NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

 

Student name

NURS FPX 6011

Capella University

Professor Name

Submission Date

Implementing Evidence-Based Practice

One of the health problems among young adults of the population is asthma, contributing to the list of complications that are preventable and the excessive use of emergency services (Mansur & Prasad, 2023). The suggested poster will present an evidence-based implementation strategy to reduce emergency department (ED) visits associated with asthma, and improve the rates of medication adherence with the help of a culturally adapted mHealth asthma self-management application.

This intervention can be included in the Quadruple Aim as it will increase patient experience and outcomes, decrease unnecessary healthcare spending, and aid in the more efficient provision of chronic care through the inclusion of multilingual digital education, symptom monitoring, and inhaler prompts, and telehealth assistance.

Develop a PICOT Question for a Chosen Clinical Problem

• PICOT Question

Among young adults with asthma (P), does a culturally adapted mHealth asthma self-management app (I) vs. standard asthma education alone (C) in 6 months (T) impact emergency department visits and medication adherence are I; O respectively?

• Population (P): Adults (18-34) with moderate and severe asthma.
• Intervention (I): A Multilingual and visual asthma self-management application is used, based on mHealth.
• Comparison (C): With no mHealth support, the standard asthma education.
• Outcome (O): Fewer emergency department visits and increased medication adherence owing to asthma.
• Timeline (T): Within 6 months

Background on the Clinical Problem

Category	Text Provided
Asthma Statistics	Over 25 million American citizens contract asthma, with young adults (18-34) reporting the largest number of ED visits associated with asthma (Pate & Zahran, 2024).
Environmental Triggers	Pollution, allergens, and the work physical environment are some of the environmental triggers of poor forms of asthma management in this group.
Barriers	Cases of severe symptoms are also at high risk due to poor health literacy, language barrier, and availability of culturally sensitive asthma education.
Effects of Poor Maintenance	The absence of effective maintenance of asthma implies that the patients have additional complications, visits to the ED, missed work or school days, and increased healthcare costs.
Benefit of mHealth & Telehealth	It is pointed out that the mHealth and telehealth asthma self-management tools can contribute to medication adherence and symptom monitoring, as well as reduce the number of preventable EDs, especially among young adults, where access to this technology is limited by their culture or socioeconomic status.

Outline an Action Plan to Implement the Evidence-Based Project

• Recommended Practice Change

The proposed practice change involves the implementation of a culturally modified mHealth asthma self-management application that could facilitate the application of asthma self-management by providing better support to asthma and avoiding unnecessary emergencies at the emergency department among young adults. This digital intervention will provide symptom- and trigger-monitoring, video education on how to use an inhaler sequentially, and multilingual educational resources in English, Spanish, and others to ensure that they meet the health literacy and cultural needs.

Telehealth check-in functionality will also be available in the application to provide patients with an opportunity to experience continuous clinical monitoring and provide instructions without absenteeism and transportation challenges (Khashu, 2025). In addition, its offline feature will enable people with low internet connectivity to use it, and proximity-based air-quality alerts will ensure that people are not left in environmental risk factors, which can trigger asthma attacks.

• Timeline

The implementation plan will require approximately 14 weeks, the last of which will entail stakeholder initiation, project acceptance, institutional privacy, and IRB review, and three weeks of baseline data collection during Weeks 1-2. Weeks 3-4 will entail training of the nurses, respiratory therapists, and community educators on the mHealth asthma application and enrolling young adults qualifying as participants.

The mHealth self-management app will be officially released in Week 5 and Week 6-12 will be the period of active implementation, where there will be weekly telehealth check-ins, weekly symptom and adherence assessment, and ongoing data audits. During Weeks 13-14, the analysis and summary of project results will be finalized, and results will be used to generate recommendations regarding the adherence or adoption of the intervention in the other clinics and health community settings.

• Tools and Resources

The mHealth self-management app for asthma self-management will be required in the project and must have the backup of unlimited technical support to ensure that its usage is credible. Multilingual visual guides and inhaler technique videos will be used to offer asthma education in a culturally appropriate way.

A secure and coded telehealth text chat will aid in virtual follow-up and communication (Feldacker et al., 2023). The low-technology users will receive assistance through community enrollment and digital literacy support. Integration with electronic health record (EHR) dashboards will also enable clinicians to monitor adherence, symptoms, and trends of emergency visits.

Stakeholders, Opportunities for Innovation, and Potential Barriers

• Stakeholders Impacted

The impact of the proposed mHealth asthma self-management application intervention will directly impact the lives of young adult patients with asthma and their families, who will be utilizing the application in order to improve the monitoring of symptoms and adherence to medication. The clinical parties will be nurses, respiratory therapists, and primary care providers, and they will become the central part of the patient education, telehealth follow-up, and lifelong asthma control creation (Blackstock and Roberts, 2021).

