I’m attaching some resources for the specific problem that my Capstone is based on. We are on schedule with the program outline and we have started enrolling patients in the hypertension program. We are currently at 86 patients of the 155 patients we initially planned to enroll. We actually started enrolling patients in the program 2 weeks prior to the start of this course and patients have already had at least one weekly appointment with the program RN. (See attached Strategic Planning tool)
Initials of the PRIMARY Project Team Members and titles:
– JD, Physician
– EMC, Physician
– NC, Medical Assistant
– AD, Medical Assistant
– GP, Phlebotomist/Medical Assistant
– HC, Registered Nurse
– RB, Licensed Practical Nurse
The biggest conflict that we have seemed to have is the medical assistants feel like they are overloaded with another task being added on to their daily duties and don’t seem to be motivated. To resolve the conflict, the practice manager has offered a bonus of $250 if we reach 25% of our goal, $500 if we reach 50% of our goal, $750 if we reach 75% of our goal and $1000 if we reach 100% of our goal.
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Getting Started
As a professional nurse leading a planned change process, you will likely experience conflict and stress as you encounter barriers. The change leader’s response is critically important to the productive resolution of the stressful issue. Leaders must be cognizant of maintaining a comprehensive vision of the project and a sense of life balance as they assess effective strategies to manage conflict and stress.
Upon successful completion of the course material, you will be able to:
- Analyze selected strategies to decrease conflict and stress.
- Identify preferred approaches in effective conflict management.
Resources
- Textbook: Fundamentals of Project Management
- Textbook: Leading and Managing in Nursing
Background Information
Constructive response to conflict and the implementation of effective strategies to counter conflict and stress are leadership skills that are refined with experience. If you have not encountered conflict or stress while leading your project team, consider the following case study:
Your direct supervisor designated you as a project manager, with a team of four, to implement a change in practice related to recently published evidence-based research. The team is split into two camps. The last team meeting was a disaster, with two team members sitting on one side of the table and the other two members on the other side. The tension in the air was palpable. You ended the meeting after only 30 minutes because nothing was being accomplished. You schedule another meeting for next week.
Instructions
- Review the rubric to make sure you understand the criteria for earning your grade.
- Review Chapter 8 and 19 in your textbook, Leading and Managing in Nursing.
- Read Chapters 13, 14, and 16 in your textbook, Fundamentals of Project Management.
- Navigate to the threaded discussion and respond to the following:Identify the primary members of your capstone project team using initials and job titles.Based upon Heagney’s definition of team stages in Chapter 13, at what stage is your team functioning? Validate your answer with examples.If your team is not at the performing stage, what can you do to help the team reach the performing stage? If your team is at the performing stage, what can you do to facilitate the team staying at the performing stage?Briefly, describe a conflict or stress you and/or your team have experienced during your capstone project? If you have not experienced this conflict, base your responses to the following questions on how you would react to the conflict in the case study included in the Background Information.How well did you deal with the conflict?Was your approach positive or negative?Considering the five approaches to conflict Heagney discusses in Chapter 14, what would be the most appropriate approach to handle this type of conflict? How would you handle this method?
- Cite and reference a minimum of one source for your initial posting.
Strategic Planning Tool
Instructions: Revisit your strategic plan under development in Discussion 1.2. Use this tool to
document your updated strategic plan to guide the planned change capstone process. Be sure to
cite and reference your sources according to APA format, using the last page for your reference
list.
Name: Hope Chung____________________________________________________________
Statement of Need or
Statement of Problem
to Be Addressed
Background of the
Problem
(minimum of three
scholarly sources
current within the last
five years)
Estimates issued by the World Health Organization indicate that in
the United States alone, over 85 million people are suffering from
hypertension. In the low and middle-income countries in the world,
urbanization has steadily caused an upsurge in the number of
diagnosed cases of hypertension due to changes in lifestyle habits.
Globally, increased blood pressure has been found to cause over 7
million deaths, a figure which accounts for over 12% of the total
world deaths. Overall, both men and women develop high blood
pressure, although the prevalence rates are higher for men than for
women. Therefore, hypertension is a public health concern that has
been found to cause the development of cardiovascular disease and
stroke (Khdour, Hallak, Shaeen, Jarab & Shahed 2013).
Here at Oak Street Health, we serve the underserved communities
where 74% of our patient population suffers from a modifiable
health concern of hypertension. The purpose of this capstone project
is to demonstrate how crucial it is to incorporate lifestyle
modifications alongside medical treatments in the management of
high blood pressure so that our patients can regain optimal health
and wellness.
