Change Strategy and Implementation

NURS FPX 6021 Assessment 2 Change Strategy and Implementation KG

The report examines the underperforming clinical outcomes in the healthcare environment. The leader nurses have chosen a quantitative goal for the outcomes and propose a change plan. The principles of change management are applied here as the most crucial aspects of healthcare provision. This change management practice will allow our professionals to solve the complex issue of anxiety and hypertension mismanagement. The PCOS and depression management has not been done wisely.  Such patients also need longer hospitalization time and face a wider risk of mortality. This is the reason addressing the mental health of these patients is important. 

Data Table

Depression and Anxiety and PCOS Relation

Researchers have examined that there is a greater relationship of PCOS and anxiety. The patients are observed to have a weight gain that has also increased their social anxiety and panic attacks (Kyrou et al., 2020). It is observed to be higher in women compared to men and is also affecting women in terms of increased infertility. Moreover, women with a greater risk of PCOS are also showing symptoms of depression such as polycystic ovarian syndrome. This is also affecting them skin adversely with acne and adverse facial hair growth. 

Change Management Strategies to Achieve Desired Goals 

NURS FPX 6021 Assessment 2 Change Strategy and Implementation KG

The goal is to help the PCOS patients to achieve the desired state of clinical outcomes with PCOS and better help them to deal with the anxiety and depression. This issue canno be left unsolved as the right strategy devised by our nursing leaders is the CBT or Cognitive Behavioral Therapy (Rodriguez et al., 2020). This is the most popular and effective psychological treatment that treats depression and anxiety with a variety of psychological disorders. There are some challenges and uncertainties while implementing this strategy because it requires pateints to confront their anxieties and remember uncomfortable and emotionally negative events which many again antagonize patients (Wekker et al., 2020). 

Proposed Change Strategies to Achieve Desired Outcomes

Even though the CBT requires significant commitment and participating of patients and professionals for positive outcomes, it is still the number one strategy used by our nurses and professionals to treat the patient issue. This makes it tough to accommodate many patients with the limited number of therapists available. The change strategy that is foremost in this depression and hypertension treatment is CBTthat allows patients to discuss their disparities with a psychotherapist who evaluates their issues and devises a plan of action (Lim et al., 2019). The daily routine of the patient must incorporate those actions.  The CBT is also ranked by several medical professionals as the most viable and patient-friendly intervention that can help to incorporate a positive behavioral change.  

Justification of the Proposed Change Strategies for the Improvement of Safety and Provision of Equitable Care 

In the presence of the Polycystic ovarian syndrome PCOS, there is no universal treatment that can help pateints to reduce panic attacks. This increases their depression in a severe way and also lowers the motivation and morale of patients to remain physically fit. PCOS create weight gain challenges which can give rise to cardiovascular diseases. Luckily, the use of the CBT will help achieve the desired outcomes to help the patient improve their physical and mental states. The efficient healthcare provisions suggest that group therapy is conducted by providing individual sessions to the patient. The CBT has helped to provide them the group therapy and facilitated wither wellbeing to reduce depression, anxiety, and hypertension symptoms.  

NURS FPX 6021 Assessment 2 Change Strategy and Implementation KG

How Change Strategies Will Lead to Quality Improvement

In addition to the CBT, some pharmacological interventions are also viable in this scenario to achieve desired outcomes. Due to severity of mental disorder, treatments can differ. Doctors should however refrain from using complicated antidepressants and should use tricyclic antidepressants. Use of Benzodiazepines should be carefully done for treating PCOS and COPD patients to save them from tremors and headaches.  Using these interventions collectively, the depression and anxiety interventions will meet the needs of individual patients.  The interprofessional collaboration change strategy will help to ensure successful implementation. The proposed strategies will be successful; the professionals must use collaborative techniques such as coordinated communication during breaks and sharing their ideas and problems to improve coordination between therapists, nurses, and pharmacologists.  

References 

Khan, M. J., Ullah, A., & Basit, S. (2019). Genetic basis of polycystic ovary syndrome (PCOS): Current perspectives. The Application of Clinical Genetics, 12, 249–260. https://doi.org/10.2147/TACG.S200341

Kyrou, I., Karteris, E., Robbins, T., Chatha, K., Drenos, F., &Randeva, H. S. (2020). Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemic. BMC Medicine, 18(1), 220. https://doi.org/10.1186/s12916-020-01697

Lim, S., Smith, C. A., Costello, M. F., MacMillan, F., Moran, L., &Ee, C. (2019). Barriers and facilitators to weight management in overweight and obese women living in Australia with PCOS: a qualitative study. BMC Endocrine Disorders, 19(1), 106. https://doi.org/10.1186/s12902-019-0434-8

Rodriguez Paris, V., Solon-Biet, S. M., Senior, A. M., Edwards, M. C., Desai, R., Tedla, N., Cox, M. J., Ledger, W. L., Gilchrist, R. B., Simpson, S. J., Handelsman, D. J., & Walters, K. A. (2020). Defining the impact of dietary macronutrient balance on PCOS traits. Nature Communications, 11(1), 5262. https://doi.org/10.1038/s41467-020-19003-5

Wekker, V., van Dammen, L., Koning, A., Heida, K. Y., Painter, R. C., Limpens, J., Laven, J. S. E., Roeters van Lennep, J. E., Roseboom, T. J., & Hoek, A. (2020). Long-term cardiometabolic disease risk in women with PCOS: a systematic review and meta-analysis. Human Reproduction Update, 26(6), 942–960. https://doi.org/10.1093/humupd/dmaa029