NURS FPX 4905 Assessment 3 FREE DOWNLOAD
NURS FPX 4905 Assessment 3 Technology and Professional Standards
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Capella University
NURS-FPX4905 Capstone Project for Nursing
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Technology and Professional Standards
Technology and professional standards have a crucial role in the safe and effective care of patients in facilities such as Immersion Residential Center when treating substance use disorders (SUDs). One of the central problems that was revealed during my practicum was that there was no continuity of care post-detox, which raised the risk of relapse. Such tools as the electronic health records (EHRs) and telehealth may serve to enhance coordination and subsequent care. Following the professional standards provided by the Substance Abuse and Mental Health Services Administration (SAMHSA), the American Nurses Association (ANA), and the Joint Commission will guarantee ethical, evidence-based, and patient-centered practices.
Clarifying Role in Change Process
| Key Point | Details |
|---|---|
| RN Responsibility | Being a BSN-prepared Registered Nurse (RN), it is my responsibility to recognize any gaps in the system, advance patient-centered care, and evidence-based, ethical practice, especially when making critical decisions such as post-detox discharge. The BSN nurses are advised by the ANA Code of Ethics and standards of practice to influence the quality improvement and patient safety, namely in the case of high-risk groups like individuals with SUDs (Dellasega & Kanaskie, 2021). |
| Practicum Observation | As part of my practicum at Immersion Residential Center, I noticed that most of the patients were being discharged without a personal follow-up plan. Though I acted as an observer as a student, I could help by compiling the information and discussing the issues of better continuity of care with supervisors. |
| Future RN Role | An example of how I would assist in the implementation of a standardized transition-of-care protocol as an RN in the future would be by collaborating with the case managers, making the referrals and discharges using EHRs, and ensuring the patient would be discharged with a clear and personalized recovery plan. |
| Legal Framework | The Florida Nurse Practice Act (Chapter 464, Florida Statutes) holds that RNs have a domain of observing, assessing, intervening, and evaluating patients and assisting in the enactment and execution of nursing care plans (Butler and Martin, 2023). Another provision of the act is in favor of nurses who are engaged in quality assurance and improvement programs. |
| Authority and Leadership | Therefore, it is the responsibility and the authority of an RN to discover and intervene in the care gaps that affect patient outcomes. This legal framework will enable nurses in Florida not only to adhere to standards but also to take a leading role in process change, particularly in vulnerable groups like people undergoing detox and rehabilitation due to SUDs. |
Interprofessional Collaboration Implementation Overview
At the Immersion Residential Center, interprofessional cooperation is essential in the provision of holistic care to individuals in detox and rehabilitation of SUDs. My practicum experience demonstrated teamwork among nurses, physicians, therapists, and case managers regarding the elaboration of individual treatment and discharge plans. Another important aspect of improvement is increased continuity of care after a detox with collaborative work with outpatient clinicians, mental health care workers, and social workers (Ojo et al., 2024). As a student, I contribute to follow-up activities through attending team meetings, recording observations, and conveying patient requirements. In my future RN role, I would enhance interprofessional communication by using shared EHRs, arranging case conferences, and frequent interdisciplinary huddles to discuss gaps in care, goals, and safe and person-centered transitions.
Benefits
The advantages of interprofessional collaboration in this context are enormous. It results in a high level of patient safety, less fragmentation of care, and quality of care due to shared expertise and responsibility. The patients get holistic care that meets both the physical and mental health needs. To the staff, teamwork leads to respect, improved communication, and a lower number of burnout cases because of shared responsibility and inability to solve problems (Tingvold and Munkejord, 2020). This team method eventually promotes long-term recovery and reduces the chances of readmission or treatment failure.
Government Agency Practice Guidelines
There are various government and regulatory bodies that offer important guidelines and standards that may apply to the treatment of SUDs within the setting of detox and residential rehabilitation centers, such as Immersion Residential Center. The example of the Joint Commission accredits behavioral health facilities and focuses on patient safety, continuity of care, and evidence-based practices during addiction treatment (Joint Commission, 2025).
