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NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Student Name

Capella University

NURS-FPX 4900 Capstone project for Nursing

Prof. Name:

Date

Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations

In this evaluation of the capstone project, tobacco addiction management in Daniel’s case will be examined, taking into account the integration of care coordination, community resources, and technology. Approximately 1.2 billion people globally suffer from tobacco addiction (Chu et al., 2021). Given the enduring improvements in healthcare, technologies play a crucial role in effectively managing tobacco addiction and its chronic comorbidities. Similarly, care coordination is imperative in delivering thorough care to individuals struggling with tobacco addiction, ensuring consistent support in their journey to overcome the habit (Houston et al., 2022). Furthermore, individuals enhance their well-being by utilizing community resources, which will be emphasized in this assessment. 

Impact of Healthcare Technology on Tobacco Addiction

In the United States (US), tobacco addiction continues to be the main factor in preventable deaths. The persistence of tobacco addiction and its risks underlines the need for timely and efficient healthcare technology interventions like mobile health and telehealth (Chu et al., 2021). The significance of mobile health (mHealth), smartphone apps in real-time smoking detection and cessation aid by taking advantage of this technological popularity. The effect of smartphone apps in providing practical cessation support improved functionality, pointing to features like interactive elements, sophisticated multimedia, and visual aids (Chu et al., 2021). 

The effectiveness of remote tobacco use treatment is demanding nowadays, such as telehealth service integration. The potential advantages of telehealth include its improved accessibility, convenience, and capacity to serve a larger patient population. Assessing telehealth interventions’ efficacy in mitigating tobacco use considers various factors, including treatment adherence, patient engagement, and outcomes (Shoenbill et al., 2021). 

Advantages and Disadvantages of Remote Monitoring and Telehealth

Telehealth interventions, including telemonitoring systems, mobile applications, and teletherapy, have potential advantages, including their ability to increase accessibility, close treatment gaps, and provide more affordable options for tobacco cessation. Geographical barriers can be overcome with mHealth, for example, enabling people to receive counseling and therapeutic support from a distance (Ojeahere et al., 2022). This has proven especially important for people with non-urgent medical needs and chronic conditions due to tobacco addiction. Telehealth has also improved the effectiveness of healthcare delivery for Daniel by reducing delays and facilitating prompt interventions (Bouabida et al., 2022).

There are also several obstacles to using mHealth, such as legal uncertainties and monitoring obstacles are expected. Disadvantages of telehealth include inadequate internet infrastructure, variations in technology, and cultural aspects that influence the acceptability of remote healthcare for tobacco addiction (Valera et al., 2021). The maintenance of telehealth infrastructure can result in substantial expenses for the organization. The broad application of telehealth solutions needs more funding for tobacco cessation. Both healthcare providers and patients need to be digitally literate to use telehealth services (Furlepa et al., 2022).

A lack of understanding of technology can hinder adoption, particularly among older demographics. Doctors and nurses need to receive telehealth training, but they have worries about privacy and data security. These difficulties highlight the need to address inequalities and guarantee that telehealth services are available and easy to use for populations suffering from tobacco addiction (Bouabida et al., 2022).

Current Professional Practice

In my nursing profession, healthcare professionals have employed various technologies to offer remote monitoring services and teleconsultations. Nurses allocated to the tobacco cessation and recovery department conduct telehealth sessions for tobacco-addicted patients with challenges in traveling to healthcare facilities (Alsahli et al., 2023). The factors prompting the acceptance and adoption of mHealth for tobacco cessation are perceived individual and organizational barriers and facilitators. Individual barriers comprised perceptions of patient resistance, time limitations, technical literacy, and knowledge gaps in telehealth (Wojtas & Kurpas, 2022).

Despite notable advancements, smoking continues to be the primary avoidable factor contributing to fatalities in the US, resulting in 490,000 deaths and an annual economic loss of USD 320 billion in health-related expenses. Financial burdens on individuals and organizations can be minimized by telehealth integration (Littman et al., 2022).

NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Administrative barriers comprised financial constraints, inadequate engagement, concerns about information safety, and the absence of telemonitoring policies. Individual enablers involved patient-centric care, essential motivation, collaborative practices, and secure data sharing at an individual level (Wojtas & Kurpas, 2022). Legislative organizers encompassed determinants related to workflow, financial support from the organization, endorsement of mHealth services, and adherence to evidence-based guidelines for tobacco cessation (Alsahli et al., 2023). 

