Leadership, Collaboration, Communication, Change Management, and Policy Considerations

Assessment 1

Instructions

: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

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· In a 5-7 page written assessment, define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective. Plan to spend approximately 2 direct practicum hours meeting with a patient, family, or group of your choice to explore the problem and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the

Capella Academic Portal

Volunteer Experience Form.

Introduction

Nurses in all professional roles work to effect positive patient outcomes and improve organizational processes. Professional nurses are leaders in problem identification, planning, and strategy implementation—skills that directly affect patient care or organizational effectiveness.

Too often, change agents jump to a conclusion that an intervention will promote the envisioned improvement. Instead, the ideal approach is to determine which interventions are appropriate, based on an assessment and review of credible evidence. Interventions could be patient-facing or involve a change in policy and process. In this assessment, you’ll identify and make the case for your practicum focus area, then explore it in depth from a leadership, collaboration, communication, change management, and policy perspective.

This assessment lays the foundation for the work that will carry you through your capstone experience and guide the practicum hours needed to complete the work in this course. In addition, it will enable you to do the following:

· Develop a problem statement for a patient, family, or population that’s relevant to your practice.

· Begin building a body of evidence that will inform your approach to your practicum.

· Focus on the influence of leadership, collaboration, communication, change management, and policy on the problem.

Preparation

In this assessment, you’ll assess the patient, family, or population health problem that will be the focus of your capstone project. Plan to spend approximately 2 hours working with a patient, family, or group of your choice to explore the problem from a leadership, collaboration, communication, change management, and policy perspective. During this time, you may also choose to consult with subject matter and industry experts about the problem (for example, directors of quality or patient safety, nurse managers/directors, physicians, and epidemiologists).

To prepare for the assessment, complete the following:

· Identify the patient, family, or group you want to work with during your practicum The patient you select can be a friend or a family member. You’ll work with this patient, family, or group throughout your capstone project, focusing on a specific health care problem.

· Begin surveying the scholarly and professional literature to establish your evidence and research base, inform your assessment, and meet scholarly expectations for supporting evidence.

In addition, you may wish to complete the following:

· Review the assessment instructions and scoring guide to ensure that you understand the work you’ll be asked to complete and how it will be assessed.

· Review the Practicum Focus Sheet: Assessment 1 [PDF], which provides guidance for conducting this portion of your practicum.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Instructions

Complete this assessment in two parts.

Part 1

Define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective and establish your evidence and research base to plan, implement, and share findings related to your project.

Part 2

Connect with the patient, family, or group you’ll work with during your practicum. During this portion of your practicum, plan to spend at least 2 hours meeting with the patient, family, or group and, if desired, consulting with subject matter and industry experts of your choice. The hours you spend meeting with them should take place outside of regular work hours. Use the Practicum Focus Sheet [PDF] provided for this assessment to guide your work and interpersonal interactions. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

Capella Academic Portal

Complete the NURS-FPX4900 Volunteer Experience Form in Capella Academic Portal. Include a description of your relationship to the patient, family, or group in the Volunteer Experience comments field.

Requirements

The assessment requirements, outlined below, correspond to the scoring guide criteria, 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 a patient, family, or population health problem that’s relevant to your practice.

8. Summarize the problem you’ll explore.

8. Identify the patient, family, or group you intend to work with during your practicum.

8. Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population.

8. Explain why this problem is relevant to your practice as a baccalaureate-prepared nurse.

. Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to the patient, family, or population problem you’ve defined.

9. Note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice.

9. Explain how you would know if the data are unreliable.

9. Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem you’ve defined.

9. Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem.

9. Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.

9. Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your practicum.

. Explain how state board nursing practice standards and/or organizational or governmental policies could affect the patient, family, or population problem you’ve defined.

10. Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem.

10. Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.

10. Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of this problem.

. Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the patient, family, or population problem you’ve defined.

11. Discuss research on the effectiveness of leadership strategies.

11. Define the role that you anticipate leadership must play in addressing the problem.

11. Describe collaboration and communication strategies that you anticipate will be needed to address the problem.

11. Describe the change management strategies that you anticipate will be required to address the problem.

11. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

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Organize content so ideas flow logically with smooth transitions.

