Description
This is a STATISTICS assessment for NURSING class
Introduction
The purpose of this assessment is to explain the data collection methods and instruments for your project as well as analyze the data to determine the extent to which you have achieved desired project outcomes. You will be using the feedback from this assessment to revise related portions of your Project Report in your next course. Be sure to retain your feedback and plan for the needed revisions.
As you collect data for your project, take care not to deviate from your IRB-approved plan. You may not change your data collection methods without IRB approval. Discuss any data collection issues you are experiencing with your faculty facilitator.
Similarly, it is imperative that you follow your IRB-approved doctoral project proposal/research plan as you collect your data. Failure to do so is considered noncompliance and may result in sanctions; typically, the IRB will not let you use any data collected.
Preparation
Data collection and analysis are critical to evaluate project-related outcomes accurately. For this assessment, you will describe your approach to data collection and analyze the data to determine the extent to which project outcomes have been achieved. Note that the results of your analysis may not indicate the achievement of outcomes or could prove inconclusive. You are only responsible for analyzing the data impartially and communicating the results.
Instructions
This assessment has been identified as a Signature Assessment. Signature Assessments will be graded by your faculty within six (6) business days.
This assessment also includes review by a Secondary Reviewer to ensure the work meets expectations for writing, content, connection to the discipline, scholarship, quality, integrity, and ethical compliance. Secondary review is both an essential program expectation and important opportunity for learners.
For this assessment you will complete the Data Analysis Template [DOCX] Download Data Analysis Template [DOCX].
This template will help you structure your report on your data collection methodology and data analysis, including instruments used and outcomes achieved. You are not expected to submit your raw data for this assessment; however, you should store your raw data securely so you can provide it if necessary.
Your assessment will be graded on the following criteria:
Explain the design of the project.
Explain IRB-approved data collection methods for the project.
Analyze project data and present the outcomes of the interventions, findings, and recommendations related to the problem statement using appropriate writing and graphics.
Apply APA formatting and style throughout, with special attention paid to data charts, figures, and tables.
Communicate in a clear, concise, and well-organized manner, using tone and vocabulary appropriate for a professional and scholarly report.
Additional Requirements
Data Collection Instruments: Be sure to reference any instruments used in this assessment via citation (external items) or inclusion in an appendix (internal items).
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 2: Collect data specific to valid and reliable outcomes.
Explain IRB-approved data collection methods for the project.
Competency 3: Draft the data analysis.
Explain the design of the doctoral project.
Analyze project data and present intervention outcomes, findings, and recommendations related to the problem statement using appropriate writing and graphics.
Competency 6: Address assessment purpose in a well organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
Apply APA formatting and style throughout, with special attention paid to data charts, figures, and tables.
Write clearly and concisely in a logically coherent and appropriate form and style.
Unformatted Attachment Preview
Problem Statement
The absence of suitable non-pharmacological tools and instruction for self-management among
Spanish-speaking patients with hypertension at the Managed Long-Term Care Plan results in low
adherence to blood pressure management recommendations. The application of nonpharmacological interventions translated into Spanish is anticipated to increase patient
understanding and involvement and normalize blood pressure levels at home over a period of
eight weeks.
Project Aim
The overarching project aim is to promote blood pressure self-management adherence in
community-dwelling Spanish-speaking older adults with hypertension by implementing Spanishtranslated non-pharmacological interventions bi-weekly to provide consistent and clear education
in a language the patients understand to promote self-adherence and independence within 8
weeks. By implementing these interventions bundle, the intended goal is to close the gap that is
currently at 40% and improve self-adherence to 70%. The system impact expected is a decrease
in uncontrolled hypertension, ER visits, and hospitalizations. The undertaking aims to improve
patients’ management of their hypertension by following the evidence-based interventions and
recommendations the case manager educates on.
Population
The project site is in a remote/telephonic Managed Long-Term Care (MLTC) plan in New York
that is part of Medicaid, where patients live anywhere within the five boroughs. Within the
MLTC plan, the population is 50 patients from the caseload of one telephonic case manager. The
50 patients are all solely Spanish-speaking and are 65 and older with a hypertension diagnosis.
All patients are self-directing.
