. Gender in Management: An
International Journal. https://doi.org/10.1108/gm-01-2022-0013
Santos, J. L. H. (2023). Depression Identification and Referral Process for Progressive Care
Patients: A Program Evaluation – ProQuest. Www.proquest.com.
https://search.proquest.com/openview/af31799b80592c60a4e401fa6ecafc18/1?pqorigsite=gscholar&cbl=18750&diss=y
Steinman, L. E. (2023). Partnering with community-based organizations to improve equitable
access to depression care for underserved older adults in the U.S.: Qualitative formative
research. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.1079082
10
7
RUNNING HEAD: Assessment 3: Assessing
Assessing the Problem: Technology, Care Coordination, and Community Resources
Considerations
Yasmine Francois
NURS-FPX 4900
Capella University
Professor Deanna Golden
1
2
Technology has become an essential component of the healthcare system, playing a
crucial role in various departments, including mental health. Its application aims to enhance and
elevate the quality of mental health care provided to patients. Additionally, technology facilitates
healthcare practitioners in extending their services to individuals residing in rural or underserved
areas, where access to care may be limited. This outreach is especially significant for populations
facing geographical barriers or social stigma surrounding mental health-seeking behaviors
(Hirschtritt & Insel, 2018).Moreover, technology, such as smartphone applications promoting
patient engagement, has proven to be a cost-effective alternative to traditional care methods. It
not only provides a more affordable option but also offers increased convenience. The accuracy
of technology-driven mental health care interventions is noteworthy, enabling patients to access
care around the clock while saving considerable time.
However, similar to any technological advancement, concerns surround its utilization in
mental health care. Chief among these concerns are issues related to privacy maintenance, the
associated costs, and a range of ethical considerations. Despite these apprehensions, the potential
of technology in enhancing mental health care remains promising. The benefits it brings,
including improved accessibility, cost-effectiveness, and convenience, suggest that, with careful
consideration of ethical and privacy implications, technology can significantly contribute to
advancing mental health services.
An exemplary illustration of technology’s impact on mental health care is the widespread
use of mobile applications. The market hosts a plethora of apps tailored to assist individuals
dealing with mental health challenges, with a specific focus on concerns like depression,
substance abuse, and anxiety. Leveraging the built-in sensors of mobile devices, these apps track
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behavioral patterns, empowering users to take proactive measures to avert crises (Torous &
Roberts, 2017).
These mental health apps come equipped with various features. Some deliver soothing
messages, while others can autonomously reach out to caregivers or send reminders for
medication adherence. Moreover, mobile devices serve as a discreet and accessible platform for
individuals reluctant to visit healthcare facilities, enabling them to seek mental health assistance
online, often anonymously. Patients can utilize their mobile devices for researching and gaining
more insight into mental health conditions, fostering a sense of empowerment and involvement
in their own care.
Beyond the patient’s perspective, technology facilitates healthcare professionals,
including doctors and mental health practitioners. Mobile apps allow them to remotely monitor
patients’ treatment progress and adherence, eliminating the need for face-to-face interactions
(Hirschtritt & Insel, 2018). In essence, technology has brought about a transformative shift in
mental health care delivery, providing both patients and care providers with innovative tools to
enhance engagement, support, and overall well-being.
Another prevalent technological intervention in mental health care is the utilization of
Internet-based support groups. Platforms like Big White Wall play a pivotal role in addressing
the needs of individuals seeking mental health treatment anonymously or those unable to access
care during regular working hours. These online spaces not only offer a sense of community but
also provide valuable educational resources, fostering opportunities for members to engage in
discussions and support each other (Hirschtritt & Insel, 2018). Telehealth is another
transformative technology widely employed in mental health care. This approach allows patients
to consult with their healthcare providers through phone or video chat, eliminating geographical
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barriers and improving accessibility. A significant advantage of telehealth is its ability to reduce
mental health treatment costs, making services more economically feasible for a broader
demographic of patients who may face challenges in physically visiting healthcare professionals
(Myers, 2019).
In recent years, virtual reality has emerged as a cutting-edge technology in the mental
health field. Care providers leverage virtual reality headsets to desensitize patients dealing with
post-traumatic stress disorder (PTSD). By creating personalized triggers, patients are guided to
develop coping mechanisms in a controlled and immersive environment. This technology is also
proving beneficial for individuals experiencing anxiety, depression, and various other mental
health disorders, marking a rapid integration of virtual reality into mental health treatment
methodologies.
