Feb 23, 2024 Assignment: Advocating for The Nursing Role in Program Design and Implementation Questions
Assignment: Advocating for The Nursing Role in Program Design and Implementation Questions Assignment: Advocating for The Nursing Role in Program Design and Implementation Questions Community Outreach for Hypertensive Screening Program Interview Responses Osteoporosis and low bone density affect approximately 54 million Americans making it a growing health issue in the United States. Osteoporosis affects a significant proportion of the aged American population, according to statistics. The implication is that a sizable proportion of the population is predisposed to increased rate of bone fractures and breakage that might not be easy to heal. Osteoporosis prevention and reduction programs have been implemented in the United States (Lieberman et al., n.d.). This paper aims at looking in nursing role in osteoporosis reduction program implemented in my practice. What is the Cost and Projected Outcome of the Program? The Osteoporosis Prevention Program is a program that has been implemented in my practice to address high incidences of post knee and hip bone surgeries. The Texas government created the OPP program with the goal of preventing and reducing osteoporosis rates in the state. Implementation of the OPP program was necessitated by the fact that close to one-third of the population in Texas was suffering from recurrent bone fractures in 2015. This program is guided by a number of principles. They include addressing the social determinants of health that contribute to osteoporosis, increasing resource availability, and transforming environments to promote physical activity and healthy eating. In order to meet the program’s objectives, a number of activities have been implemented. Struggling to Meet Your Deadline? Get your assignment on Assignment: Advocating for The Nursing Role in Program Design and Implementation Questions done on time by medical experts. Don’t wait – ORDER NOW! Meet my deadline They include expanding possibilities for healthy eating, encouraging active living through the construction of healthy settings, and providing community and clinical preventive interventions for people who are at risk of becoming bone fractures. The initiative also improves the chances of children and elderly populations at risk having a healthy lifestyle, as well as public health efforts aimed at preventing osteoporosis (Osteoporosis Treatment & Prevention in Houston, Texas, n.d.). The program’s implementation costs are paid for with public funds. Projected outcomes include a decrease in the state’s bone fracture rate, a decrease in morbidity and mortality rates, and increased access to healthy foods and environments for the population (des Bordes et al., 2020). It is also expected to improve Texans’ health and well-being, as evidenced by increased awareness, lifestyle, and behavioral changes on health-related issues. What is the target Population? According to the research, the program targets all of the populations in Texas that are at risk of or affected by osteoporosis and low bone density associated with post knee and hip bone surgeries. The state’s population includes children, adults, and the elderly. The program addresses the social inequalities that contribute to the state’s osteoporosis problem. It also broadens the population’s access to healthy living options, regardless of background. What is the role of the nurse in providing input for the design of this healthcare program? What are the examples? My experience and research have taught me that nurses play a variety of roles in providing input for the design of the OPP program. The first role they play is to ensure that the program’s strategies align with the expected goals and objectives. They ensure, for example, that the strategies adopted are relevant to the needs of the populations affected and at risk of bone fractures and osteoporosis. The nurses’ other role in contributing to the design of OPP is to ensure that the needs of the target population are incorporated into the program. For example, they conduct needs assessments to identify health-related aspects that should be prioritized in the project, thereby increasing the project’s relevance to the population (Curry et al., 2018). Another way nurses influence the design process is by assisting in determining the program’s resource requirements. Adequate resources, such as financial and human resources, are required for the program’s successful implementation. As a result of their experience with public health programs, nurses can contribute insights into the resources that are required. What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design? My responsibilities as an advocate for populations at risk of or affected by the OPP program are diverse. One of them is to ensure that adequate public awareness of the program’s importance and use of its strategies is generated. Health education is required to ensure that those at risk of or affected by osteoporosis understand the lifestyle and behavioral interventions required for their health and well-being. My other role as an advocate is to ensure that all members of the community have equal access to and use of the program initiatives. I ensure that all affected and at-risk populations have improved access to program resources to promote their health. I address issues such as costs associated with the population’s use of the program. I also connect people with the resources they require. For example, I assist them in gaining access to community support groups where they can obtain the assistance, they require in managing and preventing osteoporosis and bone fractures. I had a say in the design. I collaborate with other program stakeholders to define the program’s goals, strategies, and objectives. In addition, I help to determine the program’s resource requirements. What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? Nurses play a variety of roles in healthcare program implementation. One of the roles of nurses in the implementation of healthcare programs is that of implementers. Nurses help to carry out the program’s strategies. They put the strategies developed to bring the program to life into action. Another role of nurses in program implementation is to coordinate the process. Nurses can help ensure that the program’s strategies are followed as planned. They also make certain that the allocated resources are used to their full potential in order to achieve the program’s objectives. Working with the project management team to evaluate resource utilization versus plan to identify any deviations and implement changes is one example (Pinheiro et al., 2020). However, the roles differ in program design and implementation. Nurses are involved in the development of program plans. During the implementation phase, they carry out the plans. The