As a frequent user of smartphones, Daniel can use these tools to control his addiction to tobacco despite the negative aspects. However, first, he needs more training to use particular apps. He can be guided in the use of new tools for managing tobacco addiction by working with nurse informaticists, with an emphasis on medication adherence or lifestyle changes. This will teach him to use these applications effectively, encouraging a healthy lifestyle and guaranteeing medication adherence. Daniel’s empowerment and self-care will increase, improving the treatment of his tobacco addiction (Bialous et al., 2020).

Use of Care Coordination and Community Resources to Improve Tobacco Addiction

Care coordination plays a vital role in addressing tobacco addiction and offers numerous advantages to individuals struggling with this condition. Care coordination involves providing integrated and collaborative care to support a complete approach to recovery (Foo et al., 2023). Care coordination entails planning and executing healthcare services to improve the standard and continuity of patient care. Community resources serve as tools that individuals with tobacco addiction and healthcare providers can leverage to enhance addiction management.

These community resources are the Centers for Disease Control and Prevention (CDC) and the American Lung Association (ALA) play a critical role in helping people quit smoking (CDCTobaccoFree, 2021). These resources provide instructional resources and awareness campaigns that give people the knowledge they need to stop. The ALA enhances these initiatives by offering focused programs and support groups and creates a helpful atmosphere for tobacco cessation (CDCTobaccoFree, 2021).

Benefits of Care Coordination and Use of Community Resources 

Coordinated care benefits interdisciplinary collaboration, efficient communication, technology integration, and improved patient management (Britton et al., 2023). Coordination aims to give smokers a tailored, all-inclusive plan for the physiological, psychological, social, and environmental aspects of addiction that influence smoking behaviors. ALA aids in counseling services, support groups, hotlines, and instructional materials for tobacco cessation.

The socioeconomic factors that affect tobacco use can be addressed with the aid of the CDC. Through the use of social and economic factors, coordinated care connects patients with services that address underlying problems that may contribute to tobacco addiction, such as stress, illiteracy, and financial hardships. Care coordination improves accessibility and efficacy by facilitating the smooth integration of these resources into a person’s tobacco cessation plan (Siddiqi et al., 2022). 

Community resources lessen feelings of isolation during the quitting process by fostering a sense of community and shared experiences. ALA provides the campaign, which aims to educate people and motivate them to seek support for quitting smoking by providing educational materials about the health risks and the advantages of quitting. CDC supports public health initiatives by promoting greater awareness and prevention efforts. Community-based programs foster a supportive environment that empowers Daniel to quit smoking due to their collaborative nature, which successfully increases the likelihood of a successful cessation (Tan et al., 2023).

Barriers to Care Coordination and Use of Community Resources

Despite the significant improvement in tobacco addiction outcomes, specific obstacles impede effective implementation. A lack of knowledge about local resources for quitting smoking is a common obstacle (Satre et al., 2020). Patients do not know about local programs, support groups, or helplines that help them stop smoking. Participation is also hindered by limited access to financial and geographical community resources. The stigma attached to tobacco use in society can discourage Daniel from getting treatment. People are reluctant to participate in cessation programs because they are afraid of being judged because of the social norms surrounding smoking (Satre et al., 2020). 

Policy barriers like inadequate funding for community programs and restricted coverage for specific medications can shackle the efficacy of tobacco cessation initiatives. It will take more resources and promotion for policy changes to address these systemic barriers (Northwood et al., 2022). Daniel encountered similar obstacles, including inconsistent communication among members of the interdisciplinary team, disrupting the delivery of coordinated care for tobacco addiction. Additionally, he lacked awareness of community resources available for addressing tobacco addiction until he gained knowledge from me and other healthcare professionals.

State Board Nursing Practice Standards and/or Government/ Organizational Policies on Health Technology, Care Coordination, and Community Resources

The American Nursing Association (ANA) advocates for using health information technologies, offering standard guidelines to nurses, and initiating various programs. Similarly, ANA has trained nurses about their care coordination responsibilities, emphasizing collaboration with multidisciplinary teams to enhance the quality and satisfaction of patient care. Furthermore, ANA has established standards for utilizing community resources, incorporating guidelines from the ALA and CDC on tobacco addiction management. These guidelines will facilitate care coordination among nurses, a crucial aspect of managing tobacco addiction (American Nurses Association, 2023).