Care coordination in mental health involves facilitating access to a variety of services for
individuals with mental illnesses to improve treatment outcomes and overall well-being. This
process emphasizes strengthening communication and collaboration among healthcare providers,
patients, their families, caregivers, and other significant individuals involved in the treatment
journey (Storm, Husebø, Thomas, Elwyn, & Zisman-Ilani, 2019). The primary goal of care
coordination is to enhance the mental health and functioning of individuals through the provision
of tailored treatment, care, and support that align with their specific needs. This approach is
particularly beneficial for mental health patients residing in long-term care settings, where
complex psychological and physical health challenges are prevalent. The complexity arises from
the involvement of multiple care providers or agencies, and care coordination is instrumental in
preventing individuals from “falling through the cracks” (Storm et al., 2019).
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Care coordination extends beyond clinical treatment and may involve collaboration with
psychosocial support providers, multidisciplinary teams, and self-management strategies. One of
the key advantages of care coordination is its ability to streamline and organize care delivery,
reducing fragmentation and improving treatment outcomes. Additionally, it enhances customer
satisfaction by providing a more integrated and patient-centered approach to mental health care.
The holistic nature of care coordination addresses various facets of patient needs, contributing to
an overall improvement in the quality of mental health services.
According to Storm et al. (2019), to optimize the efficiency of care coordination in
managing mental health patients, healthcare providers should ensure that the care:
1. Is Focused on Patient Recovery:
– Prioritize treatment plans and interventions that contribute to the patient’s overall recovery
and well-being.
2. Is Patient-Centered:
– Tailor care plans to the unique needs, preferences, and goals of the individual patient,
fostering a personalized approach.
3. Respects the Patient’s Values:
– Acknowledge and incorporate the patient’s values and beliefs into the care plan, promoting a
respectful and culturally sensitive environment.
4. Builds Therapeutic Relationships:
– Establish and nurture therapeutic relationships between healthcare providers and patients to
address the patient’s holistic needs and build trust.
5. Promotes Effective Partnership:
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– Facilitate collaboration and effective partnerships among all relevant stakeholders involved in
the patient’s care, ensuring a cohesive and coordinated approach.
6. Provides Proactive Involvement of Family and Carer:
– Involve family members and caregivers proactively in the care process, recognizing their
crucial role in supporting the patient.
7. Is Socially Inclusive:
– Foster a socially inclusive environment that considers the broader social context of the
patient, addressing factors that may impact their mental health.
8. Consists of Coordinated Service Delivery:
– Ensure seamless coordination among different healthcare services, avoiding fragmentation
and enhancing the overall quality of care.
9. Promotes a Sense of Ownership and Accountability:
– Encourage a shared sense of ownership and accountability among all parties involved in
caring for the patient, reinforcing a collaborative and responsible approach.
By adhering to these principles, healthcare providers can establish a care coordination
framework that not only enhances the efficiency of mental health care delivery but also promotes
patient-centered, holistic, and culturally sensitive approaches. This ensures a comprehensive and
collaborative strategy for supporting the recovery and well-being of individuals with mental
health challenges.
Community resources in mental health care encompass the assets within communities
that contribute to meeting the needs of individuals with mental health concerns. Similar to the
roles of technology and care coordination, community resources play a crucial part in addressing
the multifaceted requirements of mental health patients. Integrating mental health services into
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the community offers benefits such as enhanced accessibility, scalability, acceptability,
affordability, and treatment adherence (Castillo, Ijadi-Maghsoodi, Shadravan, Moore, Mensah,
Docherty, & Wells, 2019). This integration also increases the likelihood of achieving positive
treatment outcomes.
Furthermore, community services play a pivotal role in supporting recovery and
inclusion, fostering mental health awareness, preventing mental disorders, reducing unnecessary
hospitalizations, and diminishing stigma and discrimination towards mental health patients.
According to Castillo et al. (2019), community resources designed to assist mental health
patients should primarily focus on:
1. **Training Personnel:**
– Provide training for community personnel on early identification and delivery of
mental health care support.
