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NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations

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    NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations

    Student Name

    Capella University

    NURS-FPX4900: Capstone Project for Nursing

    Prof. Name


    Evaluating the Challenge: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

    This body of work centers around the case of John, a 10-year-old boy diagnosed with clinical obesity. The project employs a comprehensive framework, drawing on established literature and professional guidelines to present data that highlights the gravity of this pediatric health issue. The focus is on my role as a nurse with a baccalaureate-level preparation, emphasizing the necessity for effective leadership, interprofessional collaboration, communication, change management, and involvement in policy initiatives to address John’s obesity. This strategic approach, grounded in scholarly research, aims to enhance care planning and implementation while disseminating knowledge within the nursing practice at Kindred Hospital Los Angeles.

    Patient, Family, and Population Health Problem

    The identified patient health problem in my professional practice is pediatric obesity, with specific attention to John, a clinically obese 10-year-old recently admitted to Kindred Hospital Los Angeles. Obesity in children has become a global public health concern, affecting various aspects of life, including physical health, psychosocial well-being, and educational development. John, currently in the 95th percentile for BMI in his age group, faces immediate health risks such as early-onset type-2 diabetes and hypertension. Contributing factors include genetic predisposition, unhealthy dietary habits, and lack of physical activity. Given the prevalence of childhood obesity, its associated health risks, and potential long-term impacts, addressing this issue is crucial in my role as a baccalaureate-prepared nurse.

    The National Health and Nutrition Examination Survey (NHANES) indicates that approximately 18.5% of children and adolescents in the U.S. are obese. These figures underscore the severity and prevalence of the issue within the population. Managing childhood obesity is vital, considering its potential to lead to severe health complications in adulthood. The Centers for Disease Control and Prevention (CDC) notes that obesity among children and adolescents in the U.S. was 19.3% in 2019-2020. Globally, the World Health Organization reports that in 2019, over 41 million children under 5 were overweight or obese. Childhood obesity is linked to a higher risk of adult obesity, early-onset type 2 diabetes, cardiovascular disease, and certain types of cancer.

    Moreover, childhood obesity contributes to psychosocial issues, including stigma, poor self-esteem, and depression. Risk factors encompass lifestyle, genetic, and environmental factors. Early intervention is essential to prevent the persistence of obesity into adulthood. This issue is particularly relevant to me as a nurse due to the increasing rates of childhood obesity and associated health risks. As a nurse, I play a crucial role in health education and promoting lifestyle modifications for patients like John and their families, aiming to improve health outcomes.

    Evidence-Based Nursing Actions for Clinical Obesity

    Evidence from peer-reviewed literature and reputable sources like the American Academy of Pediatrics (AAP), World Health Organization (WHO), and the Journal of Pediatric Health Care guide nursing interventions for childhood obesity. AAP emphasizes the role of healthcare providers, including nurses, in preventing childhood obesity through primary prevention and therapeutic interventions. Motivational interviewing techniques and goal-setting with families are recommended. WHO stresses the importance of improving healthy food intake and physical activity while reducing unhealthy food consumption. Nurses, acting as advocates for healthy behaviors, play a critical role in policy-making, promoting health, and reducing hospital readmissions. Utilizing nursing theories, such as the Health Belief Model or Family Systems Nursing theory, can frame nursing actions in childhood obesity interventions.

    Leadership, Collaboration, Communication, Change Management, and Policy Considerations

    Nurses can contribute to patient education and encourage healthier lifestyle choices. Family-centered, school-based interventions involving physical activity and nutrition education have been found effective in reducing BMI in children. Nurses can lead or participate in such interventions, demonstrating their pivotal role in combating childhood obesity. However, barriers to evidence-based practice exist, including limited time, resources, and skills for effective counseling. Systemic changes, healthcare professional training, and multi-sector involvement are needed to address childhood obesity comprehensively.

    The management of John’s clinical obesity is influenced by nursing practice standards set by the state board of nursing and relevant policies. In California, the state board outlines standards and competencies for managing obesity, impacting the nursing care structure. Federal legislation, such as the Affordable Care Act (ACA), promotes preventive services, including obesity screening and dietary counseling. Nursing interventions aligned with state board regulations and ACA policies can result in weight loss and improved metabolic parameters in obese patients. Nurses play a crucial role in implementing these policies, impacting patient care and outcomes significantly.

    Proposed Leadership Strategies for Clinical Obesity

    Addressing John’s obesity requires a multifaceted leadership approach, including transformational and visionary leadership. Transformational leadership can inspire lifestyle changes in John and his family, promoting active participation in physical activities and adherence to a healthier diet. Visionary leadership sets long-term goals and strategic plans for managing John’s obesity, bridging the gap between current practices and desired health outcomes. Building collaborations with stakeholders like school authorities, dieticians, and fitness consultants is crucial. Effective communication and change management models, such as ADKAR, are essential for fostering awareness, desire, and ability for change.


    In conclusion, addressing John’s obesity necessitates integrated leadership, collaboration, effective communication, change management, and policy consideration. Leadership is vital for formulating and implementing strategies, advocating for the patient, and coordinating with healthcare professionals. Collaboration and communication among stakeholders streamline efforts, fostering an environment conducive to positive change. Policy consideration plays a significant role in shaping the overall environment supporting a healthier lifestyle. Local, state, and federal policies promoting healthier options can impact childhood obesity. Collectively, these strategies aim to mitigate John’s obesity problem.


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    NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations

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    NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations

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