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Apply APA style and formatting to scholarly writing.

Additional Requirements

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

14. A title page and reference page. An abstract is not required.

14. Appropriate section headings.

. Length: Your paper should be approximately 5–7 pages in length, not including the reference page.

. Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.

. Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Competencies Measured

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

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

18.

Define a patient, family, or population health problem that’s relevant to personal and professional practice.

. Competency 2: Make clinical and operational decisions based upon the best available evidence.

19.

Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population problem.

. Competency 5: Analyze the impact of health policy on quality and cost of care.

20.

Explain how state board nursing practice standards and/or organizational or governmental policies could affect a defined patient, family, or population problem.

. Competency 7: Implement patient-centered care to improve quality of care and the patient experience.

21.

Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to a defined patient, family, or population problem and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

. Competency 8: Integrate professional standards and values into practice.

22. Organize content so ideas flow logically with smooth transitions.

22. Apply APA style and formatting to scholarly writing.

· SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

VIEW SCORING GUIDE

Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Define a patient, family, or population health problem that’s relevant to personal and professional practice.	Does not define a patient, family, or population health problem.	Attempts to define a patient, family, or population health problem.	Defines a patient, family, or population health problem that’s relevant to personal and professional practice.	Clearly and succinctly defines a patient, family, or population health problem that’s relevant to personal and professional practice. Fully substantiates the presence and relevance of the problem.
Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population problem.	Does not cite evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population problem.	Cites evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population problem.	Analyzes evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population problem.	Analyzes evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population problem. Applies relevant, unambiguous criteria for evaluating the evidence, and exhibits clear insight into potential barriers to evidence-based practice and theoretical guiding frameworks.
Explain how state board nursing practice standards and/or organizational or governmental policies could affect a defined patient, family, or population problem.	Does not identify state board nursing practice standards and/or organizational or governmental policies that could affect a defined patient, family, or population problem.	Attempts to identify state board nursing practice standards and/or organizational or governmental policies that could affect a defined patient, family, or population problem.	Explains how state board nursing practice standards and/or organizational or governmental policies could affect a defined patient, family, or population problem.	Provides an explanation, with examples, of how state board nursing practice standards and/or organizational or governmental policies could affect a defined patient, family, or population problem, based on a perceptive and coherent synthesis of current literature. Provides clear insight into how policy affects nursing scope of practice.
Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to a defined patient, family, or population problem and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.	Does not propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to a defined patient, family, or population problem, and does not document practicum hours in Capella Academic Portal Volunteer Experience Form.	Proposes leadership strategies that are not clearly related to a defined patient, family, or population problem or which are not likely to significantly improve outcomes, patient-centered care, and the patient experience, and/or does not document practicum hours in Capella Academic Portal Volunteer Experience Form.	Proposes leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the defined patient, family, or population problem and documents the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.	Proposes leadership strategies, supported by examples, to improve outcomes, patient-centered care, and the patient experience related to a defined patient, family, or population problem. Exhibits clear insight into the necessary role of leadership and the need for collaboration, communication, and change management in addressing the problem. and Documents the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
Organize content so ideas flow logically with smooth transitions.	Does not organize content for ideas to flow logically with smooth transitions.	Organizes content with some logical flow and smooth transitions.	Organizes content so ideas flow logically with smooth transitions.	Organizes content so clarity is enhanced and all ideas flow logically with smooth transitions.
Apply APA style and formatting to scholarly writing.	Does not apply APA style and formatting to scholarly writing.	Applies APA style and formatting to scholarly writing incorrectly and/or inconsistently, detracting noticeably from good scholarship.	Applies APA style and formatting to scholarly writing.	Applies APA style and formatting to scholarly writing. Exhibits strict and nearly flawless adherence to stylistic conventions, document structure, and source attributions.

Resources: Leadership

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· The following article provides an in-depth review of the effect of transformational leadership in nursing:

· Fischer, S. A. (2016). Transformational leadership in nursing: A concept analysis. Journal of Advanced Nursing, 72(11), 2644-2653.

