NURS FPX 6011 Assessment 1 Patient-Centered Need Assessment

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NURS FPX 6011 Assessment 1 Patient-Centered Need Assessment

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Capella University

NURS-FPX6011 Evidence-Based Practice for Patient-Centered Care and Population Health

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Submission Date

 

Patient-Centered Need Assessment

The role of patient involvement is very crucial in dealing with long term health complications, particularly among individuals who pertain from different backgrounds. In the case of Maria Gonzalez, she has a problem with the management of the nonalcoholic fatty liver disease (NAFLD) due to her language as well as her cultural diet.

The care guidelines, level of understanding, and the quality of health can be increased with the help of the tailored strategies, which include culturally sensitive communication and the latest technology (Joo and Liu, 2020). The information and communication technologies (ICT) can assist in the challenges of comprehending health issues and receiving the necessary treatment. This evaluation explains why cultural sensitivity and new technologies can contribute to effective and fair healthcare.

• Case Scenario

The client is a 54-year-old female of Hispanic origin with non-alcoholic fatty liver disease (NAFLD) at stage 2 fibrosis. Her previous lifestyle conditions have included obesity, prediabetic, and hypertension, and she is not very active in terms of exercising. As most Spanish speakers with a bit of English, Maria has a hard time communicating with doctors and reading health-related information. Although she is constantly exhausted and her belly aches sometimes, she is struggling to decide the severity of it. She has a problem attending medical appointments as well as covering the costs of treatments. Although her family supports her, they have no experience with liver disease and its treatment.

Importance of Addressing Patient Engagement

Content	Details
Patient engagement	In order to take care of the health of a patient, the concept of patient engagement is critical to consider, in particular, the management of chronic diseases like NAFLD.
Impact of engagement	The involved parties in their care are likely to pursue better health practices, adhere to treatment as prescribed, and make healthy health choices with the assistance of their healthcare professionals (Marzban et al., 2022).
Barriers	Issues like cultural meals, language barrier, and difficulties in the care process must be raised when speaking about Maria Gonzalez’s health.
Culturally-based intervention	The existing literature shows that one of the ways to achieve improved results in underserved populations is the culturally-based intervention.
Study findings	Kwon et al. (2022) discovered that patients with NAFLD are more likely to achieve positive health results when they undergo personalized coaching and telehealth practices.
Community health workers	Kowalczyk et al. (2024) have also included that the assistance of community health workers and the promotion of bilingual education contribute to the population of Hispanic patients being more active in coping with their health issues.
Patient needs	Patients must have their needs and cultures taken into consideration when developing the most effective ways to engage with them.
Tools for Maria	In the case of Maria, it can include two-language speaking apps, video calls with Spanish-speaking doctors, and trackers.
Self-reliance	Patients will never lack such tools and can be assisted to become self-reliant, and to make it will be easier on the side of the instructors to monitor them.
Peer support	The community can be encouraged to share similar experiences through peer support programs that would help patients cope with their disease more easily.
Digital strategies	The same approaches are justified by the fact that Sorensen supports his study (2024) with the evidence that digital strategies designed to generate an interpretation of health literacy and culture have significant beneficial effects on learning and engagement of patients.
Outcome	Ultimately, effective interaction with patients will ensure individuals are healthier, promote equity, and patient satisfaction with their treatment, irrespective of their diversity.

Potential Use and Impact of Information and Communication Technology Tools

ICT is highly significant to enhance health literacy, primarily for patients with complicated health conditions like NAFLD. Maria Gonzalez has limited English and a set diet, so it is a good idea to use applications and videos in her language and telehealth. They make sure that one can find information easily to make better health decisions and take care of oneself.

Iribarren et al. (2021) added that mHealth applications with visual instructions and notifications are effective at behavior change and motivation of chronic liver disease patients to adhere to their lifestyle interventions. Telehealth services should be provided with consideration of language and culture to enhance the rates of engagement and satisfaction, primarily among Hispanic individuals who have few opportunities to meet a doctor face-to-face.

