NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

Student name

Capella University

NURS-FPX6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Professor Name

Submission Date

Implementing Evidence-Based Practice

One of the critical health problems among young adults in the population is asthma, which contributes to the list of avoidable complications and the excessive use of emergency services (Mansur & Prasad, 2023). The given poster presents an evidence-based implementation plan to reduce the number of emergency department (ED) visits associated with asthma and improve the rates of adherence to the medication with the help of a culturally modified mHealth asthma self-management app. The intervention qualifies as the Quadruple Aim outcome and patient experience improvement, avoidable costs of healthcare reduction, and additional assistance to provide chronic care more efficiently, including the use of multi-lingual digital education, symptom tracking, inhaler notifications, and telehealth support.

Develop a PICOT Question for a Chosen Clinical Problem

PICOT Question

• Young adults with asthma (P): Does the use of a culturally adjusted mHealth asthma self-management application (I) compared with regular asthma education (C) in terms of emergency department visits and medication adherence (O) after 6 months (T)?
• Population (P): Young adults (18–34) diagnosed with moderate to severe asthma
• Intervention (I): Use of an mHealth asthma self-management application with multilingual and visual education
• Comparison (C): Standard asthma education without mHealth support
• Outcome (O): A decrease in the number of emergency department visits related to asthma and medication compliance.
• Timeline (T): Within 6 months

Background on the Clinical Problem

Outline an Action Plan to Implement the Evidence-Based Project

Recommended Practice Change

The proposed practice change is the development of a culturally-adapted mHealth asthma self-management application that would popularize the use of asthma self-management by providing better support to asthma and avoiding the needless visits to emergency departments among young adults. In order to meet health literacy and cultural needs, this digital resource will provide symptom- and trigger-monitoring, video education on how to use an inhaler sequentially, and educational resources in English, Spanish, and so on.

Telehealth check-in will also be included in the application to make it easy to monitor the patients around the clock and allow them to receive instructions without absenteeism and transportation challenges (Khashu, 2025). Additionally, offline mode will enable it to reach individuals with low internet connection, and geographical-based air-quality alerts will ensure that one is not subjected to environmental inducers that predispose them to asthma attacks.

Timeline

The schedule of the implementation plan will span 14 weeks, which will involve stakeholder initiation, project acceptance, institutional privacy and IRB review, and three weeks of data collection on the baselines in the first two weeks (Weeks 1-2). Weeks 3-4 will involve training of the nurses, respiratory therapists, and community educators on the mHealth asthma application, and young adult participants who meet the criteria will be registered.

Week 5 will be the actual release of the mHealth self-management application, and the next 6-12 weeks will be the time of active implementation, where weekly telehealth check-ins, symptom and adherence monitoring, and continuous data audits will be performed. Weeks 13-14 will involve analysis and summary of the project results and use of the results to generate a recommendation regarding whether to continue with or apply the intervention in other clinics and community health settings.

Tools and Resources

The mHealth asthma self-management app, which is licensed, will be required in the project, and continuous technical support is necessary to ensure the use is reliable. The delivery of asthma education will be simple and culturally relevant, where Multilingual visual guides and inhaler technique videos will be utilized. Text chat through a safe and encrypted telehealth will facilitate virtual follow-up and communication (Feldacker et al., 2023). The low-technology users will be assisted by enrolling them in the community and providing digitally literate support. Integration with electronic health record (EHR) dashboards will also enable clinicians to monitor adherence, symptom reports, and trends of emergency visits.

Stakeholders, Opportunities for Innovation, and Potential Barriers

Stakeholders Impacted

The suggested mHealth asthma self-management application intervention will directly affect asthmatic patients and their families, as the young adults will be using the application to improve symptom control and medication compliance. The clinical parties involved in the establishment of patient education, telehealth follow-up, and continuous asthma control will become nurses, respiratory therapists, and primary care providers (Blackstock and Roberts, 2021).

Culturally modified education will be provided with support and digital enrollment through outreach and assistance of community partners such as the American Lung Association and local public health divisions. The IT system administrators and clinical informatics will be very instrumental in the secure integration of the platform, technical support, and interoperability of the data with the electronic health record. Health system leadership and quality improvement teams will lead on the strategic implementation, allocation of resources, and project outcome evaluation, and will help in ensuring sustainability and possible scale-up in other care settings.

Opportunities for Innovation

With this project, there are several innovation opportunities that can be achieved to improve the access and involvement of patients. Offline multilingual asthma education modules can be used to assist young adults with limited internet access or internet digital illiteracy (Kan et al., 2023). The process of self-enrolment with the help of QR-codes may contribute to the simplification of patient registration and the start of using the app in the clinics or even their community.

Air-quality monitoring may be integrated to provide real-time alerts to the users to avoid exacerbation in asthma. EHR interoperability could allow automatic clinical alerts and allow providers access to information about symptoms and medications to make more effective treatment decisions. The technological taboo can also be reduced by training the community on digital literacy and ensuring equitable access to applications by the various groups of young adults.

