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Assessment 3: Disseminating the Evidence Scholarly Video Media Submission

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Student Name

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Capella University

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Course Name
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Nov 8, 2023
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Disseminating Evidence: Scholarly Video Media Submission
Abstract:
This presentation underscores the critical role of evidence dissemination in nursing,
emphasizing the significance of sharing knowledge and research within the healthcare
community. The study investigates the efficacy of lifestyle modifications versus antihypertensive
medications in overweight adults with hypertension. Through a thorough analysis, the

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presentation contends that lifestyle changes yield more favorable health outcomes in this
population.

Introduction:

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Dissemination of evidence is a pivotal element in nursing, involving the communication of

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research and information among healthcare professionals (Chambers, 2018). It encompasses
the sharing of information and resources related to evidence-based interventions (Chambers,
2018).

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In healthcare, the introduction of new techniques to a target audience relies on the
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dissemination of evidence-based practices (Purtle et al., 2020). To effectively bridge gaps in
evidence-based interventions and address implementation challenges, it is crucial to employ
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strategies facilitating the acceptance and integration of evidence-based activities (Purtle et al.,
2020). This video presentation aims to disseminate evidence-based approaches related to my
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intervention and sustain positive outcomes.

Care Coordination Efforts


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The PICOT Question:


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In overweight adults with hypertension, do lifestyle modifications compared to antihypertensive


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medications result in low blood pressure within 6 months?

Population:
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Overweight adults Intervention: Lifestyle modifications Comparison: Lifestyle modifications


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versus medications Outcome: Low blood pressure Time: Six months


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Brief Introduction to the Issues:


Obesity is strongly linked to hypertensive symptoms, exacerbating the condition in affected
individuals. Studies indicate that obesity is responsible for a significant proportion of primary

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hypertension cases (Ahmadi et al., 2019). Lifestyle modifications, such as dietary changes and
increased physical activity, have been proposed as effective interventions for hypertensive
individuals (Ahmadi et al., 2019). Conversely, antihypertensive medications have demonstrated
adverse effects within six months of use (Olowofela & Isah, 2018). Therefore, lifestyle changes
are recommended over medication (Olowofela & Isah, 2018).

Healthcare practitioners play a crucial role in influencing patient behavior by educating them
about the benefits of lifestyle changes (Shayesteh et al., 2018). Educational initiatives are
essential in raising disease awareness and promoting behavior modification among

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hypertension patients (Shayesteh et al., 2018).

Care Coordination Efforts:

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Care coordination aims to enhance the delivery of healthcare services within and across
systems (Kruk et al., 2018). A multidisciplinary healthcare team, consisting of dietitians, nurses,

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cardiologists, information technologists, and physiotherapists, collaborates in the treatment of
hypertensive patients. Team-based care involves patients in their own healthcare decisions, with

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regular team meetings focused on setting objectives and creating patient-centered goals (Will et
al., 2019).
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The healthcare team employs a holistic approach, with nutritionists providing evidence-based
diet plans, physiotherapists offering tailored exercise regimens, cardiologists monitoring
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patients’ symptoms, and information technologists facilitating telehealth solutions (Nicolai et al.,
2018).
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Implications:
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The adoption of care coordination supports the achievement of the triple aim of health reform,
improving patient quality and satisfaction (Kohl et al., 2018). By coordinating patient care and
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engaging obese hypertensive patients in their treatment, healthcare professionals can foster
better health outcomes (Kohl et al., 2018).
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Change in Practice Related to Services and Resources:


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Resources:
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Healthcare professionals should provide patients with information about the benefits of lifestyle
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changes through fact sheets, guidelines, social media messages, and handouts (CDC, 2020).

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Services:
Care coordinators, including nurses and other medical professionals, should offer support and
encouragement to obese hypertensive patients, facilitating their active participation in managing
their condition (Hansen et al., 2021). Additionally, healthcare providers can create customized
care plans and utilize telehealth for patient education (Hansen et al., 2021).

Key Care Coordination Efforts:

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Team-based care is essential for achieving value-based care goals and enhancing the patient
experience (Rollet et al., 2021). Multidisciplinary team meetings are instrumental in discussing
patient conditions, diagnoses, and treatment plans, ensuring adherence to evidence-based

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guidelines (Rollet et al., 2021).

Efforts to Build Stakeholder Engagement:

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Stakeholder engagement involves identifying, evaluating, organizing, and implementing actions

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to influence stakeholders (Sperry & Jetter, 2019). A stakeholder engagement plan should
consider each stakeholder’s needs and demands (Sperry & Jetter, 2019).
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Leading the Change in Practice:
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Nurses can apply Kurt Lewin’s change theory to initiate practice changes and engage
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stakeholders in intervention strategies for obese hypertensive patients (McFarlan et al., 2019).
This process involves unfreezing, changing, and refreezing stages to gain stakeholder support,
implement changes, and monitor compliance (McFarlan et al., 2019).
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Encouraging and Building Stakeholder Engagement:


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Organizations should establish a robust stakeholder engagement strategy, beginning with a


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stakeholder engagement plan that outlines stakeholders’ involvement, approach, and objectives
(Boaz et al., 2018). Stakeholders’ needs, interests, and perspectives should be respected
throughout the process (Boaz et al., 2018).
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Future Recommendations:
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Sustaining the Current Outcomes:


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To maintain existing patient outcomes, stakeholders should engage in regular inter-professional


coordination through weekly team meetings, facilitating effective communication with patients
(Kruk et al., 2018). Enhanced communication fosters trust and rapport, leading to improved
health outcomes (Kruk et al., 2018). Healthcare professionals should prioritize patient
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information confidentiality and approach patient questions with a problem-solving mindset
(McFarlan et al., 2019).