The following article presents a mental model of effective health care leadership competencies, using a concept mapping approach:

· Hargett, C. W., Doty, J. P., Hauck, J. N., Webb, A. M. B., Cook, S. H., Tsipis, N. E., Neumann, J. A., Andolsek, K. M., & Taylor, D. C. (2017). Developing a model for effective leadership in healthcare: A concept mapping approach. Journal of Healthcare Leadership, 9, 69-78. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774455/

The following article presents a comprehensive review of the literature related to decision making in nursing:

· Nibbelink, C. W., & Brewer, B. B. (2018). Decision-making in nursing practice: An integrative literature review. Journal of Clinical Nursing, 27(5/6), 917-928.

Watch the following videos:

· Preparing Nurses to Lead in a Changing Healthcare Environment.

4. This video presents strategies that an RN-to-BSN-prepared nurse can employ to lead and address health care problems.

. Principles of Crucial Conversations.

5. This video explores how to successfully address conflict in the workplace and address health care problems with a patient and family.

. Psychology of Change Framework.

6. This video depicts the effect of change on nursing and health care.

Resources: Health Policy

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· This website provides a search function to assist you in finding individual state nurse practice acts.

· National Council of State Boards of Nursing. (n.d.). Find your nurse practice act. https://www.ncsbn.org/npa.htm

Resources: Health Issues

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· Use the following resources to begin exploring patient, family, or population health problems that you might choose as the focus of your capstone project. They provide information on a number of problems common to today’s health care systems.

· Bindman, A. (2016, December 5). AHRQ’s role in improving care for patients with multiple chronic conditions. LinkedIn. https://www.linkedin.com/pulse/ahrqs-role-improving-care-patients-multiple-chronic-andy-bindman?trk=mp-reader-card

1. This blog post focuses on patient-centered care for individuals with complex care needs.

. Centers for Medicare & Medicaid Services. (2016). CMS releases guide to preventing readmissions among racially and ethnically diverse Medicare beneficiaries. https://www.cms.gov/newsroom/press-releases/cms-releases-guide-preventing-readmissions-among-racially-and-ethnically-diverse-medicare

2. This press release discusses the CMS Guide to Reducing Disparities in Readmissions and includes links to the guide and additional information about readmissions that you may choose to review.

. Joint Commission. (n.d.). http://www.jointcommission.org

3. The Joint Commission website provides resources addressing a variety of health care problems, any one of which you may want to choose as the focus of your capstone project.

. Leapfrog Group. (n.d.). https://www.leapfroggroup.org/

4. The Leapfrog Group website provides data on hospital performance for a variety of services and patient outcomes. The data presented focus on common health care problems. Hospitals are graded on how well these problems are addressed. You may want to choose one of these problems as the focus of your capstone project.

. Wang, Y., Kung, L., Gupta, S., & Ozdemir, S. (2019). Leveraging big data analytics to improve quality of care in healthcare organizations: A configurational perspective. British Journal of Management, 30(2), 362-388.

5. This article explores the use big data analytics (BDA) in addressing health care financial performance. Data are used to identify problems in health care, drive decisions about how to address these problems, and monitor the success of associated solutions. Think about how you can use data to identify the focus of your capstone project, determine an intervention, and measure the success of the solution.

Resources: Research Resources

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· Use the following resources to facilitate your research and review of the literature:

· BSN Program Library Research Guide.

· Databases A-Z: Nursing & Health Sciences.

· Evidence-Based Practice in Nursing & Health Sciences.

· Get Critical Search Skills.

Practicum Focus Sheet

, Assessment

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Practicum Focus Sheet
Assessment 1

Note: Expect to spend at least 2 hours with the patient, family, or group you’ll be working with
during this portion of your practicum, assessing the health problem you’ve defined from a
leadership, collaboration, communication, change management, and policy perspective. This
includes time you may elect to spend in consultation with subject matter or industry experts.
You’ll report on the results of this work as part of your next assessment.
For this portion of your practicum, consider the following:

• Identify the patient, family, or group you intend to work with.

• Think about what you hope to learn.
o What’s your rationale for choosing this particular patient, family, or group?

• Consider how you’ll present your ideas about the problem to the patient, family, or group
and convince them of its significance.

• Which leadership, collaboration, communication, and change management skills will you
need to apply in order to work successfully with your chosen patient, family, or group?

• Which potential barriers do you foresee in presenting the problem to this patient, family,
or group?

