NURS-FPX 4900 Capstone project for Nursing

Prof. Name

Date

Patient, Family, or Population Health Problem Solution

Mr. Paul is a patient (36-year-old) struggling with Alcohol Use Disorder (AUD), characterized by his excessive and uncontrolled alcohol consumption. It has led to notable physical, psychological, and social consequences for Mr. Paul. He has strained relations with his immediate (spouse and children) and extended family, has a high risk of chronic health conditions (liver and cardiovascular concerns), having a low quality of life. I chose this problem as the focus of my project because AUD is a prevalent and complex health issue (affecting 17.3 million men annually) with far-reaching impacts (NIAAA, 2023).

Addressing AUD requires a multifaceted approach involving medical, psychological, and social interventions, making it an ideal subject for a comprehensive project. This problem is highly relevant to my professional practice as a healthcare provider because AUD affects not only the individual but also their family and broader social network. Understanding and addressing AUD can improve the well-being of the patient, their family, and the community. 

Leadership and Change Management

Transformational leadership is prevalent in healthcare systems due to its positive impact and influential strategies for enhanced health outcomes. This leadership style is effective due to the complex nature of current healthcare conditions and the requirement for sustainable evidence-based practices to manage multifaceted health issues like AUD. This leadership style utilizes elements of influence and motivation, inspiring and empowering its employees through intellectual stimulation (Chu et al., 2021). In the healthcare system, this leadership style has positively impacted team members at different levels and disciplines to achieve one goal: to improve Mr. Paul’s quality of life cost-effectively through individualized intervention. It motivated nurses, psychiatrists, counselors, and pharmacists to bring positive and sustainable change in Mr. Paul’s life. It allowed us to integrate a multifaceted approach through pharmacological and social support to address AUD.  

Change management is a way to identify loopholes, address gaps, and sustain effective practices. In this capstone project, Kotter’s 8-Steps addresses AUD for Mr. Paul. With transformational leadership, Kotter’s model positively impacted Mr. Paul’s life quality and healthcare system (Miles et al., 2023). Firstly, leadership created a sense of urgency (Step one) by raising awareness about the prevalence and impact of AUD, highlighting the need for a proactive intervention strategy for Mr. Paul. This step involves educating patient (Mr. Paul) and his family members, about addressing AUD promptly and effectively. Then, transformational leadership assembled a coalition of key stakeholders, such as caregivers, specialists like psychiatrists, social workers, and patient advocates (nurses). This coalition (Step two) collaboratively develops strategies and interventions for AUD management, leveraging diverse perspectives to ensure comprehensive care for Mr. Paul.

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution

In Steps three and four, leaders articulate a compelling vision for AUD management (Gradual and complete abstinence from alcohol), emphasizing patient-centered, evidence-based, and continuous care. They build a plan that outlines objectives and resource allocation for Mr. Paul’s AUD management (Miles et al., 2023). Effective communication is essential at this point (Step five). I clearly and consistently communicate the vision for management to all stakeholders (nurses, healthcare team, and social workers), ensuring understanding, buy-in, and alignment across the healthcare team and organization. Then, leaders empower team members to take action (Step six) by providing them with the necessary resources, training, and support. They encourage innovation and collaboration in developing and implementing interventions tailored to the patient’s (Mr. Paul’s) needs and preferences.

AUD is a complex healthcare issue, requiring time and a multifaceted approach. Mr. Paul cannot quit alcohol consumption all of a sudden and expects to not relapse on available opportunities or triggers. Leaders celebrate early success in AUD management, such as reduced intake of alcohol, reduced relapse, and enhanced patient satisfaction (Step seven). Lastly, the positive change in AUD management becomes ingrained in organizational culture and practices. They monitor progress, evaluate outcomes, and adjust to sustain improvements and drive future change. The last step (Step eight) is sustained by observing the patient’s health progress and te


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