Data Collection & Management Breakdown APPROVED BY
IRB (NO DEVIATION OR CHANGES FROM THIS BREAKDOWN BELOW WHICH IS
THE SAME AS THE ONE FROM THE PROJECT CHARTER):
1. Patient adherence to blood pressure self-monitoring twice daily
a. Asked every 2 weeks
i. None (0%)
ii. Some of the time (25%)
iii. Half of the time (50%)
iv. Most of the time (75%)
v. All the time (100%)
b. Paper logs stored in the main office—will then be in Excel format and deidentified
2. Patient reported morning blood pressure for the past three
a. Asked every two weeks
i. Normal (less than 120/80)
ii.
iii.
iv.
v.
Elevated (120-129/less than 80)
Stage 1 (130-139/80-89)
Stage 2 (140 or higher systolic OR 90 or higher diastolic)
Hypertensive crisis (higher than 180 systolic AND/OR higher than 120
diastolic)
b. Paper logs stored in the main office—will then be in Excel format and deidentified
3. Patient adherence to following the DASH diet by using the plate planner to help guide
them
a. Asked every 2 weeks
i. None (0%)
ii. Some of the time (25%)
iii. Half of the time (50%)
iv. Most of the time (75%)
v. All the time (100%)
b. Paper logs stored in the main office—will then be in Excel format and deidentified
4. Patient adherence to reading nutrition labels to determine sodium content to pick foods
low in sodium
a. Asked every 2 weeks
i. None (0%)
ii. Some of the time (25%)
iii. Half of the time (50%)
iv. Most of the time (75%)
v. All the time (100%)
b. Paper logs stored in the main office—will then be in Excel format and deidentified
5. Blood pressure readings using the blood pressure category approved by the AHA
(Appendix F)
a. Asked every 2 weeks
i. None (0%)
ii. Some of the time (25%)
iii. Half of the time (50%)
iv. Most of the time (75%)
v. All the time (100%)
b. Paper logs stored in the main office—will then be in Excel format and deidentified
Before the end of every bi-weekly assessment, the questions asked are:
1. If they have been to the ER or hospitalized due to hypertension since the last telephonic
assessment with RD.
2. Document their last recorded weight (the most important recorded weight is the first for
the baseline and the last recorded weight in the last week to provide comparison)
3. Document and confirm that the patient still has access to 911 in case of emergencies
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Data Analysis
Your Full Name (no credentials)
Capella University
Course Number and Name
Instructor Name
Month, Day, Year
2
Introductory content before any Level 1 headings. It might be useful to provide some
brief background information on your project and its context. This section is a summary of your
project as it will be added to your final paper. This information should only be two or three
paragraphs at most.
Design and Instrumentation
Explain the project design and the methods you used for collecting data. The methods
you describe must be reliable and have been previously approved by the IRB. If you used any
tools or instruments, explain their validity and reliability, citing support from the literature as
relevant. If an external tool was used, note the permission to use the tool and cite the tool
appropriately. Any internal tools proven valid and reliable should be submitted in an appendix.
Formative Evaluation (if applicable)
Confounding Variables (if applicable)
Analysis
Explain which statistical tests were used for the statistical analysis to determine if the
selected intervention produced the outcome desired. Provide outcomes, findings, and
recommendations related to the problem statement. If you are still collecting data, you may have
enough data to report preliminary findings; if this is the case, please note which findings are
preliminary. For outcomes for which you have insufficient data to draw findings, please note this
under each relevant outcome and briefly explain findings that would indicate some degree of
outcome achievement. You may wish to use Level 2 headings to separate your analysis for each
outcome, the problem statement, and so on. Use charts, data tables, and figures as relevant to
improve the communication and comprehension of your data. Even if you do not have all final
data collected, you should still be able to draft appropriate charts, data tables, and/or figures that
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would appropriately report the data you have collected or are planning to collect for a given
outcome.
Summary and Conclusion
Briefly synthesize the key conclusions from the data analysis. Note any additional data
collection and analysis to take place this quarter or additional analyses you plan to undertake.
4
References
[List references here.]
5
Appendices
Approved Project Charter: Implementing Spanish-Translated Non-Pharmacological Hypertension Management Interventions
Through Telephonic Assessments
1
Part 1
Project Charter Information
Project Name
Implementing Spanish-Translated Non-Pharmacological Hypertension Management
Interventions Through Telephonic Assessments
Project Site
Centers Plan for Healthy Living (CPHL). CPHL is a Managed Long-Term Care Plan that is
part of Medicaid. Case managers interact with patients telephonically– not in person. There
is no face to face interaction for this project.
