Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations
Assessing the Problem Leadership, Collaboration, Communication, Change Management, and Policy Considerations
In this capstone project, I would focus on the health problem of postpartum depr…View more
University
Griffith University
Course
Business Statistics (1304AFE)
Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations
Student’s Name Institution Affiliation Course Name Instructor’s Name Due Date
Defining Patient Health Problems Relevant to My Practice In this capstone project, I would focus on the health problem of postpartum depression (PPD), a type of depression that occurs after giving birth. According to studies by the Cleveland Clinic, this condition affects approximately 15% of individuals who have ever given birth (Cleveland Clinic, 2018). Having a baby is a life-changing experience that can bring feelings of excitement and can be equally tiring and overwhelming. When a person has given birth, they are prone to experience physical, emotional, social, and financial changes which can alter their normal life (Mayo Clinic, 2018). It is these changes that result in the symptoms of PPD. During my practicum, I intend to work with a patient who has just given birth and has been diagnosed with PPD. A week after giving birth, the patient began to have severe mood swings and is extremely struggling to bond with the child. Also, due to the inability to connect with the child, the patient has developed a sense of guilt as she feels she has not been a good mother. After closely examining the patient, I also noticed a loss of interest in activities she used to enjoy, characterized by a disconnection from friends and family. Also, the patient demonstrated to be fatigued, hopeless and easily angered. This information has been crucial in diagnosing the patient. To the patient, the information has helped receive urgent attention from the healthcare practitioners which is key in preventing the condition from accelerating to worsened levels that may even lead to death. As a baccalaureate-prepared nurse who works in the OB unit, this information will be crucial to my future practice as it will provide insights into how I would handle such cases. Having been mandated to navigate the complexities of our current healthcare environment to improve the safety of mothers in the delivery room and their healthcare outcomes after giving birth, having prior knowledge before getting exposed to such complexities would help boost my
undermine the administration of EBP into nursing practice. For instance, there is limited access to EBP tools of measuring EBP. Access to tools such as Edinburgh Postpartum Depression Scale is limited and there is little knowledge about their use. The study also suggests that conflict with the clinical judgment hinders the physicians and nurse from adopting the strategy. Apart from focusing on barriers to the implementation of EBP in PPD treatment, other studies have also focused on the effectiveness of the nursing standards in enhancing outcomes of patients with PDD. A study conducted by Said et al. (2020), assessed the effectives of educational guidelines on nurse performance concerning mothers postnatal care mothers. The study revealed that with a strict adherence to the nursing standards, the health outcomes of PDD patients are likely to improve as the nurses would follow the right procedure in administering care. With set standards, the quality of care improves also. Nurses, being the backbone of the healthcare systems globally, form the largest number of healthcare professionals. Their contribution towards policy-making is important in advancing the quality of care. In policy-making, nurses make a lot of contributions that are key in improving patient outcomes, prevent diseases, and reduce the rates of hospital readmissions. According to a study carried out by Anders (2020), the main role of nurses in policy making is advocacy. They influence policy by acting in the interests of patients. As a way to guide nursing actions in improving the overall health of patients, literature recommends the use of environmental theory. This theory entails a modification of the patient’s environmental factors to help in the recovery process. Thus, during this practicum, my main focus would be to create a favorable environment to enhance the patient’s wellbeing.
How Government Policies Could Affect Patients with PDD
One of the policies that the Federal government has developed to help improve the health of patients with or likely to suffer for PDD is the Affordable Care Act. A study carried out by Schuster et al. (2021), assessed the women’s PDD and insurance is U’s five states. According to the conclusions drawn from the study, most of the women who were covered by the ACA underwent. The ACA has improved the health of PDD patients by facilitating access to medical and therapy services regardless of the financial setbacks.
Leadership Strategies to Improve Outcomes, Patient-centered Care, and the Patient experience in relation to PDD In nursing, leadership strategies play a vital role in enhancing the quality of care, managing nurses and influencing policy formation and implementation. A study carried out by Specchia et al. (2021), examines the leadership styles in relation to the nurse’s job satisfaction. According to the author’s conclusion, leadership strategies affect both the quality of outcome in patients and the healthcare professionals. With effective leadership strategies, the quality of patient outcome would improve significantly; the health care professionals would be satisfied with the jobs. In addressing PDD among women that have given birth, the leadership, especially nursing leaders have a huge role to play. The leaders should be at the forefront of equipping nurses with appropriate resources to carry out their functions appropriately. Also, should advocate integration of EBP in the nursing practice to help the PDD patients recover. They should also, initiate collaborations between nurses and therapists to help the patients recover fully.