The Health Information Technology for Economic and Clinical Health (HITECH) Act’s primary goal is to encourage the use of telehealth and mHealth effectively. Telehealth gives medical professionals access to detailed patient data, facilitates the identification of smokers, the tracking of their smoking status over time, and the customization of interventions in response (Kotsen et al., 2020). The act encourages smooth data exchange between various healthcare systems.

NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Interoperability is essential for quitting smoking because it enables the sharing of relevant data between healthcare providers and organizations involved in patient care. Legal ramifications, such as fines for medical personnel for disclosing addicted patient information without authorization, highlight the significance of secure interoperability. This guarantees that the health plan for Daniel to quit smoking is reliable and consistent (Kadakia et al., 2021).

The ALA provides thorough endorsements for quitting tobacco use, with a focus on evidence-based methods that support people in giving up smoking. The ALA’s guidelines address several topics, such as medication, counseling, and behavioral interventions (Liu et al., 2022). To improve accessibility, the ALA promotes using quitlines, support groups, and online resources. These recommendations seek to enhance the success of tobacco cessation and promote lung health in general by addressing the psychological and physical components of tobacco addiction (Leone et al., 2020). 

I can efficiently influence technology, such as offering telehealth services, to support Daniel, ensuring effective care coordination and utilizing community resources optimally. Adhering to ethical professional practice guidelines implies promoting Daniel’s well-being through beneficence and non-maleficence. Additionally, safeguarding Protected Health Information (PHI) becomes a priority when implementing ethical professional guidelines (Leone et al., 2020). I have also recorded two practicum hours spent with Daniel, exploring his engagement with technology and its impact on improvement in well-being.

Conclusion

In conclusion, treating tobacco addiction needs an inclusive strategy that incorporates health technology and community resources. A comprehensive approach to tobacco cessation can be supported by utilizing organizational guidelines, ethical professional practices, and technological advancements to improve Daniel’s health outcomes.

References

American Nurses Association. (2023). Lead the profession to shape the future of nursing and health care. Nursingworld.org.  https://www.nursingworld.org/

Bialous, S., Nohavova, I., Kralikova, E., Wells, M., Brook, J., & Sarna, L. (2020). Building capacity in tobacco control by establishing the eastern Europe nurses’ ccnter of excellence for tobacco control. Tobacco Prevention & Cessation6(December), 1–12. https://doi.org/10.18332/tpc/128190

Bouabida, K., Lebouché, B., & Pomey, M.-P. (2022). Telehealth and COVID-19 pandemic: An overview of the telehealth use, advantages, challenges, and opportunities during COVID-19 pandemic. Healthcare10(11), 2293. https://doi.org/10.3390/healthcare10112293

Britton, M., Isabel Martinez Leal, Jafry, M. Z., Chen, T.-A., Rogova, A., Kyburz, B., Williams, T., & Reitzel, L. R. (2023). Influence of provider and leader perspectives about concurrent tobacco-use care during substance-use treatment on their tobacco intervention provision with clients: A mixed-methods study. International Journal of Environmental Research and Public Health20(7), 5260–5260. https://doi.org/10.3390/ijerph20075260

CDC Tobacco Free. (2021, August 24). 1-800-QUIT-NOW: 15 Years of Helping People Quit. Centers for Disease Control and Prevention.gov https://www.cdc.gov/tobacco/features/quitlines/index.html

NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Chu, K.-H., Matheny, S. J., Escobar-Viera, C. G., Wessel, C., Notier, A. E., & Davis, E. M. (2021). Smartphone health apps for tobacco Cessation: A systematic review. Addictive Behaviors112, 106616. https://doi.org/10.1016/j.addbeh.2020.106616

Foo, C. D., Yan, J. Y., Chan, A. S. L., & Yap, J. C. H. (2023). Identifying key themes of care coordination for patients with chronic conditions in Singapore: A scoping review. Healthcare11(11), 1546. https://doi.org/10.3390/healthcare11111546

