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Assessment 1: Assessing the Problem

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Capella University

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Course Name

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FEB 22, 2024
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Assessing the Problem: Leadership, Collaboration,

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Communication, Change Management, and Policy
Considerations
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This work centers on John, a 10-year-old male clinically diagnosed with obesity,
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emphasizing the need for effective leadership, interprofessional coordination,

communication, change management, and policy considerations. Drawing upon
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established literature and professional guidelines, the project highlights the severity of
pediatric obesity and underscores the crucial role of a baccalaureate-prepared nurse in
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mitigating this health concern. The approach, supported by scholarly research, aims to
optimize care planning and implementation at Kindred Hospital Los Angeles.
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Patient, Family, and Population Health Problems

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The identified health problem is pediatric obesity, focusing on John, a 10-year-old

clinically obese patient at Kindred Hospital Los Angeles. Childhood obesity is a
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significant global public health issue associated with immediate health problems and
potential long-term impacts into adulthood. The prevalence, risks, and lasting effects
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underscore the importance of early intervention. This issue is particularly pertinent to

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baccalaureate-prepared nurses due to increasing rates of childhood obesity and
associated health risks.

Data from the National Health and Nutrition Examination Survey (NHANES) indicates a
high prevalence of obesity in children and adolescents in the U.S., emphasizing the
severity of the problem (CDC, 2021). The Centers for Disease Control and Prevention
(CDC) reports substantial rates, underlining the need for interventions to prevent severe
health complications. Childhood obesity is a global concern, with millions of children
affected, and it is linked to long-term health risks (Drozdz et al., 2021).

Moreover, childhood obesity contributes to psychosocial issues, and addressing it early

in life is essential to prevent its persistence into adulthood. Unhealthy lifestyle factors,

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genetic predisposition, and environmental influences contribute to this problem,
necessitating comprehensive interventions for effective management.

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Evidence-Based Nursing Actions for Clinical Obesity

Evidence from reputable sources such as the American Academy of Pediatrics (AAP)

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and the World Health Organization (WHO) guides nursing interventions for childhood
obesity. Motivational interviewing techniques are recommended for families,

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emphasizing goal-setting and gradual behavioral changes. WHO underscores the
importance of improving dietary habits and physical activity to prevent pediatric obesity.
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Nurses play a critical role in advocating for healthy behaviors and implementing
interventions framed by nursing theories.
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Leadership, Collaboration, Communication, Change Management, and Policy

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Considerations

Nurses play a crucial role in providing patient education and encouraging healthier
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lifestyle choices. Interventions, such as family-centered, school-based programs, have

been proven effective in reducing BMI in children. However, barriers to evidence-based
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practice exist, including time constraints, limited resources, and skills. Overcoming
these barriers requires systemic changes, healthcare professional training, and
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multi-sector involvement.

The impact of nursing practice standards and policies on clinical obesity management is
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significant. State board standards, such as those in California, outline the scope of
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practice for nurses, impacting the care provided to patients like John. Federal
legislation, such as the Affordable Care Act (ACA), promotes preventive services,
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influencing nursing interventions and patient outcomes. Nursing practice standards and
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governmental regulations shape the nursing scope of practice, impacting obesity
management in the pediatric population.

Proposed Leadership Strategies for Clinical Obesity

A multifaceted leadership approach is essential for addressing John's obesity.

Transformational leadership can inspire lifestyle changes, while visionary leadership
sets long-term goals for managing obesity. Collaboration with stakeholders like school
authorities, dieticians, and fitness consultants is crucial. Effective communication aligns
understanding and expectations, facilitating adherence to management plans. Change
management models, such as ADKAR, can promote awareness, desire, and ability for
change.

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Conclusion

Addressing John's obesity requires integrated leadership, collaboration, communication,

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change management, and policy consideration. Leadership is fundamental for
formulating and implementing strategies, advocating for patients, and coordinating with

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healthcare professionals and school authorities. Collaboration and communication
among stakeholders streamline efforts, fostering an environment conducive to positive

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change. Policy considerations are vital for shaping the overall environment and
supporting patients' journeys toward healthier lifestyles. Combined, these strategies
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mitigate the problem of obesity in pediatric populations.

References
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Barden, A., Giammarinaro, N., & Petrosino, L. (2020). Perspective shifting: Engaging
leaders-of-leaders inpatient and caregiver experience. Journal of Patient Experience,
7(6), 237437352094240. https://doi.org/10.1177/2374373520942405
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CDC. (2021, February 5). Products – health e stats – prevalence of overweight, obesity,
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and severe obesity among children and adolescents aged 2–19 years: United States,
1963–1965 through 2017–2018.
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https://www.cdc.gov/nchs/data/hestat/obesity-child-17-18/obesity-child.htm

Drozdz, D., Alvarez-Pitti, J., Wójcik, M., Borghi, C., Gabbianelli, R., Mazur, A.,
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Herceg-Čavrak, V., Lopez-Valcarcel, B. G., Brzeziński, M., Lurbe, E., & Wühl, E. (2021).
Obesity and cardiometabolic risk factors: From childhood to adulthood. Nutrients,
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13(11), 4176. https://doi.org/10.3390/nu13114176

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Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021). The role of
nurses in improving health care access and quality. National Academies Press (US).
https://www.ncbi.nlm.nih.gov/books/NBK573

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