2. **Raising Awareness:**
– Conduct initiatives to raise awareness about mental health conditions within the
community.
3. **Establishing Peer and Family Support Groups:**
– Create support networks such as peer and family groups to provide a sense of
community and understanding for mental health patients.
4. **Supporting Community-Based Rehabilitation:**
– Implement programs that support community-based rehabilitation, allowing
individuals to reintegrate into their communities while receiving necessary mental health
support.
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5. **Establishing Community Programs for Mental Disorders:**
– Develop and implement community programs specifically tailored to address mental
disorders, ensuring that patients receive the appropriate care and assistance.
By focusing on these aspects, community resources can contribute to the early
identification of mental health conditions, reduce the overall cost of treatment, promote social
inclusion, and mitigate the need for unnecessary hospitalization. This comprehensive approach
aligns with the broader goal of creating supportive communities that prioritize mental health and
well-being.
During my two hours of practicum, I engaged with an individual receiving mental health
care, specifically interacting solely with Anser Pierre Louis. He did not have any device to
monitor his condition. However, he expressed willingness to utilize smartphone apps designed to
assist in managing his mental health. According to Anser Pierre Louis, these apps leverage the
built-in sensors of their phones to track behavior patterns, enabling them to take necessary
measures proactively and receive automated reminders for medication. Despite some concerns
about privacy, cost, and ethical considerations, the consensus with him was that technology
significantly contributes to enhancing the accessibility and affordability of mental health
services.
Moreover, Anser Pierre Louis highlighted the potential benefits of telehealth in managing
their care. Telehealth offers the opportunity to consult with healthcare providers through phone
or video chat, eliminating the need for physical visits to healthcare professionals (Myers, 2019).
Additionally, the individuals appreciated the availability of websites where they could acquire
more information about their conditions and seek assistance. Despite the mentioned concerns,
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Anser Pierre Louis acknowledged that technology plays a crucial role in fostering their
engagement with mental health care, ultimately contributing to positive treatment outcomes.
Alongside clinical care, one of the patients highlighted the significant role of therapy
programs in augmenting their treatment journey. The challenges faced by a patient from rural
areas, where regular clinic visits are difficult, were mitigated by community-based programs that
enabled consistent access to necessary care. Both patients emphasized the transformative impact
of support groups on their treatment outcomes, providing a platform to connect with individuals
who share similar experiences and offer mutual encouragement. These groups also facilitated
access to healthcare professionals for consultations and assistance.
The patients also acknowledged the positive contribution of various community
institutions, including religious organizations, in managing their conditions. These institutions
provided moral, social, and spiritual support, contributing to the overall well-being of the
individuals.
Despite concerns about privacy issues related to technology integration, federal policies
such as the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule were
highlighted as essential safeguards. The HIPAA Privacy Rule prohibits healthcare facilities and
providers from disclosing patients’ personal health information to unauthorized parties
(Edemekong, Annamaraju, & Haydel, 2021). Furthermore, care providers, including physicians
and nurses, adhere to a code of ethics that guides them in ethically integrating technology, care
coordination, and human resources into patient care. These ethical guidelines help ensure the
privacy and confidentiality of patients’ information while utilizing modern healthcare approaches
to enhance overall care delivery.
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References
Castillo, E. G., Ijadi-Maghsoodi, R., Shadravan, S., Moore, E., Mensah, M. O., Docherty, M., …
& Wells, K. B. (2019). Community interventions to promote mental health and social
equity. Current psychiatry reports, 21(5), 1-14.
Edemekong, P., Annamaraju, P., & Haydel, M. (2021). Health Insurance Portability and
Accountability Act. StatPearls.
Hirschtritt, M. E., & Insel, T. R. (2018). Digital technologies in psychiatry: present and future.
Focus, 16(3), 251-258.
Myers, C. R. (2019). Using telehealth to remediate rural mental health and healthcare disparities.
Issues in mental health nursing, 40(3), 233-239.
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 psychiatric hospital to community. Administration and Policy
in Mental Health and Mental Health Services Research, 46(3), 352-367.
Torous, J., & Roberts, L. W. (2017). Needed innovation in digital health and smartphone
applications for mental health: transparency and trust. JAMA psychiatry, 74(5), 437-438.
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