Their suggestions are regular patient evaluation, systematic screening of comorbid mental health conditions, and continuous employee education to maintain the quality of care. On the same note, the National Database of Nursing Quality Indicators (NDNQI) facilitates the monitoring of nursing-sensitive measures, including patient falls, the use of restraints, and nurse satisfaction, which can determine the quality of detox care (Gormley et al., 2024).
Besides, the Centers for Medicare and Medicaid Services (CMS) delivers regulatory and reimbursement criteria for behavioral health services. CMS urges the facilities to implement person-centered care models, participate in coordinated care, and achieve value-based care standards ( Centers for Medicare & Medicaid Services, 2023). Their recommendations also lead to the integration of behavioral health with primary care, enhancement of access to medication-assisted treatment (MAT), and the minimization of unnecessary readmissions. Adherence to the standards of these agencies not only guarantees high-quality care but also assures funding and accreditation that can be essential to the sustainability of such facilities.
Assumptions
The suggestions are premised on some major assumptions. The healthcare organizations will have sufficient resources to implement, their staff will be trained and ready to embrace evidence-based practices, and patients will gain access to coordinated care (Kurpas et al., 2021). The agencies, such as the Joint Commission and CMS, presuppose that adherence to standards enhances safety, results, and efficiency (Centers for Medicare & Medicaid Services, 2023). Another assumption is that the monitoring is based on data, including NDNQI, which detects the discrepancies in performance and assists in the unceasing patient care enhancement.
Clinical Technology Addressing Practice Issues
Immersion Residential Center has a range of technologies employed to contribute to the treatment of clients with SUDs and co-occurring mental health issues. The most important technologies are EHRs, which help to store all client history, treatment plans, and medication records, as well as teletherapy platforms that allow holding individual or group counseling sessions remotely and digital assessment tools to monitor the progress and symptoms of clients (The Immersion Program, 2024). There are also online Cognitive Behavioral Therapy (CBT) modules and mobile apps that may, at times, be extended to use outside of a face-to-face therapy session and assist a client with mindfulness, journaling, and relapse prevention tools.
There are obvious advantages of the technologies; however, several problems have been noticed when they are used. The presence of poor internet connectivity and glitches with platforms is a common cause of breakages in the process of teletherapy, interrupting the continuity of care (The Immersion Program, 2024). Security and privacy of virtual services are a major challenge, as many clients do not have access to a secure and private environment or are not technologically competent to utilize it to the full extent.
The electronic health records (EHRs) and therapy apps are not well integrated, and this lack of integration creates communication gaps between the members of the interdisciplinary team members and slows down care coordination (The Immersion Program, 2024). Also, employees have complained of a lack of proper training on how to use the technology, which reduces the effectiveness and efficiency of delivering care electronically.
Nonetheless, overall, the implementation of the use of technology has benefited the facility. Bennion et al. (2025) suggest that virtual platforms provide more frequent and flexible access to therapy and support to clients and promote retention and engagement in treatment programs. This observation has been supported by the results of the Immersion Residential Center, where more accessibility has resulted in higher attendance in the continued therapy sessions.
EHRs have led to an improvement in communication among health providers and medication safety, and care planning. The mental health monitoring and behavioral therapy, which use digital tools, enable clinicians to recognize the high-risk behaviors earlier and intervene proactively. Consequently, clinical outcomes and patient satisfaction have increased as a result of technology implementation at Immersion, especially because of providing more access and facilitating more personalized and data-driven care.
Summarizing Available Technology with Pros and Cons
The literature on the topic is a firm advocate of using multiple technologies to enhance the outcome in the SUD treatment environment, particularly in detox and residential rehabilitation centers. EHRs promote effective communication, medication safety, and documentation among providers (Hamad and Bah, 2022). Teletherapy and digital CBT interventions can be used to expand access to behavioral interventions, particularly to clients with transportation or scheduling limitations (Gkintoni et al., 2025). Specifically created mHealth applications like reSET can be used as an SUD recovery tool, and they include relapse prevention, check-in, and real-time assistance, which improves client engagement (Businelle et al., 2024). Nonetheless, there are some weaknesses that make it difficult to use technology effectively in clinical settings.
