Take My Class Online logo

Get Help 24/7

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

Student Name

Capella University

NURS-FPX 4900 Capstone project for Nursing

Prof. Name:


Patient, Family, or Population Health Trouble Clarification

Tobacco use is a primary cause of many preventable diseases. The global prevalence of tobacco smoking among males aged 16–23 years was 22.1%, while among females, it was 4.85% (Sharma et al., 2020). Variables like social environment, development stage, gender, and ethnicity influence the risk of addiction. Increased tolerance, social isolation, financial issues, mood swings, neglect of self-care, denial, and failed attempts to quit are significant symptoms of tobacco addiction (Lobete et al., 2020).

This assessment seeks to develop an intervention for individuals with tobacco addiction. The intervention will be tailored to the patient, Daniel. Due to his tobacco addiction, Daniel encounters many challenges in carrying out his daily activities. I plan to dedicate two practicum hours to working with Daniel and raising awareness about potential solutions to his issue. 

Role of Leadership and Change Management

Effective leadership includes teamwork, encouragement, and performance appreciation, significantly controlling tobacco addiction. Healthcare leadership utilizes a transformational leadership strategy essential in growing a positive work environment for tobacco cessation (Ystaas et al., 2023). Transformational leaders serve as role models, inspire with a convincing concept, and stimulate intellectual vision to provide patient-centered care. This leadership style boosts a culture of inclusivity and evidence-based approaches to healthcare providers in addressing tobacco addiction (Chen et al., 2022).

Change management, particularly the Lewin model, is essential to resolving Daniel’s tobacco addiction. This process includes reorganizing and enhancing an organization’s direction, operations, structures, and capabilities. Lewin’s three-stage model, unfreeze, change, and refreeze, provides an essential framework for tobacco addiction treatment (Bellantuono et al., 2021). Medical staff raise awareness about the health risks, social implications, and psychological aspects of tobacco addiction (Unfreeze). Healthcare staff can assist Daniel in instilling new behaviors and values by executing smoking cessation programs (Change).

The last step involves integrating support systems for successfully quitting and ongoing education about the culture that discourages tobacco use (Refreeze) (Su et al., 2022). The Lewin model ensures that each stage is allocated systematically to Daniel’s progress toward a healthier lifestyle (Abraham et al., 2023).

The Proposed Intervention

The proposed intervention for Daniel for tobacco addiction treatment is establishing instructive sessions through telehealth and mHealth. Telehealth provides remote consultations and support to patients who want to avoid physically accessing healthcare resources (Biancuzzi et al., 2023). Regular counseling sessions and follow-ups by telehealth technology like video conferencing educate and monitor Daniel’s health. It aids in the management of withdrawal symptoms and supports his motivation (Haluza et al., 2020). Healthcare staff should also make medication and other evidence-based interventions like nicotine replacement therapy, counseling, and behavioral therapies more accessible for each patient (Fang et al., 2023).

Effect of Leadership, Change Management, and Beliefs on Interference

Transformative leadership emphasizes patient-centered care through telehealth and creates a positive work environment for managing tobacco addiction. Transformational leaders motivate healthcare team members, fostering shared values and a common vision for the intervention. They inspire the team to establish an educational and supportive training session for Daniel seeking assistance for tobacco cessation (Elton, 2020). 

 Lewin’s model aids the healthcare team in effectively managing Daniel’s tobacco addiction. Initially, Daniel was aware of the necessity of changing the approach to addressing tobacco addiction. This awareness is cultivated through knowledge and understanding of the potential benefits delivered in education sessions. Empowering Daniel to make well-informed decisions becomes a priority (Sokol et al., 2020). The ability to change is then facilitated by providing resources for managing tobacco addiction, incorporating proper nutrition, and engaging in regular physical activity. Finally, Daniel maintains and integrates the changes into his lifestyle by adopting healthy nutrition and stress management to enhance his well-being (Robbins & Davidhizar, 2020).