• Which change management strategies might you employ to overcome these barriers?
o For example, you might consider creating a sense of urgency supported by data or

policy requirements.

Practicum Focus Sheet
Assessment 1

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SafeAssign Originality Report
NURS-FPX4900 – Summer 2022 – Section 28 • SafeAssign Draft Review

%54Total Score: High riskEduardo Torres
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Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and1

Policy Considerations

Eduardo Torres

Capella University

August 31, 2022

Patient under consideration and significance of the problem

The patient who needed to be examined had diabetes mellitus and hypertension. Five years ago,
the patient’s diabetes was discovered, and the proper precautions that should be taken were sug-
gested. The patient was advised on correct food management and nutritional requirements but did
not comply. Hypertension and excessive blood sugar are the outcomes. The patient was

requested to provide a follow-up periodically during the prior examination, but he did not show up
for three years. At the time of the most recent checkup, the condition was stable, but the

records for diabetes and hypertension were not enough. The patient appeared to be less con-
cerned with adhering to the instructions, but it was noticed that he still desired to be healed by the
medication. The patients’ family relatives were also present and displayed an aggressive

random history of high blood pressure. It suggested that if precautions are not taken, the patient’s
condition could worsen in the coming days. After receiving the prescribed medication, the patient
was instructed to address these issues. The patient had hypertension and diabetes mellitus, which
are significant conditions that could worsen the other health problems. The fact that 463 million in-
dividuals worldwide have diabetes in 2019 highlights the disease’s importance. It demon-

strates the need for people to be aware of potential adverse effects. In 2045, the percentage is pro-
jected to increase to 10%. Other disorders like hypertension and obesity have received alarm due to
the rising prevalence of diabetes. Regarding diseases, patients must heed the advice of medical pro-
fessionals and provide thorough follow-ups. When the family is supportive, sufferers can only pur-
sue treatment for their conditions. The issue is pertinent to my nursing practice since diabetes and
hypertension are widespread yet complex diseases. The nurses are responsible for ensuring

the patients are adequately advised and motivated to take their medication. These are the prob-

lems that can be controlled but are not sufficiently resolved. A record of diabetes and hypertension
should be kept during the follow-up process. However, it has been shown that patients frequently
misinterpret the instructions and disregard them. Future research on managing diabetes and hy-
pertension patients will benefit from this knowledge. I’ll discover how to communicate with patients
and properly guide them. Analyze evidence from peer-reviewed literature and professional

sources that describes and guides nursing actions related to the patient (Pasquale Passarella, 2018)
suggested that nurses follow specific procedures for managing hypertension in diabetic patients. A
blood pressure of 130/80 mmHg for patients with both illnesses is advised. The writers have sug-
gested the goal based on a substantial amount of scientific research. Less research has been done
on the advantages of blood pressure medication for diabetic people. If the blood pressure sur-

passes 140 mm/Hg, the American Diabetes Association (ADA) advises that it will be a significant
cause for concern. Proper care and management are required for the patients. The results of nu-
merous research have also been reported (Kenny, 2018), which show that diabetes mellitus and hy-
pertension are important issues that need to be handled. Salt and sodium should be consumed in
smaller amounts. It is advised that patients eat a balanced diet of fruits and vegetables and engage
in regular physical activity to maintain a healthy lifestyle. In certain papers, the statistics are dubi-
ous, yet the nurses must decide whether or not they are real. The peer-reviewed articles and their
techniques will be utilized to evaluate the data’s dependability. It is important to note that erro-

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neous data is not regarded as authentic and significant. The difficulties in implementing evidence-
based practice have been addressed (Lynne S. Robins, 2022). Patients and their families occasional-
ly lack the motivation or assistance to adhere to diabetes and hypertension standards. It has been
noted that while social and cultural norms are significant enough to be considered during the thera-
py process, they also function as a barrier. To effectively manage diabetes mellitus and hyperten-
sion, impediments must be kept to a minimum. The efficacy of nursing standards and policies

in enhancing the health of patients with diabetes and hypertension has been studied (Cheryl R.
Dennison Himmelfarb, 2017). It is advised that nurses play a crucial role in the healthcare in-

dustry. To effectively treat diabetes or hypertension, their duties must be enlarged. For the benefit
of the patients, their duties need to be increased. The management of these illnesses is subject to
criticism for several roles and laws. The different disorders must be found and identified by the
nurses.