The outreach and culturally modified education with support and digital enrolment will be assisted with the assistance of the community partners, such as the American Lung Association and local public health divisions. The clinical informatics and IT system administrators will be the key to the safe integration of the platform and technical support, and the interoperability of the data with the electronic health record. The leadership and quality improvement teams of the health system will be in charge of strategic implementation, resourcing, and outcome evaluation of the project that will help to become sustainable, and potentially scale up in the other care settings.

• Opportunities for Innovation

This project has a variety of opportunities for innovation that can be achieved in improving access and patient participation. Offline multilingual asthma education modules can be used to assist young adults who have low internet access or lack digital literacy (Kan et al., 2023). The process of making the patients register themselves by using QR-codes can make the registration process easy, and the process of starting to use the app in clinics or even in their communities can be facilitated.

Real-time notifications can be provided to the user to avoid the deterioration of asthma triggers by the integration of air-quality monitoring. EHR interoperability has the potential to send automatic clinical alerts and give providers information about symptoms and medications to help make more effective treatment decisions. The technological barricade can also be reduced by community educational programs on digital literacy and enabling the equitable usage of apps by various groups of young adults.

• Potential Barriers

There are several barriers that may impact the mHealth asthma self-management intervention. Internet access may be poor, or the young adult may not be able to use their smartphone, rendering them unable to use the application on a regular basis. Information confidentiality concerning symptom reporting and electronic health monitoring can also be an obstacle to the wish to use the platform, particularly due to the uneducated patient population (Khatiwada et al., 2024).

Some users may experience low motivation or loss of confidence regarding the use of technology, and thus they are not able to make regular monitoring of the symptoms and inhaler use. The acceptance and adherence to app-based asthma education are possibly affected by cultural beliefs and preferences that worry about the use of medications. In addition, clinicians may be subjected to work demands and problems associated with the adoption since a new digital intervention will be introduced into the existing working processes, which will entail training, time, and consistent assistance.

• Actions to Overcome Barriers

To address the challenges, interpreters and multilingual technical support will also be offered to support the users with various language and literacy skills. The encryption of data according to the HIPAA criteria and clear descriptions of the privacy will help to build trust and mitigate the fears regarding the necessity to monitor the symptoms (Sivan and Zukarnain, 2021).

Digital literacy and support lines will be increased through mini-trainings to boost user confidence and application of the apps. Early troubleshooting and outreach, and successful enrollment of participants will be performed via piloting with the use of Plan-Do-Study-Act (PDSA) loops and collaboration with the American Lung Association.

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 results that will be measured with the help of the clinical and digital data. A 20% change in visitation to the emergency department due to asthma will be measured using EHR visit and claims records, and improved medication adherence will be measured using the app-based dose monitoring and database of pharmacy refills.

The ability to perform correct inhaler technique with a desired outcome of 90 per cent accurate inhaler technique at the three-month follow-up will be assessed by either in-clinic or telehealth demonstrations. The level of symptom management will be evaluated through the registered application analytics, where 75% of the weekly symptom logs fulfilled would be desirable. In addition, self-reported absenteeism surveys will be used to measure the effect of the intervention on the substantive performance by assessing a 30% reduction in work or school absences due to asthma.

• Outcomes Align with the Quadruple Aim

The proposed results are very aligned with the Quadruple Aim because they would enhance the experience of the patients receiving culturally-specific provided and accessible asthma education and improve the health of the population by reducing symptoms and environmental exposures exacerbations (Jayaram et al., 2025). A decrease in emergency visits, unnecessary hospitalizations will save the total price of healthcare, and more efficient remote testing and early intervention will reduce the clinical crisis, improving the work-life balance of medical professionals.

The outcome measures will also inform evidence-based practice and policy because the evidence-based data shall inform the reimbursement models on digital asthma self-management, the expansion of the policy on the telehealth and mHealth front, and culturally responsive digital health policies that will positively influence the equity of the care provided to 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 successful in locating the evidence. The keywords included asthma, mHealth, self-management, young adult, medication adherence, and multilingual.

The inclusion criteria were confined to peer-reviewed articles on human studies published within five years in the period between 2020 and 2025, and utilizing the young adult population. Relevance to the clinical problem was achieved through the application of Boolean operators and word and language filters that were referred to as the English language and full-text sources.