Contact at site
Preceptor
Clinical Team Manager. RN.
Executive Sponsor
This person was selected as the executive sponsor for their expertise in organizational
outcomes, state-mandated safety measures, and the ability to guide projects at this job site.
This executive sponsor is in a position to oversee an entire team of case managers and assist
with any and all questions and issues that may arise. If there is ever an issue this person was
not sure on, they have the complete support of upper management such as director and
assistant director of case management.
2
Having blood pressure that doesn’t fluctuate and is within a doctor’s recommended
range is paramount to a patient’s overall health. The project site is in a remote/telephonic
Managed Long-Term Care (MLTC) plan in New York that is part of Medicaid, where
patients live anywhere within the five boroughs. Within the MLTC plan, the population is the
staff caring for 50 patients from the caseload of one telephonic case manager. The 50 patients
are all solely Spanish-speaking and are 65 and older with a hypertension diagnosis.
The Casetrakker Health System that the Managed Long-Term Care (MLTC) plan’s
New York branch uses showed data from February and March that 4/10 or 40% of Spanishspeaking older adults in the plan have reported adhering to blood pressure management
recommendations from providers (J. Doe, personal communication, March 2023). The goal is
at least 70% adherence to ensure stable and non-fluctuating blood pressure.
Gap Analysis
The current practice educates on hypertension, but only once the patient reports their
blood pressure has already destabilized and/or had to get medical attention due to
uncontrolled blood pressure. Once the education by case managers is given upon the patients
reporting, it is all verbal and most times given through a non-Spanish speaking case manager
with the help of a Spanish interpreter hotline who may or may not be familiar with medical
term, and therefore education may be distorted and lost in translation by the time the patient
gets it. Although the initial education is from the patients’ doctors upon diagnosis, the project
goal is at least 70% patient adherence to blood pressure self-management recommendations.
The project aims to target at least 70% patient adherence by having a spanish-speaking case
manager provide and educate on bundles created by New York City’s Department of Health
Government and American Heart Association website sent to their home via mail and then
re-educating on these interventions biweekly in order to assist in closing any language
barriers that currently contribute to knowledge deficits that the patients may have, which in
turn is contributing to the low percentage of patients reporting adherence to blood pressure
recommendations within the current practice as mentioned above.
The American Heart Association Journal recognizes that limited health literacy is
highly prevalent in the United States and is strongly associated with patient morbidity,
mortality, and healthcare use, and costs (Magnani et al., 2018). Due to the patients only
receiving education from the case manager on their diagnosis after there is a cardiac event,
the patients have no solid foundation on what their diagnosis is and/or appropriate evidencedbased non-pharmacological interventions and resources in Spanish for patients to maintain
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stable blood pressure through self-monitoring while in the community. The Casetrakker
Health System that the Managed Long-Term Care (MLTC) plan’s New York branch uses
showed data from August and September indicating that 5/10 or 50% of Spanish-speaking
older adults in the plan have reported ER or hospitalizations due to stage two hypertension or
higher (J. Doe, personal communication, September 2023). Low adherence rates and patient
health literacy and awareness deficiencies may cause consequences connected to
hypertension, such as ER visits and hospitalizations (Tavakoly et al, 2020) and therefore
having a better understanding of hypertension and interventions to manage diagnosis may
help prevent or reduce the instances of ER visits and admissions.
In summary, the project site has identified a healthcare gap related to the lack of
Spanish-translated non-pharmacological interventions to assist solely Spanish-speaking
patients in managing their blood pressure. Providing this education can aid in patients safely
remaining in the community and promote continued independence. Adequate and consistent
education from the MLTC telephonic case manager (RD) in a language the patients
understand is vital to maintain safety. Non-use of Spanish-translated education increases the
risk of uncontrolled blood pressure due to patients not understanding the information, which
in turn exposes patients to ER visits, hospitalizations, as well as potentially short and longterm nursing homes if blood pressure is high enough to cause more severe effects such as
stroke or heart attack. Incorporating Spanish-translated non-pharmacological blood pressure
interventions provided by the American Heart Association and NYC.gov can assist in closing
the language barriers that are currently contributing to patient knowledge deficits in
hypertension.
