NURS FPX 6011 Assessment 1 Concept Map

Name

Capella university

NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Prof. Name

Date

Evidence-Based Patient-Centered Needs Assessment

The persistence of the sexually transmitted Human Immunodeficiency Virus (HIV) poses a substantial ongoing global health dilemma, impacting millions of individuals worldwide. In the management of this complex condition, evidence-based patient-centered needs assessments are crucial. They guide tailored interventions to address diverse health, economic, and cultural needs (Davis et al., 2021). This paper explores leveraging healthcare technology to improve patient engagement and outcomes in HIV care in adults. Focusing on innovative strategies, communication approaches, and equitable access, it aims to enhance the quality, ethics, and efficiency of care delivery. 

Patient Engagement Importance

Patient engagement is paramount in HIV management, directly impacting treatment adherence, health outcomes, and overall quality of life. According to the World Health Organization (WHO), HIV remains a major worldwide health issue, with around 39 million individuals existing with HIV worldwide as of 2022 (World Health Organization, 2022). Despite advancements in treatment and prevention strategies, challenges persist, particularly in nations with modest financial resources. Addressing patient engagement is critical as HIV is a chronic condition necessitating lifelong treatment. Engaging patients fosters a sense of responsibility, leading to better adherence to Antiretroviral Therapy (ART) regimens. Improved observance to ART is associated with viral suppression, reduced disease progression, and decreased transmission risk (Chang, 2022).

In the context of HIV management among adults, addressing cultural needs through patient engagement is essential for providing culturally capable care. This includes identifying and valuing diverse traditional backgrounds, beliefs, and practices that may influence people’s healthcare decisions and treatment adherence. By actively involving HIV-positive adults in their care and considering their cultural preferences, healthcare providers can build trust, enhance communication, and promote treatment acceptance and adherence (Brizzi et al., 2023). Additionally, addressing economic needs is critical for ensuring equitable access to HIV care and treatment services among adults. Many HIV-positive adults face socioeconomic challenges such as poverty, unemployment, and lack of insurance coverage, which can hinder their ability to access healthcare and afford medications (Brizzi et al., 2023). 

Patient Engagement Strategies

Patient engagement is vital for individuals with HIV to manage their health conditions effectively. Leveraging mHealth technology is a key strategy in promoting engagement, with smartphone applications offering personalized medication reminders, appointment alerts, and tailored educational resources. These tools empower patients, enhance medication adherence, and improve health outcomes (Sun et al., 2023). For example, peer assistance gatherings and digital communities offer valuable emotional reinforcement and pragmatic guidance, positively impacting treatment adherence and quality of life. Engaging HIV adults fosters active involvement in decision-making a sense of responsibility for one’s health, and strengthens the patient-provider partnership. Empowered and informed individuals to follow the cure, attend appointments regularly, and make healthy choices, facilitating collaborative care planning and individualized interventions for HIV adults (Davis et al., 2021).

Application and Effect of Information and Communication Technology

Information and Communication Technology (ICT) plays a crucial part in enhancing user health learning within the realm of HIV management in adults. Tailored mobile applications provide easily accessible information about the virus, treatment options, and health maintenance strategies, employing interactive features like quizzes and videos to engage users and deepen their understanding of HIV care in adults. Moreover, telehealth services offer remote consultations and support, which is particularly beneficial for individuals facing barriers to traditional healthcare access due to stigma or geographical constraints (Choukou et al., 2022). These platforms enable real-time connections with healthcare providers and peer educators, facilitating personalized education and support services tailored to patients’ needs.

Additionally, social media platforms and online forums serve as valuable resources for disseminating accurate information and fostering peer support networks for adults with HIV within the community (Aasen et al., 2023). By leveraging these digital platforms, individuals living with HIV gain access to educational materials, share experiences, and engage with healthcare professionals and peers, enhancing their knowledge and confidence in effectively managing their condition. These ICT tools not only bridge gaps in healthcare access but also empower patients to actively participate in their care journey actively, ultimately contributing to improved health outcomes in HIV management (Sun et al., 2023).