The ethical basis of the interference necessitates cautious attention to nursing beliefs, precisely the principles of non-maleficence and beneficence. Healthcare professionals must prioritize the well-being of their patients in addressing tobacco addiction. The principle of non-maleficence ensures that the intervention is conducted to minimize the risk of harm to Daniel, emphasizing evidence-based instructional content tailored to his needs to avoid misinformation (Roşca, 2020).

Strategies for Communicating and Collaborating with Patients

Successful intervention with tobacco-addicted patients demands effective communication and collaboration. Healthcare staff should be impartial and empathic for clarity in treatment. Healthcare staff aid in treating psychotic health issues such as depression and social isolation related to tobacco addiction. A complete approach is made possible by teleconsultation with interdisciplinary teams that include social workers and psychologists (Timmermans, 2020). Education is essential, giving patients access to accurate, fact-based information about the health hazards of tobacco use. Collaborative goal-setting increases commitment and motivation by involving Daniel in his journey to quit smoking. Healthcare providers should actively listen to their patient’s stories to understand the challenges of stigma and inequality in access to treatment (Liu et al., 2022). 

Collaborative decision-making with Daniel enhances his capacity to contribute to the management of his tobacco addiction actively. Daniel should gain insights into lifestyle modifications, nicotine replacement therapy, and stress management (McGinty & Barry, 2020). Adopting a collaborative approach empowers Daniel to make well-informed decisions aligned with his values, ultimately strengthening his commitment to the treatment plan. A cooperative and patient-centered communication approach that is based on understanding, instruction, and continuous support improves the efficacy of treatments for Daniel (McGinty & Barry, 2020)

Patient input becomes vital in identifying cultural challenges, language barriers, and facilitators impacting the success of educational interventions. Daniel can collaborate through telehealth to contribute to shared decision-making for an inclusive treatment plan. He encourages rapid accessibility of medicines, promotion of active involvement, and commitment to the collaborative treatment plan (Sokol et al., 2021).

Nursing Practice Standards and Organizational or Governmental Policies

The American Nursing Association (ANA) nursing practice guidelines and organizational policy on adult tobacco addiction treatment influenced the planned strategy for Daniel. The ANA standards highlight the implication of patient-centered performance, well-being, and patient education (Vaismoradi et al., 2020). To effectively treat tobacco addiction through telehealth and mHealth, nursing practice standards are essential.

Telehealth made timely interventions, ongoing education, and monitoring effectively (Kreitzer et al., 2022). The American Lung Association (ALA), a well-known organization for its dedication to lung health, acknowledges the critical role that telehealth plays in helping those who are addicted to tobacco products. They promote legislation that backs telehealth initiatives, counseling, follow-up care, and smoking cessation programs (ALA, 2023).

Adhering to the Health Insurance Portability and Accountability Act (HIPAA) is crucial in designing interventions for addressing tobacco addiction. HIPAA regulations aim to protect the privacy and reliability of individuals’ medical information (Seh et al., 2020)Integrating telehealth under HIPAA standards is essential for healthcare practitioners to build trust with patients and uphold the confidentiality of their tobacco addiction-related information. Daniel is assured of the privacy and security of health-related communications, which can enhance his engagement and contribute to more favorable outcomes (Savage & Savage, 2020).

Quality, Safety, and Cost Considerations of Proposed Intervention

The proposed solution for Daniel regarding tobacco addiction is composed to enhance care, patient safety, the healthcare system, and individual expenditures. Through educational sessions delivered via telehealth, Daniel will gain a deeper understanding of his condition and the importance of adopting lifestyle changes and stress management of isolation. This knowledge empowers Daniel to actively engage in his healthcare decisions, a pivotal aspect of patient-centered treatment that can ultimately improve health outcomes (Anderson & Singh, 2021).