Please refer to the Fishbone Diagram (Appendix B) section of this document for the
Gap Analysis Tool. It offers a thorough grasp of the underlying causes and potential areas for
improvement while graphically representing the numerous aspects contributing to the gap
that has been detected. In addition, the appendix will provide information on the tailored
Spanish-translated non-pharmacological interventions bundle intended for this project.
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The American Health Association journal by Whelton et al. 2018, shows that nonpharmacological interventions are effective in lowering BP, with the most important
interventions being weight loss, the DASH (Dietary Approaches to Stop Hypertension) diet,
sodium reduction, potassium supplementation, increased physical activity, and a reduction in
alcohol consumption (Welton et al. 2018).
Evidence to Support the Need
Dr. Jorge M. Balaguer published a journal with the Renaissance School of Medicine
Stony Brook University in 2019 regarding Cardiovascular Disease in Hispanics/Latinos in
the United States. In this journal he reported Hispanic individuals remain more likely to have
undiagnosed, untreated, or uncontrolled hypertension. Some studies have shown a much
higher incidence of hypertension compared to non-Hispanic whites. The language barrier
between Hispanic patients and healthcare providers and limited access to healthcare are
postulated as responsible for these findings.Although the use of interpreter services is
helpful, the communication via interpreters is often lengthy and indirect. When patients’
family members serve as interpreters, they might interfere with the content of the
communication despite their best interests. The ideal situation is when providers and patients
communicate in the same language at a high level of competency. When Hispanic patients
have limited command of the English language, the risk of incomplete or inaccurate
communication is high (Balaguer 2019). This is evidence to support the project’s need to
provide Spanish-translated non-pharmacological hypertension interventions and resources to
provide patients with resources that are understood in their language.
A systematic review and meta-analysis conducted by Trecuokiene et al., 2021 aimed
to determine whether healthcare professional-led interventions on lifestyle modifications are
effective in lowering blood pressure in patients with hypertension. The study concluded that
the healthcare professional-led interventions were effective. Patients achieved almost
5mmHg decrease of SBP and more patients achieved BP control. The results suggest that
efforts are needed for widespread implementation of non-pharmacological hypertension
interventions(Trecuokiene et al., 2021). This project focuses on Spanish-speaking patients
not having resources in their language to get this solid foundation, and this project aims to
close that gap by providing Spanish non-pharmacological hypertension interventions sent to
patients home via mail, as well as educating patients bi-weekly via Spanish-speaking case
manager.
5
The peer-reviewed article by Verma et al., 2021, from the The Journal of Clinical
Hypertension addresses different non-pharmacological methods to treat hypertension, a
condition marked by elevated blood pressure. The authors stress the significance of lifestyle
changes like regular exercise, a balanced diet, managing weight, and reducing alcohol and
cigarette use. The article highlights the need to take a comprehensive strategy for managing
this chronic condition by offering insights into non-pharmacological measures that can
supplement medicine in managing hypertension (Verma et al., 2021). This evidence-based
article articulates important modifiable factors that the project used to generate an
educational bundle with the use of resources from the American Heart Association and the
New York City’s Department of Health Government.
A systematic analysis of randomized controlled trials (RCTs) concentrating on nonpharmacological therapies for the treatment of hypertension is presented in the work by
Akonobi and Khan (2019). The study focuses on the efficacy of weight management, sodium
restriction, physical activity, and alcohol consumption decrease in treating hypertension. The
authors thoroughly summarize the available research on these therapies by examining
multiple RCTs. The study emphasizes the potential advantages of various nonpharmacological methods for treating hypertension, which can be useful information for
researchers and medical professionals in creating hypertension treatment plans (Akonobi and
Khan 2019).
Dhungana et al., 2022 states that alcohol reduction, salt intake reduction, potassium
supplementation, physical activity, weight reduction, heart-healthy diets, and other nonpharmacological interventions for the treatment of hypertension are recommended. The
authors examine the effectiveness, cost-effectiveness, barriers, and facilitators associated
with these interventions. They analyze existing research to provide insights into the practical
aspects of implementing non-pharmacological approaches for managing hypertension.