design phase is also hands-off because it includes strategy development, whereas the implementation phase is hands-on because it includes the actual use of strategies in practice. Who are the members of a healthcare team that you believe are the most needed to implement a program? Can you explain why? Registered nurses, dieticians, and physicians are the members of the healthcare team I believe are most needed to implement the OPP program. Registered nurses perform tasks such as screening, health education, and follow-up on patients. Dieticians perform tasks such as nutritional assessment and counseling for the at-risk patients. Finally, doctors diagnose and treat these patients. Conclusion The osteoporosis prevention program is a successful one to help curb the increased incidences of post knee and hip bone surgeries. The program aims to educate those who are impacted by osteoporosis and those who are at risk of developing the condition in future life about how to live a better lifestyle. Nurses are vital in the planning and implementation of programs. All stakeholders involvement is crucial to the success of the program. References Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Phipps, M. G., Pignone, M., Silverstein, M., Simon, M. A., Tseng, C.-W., & Wong, J. B. (2018). Screening for Osteoporosis to Prevent Fractures. JAMA, 319(24), 2521. https://doi.org/10.1001/jama.2018.7498 des Bordes, J., Prasad, S., Pratt, G., Suarez-Almazor, M. E., & Lopez-Olivo, M. A. (2020). Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies. PLOS ONE, 15(1), e0227765. https://doi.org/10.1371/journal.pone.0227765 Lieberman, I. H., MD, MBA, & FRCSC. (n.d.). Osteoporosis Prevention Plan. SpineUniverse. https://www.spineuniverse.com/conditions/osteoporosis/how-start-your-osteoporosis-prevention-plan-today Osteoporosis Treatment & Prevention in Houston, Texas. (n.d.). Texas Endocrinology Group. Retrieved October 24, 2021, from https://www.txendocrine.com/services/osteoporosis/ Pinheiro, M. B., Oliveira, J., Bauman, A., Fairhall, N., Kwok, W., & Sherrington, C. (2020). Evidence on physical activity and osteoporosis prevention for people aged 65+ years: a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity, 17(1). https://doi.org/10.1186/s12966-020-01040-4 Tell us about a healthcare program within your practice. The healthcare problem my facility nurses are addressing is hypertension (HTN) awareness, education, nutrition, medication, and exercise. The community surrounding the facility has a large Hispanic and African American population which are more predisposed to develop HTN due to risk factors like ethnicity, and traditional foods within those communities. According to various studies and trends of HTN diagnoses, statically African American men and women have a greater disposition to have HTN than Caucasian men and women within the same community. (Lackland, 2014). This community outreach is done twice a month for two to four hours at a time and will be held at various locations within the community (churches, schools, etc.) to screen citizens for HTN and refer them to a free or low-cost clinic for management of HTN. What are the costs and projected outcomes of this program? For the first year of providing these screenings to the community the initial annual expenses would cost around $55,000. This includes fliers about HTN, booklet with a log for patients to monitor BP at home and keep track of and show to their primary care provider. Included in the booklet as well are recipes that provide suggested heathy substitute ingredients for cooking some preferred meals, and how to limit sodium intake. This cost also includes initial purchases of marketing supplies, a years’ worth of gas from facility to location of screening, vehicle insurance on company truck, purchase of two sets of manual blood pressure cuffs, two stethoscopes, and pay for two nurses to conduct these screenings. The targeted outcome for this program is to see a decrease in hypertensive emergencies, increase patient compliance with HTN treatment, decrease the risks for cardiovascular disease (CVD). ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Assignment: Advocating for The Nursing Role in Program Design and Implementation Questions Programs like this exist in communities throughout the nation and according to Ferdinand et. al. (2012) these programs have had positive patient outcomes and saw a significant decline in uncontrolled HTN, positive lifestyle changes, decreased risk factors for CVD. Who is your target population? As mentioned above the target population for this program is the community surrounding the facility which is predominantly Hispanic and African American with a great education deficit in regards to high blood pressure. Recently a patient stated “I might have high blood pressure, but I never started taking the medication prescribed to me last time because I know once you start taking the medication, you cannot stop.” This patient is a good example of the lack of education related to healthcare, especially HTN, within the community surrounding this facility. Statements such as this indicates there is a need for an outreach program to address the educational, and medical deficits related to HTN. What is the role of the nurse in providing input for the design of this healthcare program? Nursing input into the initial design of the community outreach program was to review the blood Assignment Advocating for The Nursing Role in Program Design and Implementation Questions pressures of patients seen in this emergency room and note the prevalence as to: whether the patient knew they had high blood pressure; if so, are they taking medication; if not taking medication, what is the reason. By auditing the patient charts for these markers, it became evident that the community in which we are located needs to have access to screening, education, nutritional and lifestyle changes, and access to quality care they can afford. Information is abundant on the internet about healthy eating and ingredient substitution, but there is still some apprehension about changing recipes of traditional meals (Maintain a Healthy Weight, n.d.). What is your role as an advocate for your target population for this healthcare program? As a patient advocate and an emergency room nurse, I can visit many establishments like churches and schools within the community and explain the screening process for HTN. As well as the education that will be conducted during the screening, patients will also be given referrals to free or low-cost clinics and a list of discounted medications at several pharmacies. It is important for the nurses active in this program to speak with community leaders, school principals, and church pastors to secure a location for screenings and encourage community citizens to come to the screenings. Do you have input into design decisions? Yes, an excellent team