References Mayo Clinic. (2018, September 1). Postpartum depression – Symptoms and Causes. Mayo Clinic. mayoclinic/diseases-conditions/postpartum-depression/symptoms- causes/syc- Cleveland Clinic. (2018, January 1). Postpartum Depression: Types, Symptoms, Treatment & Prevention. Cleveland Clinic. my.clevelandclinic/health/diseases/9312- postpartum-depression Slomian, J., Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019). Consequences of Maternal Postpartum Depression: a Systematic Review of Maternal and Infant Outcomes. Women’s Health , 15 (15), 174550651984404. doi/10.1177/ Yu, Y., Liang, H.-F., Chen, J., Li, Z.-B., Han, Y.-S., Chen, J.-X., & Li, J.-C. (2021). Postpartum Depression: Current Status and Possible Identification Using Biomarkers. Frontiers in Psychiatry , 12. doi/10.3389/fpsyt.2021. Ben-David, V., Jonson-Reid, M., & Tompkins, R. (2017). Addressing the Missing Part of Evidence-based Practice: The Importance of Respecting Clinical Judgment in the Process of Adopting a New Screening Tool for Postpartum Depression. Issues in Mental Health Nursing , 38 (12), 989–995. doi/10.1080/01612840.2017. Sfantou, D., Laliotis, A., Patelarou, A., Sifaki- Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of leadership style towards quality of care measures in healthcare settings: A systematic review. Healthcare , 5 (4), 73. NCBI. doi/10.3390/healthcare
Schuster, A. L. R., Perraillon, M. C., Paul, J. J., Leiferman, J. A., Battaglia, C., & Morrato, E. H. (2022). The Effect of the Affordable Care Act on Women’s Postpartum Insurance and Depression in 5 States That Did Not Expand Medicaid, 2012-2015. Medical Care , 60 (1), 22–28. doi/10.1097/MLR. Said, S. A. E., Elbana, H. M., & Salama, A. M. (2022). Effect of Educational Guideline on Nurses Performance Regarding Postnatal Care of Mothers and Neonates. SAGE Open Nursing , 8 , 237796082110701. doi/10.1177/ Anders, R. L. (2020). Engaging nurses in health policy in the era of COVID‐19. Nursing Forum , 56 (1). doi/10.1111/nuf. Specchia, M. L., Cozzolino, M. R., Carini, E., Di Pilla, A., Galletti, C., Ricciardi, W., & Damiani, G. (2021). Leadership Styles and Nurses’ Job Satisfaction. Results of a Systematic Review. International Journal of Environmental Research and Public Health , 18 (4), 1552. doi/10.3390/ijerph
1Assessing the Problem: Leadership, Collaboration, Communication, Change Management,and Policy ConsiderationsStudent’s NameInstitution AffiliationCourse NameInstructor’s NameDue Date
2Defining Patient Health Problems Relevant to My PracticeIn this capstone project, I would focus on the health problem of postpartum depression (PPD), a type of depression that occurs after giving birth. According to studies by the Cleveland Clinic, this condition affects approximately 15% of individuals who have ever given birth (Cleveland Clinic, 2018). Having a baby is a life-changing experience that can bring feelings of excitement and can be equally tiring and overwhelming. When a person has given birth, they are prone to experience physical, emotional, social, and financial changes which can alter their normal life (Mayo Clinic, 2018). It is these changes that result in the symptoms of PPD.During my practicum, I intend to work with a patient who has just given birth and has been diagnosed with PPD. A week after giving birth, the patient began to have severe mood swings and is extremely struggling to bond with the child. Also, due to the inability to connect with the child, the patient has developed a sense of guilt as she feels she has not been a good mother. After closely examining the patient, I also noticed a loss of interest in activities she used to enjoy, characterized by a disconnection from friends and family. Also, the patient demonstrated to be fatigued, hopeless and easily angered. This information has been crucial in diagnosing the patient. To the patient, the information has helped receive urgent attention from the healthcare practitioners which is key in preventing the condition from accelerating to worsened levels that may even lead to death.As a baccalaureate-prepared nurse who works in the OB unit, this information will be crucial to my future practice as it will provide insights into how I would handle such cases. Having been mandated to navigate the complexities of our current healthcare environment to improve the safety of mothers in the delivery room and their healthcare outcomes after giving birth, having prior knowledge before getting exposed to such complexities would help boost my
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4undermine the administration of EBP into nursing practice. For instance, there is limited access to EBP tools of measuring EBP. Access to tools such as Edinburgh Postpartum Depression Scale is limited and there is little knowledge about their use. The study also suggests that conflict with the clinical judgment hinders the physicians and nurse from adopting the strategy.Apart from focusing on barriers to the implementation of EBP in PPD treatment, other studies have also focused on the effectiveness of the nursing standards in enhancing outcomes of patients with PDD. A study conducted by Said et al. (2020), assessed the effectives of educational guidelines on nurse performance concerning mothers postnatal care mothers. The study revealed that with a strict adherence to the nursing