Nursing

Students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting (Home Health) in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
Significance of the topic and its implications for nursing practice.
A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.
You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Prepare this assignment according to the guidelines found in the APA Style Guide,

ANSWER

Patient Care to the Elderly People: Los Angeles, California (CA)

The evidence-based project will delve into the barriers impeding patient education for the elderly people. A primary focus will be emphasized on Los Angeles County to conduct a streamlined study in the a more specified area. This is vital to draw critical insights on the best nursing practices that can be replicated across the United States.

Setting Context Where Project Topic is Observed

Elderly care in Los Angeles (LA), California (CA) continues to increase in demand and mechanism upon which it is pursue. According to Caring.com in a survey conducted by Genworth Cost of Care Survey 2019 shows that aid for senior citizens and provision of quality care has continued to diversify with an average of $5,243 monthly required for homemakers to establish a conducive environment. This shows that a comprehensive directory for home care providers is vital to match the complexities in home care provision (Kim & Oh, 2020). The collection of resources and nursing practice education is a vital component in which high quality and standards care for the senior citizens is provided in LA.

Topic Description

Extensive barriers towards nursing practice and patient education for the elderly people has existed in the nursing practice for a long time. A need for change and diversification of approach and care provision is vital to meet the growing numbers of senior citizens require closely monitored and more coordinated professional care (Boland et al., 2017). Some of the identified barriers constitute of negative attitudes towards quality care for senior citizens, lack of sufficient resources, inappropriate environments, lack of specialized model of care delivery systems, and lack of knowledge and skills in the nursing practice (Heydari, Sharifi & Moghaddam, 2019). There is a profound need to separate professional conflicts from patient care in order the core objectives of senior citizen’s care.

Effect of Identified Problem or Issue

The topic on barriers to patient education of the elderly extensively induces enormous adverse effects on the nursing practice and care for senior citizens. With the existence for extensive quality care to senior citizens, there is a profound need for improvement of nursing care education, practice, and professionalism (Fulmer, Reuben, Auerbach, Fick, Galambos & Johnson, 2021). This is a core are that must be improved and diversified in accordance to the growing demands and phenomenalism. The elimination of barriers is vital to developing a caring culture that can be improved over time to meet the growing LA care needs and demands for the elderly patients (Frochen, Ailshire & Rodnyansky, 2019).

Significance and Implications for Nursing Practice

The development of a closely monitored and more coordinated elderly care is vital to the improvement of the general health for the community. As seniors live their last stage in life, there is need to do so gracefully and with dignity (Kruse, Fohn, Wilson, Pattan, Zipp & Mileski, 2020). The capacity to establish the best environment for elderly patients’ care is fundamental to the nursing practice and professionalism. The improvement and diversification in education is integral to meeting the required demands in care professionalism and quality (Ocloo, Garfield, Dawson & Franklin, 2017).

Proposed Solution for Identified Problem or Issue

The most effective solution to combating and eliminating barriers towards quality health care provision to the elderly people revolves in the diversification and improvement of education in nursing practice (Sun & Smith, 2017). Education is the gateway to changing perceptions, context in approach, and how the nursing practices generally treats the senior citizens. This is bound to go far into improving the quality of care in responsiveness, concerns, management of patient safety, and reaction to care demand (Karimi Moonaghi, Emami Zeydi & Mirhaghi, 2016). Successful approaches in nursing practice, therefore, must be changing in the course of time to meet the growing needs and number of senior citizens requiring high quality care (Arco-Canoles & Suarez-Calle, 2018).

References

Arco-Canoles, O. D. C. D., & Suarez-Calle, Z. K. (2018). Role of nursing professionals in the Colombian health system. Universidad y Salud, 20(2), 171-182.

Boland, L., Légaré, F., Perez, M. M. B., Menear, M., Garvelink, M. M., McIsaac, D. I., … & Stacey, D. (2017). Impact of home care versus alternative locations of care on elder health outcomes: an overview of systematic reviews. BMC geriatrics, 17(1), 1-15.

Caring.com. (2021). 132 Home Care Services for Seniors Serving Los Angeles, CA. Retrieved from https://www.caring.com/senior-care/in-home-care/california/los-angeles

Frochen, S., Ailshire, J., & Rodnyansky, S. (2019). Residential care in Los Angeles: Evaluating the spatial distribution of facilities and neighbourhood access to care among older adults. Local environment, 24(3), 274-288.

Fulmer, T., Reuben, D. B., Auerbach, J., Fick, D. M., Galambos, C., & Johnson, K. S. (2021). Actualizing Better Health And Health Care For Older Adults: Commentary describes six vital directions to improve the care and quality of life for all older Americans. Health Affairs, 40(2), 219-225.

Heydari, A., Sharifi, M., & Moghaddam, A. B. (2019). Challenges and barriers to providing care to older adult patients in the intensive care unit: A qualitative research. Open access Macedonian journal of medical sciences, 7(21), 3682.

Karimi Moonaghi, H., Emami Zeydi, A., & Mirhaghi, A. (2016). Patient education among nurses: bringing evidence into clinical applicability in Iran. Investigacion y educacion en enfermeria, 34(1), 137-151.

Kim, M. Y., & Oh, S. (2020). Nurses’ Perspectives on Health Education and Health Literacy of Older Patients. International Journal of Environmental Research and Public Health, 17(18), 6455.

Kruse, C., Fohn, J., Wilson, N., Patlan, E. N., Zipp, S., & Mileski, M. (2020). Utilization barriers and medical outcomes commensurate with the use of telehealth among older adults: systematic review. JMIR medical informatics, 8(8), e20359.

Ocloo, J., Garfield, S., Dawson, S., & Franklin, B. D. (2017). Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a protocol for a systematic review of reviews. BMJ open, 7(10), e018426.

Sun, J. K., & Smith, J. (2017). Self-perceptions of aging and perceived barriers to care: Reasons for health care delay. The Gerontologist, 57(suppl_2), S216-S226.