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Assessment 3: Disseminating the Evidence Scholarly

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Video Media Submission

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Student Name

Capella University

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NURS-FPX 6614 Structure and Process in Care Coordination
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Prof. Name
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MAR 24, 2024

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Disseminating Research: Academic Video Media
Submission m
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Abstract:
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This presentation focuses on disseminating research findings in nursing, emphasizing

the significance of sharing scholarly knowledge and studies within the healthcare realm.
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The research examines the effectiveness of lifestyle adjustments versus

antihypertensive medications in managing hypertension among overweight adults.
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Through a thorough examination, the presentation contends that lifestyle modifications

lead to more favorable health outcomes in this demographic.
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Introduction
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The sharing of research and information among healthcare professionals, known as

evidence dissemination, is a crucial aspect of nursing practice (Chambers, 2018). It
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involves communicating data and resources related to evidence-based interventions

(Chambers, 2018).
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In the healthcare domain, the introduction of novel techniques to target audiences relies
on disseminating evidence-based practices (Purtle et al., 2020). To bridge gaps in
evidence-based interventions and effectively tackle implementation challenges, it is
essential to employ strategies that facilitate the acceptance and integration of
evidence-based activities (Purtle et al., 2020). This video presentation endeavors to
disseminate evidence-based approaches pertaining to my intervention and to uphold
positive outcomes.

Care Coordination Efforts The PICOT Question

In overweight adults with hypertension, do lifestyle modifications compared to

antihypertensive medications result in low blood pressure within 6 months?

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Population:

Overweight adults Intervention: Lifestyle modifications Comparison: Lifestyle

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modifications versus medications Outcome: Low blood pressure Time: Six months

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Brief Overview of the Issues

Obesity is strongly correlated with hypertensive symptoms, exacerbating the condition

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in affected individuals. Research suggests that obesity contributes significantly to
primary hypertension cases (Ahmadi et al., 2019). Lifestyle modifications, such as
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dietary adjustments and increased physical activity, have been proposed as effective
interventions for individuals with hypertension (Ahmadi et al., 2019). Conversely,
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antihypertensive medications have shown adverse effects within six months of usage
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(Olowofela & Isah, 2018). Hence, lifestyle changes are recommended over medication
(Olowofela & Isah, 2018).
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Healthcare practitioners play a pivotal role in influencing patient behavior by educating

them about the benefits of lifestyle changes (Shayesteh et al., 2018). Educational
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initiatives are essential for raising disease awareness and promoting behavior
modification among hypertensive patients (Shayesteh et al., 2018).
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Care Coordination Efforts

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Care coordination endeavors to enhance the delivery of healthcare services within and
across systems (Kruk et al., 2018). A multidisciplinary healthcare team comprising
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dietitians, nurses, cardiologists, information technologists, and physiotherapists

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collaborates in treating hypertensive patients. Team-based care engages patients in

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their healthcare decisions, with regular team meetings focusing on setting objectives
and establishing patient-centered goals (Will et al., 2019).

The healthcare team adopts a holistic approach, with nutritionists devising

evidence-based diet plans, physiotherapists offering tailored exercise routines,
cardiologists monitoring patients’ symptoms, and information technologists facilitating
telehealth solutions (Nicolai et al., 2018).

Implications

The adoption of care coordination aligns with the triple aim of health reform, enhancing
patient quality and satisfaction (Kohl et al., 2018). By coordinating patient care and
involving obese hypertensive patients in their treatment, healthcare professionals can

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promote better health outcomes (Kohl et al., 2018).

Practice Changes Regarding Services and Resources Healthcare professionals

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should inform patients about the benefits of lifestyle changes through fact sheets,
guidelines, social media messages, and handouts (CDC, 2020).

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Services

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Care coordinators, including nurses and other medical professionals, should support
and encourage obese hypertensive patients, facilitating their active participation in
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managing their condition (Hansen et al., 2021). Additionally, healthcare providers can
devise customized care plans and utilize telehealth for patient education (Hansen et al.,
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2021).
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Critical Care Coordination Efforts

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Team-based care is crucial for achieving value-based care objectives and enhancing
the patient experience (Rollet et al., 2021). Multidisciplinary team meetings are vital for
discussing patient conditions, diagnoses, and treatment plans and ensuring adherence
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to evidence-based guidelines (Rollet et al., 2021).

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Efforts to Foster Stakeholder Engagement Stakeholder engagement entails

identifying, evaluating, organizing, and implementing actions to influence stakeholders
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(Sperry & Jetter, 2019). A stakeholder engagement plan should consider each
stakeholder’s needs and demands (Sperry & Jetter, 2019).
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Leading Practice Changes

Nurses can apply Kurt Lewin’s change theory to initiate practice changes and engage
stakeholders in intervention strategies for obese hypertensive patients (McFarlan et al.,
2019). This process involves unfreezing, changing, and refreezing stages to garner
stakeholder support, implement changes, and monitor compliance (McFarlan et al.,
2019).

Encouraging and Cultivating Stakeholder Engagement

Organizations should establish a robust stakeholder engagement strategy, commencing

with a stakeholder engagement plan outlining stakeholders’ involvement, approach, and
objectives (Boaz et al., 2018). Stakeholders’ needs, interests, and perspectives should

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be respected throughout the process (Boaz et al., 2018).