• Findings

The available evidence confirms that mHealth interventions are relatively effective in improving the way young adults manage the symptoms of asthma and adhere to medications (Schulte et al., 2021). Culturally-specific asthma education is also discovered to reduce the rate of emergency department exacerbations and enhance self-management confidence, particularly in culturally and health literacy-limited individuals.

In addition, telehealth-based monitoring has also been seen to reduce missed days at work and improve the level of compliance with follow-up by alleviating transportation and scheduling challenges (Chen et al., 2025). Level I public health evidence by CDC surveillance and WHO data also complements the current findings, in that the poor control of asthma overburdens this age cohort.

The mHealth project being proposed will need an ethical stance, a secure transmission of the HIPAA-approved data with the use of the encrypted data, and the de-identification of the symptom-tracking data, as well as the explicit and informed agreement of all users to use the app.

The potential conflict of interest concerning the development of the digital tools also should be considered, and access will be offered to the tool according to the ADA provisions by designing it in terms of accessibility and implementing the use of interpreters and other relevant communication methods based on the cultural backgrounds of those students (Etxabe-Antia et al., 2025). Such moral safeguards come in handy in order to permit fairness, confidence, and responsible integration of digital health into asthma care.

Conclusion

To sum up, a culturally modified mHealth asthma self-management application can be used to substantially improve asthma control in young adults through medication adherence and decreasing the number of emergency department visits.

This intervention is consistent with the Quadruple Aim since it improves patient outcomes, cost reduction, and clinician work-life balance by eliminating obstacles such as health literacy and language differences. Evidence-based data will be used to inform policy development in the future and help create a more equitable, accessible care for asthma patients.

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References

Blackstock, F. C., & Roberts, N. J. (2021). Life, 11(12). https://doi.org/10.3390/life11121317

Chen, H., Wang, Y., Xu, F., Huang, Z., & Chen, W. (2025). Journal of Medical Internet Research, 27. https://doi.org/10.2196/77709

Etxabe-Antia, A., Beitia-Amondarain, A., González de Heredia-López de Saband, A., & Justel-Lozano, D. (2025). Characterization of accessibility guidelines for digital technologies. Universal Access in the Information Society, 24, 2105–2125. https://doi.org/10.1007/s10209-025-01214-6

Feldacker, C., Pienaar, J., Wasunna, B., Ndebele, F., Khumalo, C., Day, S., Tweya, H., Oni, F., Sardini, M., Adhikary, B., Waweru, E., Wafula, M. B., Dixon, A., Jafa, K., Su, Y., Sherr, K., & Setswe, G. (2023). Journal of Medical Internet Research, 25(1). https://doi.org/10.2196/42111

Jayaram, L., Jayakody, M., Kim, D., Wijeratne, T., Nguyen, C. V. N., Tran, H., Paiva, S., Karunajeewa, H., Lemoh, C., Rasmussen, B., & Haines, K. J. (2025). Co‐Designing strategies to improve asthma health literacy with culturally and linguistically diverse communities. Health Promotion Journal of Australia, 36(2). https://doi.org/10.1002/hpja.959

Kan, K., Morales, L., Shah, A., Simmons, E., Barrera, L., Massey, L., List, G., & Gupta, R. S. (2023). Journal of Medical Internet Relations Pediatrics and Parenting, 6. https://doi.org/10.2196/48822

Khashu, K. (2025). Optimizing patient check-in process for telehealth visits: A data-driven perspective. Frontiers in Digital Health, 7. https://doi.org/10.3389/fdgth.2025.1554762

Khatiwada, P., Yang, B., Lin, J.-C., & Blobel, B. (2024). Patient-Generated health data (PGHD): Understanding, requirements, challenges, and existing techniques for data security and privacy. Journal of Personalized Medicine, 14(3), 282–282. https://doi.org/10.3390/jpm14030282

Mansur, A. H., & Prasad, N. (2023). Management of difficult-to-treat asthma in adolescence and young adults. Breathe, 19(1). https://doi.org/10.1183/20734735.0025-2022

Pate, C. A., & Zahran, H. (2024). The status of asthma in the United States. Preventing Chronic Disease, 21. https://doi.org/10.5888/pcd21.240005

Schulte, M. H. J., Aardoom, J. J., Loheide-Niesmann, L., Verstraete, L. L. L., Ossebaard, H. C., & Riper, H. (2021). Effectiveness of eHealth interventions in improving medication adherence for patients with chronic obstructive pulmonary disease or asthma: Systematic review. Journal of Medical Internet Research, 23(7). https://doi.org/10.2196/29475

Sivan, R., & Zukarnain, Z. A. (2021). Security and privacy in cloud-based e-health systems. Symmetry, 13(5), 742. https://doi.org/10.3390/sym13050742

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