These consist of issues related to patient privacy and confidentiality through the virtual sessions (McGraw & Mandl, 2021). Also, some clients face obstacles due to the variation in the accessibility to good internet or digital devices (Graves et al., 2021). The competency and confidence to provide care using technology-supported services also require additional staffing training to perform effectively with the tools.
EHRs and simple teletherapy are operational at Immersion Residential Center, yet some useful technologies are not used fully. Wearable biosensors (e.g., stress-detecting wristbands) and AI-driven tools to forecast relapse (which is proven to improve early intervention) are not implemented yet (Kapogianni et al., 2025). On the same note, applications that are gamified and peer support systems are encouraged, but are not in place. The combination of these tools may enhance individualized, evidence-based care and ongoing support outside of discharge, particularly outside of working hours, and tackle the problem of digital literacy and access (Gustavson et al., 2024).
Technology Implementation Issue, Challenges, and Solutions
The introduction of technologies, including wearable biosensors, AI-based relapse predictors, and mHealth applications, in facilities like Immersion Residential Center can face various obstacles. The primary problems are cost and funding limitations because of initial investments, maintenance, and training of staff (Nascimento et al., 2023). Employee resistance, which is usually brought about by a lack of familiarity or workload, data privacy concerns, and low digital literacy rates of clients, will also slow adoption.
The facility can seek grants or collaborations with technology firms or government mental health programs in order to overcome these obstacles. Resistance can be eased by a gradual implementation process and extensive training of the staff. The privacy issues must be solved with the help of HIPAA-compliant media and open-door consent. In clients who are digital natives, fostering acceptance can be achieved by supporting clients and emphasizing the advantages of technology, such as 24/7 support and additional signs of early relapse (Chadha et al., 2024). Engaging employees and clients in the planning process will make the technology consistent with the user requirements and clinical objectives.
Conclusion
The interview revealed the problem of the lack of continuity of care in detox and residential rehabilitation facilities, especially in Immersion Residential Center. This issue has a major impact on patient safety, quality of care, and health costs. The role of BSN-prepared nurses was analyzed regarding the norms of professionalism and the most significant process enhancements. The significance of interprofessional teamwork, the recommendations of the government agencies, and the use of technology were highlighted.
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References For NURS FPX 4905 Assessment 3
Bennion, M., Blakemore, A., Lovell, K., & Bee, P. (2025). Barriers and facilitators to engagement with between-session work for low-intensity cognitive behavioural therapy (CBT)-based interventions: A qualitative exploration of practitioner perceptions. BioMed Central Psychiatry, 25(1), e79. https://doi.org/10.1186/s12888-025-06501-3
Businelle, M. S., Perski, O., Hébert, E. T., & Kendzor, D. E. (2024). Mobile health interventions for substance use disorders. Annual Review of Clinical Psychology, 20(1), 49-76. https://doi.org/10.1146/annurev-clinpsy-080822-042337
Butler, T. J. T., & Martin, R. L. (2023). Florida nursing laws and rules. NIH; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK532859/
Centers for Medicare & Medicaid Services. (2023, August 14). Value-Based Care. Cms.gov. https://www.cms.gov/priorities/innovation/key-concepts/value-based-care