Future Recommendations Sustaining Current Outcomes

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To uphold existing patient outcomes, stakeholders should engage in regular

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inter-professional coordination through weekly team meetings, facilitating effective
communication with patients (Kruk et al., 2018). Enhanced communication fosters trust
and rapport, leading to improved health outcomes (Kruk et al., 2018). Healthcare
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professionals should prioritize patient information confidentiality and approach patient
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inquiries with a problem-solving mindset (McFarlan et al., 2019).

Recommendations for Progress

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To enhance care coordination for future patient care initiatives, healthcare providers
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should consider the following recommendations:

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● Develop a stakeholder engagement plan.

● Address stakeholders’ needs.
● Utilize SMART goals for setting achievable patient objectives.
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● Implement the Plan-Do-Study-Act cycle to assess changes.

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● Leverage technology for inter-professional collaboration.

Conclusion
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In conclusion, disseminating evidence in nursing involves sharing knowledge, insights,

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and research with healthcare professionals. Effective evidence dissemination is crucial

for introducing new approaches to specific audiences. This video presentation aims to
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share knowledge and ideas related to my intervention plan for obese hypertensive
individuals.

References:

Ahmadi, S., Sajjadi, H., Nosrati Nejad, F., Ahmadi, N., Karimi, S. E., Yoosefi, M., &
Rafiey, H. (2019). Lifestyle modification strategies for controlling hypertension: How are
these strategies recommended by physicians in Iran? Medical Journal of the Islamic
Republic of Iran, 33, 43. https://doi.org/10.34171/mjiri.33.43

Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage
stakeholders in research: design principles to support improvement. Health Research
Policy and Systems, 16(1). https://doi.org/10.1186/s12961-018-0337-6

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CDC. (2020, January 28). Hypertension Resources for Health Professionals | cdc.gov.
Centers for Disease Control and Prevention.

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https://www.cdc.gov/bloodpressure/educational_materials.htm

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Chambers, C. T. (2018). From evidence to influence. PAIN, 159, S56–S64.
https://doi.org/10.1097/j.pain.0000000000001327

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Hansen, A. R., McLendon, S. F., & Rochani, H. (2021). Care coordination for rural
residents with chronic disease: Predictors of improved outcomes. Public Health Nursing.
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https://doi.org/10.1111/phn.13038
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Kohl, S., Schoenfelder, J., Fügener, A., & Brunner, J. O. (2018). The use of Data
Envelopment Analysis (DEA) in healthcare with a focus on hospitals. Health Care
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Management Science, 22(2), 245–286. https://doi.org/10.1007/s10729-018-9436-8

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Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S.,
Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G.,
Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T.,
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Liljestrand, J., & Malata, A. (2018). High-quality health systems in the Sustainable
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Development Goals era: time for a revolution. The Lancet Global Health, 6(11),
e1196–e1252. https://doi.org/10.1016/s2214-109x(18)30386-3
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McFarlan, S., O’Brien, D., & Simmons, E. (2019). Nurse-leader collaborative

improvement project: Improving patient experience in the emergency department.
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Journal of Emergency Nursing, 45(2), 137–143.

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https://doi.org/10.1016/j.jen.2018.11.007

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Nicolai, J., Müller, N., Noest, S., Wilke, S., Schultz, J.-H., Gleißner, C. A., Eich, W., &
Bieber, C. (2018). To change or not to change – That is the question: A qualitative study
of lifestyle changes following acute myocardial infarction. Chronic Illness, 14(1), 25–41.
https://doi.org/10.1177/1742395317694700

Olowofela, A. O., & Isah, A. O. (2018). A profile of adverse effects of antihypertensive

medicines in a tertiary care clinic in Nigeria. Annals of African Medicine, 16(3), 114–119.
https://doi.org/10.4103/aam.aam_6_17

Purtle, J., Marzalik, J. S., Halfond, R. W., Bufka, L. F., Teachman, B. A., & Aarons, G. A.
(2020). Toward the data-driven dissemination of findings from psychological science.
American Psychologist, 75(8), 1052–1066. https://doi.org/10.1037/amp0000721

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Rollet, Q., Bouvier, V., Moutel, G., Launay, L., Bignon, A.-L., Bouhier-Leporrier, K.,
Launoy, G., & Lièvre, A. (2021). Multidisciplinary team meetings: Are all patients

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presented, and does it impact the quality of care and survival – A registry-based study.
BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-07022-x

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Shayesteh, H., Mirzaei, A., Sayehmiri, K., Qorbani, M., & Mansourian, M. (2018). Effect
of an education intervention on the lifestyle of patients with hypertension among the

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rural population of Lorestan province. Journal of Lifestyle Medicine, 6(2), 58–63.
https://doi.org/10.15280/jlm.2016.6.2.58
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Sperry, R. C., & Jetter, A. J. (2019). A systems approach to project stakeholder
management: Fuzzy cognitive map modeling. Project Management Journal, 50(6),
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875697281984787. https://doi.org/10.1177/8756972819847870
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Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-Based Care and Patient
Satisfaction in the Hospital Setting: A Systematic Review. Advocate Aurora Health
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Institutional Repository. https://doi.org/10.17294%2F2330-0698.1695

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