NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

• NURS FPX 6011 Assessment 3

Introduction

The post-menopause stage in women’s lives is often characterized by increased physical and psychological health risks. Menopause, occurring typically between the ages of 45 and 55, brings about significant physical, hormonal, and psychological changes. These changes often lead to health NURS FPX 6011 Assessment 3 complications, including somatic, vasomotor, psychiatric, cardiovascular, and urinary tract issues (Diyu et al., 2022).

Despite being a natural process, menopause significantly impacts health, with noticeable differences between pre-menopausal and post-menopausal women. Unfortunately, no single treatment effectively addresses all post-menopausal complications. With a growing population of older women globally, there is an urgent need for long-term, quality-of-life-oriented solutions to improve post-menopausal care.

PICOT Question

Does exercise and diet (I) in post-menopausal women (P) decrease symptoms of menopause (O) compared to post-menopausal women who do not exercise and diet (C)?

Outline of Action Plan

A Focus on Behavioral Changes

The proposed action plan emphasizes replacing short-term medical or surgical interventions with sustainable behavioral changes, mainly focusing on exercise and diet. This approach aims to provide long-term benefits and equip post-menopausal women with lifelong tools to enhance their quality of life (Febriliant et al., 2021).

Key Components

The intervention is designed to encourage women to consistently adopt exercise routines and maintain a healthy diet for at least one year to achieve significant behavioral change (Kerksick et al., 2020). The plan involves:

• Financial support to ensure consistent access to healthy diets and physical exercise therapy.
• Digital healthcare tools for monitoring patient progress and facilitating information sharing between clinicians.
• Strong collaboration between patients, clinicians, and family members.

Potential Stakeholders and Barriers

Stakeholders

The stakeholders impacted by this clinical problem and the proposed solution include:

• Nurses
• Patient care technicians
• Physical therapists
• Physicians
• Nutritionists
• Patients and their family members

Barriers

Several challenges could hinder the success of this intervention, including:

• The extended time required to achieve noticeable results.
• Low patient motivation and distrust in the effectiveness of behavioral changes.
• Relapses and inconsistent adherence to exercise and dietary routines.
• Poor collaboration between stakeholders, exacerbated by strained relationships.
• Limited financial resources and poverty affect patients’ ability to maintain a healthy lifestyle (Lenora et al., 2019).
• Insufficient awareness and education about menopause and its associated symptoms.

Proposed Outcome Criteria

Phased Approach to Outcomes Measurement

Outcomes will be assessed over four phases, with each phase occurring every four months:

1. Baseline Assessment: Evaluate patients’ current conditions and symptom statuses.
2. Introductory Phase: Introduce behavioral changes and measure initial outcomes at the end of month four.
3. Growth Phase: Strengthen behavioral changes, with progress recorded at the end of month eight.
4. Reinforcement Phase: Reinforce new habits, measuring impacts at the end of month twelve.
5. Maintenance Phase: Support long-term maintenance of positive behaviors, with outcomes evaluated at the end of month sixteen.

Alignment with the Quadruple Aim

The plan aligns with the Quadruple Aim by:

• Improving symptom management and productivity for post-menopausal women.
• Enhancing population health by addressing post-menopausal risks and promoting well-being (Sediva et al., 2022).
• Reducing healthcare costs through cost-effective lifestyle interventions.
• Improving patient and provider experiences by offering sustainable solutions.

Evidence Evaluation

Research and Validation

The action plan is built on a thorough literature review using scholarly resources from databases like Google Scholar. These studies highlight that exercise and a healthy diet effectively reduce post-menopausal complications. Peer-reviewed articles, including cross-sectional and experimental studies, validate these findings. The authors’ expertise in healthcare, nutrition, and reproductive health adds credibility to the conclusions.

Practicality and Feasibility

This plan is realistic and grounded in evidence. Emphasizing behavioral changes supported by reliable data offers a sustainable and practical approach to addressing the clinical problem. Key actions to address potential barriers include:

• Strengthening stakeholder relationships.
• Providing financial and emotional support to patients and clinicians.
• Continuous monitoring of progress.
• Enhancing awareness through menopause education.

Conclusion

Post-menopausal complications remain a significant challenge for healthcare providers and patients alike. This evidence-based action plan, aligned with the objectives of NURS FPX 6011 Assessment 3, addresses these challenges by promoting behavioral changes through exercise and diet. By targeting systemic barriers, fostering collaboration, and leveraging evidence-based strategies, the plan aims to enhance the quality of life for post-menopausal women and reduce the long-term healthcare burden.

Read more NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan about for complete information about this class.

References

Diyu, I. A., & Ni, S. L. (2022). Menopausal Symptoms in Women Aged 40-65 Years in Indonesia. International Journal of Health and Medical Sciences, 5(2), 169-176. Retrieved from https://dx.doi.org/10.21744/ijhms.v5n2.1896

Febriliant, M. R., Suryana, B. P., Rosandi, R., Lestari, W., & Sukarlin, S. (2021). Factors Associated With Changes In Bone-Mass Density In Post Menopause Female Patients With Osteopenia. Clinical and Research Journal in Internal Medicine, 2(2), 177–186. Retrieved from https://doi.org/10.21776/crjim.2021.002.02.3

Kerksick, C. M., Roberts, M. D., Campbell, B. I., Galbreath, M. M., Taylor, L. W., Wilborn, C. D., & Lee, A. (2020). Differential Impact of Calcium and Vitamin D on Body Composition Changes in Post-Menopausal Women Following a Restricted Energy Diet and Exercise Program. Nutrients, 12(3), 1-17. Retrieved from https://doi.org/10.3390/nu12030713

Lenora, J., Rathnayake, N., Alwis, G., & Lekamwasam, S. (2019). Prevalence and Severity of Menopausal Symptoms and the Quality of Life in Middle-aged Women: A Study from Sri Lanka. Nursing Research and Practice, 1-9. Retrieved from https://doi.org/10.1155/2019/2081507

Sediva, H., Cartwright, T., Robertson, C., & Deb, S. K. (2022). Behavior Change Techniques in Digital Health Interventions for Midlife Women: Systematic Review. JMIR Mhealth Uhealth, 10(11), 1-20. Retrieved from https://mhealth.jmir.org/2022/11/e37234