Additionally, incorporating mHealth in educational meetings and supplement discussions boosts patient security by minimizing the need for in-person visits, thereby reducing the risk of contracting infectious diseases. Adhering to HIPAA requirements in the intervention ensures the protection of patient confidentiality and the security of sensitive medical data. The placement of the settled interference with government policies instills confidence in patients, inspiring timely initiation of treatment and ultimately promoting patient well-being (Lieneck et al., 202s1). 

Telehealth involvements present an opportunity for cost savings for the healthcare system and individuals. Adopting telehealth can reduce travel expenses and subsequent savings from in-person consultations. Moreover, improved management of tobacco addiction can result in savings related to medical consequences and hospitalizations (Lieneck et al., 2021). This reduction in hospitalizations contributes to lowering overall healthcare costs, coupled with the potential for enhanced health outcomes and a decreased risk of tobacco-related morbidities for individuals. In addition to fostering trust between medical professionals and Daniel, this dedication to privacy fosters a secure setting in which tobacco addiction treatment can be provided (Haroon et al., 2022).

Benchmark Data

The Agency for Healthcare Research and Quality (AHRQ) strongly promotes adopting practical approaches and incorporating patient-centered maintenance in healthcare interventions. Patient education has been identified as crucial for the management of tobacco addiction, supporting AHRQ’s guidelines. In educating individuals struggling with tobacco addiction, healthcare practitioners adhere to its principles of authorizing patients to actively participate in making informed fitness choices (Donnelly et al., 2021).

Technology, Care Coordination, and the Utilization of Community Resources

Tobacco addiction management involves leveraging technological advancements, fostering care coordination, and recruiting into community assets. Telehealth and mHealth utilizing video conferencing facilitates educational sessions and enables continuous monitoring of Daniel’s progress on tobacco cravings and social isolation due to addiction (Skelton et al., 2021). Telehealth provides Daniel with personalized healthcare guidance and support, eliminating the need for regular in-person visits to reduce tobacco addiction, where reliable follow-up and direction are essential (Sanyaolu et al., 2019).

The interdisciplinary team will guide Daniel in utilizing online applications to track emotional stress control, tobacco cravings, physical health, and social functioning. Through telehealth sessions, Daniel can monitor and reduce his stress levels due to isolation from tobacco addiction using dedicated apps like wearable devices, promoting a healthier lifestyle (Skelton et al., 2021).

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

Care coordination and collaboration ensure a tailored treatment plan for Daniel, addressing addiction psychological aspects like depression, lethargy, and physical activity. Implementing this integrated care approach has improved Daniel’s quality of care, leading to more favorable outcomes (Kangovi et al., 2020)Moreover, incorporating community resources, such as the Centers for Disease Control and Prevention (CDC) and the ALA, gives Daniel access to robust support networks and programs.

Utilizing the tools and information offered by the CDC on tobacco addiction allows Daniel to connect with a larger community facing challenges of social isolation and behavioral and emotional stress due to tobacco addiction. The ALA provides a well-structured program that encourages the adoption of healthy tobacco-free dietary habits, behavioral counseling, and lifestyle modifications (ALA, 2023).


In conclusion, the comprehensive intervention for Daniel’s tobacco addiction, grounded in evidence-based practices, leadership, change management, and ethical considerations, leverages telehealth, care coordination, and community resources. This patient-centered approach, aligned with regulatory standards, aims to improve Daniel’s well-being while considering quality, safety, and cost-effectiveness.


Abraham, P., Hsieh, L. J., Buckner, E., Flores, E. J., Davis, M. A., Tamayo-Murillo, D., & Newton, I. G. (2023). Change management strategies toward dismantling race-based structural barriers in radiology. Academic Radiology30(4), 658–665. https://doi.org/10.1016/j.acra.2023.01.035

Adam, N. A. (2022). Employees’ innovative work behavior and change management phases in government institutions: The mediating role of knowledge sharing. Administrative Sciences12(1), 28. https://doi.org/10.3390/admsci12010028

