NURS FPX 4900 Assessment 1 Assessing the Problem: Leadership Collaboration Communication Change Management and Policy Considerations
The RN plays a critical role in the treatment of HTN patients. Some life-saving interventions include guiding patients with lifestyle modifications, conducting regular BP checks, and simplifying complex medical jargon in a way that helps the patient better understand the doctor. Patients often lack guidance and support from their physician to adequately perform self-care tasks which is where the RN role becomes vital. To support nurses in their profession and investigate HTN patient care, a middle-range nursing model was developed. This model Incorporating Orem’s self-care theory is highly relevant to educating patients to establish self-care capabilities since this is the goal for patients with HTN. The theory is widely acknowledged for its applicability to various client populations and professional contexts.
Standardized and Organized Care Guidelines for Diabetes
The new ACC/AHA guidelines were developed with eight other health expert organizations. They were produced by a committee of 20 researchers and medical experts who reviewed over 1,000 published studies. They are indeed the succession research to the Joint Commission Committee of Detection, Assessment, and Management of HTN shed in 2004 and were seen by the National Heart, Lung, and Blood Institute (NHLBI). The NHLBI recommended in 2013 that AHA continue to collaborate on professional learning and development for HTN and other cardiovascular diseases. The recommendations were released by the American College of Cardiology and Hypertension (ACCH) (AHA, 2022)
The new proposals, the first complete set after 2004, narrow the concept of high blood pressure to compensate for the repercussions of reduced blood pressure values and enable therapy (AHA, 2022). The revised criteria will result in nearly 50% of the adult population in the US having hypertension, with the most significant impact expected amongst the youngest people. Moreover, the recommendation developers estimate that the prevalence of HTN would double amongst men under the age of 40 and double amongst females under the age of 43. Nevertheless, only a minor spike in the proportion of people requiring blood pressure medication is expected.
The guidelines eliminate the term “prehypertension” rather than categorizing people as either Stage I or Stage II hypertension. Previously, 140/90 mm Hg was classified as Stage 1. However, the current recommendations describe that value as Stage 2 HTN. Moreover, the recommendations underline the necessity of utilizing a suitable blood pressure measuring method, home blood pressure measurement with certified equipment, and the significance of sufficient education for healthcare staff in recognizing “white-coat “HTN.”
The Role of Leadership in Diabetic Care
To significantly affect public health indicators, care providers must be active and dedicated to addressing macroeconomic health factors. Nursing staff could provide the necessary leadership that brings public attention to the societal health determinants and initiate efficient plans to improve the well-being of the nation. The nursing staff has taken on leadership responsibilities in research to improve the effectiveness of antihypertensive therapy and minimize racial disparities by researching underlying sociological, historical, and socioeconomic variables.
Because of the complexity of HTN interventions, interdisciplinary coordination and interaction among nurses working are required. Interaction between physicians and caregivers is also essential for getting excellent health results. The lack of effective nursing education serves as a “moral imperative” in hospital environments (Lincoln et al., 2019). Nursing staff may have used Lewin’s Change Management model to assist them in managing transformations and discovering places with strength and durability prior to implementing changes in Hypertension therapy. Lacking a foundation to direct employees, new technologies may result in solutions that jeopardize public health. Even though the Change model is still not commonly used to provide therapy for HTN control, it has been utilized to lead initiatives for change in nutrition and active behavior, which are critical in HTN care.
It is crucial to realize that leaders are humans, and therefore, individuals may not do tasks accurately but would grow from their errors and inadequacies. Hospital Administrators should lead the establishment of a comprehensive HTN service for elderly adults, creating a link between healthcare & community services. A nurse leader with transformational leadership can inspire and encourage a committed workforce to provide high-quality, creative solutions.