These citations support the importance of non-pharmacological changes as it relates
to hypertension. The current practice does not provide that education unless a problem with
hypertension is reported such as a visit or admission to hospital– and when that is the case,
the education is provided in a language that is not understood by the Spanish-speaking
patient, or through the use of an interpreter with no medical background making it difficult to
portray the information wholesomely to the patient. An article by the Agency for Healthcare
Research and Quality showed that there is a high risk of error when communicating with
patients with limited English proficiency without a qualified professional medical interpreter
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(Karliner 2018). Due to this language barrier, the project aims to provide all verbal and visual
education in Spanish, to provide that transparent education. It is paramount to provide
culturally and linguistically appropriate education to improve health outcomes among diverse
populations such as the Spanish-speaking community this project is intended for.
7
PICOT
For the staff caring for the Spanish-speaking patients (population) how does
(intervention) Spanish-translated evidence-based non-pharmacological hypertension
management interventions (comparison) compared to the current practice (outcome) affect
normalizing blood pressure home measured rate (time) over 8 weeks (T)?
PICOT
Problem Statement
The absence of suitable non-pharmacological tools and instruction for selfmanagement among Spanish-speaking patients with hypertension at the Managed Long-Term
Care Plan results in low adherence to blood pressure management recommendations. The
application of non-pharmacological interventions translated into Spanish is anticipated to
increase patient understanding and involvement and normalize blood pressure levels at home
over a period of eight weeks.
8
The overarching project aim is to promote blood pressure self-management adherence
in community-dwelling Spanish-speaking older adults with hypertension by implementing
Spanish-translated non-pharmacological interventions bi-weekly to provide consistent and
clear education in a language the patients understand to promote self-adherence and
independence within 8 weeks. By implementing these interventions bundle, the intended goal
is to close the gap that is currently at 40% and improve self-adherence to 70%. The system
impact expected is a decrease in uncontrolled hypertension, ER visits, and hospitalizations.
The undertaking aims to improve patients’ management of their hypertension by following
the evidence-based interventions and recommendations the case manager educates on.
Project Aim
1. To reduce frequent rises in blood pressure and improve and stabilize readings in
Spanish-speaking older persons with hypertension: The project aims to empower
patients to properly self-manage their blood pressure by applying Spanish-translated
non-pharmacological interventions, offering information, and supplying resources
through telephonic assessments (Arcila, 2020). Through routine telephone
conversations, it is hoped that the blood pressure will fluctuate less and/or remain
stable at values within the acceptable doctor-recommended range.
2. Decrease hypertension-related complications like emergency rooms and hospital
stays: The initiative intends to reduce the frequency of hypertension-related
emergencies by increasing patient adherence to blood pressure management
recommendations through telephonic assessments. Effective self-management and
routine follow-up via telephone assessments may avoid difficulties and lessen the
requirement for expensive emergency interventions. Due to the potential for better
patient outcomes and financial savings, this result is important for individual patients
and the healthcare system.
3. Ensure the case manager is compliant with cardiovascular education while
completing telephonic assessments: The initiative understands the importance of
giving patients constant, precise cardiovascular instruction throughout telephone
assessments (Seto et al., 2019). The project seeks to increase nurses’ adherence to
giving thorough and culturally relevant education during telephone conversations by
addressing language obstacles and offering resources in Spanish.
4. The project site’s trend toward higher blood pressure self-monitoring: The project
seeks to support and promote the target population’s normal blood pressure self-
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monitoring through telephone assessments. The project aims to enhance selfmonitoring frequency by offering physical resources like blood pressure monitors and
instruction on suitable measurement techniques during telephonic exchanges. This
result is crucial for encouraging individuals to actively manage their health and track
blood pressure patterns, which can help identify any irregularities early and trigger
the necessary interventions.
The current practice is showing low adherence rates data from the MLTC system and
poor blood pressure control reported by patients as previously mentioned. This problem may
be caused by a lack of culturally and linguistically relevant tools and education by the
managed long-term care plan (MLTC). The project seeks to address language barriers,
increase patient satisfaction, improve health outcomes, and help lower healthcare costs
related to complications from hypertension by implementing and educating on evidencebased interventions, and encouraging patient engagement through bi-weekly telephonic
assessments. The aim of this project is to increase blood pressure self-adherence by educating
patients on their blood pressure diagnosis such as providing tools in the bundle as well as biweekly telephonic assessments that can cement this information and education for patients so
that they better grasp what their diagnosis is and ways to maintain a stable blood pressure.