Uncertainties may arise regarding the accessibility and usability of ICT tools among diverse populations affected by HIV, particularly those facing socioeconomic disadvantages or limited digital literacy. Additionally, concerns may arise regarding the accuracy and reliability of health information disseminated through online platforms and mobile applications, necessitating robust quality assurance measures (Aasen et al., 2023). Furthermore, the effectiveness of telehealth interventions in promoting health literacy and improving HIV adult patient outcomes may vary depending on individual preferences and technological infrastructure (Aasen et al., 2023).

Value and Relevance of Technology Modalities

When evaluating technology modalities for HIV management, it is crucial to assess their value in enhancing patient engagement and health outcomes. Tailored mobile applications offer accessible, interactive information, empowering patients to manage their health effectively. Telehealth services improve accessibility to care, particularly for marginalized groups, enhancing patient engagement and treatment adherence. The exchange and interoperability of these modalities support seamless communication and data sharing, ensuring continuity of care and enabling timely interventions (Labisi et al., 2022).

Privacy concerns are addressed through adherence to Health Insurance Portability and Accountability Act (HIPAA) rules, defending patient data with encryption and secure data storage (HHS, 2022). Communication strategies embedded in these modalities promote honest communication and health literacy. They utilize multilingual interfaces and plain language explanations to overcome barriers and empower patients to make informed decisions about their health, ultimately improving HIV management outcomes (Dzinamarira et al., 2023). Additionally, by simplifying complex medical terms and concepts, healthcare providers empower adult patients and their families to understand HIV management, fostering informed decision-making and improved health outcomes (Dzinamarira et al., 2023).

Innovative Strategies for Leveraging Technology

Advanced approaches for supporting quality, ethical, and culturally suitable care for adults with HIV involve developing culturally sensitive mobile applications and telehealth platforms. These technologies incorporate features like multilingual interfaces and culturally relevant educational content tailored to diverse patient preferences (Wolff & Mikkelsen, 2022). Additionally, leveraging artificial intelligence and machine learning enhances care efficiency by personalizing interventions and predicting outcomes based on individual patient data and cultural context for HIV adults(Choukou et al., 2022). 

Moreover, prioritizing accessibility and usability for patients with varying digital literacy levels and language proficiency ensures equitable access to healthcare resources. User-friendly interfaces, audiovisual materials, and collaboration with community-based organizations enhance cultural appropriateness (Zhan et al., 2023). Ultimately, these technologies empower patients to participate in their care actively, make informed decisions, and navigate healthcare systems effectively, regardless of cultural background or language barriers. Integrating culturally and linguistically appropriate technology promotes patient engagement, improves health outcomes, and fosters health equity among HIV adults (Wirtz et al., 2022).

Mitigating the Risk of Adverse Outcomes

The recommended methods’ purpose is to mitigate negative concerns resulting from disparities in retrieving patient health data and technology, particularly relevant in HIV management among adults. Risks such as disparities in digital literacy and limited technology access among marginalized HIV-positive adults may lead to reduced healthcare engagement and suboptimal treatment adherence. To address these risks, strategies prioritize inclusivity by integrating features like multilingual interfaces and culturally relevant content into technology solutions (Wirtz et al., 2022). Additionally, community engagement and partnerships with local organizations ensure that technology reaches underserved HIV-positive adult populations (Brizzi et al., 2023).

Through these efforts, healthcare providers can bridge the digital divide, empower HIV-positive adults to navigate healthcare systems and promote health equity within the identified population. Similar approaches have successfully addressed inequities in various healthcare settings. For instance, community-based interventions utilizing culturally tailored technology solutions have improved health outcomes among underserved populations, including those adults affected by HIV (Choukou et al., 2022). These strategies draw from existing evidence and best practices to ensure equal opportunities for adult patients with HIV to benefit from technology-enabled healthcare interventions.

Conclusion

Leveraging technology to enhance patient engagement and health outcomes in HIV management requires culturally sensitive, accessible, and ethically sound strategies. By prioritizing inclusivity, addressing disparities in access, and fostering transparent communication, healthcare providers can empower patients to participate actively in their care. These innovative approaches promote equity, improve health literacy, and ultimately contribute to improved health outcomes for individuals dealing with HIV.