American Lung Association. (2023, March 13). Freedom from smoking ~ Home. Www.freedomfromsmoking.org. https://www.freedomfromsmoking.org/

Anderson, J., & Singh, J. (2021). A case study of using telehealth in a rural healthcare facility to expand services and protect the health and safety of patients and staff. Healthcare9(6), 736. https://doi.org/10.3390/healthcare9060736

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

Bellantuono, N., Nuzzi, A., Pontrandolfo, P., & Scozzi, B. (2021). Digital transformation models for the i4.0 transition: Lessons from the change management literature. Sustainability13(23), 12941. https://www.mdpi.com/2071-1050/13/23/12941

Biancuzzi, H., Francesca Dal Mas, Chiara Bidoli, Pegoraro, V., Maristella Zantedeschi, Pietro Antonio Negro, Stefano Campostrini, & Cobianchi, L. (2023). Economic and performance evaluation of e-health before and after the pandemic era: A literature review and future perspectives. International Journal of Environmental Research and Public Health20(5), 4038–4038. https://doi.org/10.3390/ijerph20054038

Centers for Disease Control and Prevention. (2023). Respiratory Illness. CDC.gov.  https://www.cdc.gov/

Chen, J., Ghardallou, W., Comite, U., Ahmad, N., Ryu, H. B., Ariza-Montes, A., & Han, H. (2022). Managing hospital employees’ burnout through transformational leadership: The Role of resilience, role clarity, and intrinsic motivation. International Journal of Environmental Research and Public Health19(17), 10941. https://doi.org/10.3390/ijerph191710941

Donnelly, J. P., Wang, X. Q., Iwashyna, T. J., & Prescott, H. C. (2021). readmission and death after initial hospital discharge among patients with COVID-19 in a large multihospital system. JAMA325(3), 304. https://doi.org/10.1001/jama.2020.21465

Elton, L. (2020). Non-maleficence and the ethics of consent to cancer screening. Journal of Medical Ethics47(7), medethics-2020-106135. https://doi.org/10.1136/medethics-2020-106135

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

Fang, Y. E., Zhang, Z., Wang, R., Yang, B., Chen, C., Nisa, C., Tong, X., & Yan, L. L. (2023). Effectiveness of eHealth smoking cessation interventions: Systematic review and meta-analysis. Journal of Medical Internet Research25(1), e45111. https://doi.org/10.2196/45111

Haluza, D., Saustingl, M., & Halavina, K. (2020). Perceptions of practitioners on telehealth and app use for smoking cessation and COPD Care—An exploratory study. Medicina56(12), 698. https://doi.org/10.3390/medicina56120698

Haroon, S., Voo, T. C., Chua, H., Tan, G. L., & Lau, T. (2022). Telemedicine and hemodialysis care during the COVID-19 pandemic: An integrative review of patient safety, healthcare quality, ethics and the legal considerations in Singapore practice. International Journal of Environmental Research and Public Health19(9), 5445. https://doi.org/10.3390/ijerph19095445


Kangovi, S., Mitra, N., Grande, D., Long, J. A., & Asch, D. A. (2020). Evidence-based community health worker program addresses unmet social needs and generates positive return on investment. Health Affairs39(2), 207–213. https://doi.org/10.1377/hlthaff.2019.00981

Kreitzer, M. J., Koithan, M., Sullivan, S. D., Nunez, M., & Voss, M. (2022). Integrative nursing and the ANA scope and standards of practice: Expanding the reach of nursing for families and society. Creative Nursing28(4), 228–233. https://doi.org/10.1891/CN-2022-0041

Lieneck, C., Weaver, E., & Maryon, T. (2021). Outpatient telehealth implementation in the United States during the COVID-19 global pandemic: A systematic review. Medicina57(5), 462. https://doi.org/10.3390/medicina57050462

Liu, Q., Liang, Y., Wang, S., Huang, Z., Wang, Q., Jia, M., Li, Z., & Ming, W.-K. (2022). Health communication through Chinese media on e-cigarette: A topic modeling approach. International Journal of Environmental Research and Public Health19(13), 7591. https://doi.org/10.3390/ijerph19137591

