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NURS FPX 4900 Assessment on nursing leadership and change management

NURS FPX 4900 Assessment 1: Problem, Leadership, Collaboration Communication, Change, Management and Policy

Assessment Overview:

NURS FPX 4900 Assessment 1:

A terse culmination summary of a 60-year-old case with fasting glucose of 280 mg/dL and A1c of 10 (type 2 diabetes)—the design focuses on nursing-led, substantiation-grounded operation through DSMES, life change, remote monitoring, drug adherence, interprofessional collaboration, and policy/leadership considerations to ameliorate issues and reduce walls.

How to Pass NURS FPX 4900 Assessment 1: Problem, Leadership, Collaboration Communication, Change, Management and Policy

  1. Introduce the problem – Clearly describe tobacco use and its population health significance.
  2. Provide data & evidence – Include statistics on prevalence, demographics, and health consequences.
  3. Define target population – Describe the specific patient group or community affected.
  4. Describe nursing interventions—Include education, cessation programs, 5As, and pharmacological/non-pharmacological treatments.
  5. Show leadership roles – Explain transformational leadership and motivating patients.
  6. Highlight collaboration & communication – Show interdisciplinary teamwork with doctors, nurses, counselors, and community programs.
  7. Apply change management—Use a model like Kotter’s 8-Step to guide smoking cessation initiatives.
  8. Address policies & regulations—Include nursing standards and organizational and governmental policies affecting practice.
  9. Use credible evidence – Cite reliable and current research and validate sources using CRAAP criteria.
  10. Summarize outcomes & sustainability – Discuss expected health improvements, patient-centered care, and long-term follow-up or scaling strategies.

Sample Assessment:

NURS FPX 4900 Assessment 1 In this assessment, I’ll assess the population health problem of smoking. This paper will substantially bandy the leadership necessary for promoting smoking cessation and the need for collaboration and communication to gain the asked results. We will also emphasize the implementation of a change operation strategy to encourage tobacco smokers to quit. Initially, the focus is on programs that influence tobacco use and improve health conditions.

Tobacco Use and Smoking Cessation: A Population Health Concern

This design will address the population health concern of smoking cessation due to the significant use of tobacco products. A group of youthful boys who have been using tobacco products for a long time are admitted to the Dignity Health-California Hospital Medical Center due to emphysema. I approached these boys as it was my regular duty in the respiratory ward, and they all had a strong history of tobacco use. Now, as their health condition is worsening, they’re willing to quit smoking and have a healthier life.

Their keen interest in smoking led me to work with this group to ameliorate their health and restore lung function. NURS FPX 4900 Assessment 1: The group of boys reported that they started smoking tobacco during their teenage years and became addicted, which caused significant damage to their lungs. When their respiration was oppressively impacted and their cough worsened due to nonstop smoking for times, the group of boys wanted to get relief from this dependence and ameliorate their health.

Tobacco smoking is a global issue that kills nearly 8 million people every time. About 22.3% of the entire world population is engaged in the use of tobacco products, with 7.8% of women and 36.7% of men being active druggies (World Health Organization, 2023). Tobacco smoking causes significant damage to the vulnerable system and enhances inflammation, chronic obstructive pulmonary disease (COPD), and emphysema. This increases their chances of bacterial and viral infections (Cattaruzza et al., 2020). It’s also the driving factor of lung cancer in people due to harmful damage to the lungs.

It has caused 610,000 deaths due to lung cancer in China and contributed to 17% of the prevalence of cancer due to smoking (Parascandola & Xiao, 2019). These data show the presence and applicability of this healthcare issue and its significance in reducing current tobacco use rates. This problem is particularly applicable to my practice because I see people in my sanitarium suffering from the dangerous impacts of smoking, similar to lung cancer cases, COPD cases, and cardiovascular cases.

Also, this issue is applicable to me tête-à-tête, as my father was an active smoker, and I lost him due to lung cancer as a result of nonstop smoking. Thus, I’m responsible for working with this group to promote smoking and ameliorate their health issues.

The Guiding Nursing Actions for Smoking Cessation

Nurses play a broad part in promoting health within hospitals and communities. Nurses can be the right leaders for probative care and inspiring cases to ameliorate their health. NURS FPX 4900 Assessment 1: One significant nursing action can be smoking cessation training by nurses in promoting smoking cessation.

This training, along with smoking cessation interventions by nurses, similar to tone efficacy, can promote smoking cessation among smokers (Li et al., 2021). The interventions for nanny-led smoking cessation training programs will include enforcing the 5As (Ask, Advise, Assess, Assess, and Arrange) approach to address smoking and its cessation (Grech, 2021).

Nurses can also give online courses on smoking actions and how to promote smoking cessation through cognitive gesture operation. The course will comprise four assignments on smoking, its conclusion plan, and interventions.

In the last assignment, the nanny will introduce pharmacological and non-pharmacological treatments for nicotine dependence (La Torre et al., 2019). Also, nurses can also connect smokers with smoking cessation programs through community support groups where they can apply smoking cessation interventions (Tsoh et al., 2022).