Chadha, Y., Patil, R., Toshniwal, S., & Sinha, N. (2024). Internet addiction management: A comprehensive review of clinical interventions and modalities. Cureus, 16(3), e55466. https://doi.org/10.7759/cureus.55466
The Immersion Program. (2024, June 4). Technology in mental health support & therapy | The Immersion Program. Immersionrecovery.org. https://www.immersionrecovery.com/role-technology-mental-health-support-therapy/
Dellasega, C., & Kanaskie, M. L. (2021). Nursing ethics in an era of pandemic. Applied Nursing Research, 62(62), 151508. https://doi.org/10.1016/j.apnr.2021.151508
Gkintoni, E., Vassilopoulos, S. P., & Nikolaou, G. (2025). Next-generation cognitive-behavioral therapy for depression: Integrating digital tools, teletherapy, and personalization for enhanced mental health outcomes. Medicina, 61(3), 431. https://doi.org/10.3390/medicina61030431
Graves, J. M., Abshire, D. A., Amiri, S., & Mackelprang, J. L. (2021). Disparities in technology and broadband internet access across rural areas. Family & Community Health, 44(4), 257–265. https://doi.org/10.1097/fch.0000000000000306
Gormley, E., Connolly, M., & Ryder, M. (2024). The development of nursing-sensitive indicators: A critical discussion. International Journal of Nursing Studies Advances, 7(7), e100227. https://doi.org/10.1016/j.ijnsa.2024.100227
Gustavson, A. M., Miller, M. J., Boening, N., Hudson, E. M., Wisdom, J. P., Burke, R. E., & Hagedorn, H. J. (2024). Identifying factors influencing emerging innovations in hospital discharge decision making in response to system stress: A qualitative study. BioMed Central Health Services Research, 24(1), e1293. https://doi.org/10.1186/s12913-024-11784-5
Hamad, M. M. E., & Bah, S. (2022). Impact of implementing electronic health records on medication safety at an HIMSS Stage 6 hospital: The pharmacist’s perspective. Canadian Journal of Hospital Pharmacy, 75(4), 267–275. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524548/
Joint Commission. (2025). Behavioral Health Care & Human Services Accreditation Program. Jointcommission.org. https://www.jointcommission.org/en-us/accreditation/behavioral-health-care-and-human-services
Kapogianni, N.-A., Sideraki, A., & Anagnostopoulos, C.-N. (2025). Using smartwatches in stress management, mental health, and well-being: A systematic review. Algorithms, 18(7), e419. https://doi.org/10.3390/a18070419
Kurpas, D., Wojtas, D. S., Shpakou, A., Halata, D., Mohos, A., Skarbaliene, A., Dumitra, G., Klimatckaia, L., Bendova, J., & Tkachenko, V. (2021). The advantages and disadvantages of integrated care implementation in central and eastern Europe – perspective from 9 CEE countries. International Journal of Integrated Care, 21(4) e14. https://doi.org/10.5334/ijic.5632
McGraw, D., & Mandl, K. D. (2021). Privacy protections to encourage use of health-relevant digital data in a learning health system. Nature Partner Journal Digital Medicine, 4(1), 1–11. https://doi.org/10.1038/s41746-020-00362-8
Nascimento, I. J. B., Abdulazeem, H., Vasanthan, L. T., Martinez, E. Z., Zucoloto, M. L., Østengaard, L., Muscat, N. A., Zapata, T., & Ortiz, D. N. (2023). Barriers and facilitators to utilizing digital health technologies by healthcare professionals. Nature Partner Journal Digital Medicine, 6(1), 1–28. https://doi.org/10.1038/s41746-023-00899-4
Ojo, S., Okoye, T. O., Olaniyi, S. A., Ofochukwu, V. C., Obi, M. O., Nwokolo, A. S., Okeke-Moffatt, C., Iyun, O. B., Idemudia, E. A., Obodo, O. R., Mokwenye, V. C., & Okobi, O. E. (2024). Ensuring continuity of care: Effective strategies for the post-hospitalization transition of psychiatric patients in a family medicine outpatient clinic. Cureus, 16(1), e52263. https://doi.org/10.7759/cureus.52263
Tingvold, L., & Munkejord, M. C. (2020). Shared goals, communication, and mutual respect in multicultural staff teams: A relational coordination perspective. Nursing Open, 8(2), 957–965. https://doi.org/10.1002/nop2.704
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