Lobete, L., Montes-Montes, R., Vila-Paz, A., Cruz-Valiño, J.-M., Gándara-Gafo, B., Talavera-Valverde, M.-Á., & Santos-del-Riego, S. (2020). Individual and environmental factors associated with tobacco smoking, alcohol abuse and illegal drug consumption in university students: A mediating analysis. International Journal of Environmental Research and Public Health17(9), 3019. https://doi.org/10.3390/ijerph17093019

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

McGinty, E. E., & Barry, C. L. (2020). Stigma reduction to combat the addiction crisis — developing an evidence base. New England Journal of Medicine382(14), 1291–1292. https://doi.org/10.1056/nejmp2000227

Robbins, B., & Davidhizar, R. (2020). Transformational leadership in health care today. The Health Care Manager39(3), 117–121. https://doi.org/10.1097/hcm.0000000000000296

Roşca, V. I. (2020). Implications of Lewin’s field theory on social change. Proceedings of the International Conference on Business Excellence14(1), 617–625. https://doi.org/10.2478/picbe-2020-0058

Savage, M., & Savage, L. C. (2020). Doctors routinely share health data electronically under HIPAA, and sharing with patients and patients’ third-party health apps is consistent: Interoperability and privacy analysis. Journal of Medical Internet Research22(9), e19818. https://doi.org/10.2196/19818

Seh, A. H., Zarour, M., Alenezi, M., Sarkar, A. K., Agrawal, A., Kumar, R., & Khan, R. A. (2020). Healthcare data breaches: Insights and implications. Healthcare8(2), 133. NCBI. https://doi.org/10.3390/healthcare8020133

Sharma, R., Martins, N., Tripathi, A., Caponnetto, P., Garg, N., Nepovimova, E., Kuča, K., & Prajapati, P. K. (2020). Influence of family environment and tobacco addiction: A short report from a post-graduate teaching hospital, India. International Journal of Environmental Research and Public Health17(8), 2868. https://doi.org/10.3390/ijerph17082868

Skelton, B., Knafl, K., Van Riper, M., Fleming, L., & Swallow, V. (2021). Care coordination needs of families of children with down syndrome: A scoping review to inform development of mhealth applications for families. Children8(7), 558. https://doi.org/10.3390/children8070558

Sokol, R. G., Pines, R., & Chew, A. (2021). Multidisciplinary approach for managing complex pain and addiction in primary care: A qualitative study. The Annals of Family Medicine19(3), 224–231. https://doi.org/10.1370/afm.2648

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

Sokol, R., Schuman-Olivier, Z., Batalden, M., Sullivan, L., & Shaughnessy, A. F. (2020). A change management case study for safe opioid prescribing and opioid use disorder treatment. The Journal of the American Board of Family Medicine33(1), 129–137. https://doi.org/10.3122/jabfm.2020.01.190223

Su, J.-Y., Mu, P.-F., Wang, C.-H., Chen, Y.-S., Cheng, T.-Y., & Lee, M.-Y. (2022). Prevention and management of hospital-acquired pressure injury among patients with lung disease in a hospital: A best practice implementation project. International Journal of Evidence-Based HealthcarePublish Ahead of Print.

Timmermans, S. (2020). The engaged patient: The relevance of patient-physician communication for twenty-first-century health. Journal of Health and Social Behavior61(3), 259–273. https://doi.org/10.1177/0022146520943514

Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health17(6), 1–15. https://doi.org/10.3390/ijerph17062028

Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., & Constantinou, C. S. (2023). The impact of transformational leadership in the nursing work environment and patients’ outcomes: A systematic review. Nursing Reports13(3), 1271–1290. https://doi.org/10.3390/nursrep13030108


Post Categories


error: Content is protected, Contact team if you want Free paper for your class!!