These substantiation-grounded coffers describe the practices harmonious with our nursing practices within our healthcare association. The sanitarium has appointed nursers to educate smokers on the damages of tobacco smoking and ways to overcome dependence. Nurses These sources of substantiation are authentic and dependable, as they were published in recent times and give accurate information substantiated by results and applicable references.

NURS FPX 4900 Assessment 1: The unreliability of these sources can be estimated by using CRAAP criteria. It stands for Currency, Applicability, Authority, Accuracy, and Purpose. When the substantiation-grounded source meets all these criteria, it showcases its credibility and authenticity (Muis et al., 2022).

The implicit walls to the operation of these substantiation-grounded practices can be as follows:

  • One of the implicit barriers to the operation of these substantiation- grounded practices is the absence of acceptable training on promoting smoking conclusion education.
  • There is a shortage of resources to facilitate smoking cessation practices.
  • Lack of provocation and thickness.
  • shy collaboration due to negative nurses’ stations and comprehensions regarding smoking and quitting.
  • Negative social influences include peer pressure to bomb (Li et al., 2021).

Effect of Nursing Board Standards, Organizational/Governmental Policies

The American Nursing Association (Corpus) has proposed its statement on precluding tobacco use and promoting a tobacco-free community. NURS FPX 4900 Assessment 1: For nurses, it’s imperative to be tobacco-free part models for their cases, workplaces, homes, and overall communities.

This will motivate others to stick to healthy habits and quit smoking (American Nurses Association, n.d.). Additionally, they should receive training in culturally competent strategies to address tobacco use and assume leadership roles that improve access to quality care.

They must assess the tobacco druggies in their nursing practices and address their enterprises by enforcing the five A’s strategy. They must also contribute to exploration of tobacco control and advocate for prospective nonstop backing and exploration (American Nurses Association, n.d.). These nursing norms can reduce the rates of tobacco use and promote smoking cessation among youthful boys.

The American Lung Association (ALA) has developed specific programs that can reduce smoking rates and ameliorate smoking cessation sweats. The policy on increased tobacco excise levies helps discourage the consumption of tobacco products, including cigarette smoking, and can show lower purchasing due to high costs.

NURS FPX 4900 Assessment 1: Likewise, the policy on the trade of tobacco products starts from age 21, which will help adolescents from smoking dependence (American Lung Association, n.d.). The ALA has supported backing of substantiation-grounded tobacco forestallment programs, including smoking cessation programs, which promote enhanced access to these programs and promote quitting among youthful groups.

These programs can significantly reduce tobacco use among the community’s youthful population and also promote the use of smoking cessation programs among active smokers (American Lung Association, n.d.). The Corpus and ALA programs appreciatively impact the compass of practice in nursing.

The nursing compass of practice is defined as the range of conditioning and duties a nanny is anticipated to perform after acceptable education, training, and instrumentation (McMichael & Markowitz, 2022). These programs expand the nursing compass of practice, as they can further educate tobacco druggies through enhanced access to smoking cessation programs and reduce the number of smokers in the community.

Improving Health Outcomes, Patient-Centered Care, and Patient Experience through Leadership Strategies

The leadership strategies that can ameliorate health counteraccusations, case-targeted care, and patient guests can include transformational leadership. In this leadership style, the leaders motivate others to attain the asked pretensions by breeding a vision (Chua & Ayoko, 2019). NURS FPX 4900 Assessment 1: The group of active smokers can be led by this leadership strategy and promote a smoking conclusion among them by furnishing support and alleviation in prostrating dependence. Also, it promotes time efficiency and commission, perfecting actions toward quitting smoking (Wunderlich, 2020).

Eventually, it results in better health issues. Also, by motivating the affected individualities, healthcare professionals can promote case-centered care as their preferred care treatment, similar to pharmacological or non-pharmacological interventions to overcome smoking dependence (Manning & Mattio, 2022). This leadership also improves the patient experience, as the affected people will enable tone-of-care actions and admit case-centered care, similar to customized smoking conclusion plans and probative care (Nnate et al., 2021).

The Need for Leadership, Communication, Collaboration, and Change Management

Smoking is a grueling population health problem that requires an interdisciplinary platoon of croakers, nurses, psychologists, and counselors to establish a tobacco-free community. Thus, healthcare associations must borrow a leadership style that stylishly suits their interest (Wunderlich, 2020).

NURS FPX 4900 Assessment 1: Likewise, smoking cessation requires open communication and collaboration on gesture changes and prostrating jones. With open and transparent communication, active smokers can be suitable to partake in their struggles and sweats on smoking. Likewise, tutoring a change operation strategy similar to Kotter’s 8-Step Change Model (KCM) can drive a sense of urgency among cases to quit smoking and ameliorate their healthy life to help unborn deadly complications (Moyo et al., 2023).

I have documented the two internship hours spent with the group of boys in the Capella Academic Portal Volunteer Experience Form.