The process of using the mobile apps is not always effective since it requires the user to adhere to the plan. Furthermore, understanding how her family participates in health decision making, how they understand what is going on, and whether a technology intervention can be used to help plan a more effective engagement intervention.

According to Joo and Liu (2020), the engagement in medical management of the family and the communication in a culturally suitable manner will assist Hispanic patients in adopting the technology and managing their health more successfully. The awareness of such personal factors within a family facilitates users to utilize ICT tools appropriately and make the health literacy guidance remain pertinent to them over an extended period. Maria, on her part, the skills and modes of accessing/receiving information remain unknown with these accomplishments.

Value and Relevance of Technology Modalities

Bilingual telehealth systems, mobile applications, and patient portals can be of significant help to people who have NAFLD and lack knowledge of English, as in the case of Maria Gonzalez. The advantage of bilingual services in telehealth is that patients can communicate with medical personnel in their own language and establish an environment of trust. The diet tracking application that can be used in Spanish and that has graphics can help people comprehend and follow their medical instructions better. Provided that the instructions on care are simplified, secure messaging is provided, and low health literacy educational content is added, the patients and their families will be able to follow care guidelines more effectively and participate in care planning (Carini et al., 2021).

They assist in the maintenance of ethical conduct as they should treat the culture of a patient with respect and help in making a consent that is informed and the way that data should be provided is not obstructive to the needs of a patient. They allow sharing the data that is compliant with the Health Insurance Portability and Accountability Act (HIPAA) and permitting access to health information only that is permitted, and ensuring the privacy and well-being of patients (Edemekong et al., 2024).

Interoperability enables care providers, specialists, and patients to share health information easily, considering that these tools are interoperable. In such a way, the interaction of telehealth with an Electronic Health Record (EHR) allows doctors to make their choices based on the existing and up-to-date data to avoid duplicate care (Zhang and Saltman, 2021). As a result of this integration, health professionals can plan their care that meets the needs, language, and educational level of the patient.

These approaches employ communication strategies including plain language, audio-visual aids, and simple phrases to help patients comprehend medical information. Voice-to-text, videos, and the use of someone accessing his or her health record are some of the features that can assist everyone in case the patient is not able to read or write properly (Murugesu et al., 2022). By doing this, such practices will ensure that patients are safeguarded, informed, and provided with respectful care, which will increase their probability of good health results.

Innovative Use of Technology for Culturally and Linguistically Appropriate Care

New approaches to utilizing technology to provide care to individuals with divergent backgrounds involve mobile health applications, which work with minority groups, telehealth solutions in various languages, and virtual health support personnel who are powered by artificial intelligence. To illustrate that, the apps that contain the backgrounds and the features that are not new to people of different cultures enable patients to feel more comfortable about their condition, and they allow them to understand instructions better.

The presence of in-the-moment interpretation and adequate communication training provided to providers on telehealth platforms makes the patients feel respected and decreases the imbalances in care (Haleem et al., 2021). Virtual assistants with AI can also provide patients with customized health-related information and reminders in the language they want, which will make it easier to take care of their health and access care in time.

They make the treatment of the patients more efficient by promoting effective communication, overcoming the problem of missed appointments, and assisting in their continuous monitoring outside hospitals or clinics. It has been observed that information presented in a manner that aligns with the culture and language of a patient leads to better health and levels of satisfaction to the patient with the care they get (Vella et al., 2022).

Strategies that include designing in favor of the patient, adherence to data privacy policies, and routine investigation of cultural competence offer information that leads the care that protects patient privacy and self-determination. On balance, the implementation of such technological tools will result in the creation of equal access to healthcare and will enable patients to express their interests.