Oak Street Health is a community based medical center that
caters to the needs of the elderly population in the surrounding
communities. Approximately 74% of our patients suffer from
hypertension and have not had adequate follow up care or education
regarding their disease and remain in an uncontrolled status. The
condition is disproportionate among men. About one in four men are
diagnosed with hypertension. Statistics show that one in every three
adults in the United States has hypertension (Kirkland et al., 2018).
Despite the US
heavy investment in healthcare, hypertension remains among
chronic diseases that are still undertreated. One of the main
challenges resulting in reduced healthcare quality and delivery is an
investment in treatment instead of primary preventive measures.
Hypertension has become a significant health problem because
of its high prevalence and the numerous health risks it poses to
patients, such as cardiac disease, chronic kidney problems, and
cerebrovascular problems. A 2018 publication by the Centers for
Disease Control and Prevention (CDC) considers hypertension as a
primary or contributing cause of mortality in about 494,873
Americans (CDC, 2020). A more recent CDC publication in 2020
estimated that about 108 million adults in the United States (45% of
the adult population) are affected by hypertension (CDC, 2020).
High blood pressure (hypertension) is relevant to the patients
because it can quietly or more appropriately, asymptomatically
endanger health for a long period before its detected. People all over
the world are wary of hypertension because unchecked increase high
blood pressure can bring about a poor-quality life, disability, a
deadly cardiac arrest, stroke, and death. Medication treatment and
adoption of healthy lifestyle are important in controlling high blood
pressure to prevent or reduce the risk of life-threatening
consequences. The impact of Hypertension affects care quality
patient safety and poses a financial burden to both the patient and the
health care system for close to half of the adult population in the
United States, as reported by Del Pinto & Ferri (2019).
Desired outcome of
the capstone
project
74% of our patient
population suffer
from hypertension.
The desired outcome
is to have patients
participate in our
Hypertension
Program that will
provide them with
resources and
education to
decrease their blood
pressures to goal
levels of 130/80 to
140/90 for 10% of or
patient population
within eight weeks.
Related activities to
facilitate the stated
outcome
Form a
multidisciplinary team
to include the team
leader (RN),
physicians, medical
assistants, and the
patients.
Timeline for
implementation of
stated activities
Week 1
June 7, 2022
Assess current views
on the implementation
of the hypertension
program, engage
patients and clinical
staff in the process to
enroll in the
Hypertension
Program.
Week 2
June 14, 2022
Recognize challenges
Week 3
Evaluation plan
(corresponding to
the stated outcome)
To measure the
effectiveness of what
is being implemented,
patients will monitor
their blood pressures
daily at home and
keep a blood pressure
log and meet weekly
with the staff RN for
blood pressure checks
as well as provide any
education and
coaching to reach
desired patient set
goals. By enrolling
155 patients into the
Hypertension
Program and
decreasing their blood
and discuss the aim of
the implementation of
the program.
June 21, 2022
Enrolled patients
continue daily blood
pressure monitoring
and weekly nurse
visits.
The team leader will
ask the physicians and
clinical staff what is
going well and what is
not and make
necessary
improvements.
Obtain data of
enrolled patients with
improvement in
lowering blood
pressures
Monitor the nurse’s
commitment to the
process and
Week 4
June 28, 2022
Week 5
July 5, 2022
Week 6
July 12, 2022
Weeks 3-8: beginning
June 21, 2022
The team leader will
Weeks 5 and 7
ask the physicians and July 5, 2022
clinical staff what is
July 19, 2022
going well and what is
not and make
necessary
improvements.
pressures to Goal
ranges of 130/80 to
140/90, our patient
population with
hypertension will
successfully decrease
by our goal of 10%.
References
CDC. Facts About Hypertension. (2020). Facts About Hypertension in the United States.
Retrieved from https://www.cdc.gov/bloodpressure/facts.htm
Del Pinto, R., & Ferri, C. (2019). Hypertension management at older age: an update. High Blood
Pressure & Cardiovascular Prevention, 26(1), 27-36.
Kirkland, E. B., Heincelman, M., Bishu, K. G., Schumann, S. O., Schreiner, A., Axon, R. N., …
& Moran, W. P. (2018). Trends in healthcare expenditures among US adults with
hypertension: National Estimates, 2003–2014. Journal of the American Heart
Association, 7(11), e008731.