Potential Barriers

The mHealth asthma self-management intervention may be influenced by a number of barriers. The lack of internet connection or access to smartphones may render some young adults inept to use the application on a regular basis. Information confidentiality on symptom reporting and electronic health monitoring can also be an additional obstacle to the urge to utilize the site, particularly among the illiterate population of patients (Khatiwada et al., 2024).

In select users, low motivation or lack of confidence to apply technology might be experienced, which hinders them from performing regular symptom monitoring as well as inhaler-use monitoring. The use of medications may be a worrying issue that may influence adherence and acceptance of app-based asthma education based on cultural beliefs and preferences. Additionally, the clinicians may feel pressure at work and adoption-related challenges since the introduction of a new digital intervention into the existing workflows will also require training, time, and long-term assistance.

Actions to Overcome Barriers

To overcome the barriers, the interpreters and multilingual technical support will be offered to assist the users with various language and literacy levels. The encrypted data, according to the HIPAA requirements, and the understandable explanations of the privacy will help to build trust and eliminate any fears of a necessity to monitor the symptoms (Sivan and Zukarnain, 2021). Digital literacy and support line mini-trainings will make users more confident in using the app. Piloting with Plan-Do-Study-Act (PDSA) cycles and collaboration with the American Lung Association will be used to carry out early troubleshooting and outreach, and proper enrollment of the participants.

Propose Outcome Criteria to Evaluate the Evidence-Based Practice Project

Outcome Measures Inform Evidence-Based Practice

The evaluation of the mHealth asthma self-management intervention will be performed on the quantifiable outcomes that will be collected by using clinical and digital data. The difference in terms of asthma-related visitation number will be assessed in the emergency department based on the EHR visit and claims records, and the database of pharmacy refills and app-based dose monitoring will be used to assess better adherence.

As a measure of proficiency in inhaler technique, where the goal is at least 90 per cent on correct inhaler technique at the three-month follow-up, it will be assessed either by telehealth or in-clinic techniques. The symptom management engagement will be measured through the logs of the app, as 75% of the completion of the weekly symptoms logs would be the target outcome. Furthermore, the work or school absences caused by asthma within 30 percent will be determined by the self-reported absenteeism surveys in order to determine the effect of the intervention on the substantive performance.

Outcomes Align with the Quadruple Aim

The proposed results are quite aligned with the Quadruple Aim because they would improve the experience of patients with culturally-centered available and accessible education on asthma and enhance the health of the population by reducing the frequency of symptom exacerbation and exposure to the environment (Jayaram et al., 2025).

The decrease of emergency visits and unnecessary hospitalization will save the general price of healthcare, unlike more productive remote tests and early interventions that will help to reduce the clinical emergencies, improving the work-life balance of clinicians. Outcome measures will also inform the evidence-based practice and policy because evidence-based data will guide the reimbursement models of digital asthma self-management, additional development of telehealth and mHealth policy, and culturally responsive digital health guidelines that will improve the care equity in young adults with asthma.

Evaluation of the Evidence

The searches of the CINAHL, PubMed/MEDLINE and Cochrane Library, and APA PsycInfo were identified as the most effective ones in finding the evidence. The keywords were mHealth, asthma, self-management, young adult, medication adherence, and multilingual. Peer-reviewed studies regarding human studies published in the last five years, with the period between the years 2020 and 2025, and utilizing the young adult group, were the inclusion criteria. The relevance to the clinical problem was achieved through the application of Boolean operators and the word and language filters, which were the English language and full-text sources.

Findings

Current evidence demonstrates that the mHealth interventions can be rather productive in improving asthma symptoms management and medication adherence among young adults (Schulte et al., 2021). Culturally-specific asthma education is also found to reduce the incidence of emergency department exacerbations and enhance confidence in self-management with particular reference to individuals with language and health literacy disadvantage.

Besides, telehealth-based follow-up has also been noted to reduce the number of missed working days as well as improve adherence to follow-up by alleviating transportation and scheduling problems (Chen et al., 2025). The Level I public health evidence by CDC surveillance and WHO data also supports the current results with showing that the burden of poorly controlled asthma in this age group is overwhelming.

The suggested mHealth project will demand an ethical approach, which involves the encrypted transmission of data according to the HIPAA principles and de-identification of the data about the symptoms tracking, as well as the explicit and informed consent of all users to the usage of the app.

The potential conflict of interest in terms of developing digital tools should also be taken into consideration, and access to the tool should be offered according to the ADA requirements by designing it with accessibility and integration the use of translators and other relevant means of communication, depending on the cultural background of the students (Etxabe-Antia et al., 2025). Such ethical safeguards come in handy to permit equity, trust, and accountable integration of digital health in asthma care.

Conclusion

To summarize, the results of the introduction of a culturally adapted mHealth asthma self-management application into the practice can go a long way in improving the self-management of asthma in young adults through better medication adherence and reduced emergency department visits.

This intervention can address the barriers such as health literacy and language differences, and will therefore align with the Quadruple Aim by improving patient outcomes, decreasing costs, and increasing clinician work-life balance. The application of evidence-based data will inform the creation of future policies and will help create a fairer and accessible service to asthma patients.

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