How Strategies Mitigate the Risk of Adverse Outcomes

The selected measures will address the issue of inequity in healthcare and technology maintenance by supporting all individuals and securing sensitive information. Lack of internet, digital knowledge, or care costs may lead to the further deterioration of the health of some patients because of their inability to access digital services to some extent. One of the available options to resolve this challenge is: providing equipment or discounted internet, creating interfaces that are easy to understand, and offering multilingual support to simplify it for all users (Kucheriavy, 2024). Effective data privacy and security functions ensure that information belonging to patients is secure, thus it is difficult to lose any sensitive data to the wrong hands.

These methods were critical during the COVID-19 period, including the expansion of telehealth services, and programs delivered were designed to ensure that individuals in low-income groups can have access to technology and education (Verma et al., 2023). They began adding technology training that enabled patients to interact with health portals comfortably and safely. Provided that these methods are backed by technology, knowledge, and ethical guarding, it will help decrease inequity in care and the outcomes of failure to apply the advanced technology.

Conclusion

The use of current technologies in medical care that would promote inclusivity, accessibility, and safety in the management of information renders care ethical and efficient. They seal part of the communication and information gaps and allow patients to adequately manage their health conditions. Trust can increase, and shared decisions can be made when providers make various systems easy to collaborate and help to focus on what is best for the patient. Therefore, they assist in eliminating health disparities and give high-quality and equitable care to patients.

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References for NURS FPX 6011 Assessment 1

Health insurance portability and accountability act (HIPAA). National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK500019/

Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2(2), 100–117. https://pmc.ncbi.nlm.nih.gov/articles/PMC8590973/

Iribarren, S. J., Akande, T. O., Kamp, K. J., Barry, D., Kader, Y. G., & Suelzer, E. (2021). Journal of Medical Internet Research MHealth and UHealth, 9(1). https://doi.org/10.2196/21563

Joo, J. Y., & Liu, M. F. (2020). Nursing Open, 8(5), 2078–2090. https://doi.org/10.1002/nop2.733

Kowalczyk, M., Yao, N., Gregory, L., Cheatham, J., DeClemente, T., Fox, K., Ignoffo, S., & Volerman, A. (2024). Archives of Public Health, 82. https://doi.org/10.1186/s13690-024-01313-5

Kucheriavy, A. (2024). Empowering patients in the digital age: New framework to measure and improve patient digital experiences. Mayo Clinic Proceedings: Digital Health, 2(2), 181–185. https://doi.org/10.1016/j.mcpdig.2024.03.001

Kwon, O. Y., Choi, J., & Jang, Y. (2022). The effectiveness of eHealth interventions on lifestyle modification in patients with non-alcoholic fatty liver disease: A systematic review and meta-analysis (preprint). Journal of Medical Internet Research, 25. https://doi.org/10.2196/37487

Journal of Patient Experience, 9(1), 1–12. https://doi.org/10.1177/23743735221125439

Challenges and solutions in communication with patients with low health literacy: Perspectives of healthcare providers. Public Library of Sciences One, 17(5). https://doi.org/10.1371/journal.pone.0267782

Sørensen, K. (2024). Computer Methods and Programs in Biomedicine Update, 5. https://doi.org/10.1016/j.cmpbup.2024.100140

Vella, E., White, V. M., & Livingston, P. (2022). A systematic review of the literature. Nurse Education Today, 118. https://doi.org/10.1016/j.nedt.2022.105500

Verma, A., Brooker, L., Hitson, H., & Cho, D. (2023). Telehealth technology infrastructure and implementation strategies. In A. M. Freeman & A. B. Bhatt (Eds.), Emerging Practices in Telehealth (pp. 13–28). https://www.sciencedirect.com/science/article/abs/pii/B9780443159800000107

Zhang, X., & Saltman, R. (2021). Impact of electronic health records interoperability on telehealth service outcomes. Journal of Medical Internet Research Medical Informatics, 10(1). https://doi.org/10.2196/31837

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