standards, the health outcomes of PDD patients are likely to improve as the nurses would follow the right procedure in administering care. With set standards, the quality of care improves also.Nurses, being the backbone of the healthcare systems globally, form the largest number of healthcare professionals. Their contribution towards policy-making is important in advancing the quality of care. In policy-making, nurses make a lot of contributions that are key in improving patient outcomes, prevent diseases, and reduce the rates of hospital readmissions. According to a study carried out by Anders (2020), the main role of nurses in policy making is advocacy. They influence policy by acting in the interests of patients.As a way to guide nursing actions in improving the overall health of patients, literature recommends the use of environmental theory. This theory entails a modification of the patient’s environmental factors to help in the recovery process. Thus, during this practicum, my main focus would be to create a favorable environment to enhance the patient’s wellbeing.How Government Policies Could Affect Patients with PDD
5One of the policies that the Federal government has developed to help improve the healthof patients with or likely to suffer for PDD is the Affordable Care Act. A study carried out by Schuster et al. (2021), assessed the women’s PDD and insurance is U.S’s five states. According to the conclusions drawn from the study, most of the women who were covered by the ACA underwent. The ACA has improved the health of PDD patients by facilitating access to medical and therapy services regardless of the financial setbacks.Leadership Strategies to Improve Outcomes, Patient-centered Care, and the Patientexperience in relation to PDDIn nursing, leadership strategies play a vital role in enhancing the quality of care, managing nurses and influencing policy formation and implementation. A study carried out by Specchia et al. (2021), examines the leadership styles in relation to the nurse’s job satisfaction. According to the author’s conclusion, leadership strategies affect both the quality of outcome in patients and the healthcare professionals. With effective leadership strategies, the quality of patient outcome would improve significantly; the health care professionals would be satisfied with the jobs.In addressing PDD among women that have given birth, the leadership, especially nursing leaders have a huge role to play. The leaders should be at the forefront of equipping nurses with appropriate resources to carry out their functions appropriately. Also, should advocate integrationof EBP in the nursing practice to help the PDD patients recover. They should also, initiate collaborations between nurses and therapists to help the patients recover fully.
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7ReferencesMayo Clinic. (2018, September 1). Postpartum depression – Symptoms and Causes. Mayo Clinic.https://www.mayoclinic.org/diseases-conditions/postpartum-depression/symptoms-causes/syc-20376617Cleveland Clinic. (2018, January 1). Postpartum Depression: Types, Symptoms, Treatment & Prevention. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/9312-postpartum-depressionSlomian, J., Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019). Consequences of Maternal Postpartum Depression: a Systematic Review of Maternal and Infant Outcomes. Women’s Health, 15(15), 174550651984404. https://doi.org/10.1177/1745506519844044Yu, Y., Liang, H.-F., Chen, J., Li, Z.-B., Han, Y.-S., Chen, J.-X., & Li, J.-C. (2021). Postpartum Depression: Current Status and Possible Identification Using Biomarkers. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.620371Ben-David, V., Jonson-Reid, M., & Tompkins, R. (2017). Addressing the Missing Part of Evidence-based Practice: The Importance of Respecting Clinical Judgment in the Processof Adopting a New Screening Tool for Postpartum Depression. Issues in Mental Health Nursing, 38(12), 989–995. https://doi.org/10.1080/01612840.2017.1347221Sfantou, D., Laliotis, A., Patelarou, A., Sifaki- Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of leadership style towards quality of care measures in healthcare settings: A systematic review. Healthcare, 5(4), 73. NCBI. https://doi.org/10.3390/healthcare5040073
8Schuster, A. L. R., Perraillon, M. C., Paul, J. J., Leiferman, J. A., Battaglia, C., & Morrato, E. H. (2022). The Effect of the Affordable Care Act on Women’s Postpartum Insurance and Depression in 5 States That Did Not Expand Medicaid, 2012-2015. Medical Care, 60(1), 22–28. https://doi.org/10.1097/MLR.0000000000001652Said, S. A. E., Elbana, H. M., & Salama, A. M. (2022). Effect of Educational Guideline on Nurses Performance Regarding Postnatal Care of Mothers and Neonates. SAGE Open Nursing, 8, 237796082110701. https://doi.org/10.1177/23779608211070154Anders, R. L. (2020). Engaging nurses in health policy in the era of COVID‐19. Nursing Forum, 56(1). https://doi.org/10.1111/nuf.12514Specchia, M. L., Cozzolino, M. R., Carini, E., Di Pilla, A., Galletti, C., Ricciardi, W., & Damiani, G. (2021). Leadership Styles and Nurses’ Job Satisfaction. Results of a Systematic Review. International Journal of Environmental Research and Public Health, 18(4), 1552. https://doi.org/10.3390/ijerph18041552
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