Part II
Stakeholders
Initials or fictitious name
Title, Role or
Affiliation.
Connection to the
project.
Potential impact
(how affected).
Contribution to
the project.
Barriers or
anticipated
challenges if any
10
Admin
Nursing
Administrato
r
Internal
stakeholders
Improved
hypertension
management and
the success of
the program will
improve their
knowledge on
program
coordination.
Improved health
outcomes will
improve the
reputation of the
organization and
hence lead to
more visits and
more financial
benefit to the
healthcare
organization.
Administrator
will act as
facilitator in the
project. They
will assess
project resource
requirements and
provide access.
They will also
coordinate team
members to
promote project
implementation.
The amount of
time allotted for
support and
focus given to
the project may
be impacted by
availability and
conflicting
priorities within
the department.
11
Internal
stakeholders-
CM
Telephonic
Case
Manager
Direct
participation in
the
implementation
and
administration of
nonpharmacological
therapies for the
treatment of
hypertension in
Spanish-speaking
patients.
Assisting with
patient
monitoring,
resource supply
and phone
assessments.
CM fluently
speaks, reads,
and writes in
Spanish.
Providing input
on the bundle
and providing
feedback on the
interventions in
each tool as well
as assessments
conducted
There are no
anticipated
challenges as
they do not
interact with the
patients, but
rather function
as back-up if RD
requires
assistance.
12
External
stakeholders-
MBR
SpanishSpeaking
Patients with
Hypertension
Spanish-speaking
patients are going
to be given the
bundle of tools as
well as bi-weekly
telephonic
assessments to
determine the
projects ability to
promote selfadherence of
evidence based
nonpharmacological
hypertension
interventions in
Spanish
Internal
stakeholders-
MJ
Preceptor
Assisting in the
project’s
execution and
giving the lead
investigator
advice and
mentorship.
Enhancing their
knowledge,
abilities, and
capacity to
properly selfmanage their
blood pressure.
Offering
knowledge in
healthcare
management and
quality
improvement
while ensuring
that projects
align with
academic
criteria.
Participating
actively in the
telephone
evaluations,
adhering to the
recommended
interventions,
and selfchecking their
blood pressure.
Cultural norms,
technology
limitations, and a
lack of health
literacy may
impact the
patient’s
involvement
with and
adherence to the
therapies.
Supporting the
management of
the entire project
as well as data
analysis and
planning.
Their limited
availability and
time constraints
may impact the
preceptor’s level
of support and
direction. To get
beyond these
obstacles,
communication
and coordination
will be required.
13
Internal
stakeholdersJM
Case
Manager
Supervisor
Supplying
organizational
assistance,
materials, and
strategic
guidance.
Procuring the
resources
required for
successful
implementation
and ensuring
project
alignment with
departmental
objectives.
Promoting the
initiative,
removing
obstacles, and
offering
leadership
assistance.
Competing
objectives may
impact the
availability and
degree of
support from the
executive
sponsor, a lack
of resources, and
organizational
limitations.
Clear
communication
and participation
may assist in
lessening these
difficulties.
14
R.D., RN, MSN – DNP Learner
RD is the project team leader (TL) is a master’s prepared registered nurse with 5
years of nursing and leadership experience. TL is fluent in speaking, reading, and writing
English and Spanish with skills in Case Management, Hospice & Palliative Care, Leadership,
Public Health, Healthcare Management, Patient Advocacy, Education, Basic Life Support
(BLS), Cardiopulmonary Resuscitation (CPR), Dementia Care, as well as having exceptional
computer skills.Strengths include excellent organization and written communication practice,
critical thinking, fast learning, time management, goal setting, problem solving, nursing
compliance implementation, ethical principles committee appointments, confidentiality, and
strong training capabilities of new employees to ensure work efficacy and competency of
incoming staff. TL is currently working as a case manager with a MLTC plan, coordinating
care for Medicaid and/or Medicare eligible patients by working with them and their families
to address their short and long-term healthcare needs in order to improve their overall health
and quality of life that enables patients to remain in the community to promote maximum
independence.