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Houston, T. K., Chen, J., Amante, D. J., Blok, A. C., Nagawa, C. S., Wijesundara, J. G., Kamberi, A., Allison, J. J., Person, S. D., Flahive, J., Morley, J., Conigliaro, J., Mattocks, K. M., Garber, L., & Sadasivam, R. S. (2022). Effect of technology-assisted brief abstinence game on long-term smoking cessation in individuals not yet ready to quit. JAMA Internal Medicinehttps://doi.org/10.1001/jamainternmed.2021.7866

Kadakia, K. T., Howell, M. D., & DeSalvo, K. B. (2021). Modernizing public health data systems: Lessons from the Health Information Technology for Economic and Clinical Health (HITECH) act. JAMA326(5), 385. https://doi.org/10.1001/jama.2021.12000

Kotsen, C., Dilip, D., Carter-Harris, L., O’Brien, M., Whitlock, C. W., de Leon-Sanchez, S., & Ostroff, J. S. (2020). Rapid scaling up of telehealth treatment for tobacco-dependent cancer patients during the COVID-19 outbreak in New York City. Telemedicine and E-Health, pp. 1–10. https://doi.org/10.1089/tmj.2020.0194

Leone, F. T., Zhang, Y., Evers-Casey, S., Evins, A. E., Eakin, M. N., Fathi, J., Fennig, K., Folan, P., Galiatsatos, P., Gogineni, H., Kantrow, S., Kathuria, H., Lamphere, T., Neptune, E., Pacheco, M. C., Pakhale, S., Prezant, D., Sachs, D. P. L., Toll, B., & Upson, D. (2020). Initiating pharmacologic treatment in tobacco-dependent adults. An official American thoracic society clinical practice guideline. American Journal of Respiratory and Critical Care Medicine202(2), e5–e31. https://doi.org/10.1164/rccm.202005-1982st

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NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Liu, Y., Greenlund, K. J., VanFrank, B., Xu, F., Lu, H., & Croft, J. B. (2022). Smoking cessation among us. Adult smokers with and without chronic obstructive pulmonary disease, 2018. American Journal of Preventive Medicine62(4), 492–502. https://doi.org/10.1016/j.amepre.2021.12.001

Northwood, M., Shah, A. Q., Abeygunawardena, C., Garnett, A., & Schumacher, C. (2022). Care coordination of older adults with diabetes: A scoping review. Canadian Journal of Diabetes47(3). https://doi.org/10.1016/j.jcjd.2022.11.004

Ojeahere, M. I., Kiburi, S. K., Agbo, P., Kumar, R., & Jaguga, F. (2022). Telehealth interventions for substance use disorders in low- and- middle income countries: A scoping review. PLOS Digital Health1(11), e0000125. https://doi.org/10.1371/journal.pdig.0000125

Satre, D. D., Hirschtritt, M. E., Silverberg, M. J., & Sterling, S. A. (2020). Addressing problems with alcohol and other substances among older adults during the COVID-19 pandemic. The American Journal of Geriatric Psychiatry28(7). https://doi.org/10.1016/j.jagp.2020.04.012

Shoenbill, K. A., Newcomer, E., Valcourt-Hall, C., Baca-Atlas, M. H., Smith, C. A., & Goldstein, A. O. (2021). An analysis of inpatient tobacco use treatment transition to telehealth. Nicotine & Tobacco Research24(5), 794–798. https://doi.org/10.1093/ntr/ntab233

Siddiqi, A. D., Britton, M., Chen, T. A., Carter, B. J., Wang, C., Martinez Leal, I., Rogova, A., Kyburz, B., Williams, T., Patel, M., & Reitzel, L. R. (2022). Tobacco screening practices and perceived barriers to offering tobacco cessation services among Texas health care centers providing behavioral health treatment. International Journal of Environmental Research and Public Health19(15), 9647. https://doi.org/10.3390/ijerph19159647

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NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Tan, M. M., Oke, S., Ellison, D., Huard, C., & Veluz-Wilkins, A. (2023). Addressing tobacco use in underserved communities outside of primary care: The need to tailor tobacco cessation training for community health workers. International Journal of Environmental Research and Public Health20(8), 5574. https://doi.org/10.3390/ijerph20085574

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