Transformational leaders can help in change management, which ensures Evidence-Based Practices (EBPs) are implemented for HTN management and provide patient-centered care for patients like Mr. John. The ADKAR model is effective in managing HTN and driving organizational change. Leaders will ensure healthcare providers are aware (A) of the need for change in HTN management, including the importance of EBPs and patient-centeredness for improved outcomes. A leader would foster a desire (D) among team members to embrace change by highlighting benefits such as reduced complications and enhanced patient satisfaction (Balluck et al., 2020).

A leader would provide the necessary knowledge (K) and skills through training and education for HTN management. Further, it empowers healthcare providers with the ability (A) to implement change effectively through support, resources, and tools and assigns roles and responsibilities. A leader would also reinforce (R) and sustain change by recognizing successes, providing ongoing feedback and support, monitoring progress, and addressing barriers (Balluck et al., 2020). This ADKAR framework is valuable for addressing resistance to change, driving behavior change, and improving practices that benefit patients like Mr. John in managing HTN. 

Part Two

Documentation of the Practicum Hours

I dedicated two hours to Mr. John, a 55-year-old man diagnosed with HTN, analyzing his condition, daily routine, and medical history. During our discussion, Mr John shared he has been taking medication for HTN control for the past 20 years. He mentioned feeling fatigued and frequently headaches after a long day, impacting her sleep cycles. HTN had a psychological impact on Mr. John as he was stressed and frustrated most of the time due to his health condition. His physical stamina, managing work-related stress, and dealing with a lack of motivation at this age contribute to his complications. 

Conclusion

In conclusion, addressing HTN requires a comprehensive approach encompassing leadership, change management, and policy considerations. By leveraging EBPs, interdisciplinary care teams, and transformational leadership, nurses can empower patients like Mr. John to manage HTN effectively. Aligning with national standards from organizations like the ANA and AHA and implementing change management models such as ADKAR can drive positive outcomes and improve patient experiences in HTN management.

References

Asemu, M. M., Yalew, A. W., Kabeta, N. D., & Mekonnen, D. (2021). Prevalence and risk factors of hypertension among adults: A community based study in Addis Ababa, Ethiopia. PLOS ONE16(4), e0248934. https://doi.org/10.1371/journal.pone.0248934 

Balluck, J., Asturi, E., & Brockman, V. (2020). Use of the ADKAR® and CLARC ® change models to navigate staffing model changes during the COVID-19 pandemic. Nurse Leader18(6). NCBI. https://doi.org/10.1016/j.mnl.2020.08.006 


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