Team Leader
TL is a charismatic leader and this helps in inspiring change. As a charismatic leader,
she strives and takes pride in being inclusive and giving everyone an opportunity to express
their ideas in a safe judge-free space, she is able demonstrate equity to provide the best and
smoothest job environment, and strongly encourages diversity so that every staff member can
always learn and expand their culturally competent and compassionate care. With these
characteristics TL holds, she is able to inspire all stakeholders and members to participate in
the program and implement the project. Charismatic leaders focus on growth and learning as
well as inspiring a vision in the rest of the team. The leadership approach is important in this
project since a change implementation is needed to promote the project’s success (Luu et al.,
2019). RD could use the approach to reduce resistance to change among healthcare workers.
She could build a shared vision and inspire nurses and providers to support it.
Moreover, RD is a servant leader, a characteristic that could be used to promote the
collaboration and cohesion of the team members. As a servant leader, she plays the role of a
coordinator and facilitator. Her skills can be used to promote interprofessional collaboration
and commitment to the program (Pawar et al., 2020). Specifically, she will use this skill to
promote adherence to the project charter and protocols by the team members. This approach
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will also be used to promote collaboration among team members. RD has great collaboration
attributes that are crucial for this project. As a case manager, she has gained experience
working with staff in different departments for overall patient care. Her collaborative abilities
can help bring the team members together and promote the success of the project. Her skills
will enable her to cultivate positive relationships and collaboration among the team members.
Due to her knowledge of managing hypertension, fluency in Spanish, and background as a
telephonic case manager, RD will use her experience and expertise as the lead researcher to
direct the team toward effective project implementation.
RD possesses good interpersonal skills, empathy, and the capacity to comprehend and
address the needs of Spanish-speaking patients. RD’s ability to inspire, build a shared vision,
promote collaboration, cultivate positive relationships, and direct the team toward effective
project implementation suggests that RD possesses a high level of emotional intelligence by
demonstrating empathy, effective communication and social skills, self-awareness, selfregulation and motivation. By combining the servant and charismatic leadership styles, RD
can create a powerful leadership approach that inspires, motivates, and guides her team
towards achieving project goals by fostering their professional development.
.
Team Members
Title
Department or
Affiliation
Credentials or
Qualifications
Rationale for
selection/Contributio
n to the project
16
RD
Telephonic Case
Manager
Case Management
Department
MSN in Care
Coordination, RN
RD has a background
in nursing and
experience with
telephone case
management. RD will
be the one to
implement and
educate on Spanishtranslated evidencebased nonpharmacological
hypertension
management
interventions into
practice, conducting
telephonic
assessments, and
offering patient
support and education
thanks to their
knowledge of patient
care and
communication
abilities.
17
SW
Social Worker
Social Worker
Department
MSW
SW is skilled in
engaging and
reaching out to the
community. She will
collaborate with
neighborhood
organizations,
publicize the project’s
interventions and
resources, and make
it easier for patients
to sign up and
participate. GS’s
contacts within the
community and her
comprehension of
cultural aspects will
help her engage and
reach the target
audience
successfully.
18
PCP
Healthcare
providers (NPs &
physicians)
Primary Care Provider
MD, NP, DNP, PA
Healthcare providers
are responsible for
medical oversight for
all patients to be
targeted in the
project. Their
expertise is in
diagnosing and
creating treatment
plans that are specific
to patient needs. They
also write scripts for
referrals using a preestablished guideline
and conduct a holistic
assessment of
comorbidities and
ways to effectively
address them. They
will collaborate with
nurses in assessing
patient progress.
Their responsibility is
specifically in
prescribing and
reviewing patient
health to ensure safe
and effective care.
19
CTM
Clinical Team
Manager
Case Management
Department
BSN, MSN, RN.
CTM has overall
oversight authority
for all programs and
interventions
implemented in the
project well as
providing appropriate
resources as directed
by upper
management.
CTM’s role in the
team is to facilitate
team activities
including providing
administrative
resources and support
to team members and
guidance. She can
collaborate with
every team member
to determine
resources needed and
provide those
resources as directed
or as available. Her
expertise is in
administration and
will act as a link
between the team and
upper managem