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They must communicate with the patients and help them understand their problems. According to
recent literature, nurses should identify patients’ ideas and social norms to determine how

they should be handled. The nurses must ensure that the patient’s diseases are treated according
to the family’s perspectives after researching them. There is considerable literature on research
connected to diabetes and hypertension. However, this topic is about the management role of nurs-
es. Explain how state board nursing practice standards and/or organizational or governmental

policies could affect the patient Numerous nursing practice guidelines or governmental regulations
exist for patients with diabetes and hypertension. The nursing policies show they are sufficient to
handle these patients, but they require improvement. For the benefit of the patients, several official
documents are published and displayed, and the function of the nurses is also described.

According to the 2019 American Heart Association (AHA) Scientific Statement on measuring BP in
Humans, nurses should retrain every six to twelve months. The rule stipulated that nurses must
possess the necessary qualifications (Melnyk, 2022). The regulations are created at the state level,
and the nurses responsible for managing diabetes and hypertension are given several instructions.
According to WHO guidelines, nurses should adequately identify patients with diabetes and hyper-
tension. The nurses must intervene if the patient consistently displays a hypertension history

and blood pressure higher than 140 mm/Hg. The World Health Organization and the American
Nurses Association have served as front-line combatants in the fight against numerous diseases
and have provided nurses with specialized regulations. The nurses care for the patients by adminis-
tering the proper medication and interacting with them. The group has provided specific recom-
mendations for treating hypertension. The organization instructed the nurses to be empathet-

ic and watchful in treating the patients since it is concerned about other ailments, including cardio-
vascular disorders and others. Propose leadership strategies to improve outcomes, patient-

centered care, and the patient experience related to the patient

A vital component of the healthcare industry, nurses must engage with patients and provide guid-
ance. Through exemplary leadership and change management techniques, the nurses can bet-

ter advise the patients. The nurses must be aware of the cooperative and communication tactics
and implement them. Nurse leaders must adhere to four ethical guidelines. These include au-

tonomy, social justice, kindness, and informed consent. Nurses must guide and demonstrate sym-
pathy for patients to heal by following the correct instructions. The leadership tactics nurses use in

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relation to the topic being studied through several research studies. In these urgent situations, the
leaders are advised to obtain the patient’s informed consent (Paarima, 2022). Collaboration is

essential for patient improvement, and communication is the key to success. Patients won’t be

able to understand the treatment process if the nurses don’t communicate well. Let’s say the

nurses believe the situation is not improving and the patients or junior nurses are not cooperating.
Change management must be put into practice to further improve the results in that situation.
Conclusion It has been determined that nurses must manage a variety of ailments and diseases.

Throughout the treatment, the nurses must retain both compassion and discipline. Disorders

like diabetes and hypertension must be well maintained. The nurses are responsible for ensuring
that the ethical standards are followed and that the leadership standards are met.

References

Cheryl R. Dennison Himmelfarb, Y. C.-M. (2017). Expanding the Role of Nurses to Improve

Hypertension Care and Control Globally. Annals of Global Health, 82(2).
doi:https://doi.org/10.1016/j.aogh.2016.02.003

Kenny, C. (2018). Evidence for the management of hypertension in diabetes: the key studies.

Diabetes & Primary Care, 20(3), 107-111. Retrieved from http://bit.ly/DiaDistilled

Lynne S. Robins, J. E.-M. (2022). Barriers and Facilitators to Evidence-based Blood Pressure

Control in Community Practice. The Journal of the American Board of Family Medicine, 334(10).
doi:10.3122/jabfm.2013.05.130060

Melnyk, J. A. (2022). Improving hypertension control and cardiovascular health: An urgent call

to action for nursing. CPD, 19(1). doi: https://doi.org/10.1111/wvn.12560

Paarima, Y. (2022). Nurse managers leadership styles and intention to stay among nurses at

the unit in Ghana. International Journal of Health Planning and Management, 37(3).
doi:10.1002/hpm.3433

Pasquale Passarella, T. A. (2018). Hypertension Management in Diabetes: 2018 Update.