Recommendations on Moving Forward:


To enhance care coordination for future patient care initiatives, healthcare providers should
consider the following recommendations:

1. Develop a stakeholder engagement plan.

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2. Address stakeholders’ needs.
3. Utilize SMART goals for setting achievable patient objectives.
4. Implement the Plan-Do-Study-Act cycle to assess changes.

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5. Leverage technology for inter-professional collaboration.

Conclusion:

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In conclusion, disseminating evidence in nursing involves sharing knowledge, insights, and

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research with healthcare professionals. Effective evidence dissemination is crucial for
introducing new approaches to specific audiences. This video presentation aims to share
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knowledge and ideas related to my intervention plan for obese hypertensive individuals.
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References:
Ahmadi, S., Sajjadi, H., Nosrati Nejad, F., Ahmadi, N., Karimi, S. E., Yoosefi, M., & Rafiey, H.
(2019). Lifestyle modification strategies for controlling hypertension: How are these strategies
recommended by physicians in Iran? Medical Journal of the Islamic Republic of Iran, 33, 43.
https://doi.org/10.34171/mjiri.33.43

Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage stakeholders in
research: design principles to support improvement. Health Research Policy and Systems,

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16(1). https://doi.org/10.1186/s12961-018-0337-6

CDC. (2020, January 28). Hypertension Resources for Health Professionals | cdc.gov. Centers

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for Disease Control and Prevention.
https://www.cdc.gov/bloodpressure/educational_materials.htm

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Chambers, C. T. (2018). From evidence to influence. PAIN, 159, S56–S64.
https://doi.org/10.1097/j.pain.0000000000001327

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Hansen, A. R., McLendon, S. F., & Rochani, H. (2021). Care coordination for rural residents with
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chronic disease: Predictors of improved outcomes. Public Health Nursing.
https://doi.org/10.1111/phn.13038
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Kohl, S., Schoenfelder, J., Fügener, A., & Brunner, J. O. (2018). The use of Data Envelopment
Analysis (DEA) in healthcare with a focus on hospitals. Health Care Management Science,
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22(2), 245–286. https://doi.org/10.1007/s10729-018-9436-8

Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O.,
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Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O.,
Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., & Malata, A. (2018).
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High-quality health systems in the Sustainable Development Goals era: time for a revolution.
The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/s2214-109x(18)30386-3
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McFarlan, S., O’Brien, D., & Simmons, E. (2019). Nurse-leader collaborative improvement
project: Improving patient experience in the emergency department. Journal of Emergency
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Nursing, 45(2), 137–143. https://doi.org/10.1016/j.jen.2018.11.007


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Nicolai, J., Müller, N., Noest, S., Wilke, S., Schultz, J.-H., Gleißner, C. A., Eich, W., & Bieber, C.
(2018). To change or not to change – That is the question: A qualitative study of lifestyle
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changes following acute myocardial infarction. Chronic Illness, 14(1), 25–41.


https://doi.org/10.1177/1742395317694700

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Call Us Now (612) 234-7670
Email Us [email protected]
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Olowofela, A. O., & Isah, A. O. (2018). A profile of adverse effects of antihypertensive medicines
in a tertiary care clinic in Nigeria. Annals of African Medicine, 16(3), 114–119.
https://doi.org/10.4103/aam.aam_6_17

Purtle, J., Marzalik, J. S., Halfond, R. W., Bufka, L. F., Teachman, B. A., & Aarons, G. A. (2020).
Toward the data-driven dissemination of findings from psychological science. American
Psychologist, 75(8), 1052–1066. https://doi.org/10.1037/amp0000721

Rollet, Q., Bouvier, V., Moutel, G., Launay, L., Bignon, A.-L., Bouhier-Leporrier, K., Launoy, G., &

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Lièvre, A. (2021). Multidisciplinary team meetings: Are all patients presented, and does it impact
the quality of care and survival – A registry-based study. BMC Health Services Research, 21(1).
https://doi.org/10.1186/s12913-021-07022-x

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Shayesteh, H., Mirzaei, A., Sayehmiri, K., Qorbani, M., & Mansourian, M. (2018). Effect of an
education intervention on the lifestyle of patients with hypertension among the rural population

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of Lorestan province. Journal of Lifestyle Medicine, 6(2), 58–63.
https://doi.org/10.15280/jlm.2016.6.2.58

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Sperry, R. C., & Jetter, A. J. (2019). A systems approach to project stakeholder management:
Fuzzy cognitive map modeling. Project Management Journal, 50(6), 875697281984787.
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https://doi.org/10.1177/8756972819847870
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Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-Based Care and Patient Satisfaction in the
Hospital Setting: A Systematic Review. Advocate Aurora Health Institutional Repository.
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https://doi.org/10.17294%2F2330-0698.1695
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