Final Thoughts 

The sanitarium admitted a group of young boys with emphysema and revealed their history of tobacco use. Still, the group wanted to quit smoking and ameliorate health issues. The nursing interventions substantiated by substantiation included training programs on smoking cessation, online education and support, and connecting smokers with smoking cessation programs by community support groups. The Corpus and ALA have handed out norms for precluding tobacco use and promoting smoking cessation programs. Transformational leadership is vital to perfecting health issues, delivering case-centered care to smokers, and enhancing their experience. Get inspired by our high-scoring NURS FPX 4900 Assessment 1: Leadership in Migraine Management example to strengthen your own assignment.

References (APA 7 Format)

  • American Lung Association (n.d.).centered The American Lung Association holds a public policy position on tobacco and its impact on health.
  • American Nurses Association (n.d.). Prevention and conclusion of tobacco and other nicotine products statement of Corpus position. Nursing World.
  • Cattaruzza, M. S., Zagà, V., Gallus, S., D’Argenio, P., & Gorini, G. (2020). Tobacco smoking and the COVID-19 epidemic Old and new issues. A summary of the validation from the scientific literature. Acta Bio Medica Atenei Parmensis, 91(2), 106–112. 
  • Chua, J., & Ayoko, O. B. (2019). workers’ tone-determined provocation, transformational leadership, and work engagement. Journal of Management & Organization, 27(3), 1–21. https://doi.org
  • World Health Organization. (2023, July 31). Tobacco. Tobacco and nicotine
  • Wunderlich, K. (2020). Running to quit? Exploring predictors of attendance in an exercise and smoking cessation intervention. Open.library.ubc.ca. https://open.library.ubc.ca/soa/circle/collections/ubctheses/24/particulars/1.0389777

Rubric Breakdown

Criteria Points / Description
Introduction & Problem Identification Clearly identifies smoking/tobacco use as a population health problem and explains relevance.
Evidence & Statistics Includes prevalence, demographic data, health consequences, and economic/social impact.
Target Population Description Describes the specific population (e.g., group of young boys with emphysema) and why chosen.
Nursing Roles & Actions Details nursing interventions, leadership, education, and cessation strategies.
Collaboration & Communication Explains interdisciplinary teamwork, communication, and coordination with other providers.
Change Management Uses a structured change model (e.g., Kotter’s 8-Step Model) to implement interventions.
Policy & Regulatory Considerations Addresses influence of nursing standards, organizational policies, and public health regulations.
Evidence-Based Support Cites credible research and evaluates sources for reliability (e.g., CRAAP criteria).
Impact on Health Outcomes & Patient-Centered Care Explains how interventions improve health outcomes, patient experience, and adherence.
Conclusion & Sustainability Summarizes interventions, highlights leadership strategies, and sustainability of outcomes.

Step-by-Step Guide

  1. Identify problem & baseline—confirm labs (FPG, A1c), symptoms, comorbid HTN, and social/fiscal walls.
  2. Assess—drug adherence, diet, alcohol use, exertion position, tech access, and support systems.
  3. Set SMART goals—e.g., reduce A1c in 3–6 months, increase daily physical exertion to 150 min, and achieve drug adherence ≥ 90.
  4. Plan interventions—DSMES registration, personalized diet plan with dietician, alcohol-reduction counseling, home glucose monitoring/remote reporting, referral to support groups, and fitness offers.
  5. Assign roles—the RN coordinates education and monitoring; the PCP/endocrinologist adjusts meds; and the dietician, druggist, and social worker help.
  6. Implement—deliver education, force/teach glucometer use, schedule follow-ups, and connect to community coffers for insurance support.
  7. Evaluate—track A1c, dieting glucose, BP, weight, adherence logs, DSMES completion, and case-reported issues at destined intervals.
  8. Sustain & scale—address policy/content gaps, use transformational leadership to bed changes, and reiterate via PDSA cycles.

Frequently Asked Questions

Q: What are the top 3 nursing conducts?

A:The top three nursing interventions are providing DSMES, encouraging medication adherence, and reviewing home glucose readings to identify trends, support safe treatment adjustments, and improve diabetes self-management and outcomes.

Q: How will success be measured?

A:Success will be measured primarily by reduced A1C levels, with secondary indicators including improved fasting glucose, controlled blood pressure, medication adherence, and completion of DSMES education and support.

Q: Biggest walls?

A: The biggest barriers include alcohol use, sedentary lifestyles, financial or insurance limitations, limited access to technology and remote monitoring, and low patient motivation, which can hinder effective diabetes management.

Q: Which programs help?

A: The key programs include the California Nursing Practice Act for nursing guidance and patient education, ADA clinical guidelines for evidence-based diabetes care, and the ACA for improving insurance access.

Q: Leadership part?

A: Transformational leadership helps healthcare leaders engage teams, secure necessary resources, encourage collaboration, and sustain patient-centered changes that improve diabetes care quality, safety, efficiency, and long-term outcomes.

Integrity Note

Note: Only use this assessment example for learning and structure purpose. Do not submit as your own work.
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