Diabetes Spectr, 31(3), 218-224. doi:https://doi.org/10.2337/ds17-0085

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Student paper 100%

Student paper 82%

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Assessing the Problem: Leadership, Collaboration, Com-
munication, Change Management, and Policy
Considerations

Original source

Assessing the Problem Leadership, Collaboration, Com-
munication, Change Management, and Policy
Considerations

1

Student paper

Patient under consideration and significance of the
problem The patient who needed to be examined had
diabetes mellitus and hypertension.

Original source

Patient under consideration and significance of the
problem The patient to be explored suffered from hy-
pertension and diabetes mellitus

1

Student paper

Hypertension and excessive blood sugar are the
outcomes.

Original source

The results are hypertension and high blood sugar

2

Student paper

The patient was requested to provide a follow-up peri-
odically during the prior examination, but he did not
show up for three years.

Original source

The patient was requested to return for regular follow-
up visits, but he didn’t show up for another three years

3

Student paper

At the time of the most recent checkup, the condition
was stable, but the records for diabetes and hyperten-
sion were not enough.

Original source

The condition was stable at the time of the recent check-
up, but both the records of diabetes and hypertension
were not up to a point

Student paper 100%

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Student paper 70%

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Student paper 76%

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The patients’

Original source

The patients’

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family relatives were also present and displayed an ag-
gressive random history of high blood pressure.

Original source

The family members were also present with the pa-
tients, and they showed a random record of high blood
pressure that was aggressive

2

Student paper

It demonstrates the need for people to be aware of po-
tential adverse effects. In 2045, the percentage is pro-
jected to increase to 10%.

Original source

This demonstrates the need to be informed of potential
adverse effects In 2045, the percentage is predicted to
rise to 10%

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Student paper

The nurses are responsible for ensuring the patients are
adequately advised and motivated to take their
medication.

Original source

The nurses are responsible for ensuring that the pa-
tients are adequately directed and motivated to take
their medicine

1

Student paper

Analyze evidence from peer-reviewed literature and pro-
fessional sources that describes and guides nursing ac-
tions related to the patient (Pasquale Passarella, 2018)
suggested that nurses follow specific procedures for
managing hypertension in diabetic patients.

Original source

Analyze evidence from peer-reviewed literature and pro-
fessional sources that describes and guides nursing ac-
tions related to the patient (Pasquale Passarella, 2018)
recommended the guidelines for the nurses related to
the actions to be taken to manage hypertension in
diabetes

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wikipedia 66%

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Student paper 89%

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If the blood pressure surpasses 140 mm/Hg, the Ameri-
can Diabetes Association (ADA) advises that it will be a
significant cause for concern.

Original source

The American Diabetes Association (ADA) recommends
that if the blood pressure exceeds 140 mm/Hg, it will be
a huge matter of concern

1

Student paper

The efficacy of nursing standards and policies in enhanc-
ing the health of patients with diabetes and hyperten-
sion has been studied (Cheryl R.

Original source

Dennison Himmelfarb, 2017) Has researched the effec-
tiveness of nursing standards and policies in improving
the health of patients with hypertension and diabetes

4

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Dennison Himmelfarb, 2017).

Original source

Dennison-Himmelfarb, C

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ideas and social norms to determine how they should
be handled.

Original source

beliefs and social norms to reveal how they should be
treated

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Explain how state board nursing practice standards
and/or organizational or governmental policies could
affect the patient Numerous nursing practice guidelines
or governmental regulations exist for patients with dia-
betes and hypertension.

Original source

Explain how state board nursing practice standards
and/or organizational or governmental policies could
affect the patient Several nursing practice standards or
governmental policies exist for patients with hyperten-
sion and diabetes

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According to the 2019 American Heart Association (AHA)
Scientific Statement on measuring BP in Humans, nurs-
es should retrain every six to twelve months.

Original source

American Heart Association (AHA) Scientific Statement
on the Measurement of BP in Humans presented the
policy for the nurses in 2019 that the nurses should be
re-skilled every six to twelve months

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The nurses must intervene if the patient consistently
displays a hypertension history and blood pressure
higher than 140 mm/Hg. The World Health Organization
and the American Nurses Association have served as
front-line combatants in the fight against numerous dis-
eases and have provided nurses with specialized
regulations.