References

 Aasen, V., Søvik, M. L., Størdal, K., & Lee, A. (2023). Are we on the same page? Exploring pediatric patients’ involvement with advance care planning. Journal of Pain and Symptom Management, 66(3), e353–e363. https://doi.org/10.1016/j.jpainsymman.2023.04.003 

Brizzi, M. B., Sherman, E. M., Green, S. B., Nowicki, D. N., Drwiega, E. N., Nicol, M. R., Chastain, D. B., Sahloff, E. G., Truong, W. R., Cluck, D., Badowski, M. E., Michienzi, S. M., & Durham, S. H. (2023). Personalizing prevention: Advances in pharmacotherapy for HIV prevention. Pharmacotherapy, 43(4), 305–320. https://doi.org/10.1002/phar.2796 

Chang, H. (2022). Weight gain and metabolic syndrome in human immunodeficiency virus patients. Infection & Chemotherapy, 54(2). https://doi.org/10.3947/ic.2022.0061 

Choukou, M., Sanchez, D. C., Pol, M., Uddin, M., Monnin, C., & Abdul, S. (2022). COVID-19 infodemic and digital health literacy in vulnerable populations: A scoping review. Digital Health, 8, 205520762210769. https://doi.org/10.1177/20552076221076927 

NURS FPX 6011 Assessment 1 Concept Map

Davis, A., Greene, M., Siegler, E. L., Fitch, K. V., Schmalzle, S. A., Krain, A., Vera, J. H., Boffito, M., Falutz, J., & Erlandson, K. M. (2021). Strengths and challenges of various models of geriatric consultation for older adults living with human immunodeficiency virus. Clinical Infectious Diseases, 74(6), 1101–1106. https://doi.org/10.1093/cid/ciab682 

Dzinamarira, T., Moyo, E., Moyo, P., & Murewanhema, G. (2023). Leadership, communication, and science: Three pillars essential to public health emergency response and closing the gap in the HIV response among key populations. Global Health Journal, 7(4), 182–185. https://doi.org/10.1016/j.glohj.2023.11.003 

HHS. (2022, March 25). Getting started: Telehealth and HIV. Telehealth.hhs.gov. https://telehealth.hhs.gov/providers/best-practice-guides/telehealth-for-hiv-care/getting-started 

Labisi, T., Regan, N., Davis, P., & Fadul, N. (2022). HIV care meets telehealth: A review of successes, disparities, and unresolved challenges. Current HIV/AIDS Reports, 19, 446–453. https://doi.org/10.1007/s11904-022-00623-z 

NURS FPX 6011 Assessment 1 Concept Map

Sun, L., Qu, M., Chen, B., Li, C., Fan, H., & Zhao, Y. (2023). Effectiveness of mHealth on adherence to antiretroviral therapy in patients living with HIV: Meta-analysis of randomized controlled trials. JMIR MHealth and UHealth, 11. https://doi.org/10.2196/42799 

Wirtz, A. L., Logie, C. H., & Mbuagbaw, L. (2022). Addressing health inequities in digital clinical trials: A review of challenges and solutions from the field of HIV research. Epidemiologic Reviews, 14(1), 87–109. https://doi.org/10.1093/epirev/mxac008 

Wolff, J., & Mikkelsen, J. G. (2022). Delivering genes with human immunodeficiency virus-derived vehicles: Still state-of-the-art after 25 years. Cell Regeneration, 29(1). https://doi.org/10.1186/s12929-022-00865-4 

World Health Organization. (2022, July). HIV/AIDS. Www.who.int; World Health Organization. https://www.who.int/data/gho/data/themes/hiv-aids 

Zhan, P., Sun, L., Liu, X., & Zhan, P. (2023). Opportunities and challenges in new HIV therapeutic discovery: What is the next step? Expert Opinion on Drug Discovery, 18(11), 1195–1199. https://doi.org/10.1080/17460441.2023.2246872