Original source

If the patient repeatedly shows a record of hypertension
and blood pressure above 140 mm/Hg, the nurses must
take action against it World Health Organization and
American Nurses Association have played the role of
front warriors to fight against various diseases and given
specific policies to nurses

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The organization instructed the nurses to be empathetic
and watchful in treating the patients since it is con-
cerned about other ailments, including cardiovascular
disorders and others.

Original source

As the organization is concerned about other disorders
like cardiovascular disorders and others, it guided the
nurses that they need to be compassionate and vigilant
in treating the patients

3

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Propose leadership strategies to improve outcomes, pa-
tient-centered care, and the patient experience related
to the patient

Original source

Propose leadership strategies to improve outcomes, pa-
tient-centered care, and the patient experience related
to the patient

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Through exemplary leadership and change manage-
ment techniques, the nurses can better advise the
patients.

Original source

The nurses can better guide the patients through the
proper leadership and change management strategies

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These include autonomy, social justice, kindness, and in-
formed consent.

Original source

These include social justice, benevolence, autonomy,
and informed consent

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Collaboration is essential for patient improvement, and
communication is the key to success.

Original source

Communication is the key to success, and collaboration
is needed for the betterment of patients

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Patients won’t be able to understand the treatment
process if the nurses don’t communicate well.

Original source

If the nurses do not communicate properly, the patients
will not be able to understand the treatment process

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Let’s say the nurses believe the situation is not improv-
ing and the patients or junior nurses are not
cooperating.

Original source

Suppose the nurses feel that the situation is not better
and the junior nurses or the patients are not
cooperating

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Throughout the treatment, the nurses must retain both
compassion and discipline.

Original source

The nurses have to maintain discipline and compassion
throughout the treatment

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Dennison Himmelfarb, Y.

Original source

Dennison Himmelfarb, Y

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Expanding the Role of Nurses to Improve Hypertension
Care and Control Globally. Annals of Global Health,
82(2). doi:https://doi.org/10.1016/j.aogh.2016.02.003

Original source

Expanding the Role of Nurses to Improve Hypertension
Care and Control Globally Annals of Global Health, 82(2)
doi:https://doi.org/10.1016/j.aogh.2016.02.003

1

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Evidence for the management of hypertension in dia-
betes: the key studies. Diabetes & Primary Care, 20(3),
107-111. Retrieved from http://bit.ly/DiaDistilled

Original source

Evidence for the management of hypertension in dia-
betes the key studies Diabetes & Primary Care, 20(3),
107-111 Retrieved from http://bit.ly/DiaDistilled

1

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Barriers and Facilitators to Evidence-based Blood Pres-
sure Control in Community Practice. The Journal of the
American Board of Family Medicine, 334(10).
doi:10.3122/jabfm.2013.05.130060

Original source

Barriers and Facilitators to Evidence-based Blood Pres-
sure Control in Community Practice The Journal of the
American Board of Family Medicine, 334(10)
doi:10.3122/jabfm.2013.05.130060

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Improving hypertension control and cardiovascular
health: An urgent call to action for nursing. CPD, 19(1).

Original source

Improving hypertension control and cardiovascular
health An urgent call to action for nursing CPD, 19(1)

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https://doi.org/10.1111/wvn.12560

Original source

https://doi.org/10.1111/wvn.12560

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Nurse managers leadership styles and intention to stay
among nurses at the unit in Ghana. International Journal
of Health Planning and Management, 37(3).
doi:10.1002/hpm.3433 Pasquale Passarella, T.

Original source

Nurse managers leadership styles and intention to stay
among nurses at the unit in Ghana International Journal
of Health Planning and Management, 37(3)
doi:10.1002/hpm.3433 Pasquale Passarella, T

1

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Hypertension Management in Diabetes:

Original source

Hypertension Management in Diabetes

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Diabetes Spectr, 31(3), 218-224.
doi:https://doi.org/10.2337/ds17-0085

Original source

Diabetes Spectr, 31(3), 218-224
doi:https://doi.org/10.2337/ds17-0085