of nurses identified a need within the community, collaborated amongst other nurses and out emergency room physicians, and shared ideas on how to address the high prevalence of HTN. This team of healthcare professionals conducted research on effective patient teaching, locating and evaluating recipes of traditional meals and identifying healthy alternative ingredients. There was large amount of network between team members and with pharmacies, physicians’ offices, and clinics to gather an abundance of resources for patients and gained support for the community outreach program as well. How else do you impact design? Design is also impacted by specifying which department or individual is responsible for implementation and program evaluation. The design of the program should also have protocols in place that have been agreed upon by nursing and the medical director in the event one of the community members has a medical emergency. What is the role of the nurse in healthcare program implementation? Nurses fill many roles, but the nursing role of the implementation of this HTN screenings program is to actually take vital signs and educate the community about the importance of good blood pressure control to decrease the risk of complications later in their lifetime, such as stroke, congestive heart failure, myocardial infarction, renal damage requiring dialysis, edema in the lower extremities, diabetes and other comorbidities that often occur was a result of long term, sustained, and untreated high blood pressure. How does this role vary between design and implementation of healthcare programs? Can you provide examples? During the design phase to this healthcare program, there was a large amount of research conducted on the topic and program collaborators shared ideas and suggestions as to what information was going to be printed on flyers, and in booklets. During the design phase, it was also decided there should be two nurses, protocols, and that relationships should be sought between the community leaders and the facility to encourage participation and increase awareness. Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? Nurses, because nurses can interpret the patient’s blood pressure, provide education about risks of uncontrolled HTN, and educate and encourage patients to make healthy lifestyle changes. Nurses also possess the critical thinking skills needed to identify medical emergencies when running these types of screening clinics, as to where a layperson may not. The nurses were able to compile resources for members of the community, so they have access to affordable quality healthcare and medications. Anyone can go buy an automatic blood pressure cuff from a store, or even us the one in the pharmacy, but many citizens would not know to interpret the plod pressure because the lack the medical background a nurse possesses. References Ferdinand, K. C., Patterson, K. P., Taylor, C., Fergus, I. V., Nasser, S. A., & Ferdinand, D. P. (2012). Community-based approaches to prevention and management of hypertension and cardiovascular disease. Journal of Clinical Hypertension (Greenwich, Conn.), 14(5), 336–343. https://doi-org.ezp.waldenulibrary.org/10.1111/j.1751-7176.2012.00622.x Lackland D. T. (2014). Racial differences in hypertension: implications for high blood pressure management. The American Journal of The Medical Sciences, 348(2), 135–138. doi:10.1097/MAJ.0000000000000308 Maintain a Healthy Weight. (n.d.). Retrieved July 22, 2019, from https://www.nhlbi.nih.gov/health/educational/lose_wt/index.htm Assignment: Advocating for The Nursing Role in Program Design and Implementation Questions Question Description I don’t know how to handle this Nursing question and need guidance. Assignment: Advocating for the Nursing Role in Program Design and Implementation As their names imply, the honeyguide bird and the honey badger share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Love badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate effectively to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honeyguide bird safely enters to enjoy the leftover honey. Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table, making them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives. In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the nurse’s role in designing and implementing new healthcare programs. To Prepare: Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs. Select a healthcare program within your practice and consider the design and implementation of this program. Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. The Assignment: (2–3 pages) In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions: Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program? Introduction In this interview transcript, a nurse discusses a comprehensive diabetes management program designed to improve the quality of life for patients with diabetes. The program’s objectives, target population, and the roles of various healthcare professionals involved are explored. The interviewee highlights the importance of a multidisciplinary team and the role of nurses in the design, advocacy, and implementation of healthcare programs. Interview Transcript Interviewer: Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program? Interviewee: The healthcare program I would like to discuss is a comprehensive diabetes management program. This program aims to improve the quality of life for patients with diabetes by providing education, resources, and support to help them manage their condition effectively (Silva-Tinoco et al., 2020). The costs of this program include hiring and training specialized diabetes care educators, developing and providing educational materials, and maintaining a support system for ongoing patient follow-ups. The projected outcomes of this program include better blood sugar control, reduced diabetes-related complications, increased patient adherence to treatment plans, and an overall improvement in patients’ quality of life (Jarab et al., 2023). Who is your target population? Interviewer: Who is your target population? Interviewee: The target population for this diabetes management program includes individuals diagnosed with Type 1 or Type 2 diabetes, as well as those at risk for developing diabetes due to factors such as obesity, family history, or other health conditions (Tanaka et al., 2020). What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design? What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? Who are the healthcare team members that you believe are most needed to implement a program? Can you explain why? Advocating for the Nursing Role in Program Design and Implementation on Diabetic Education Program Healthcare providers and organizations aim to improve the health and wellbeing of the populations they serve by reducing disease incidences and severity. Diabetes is one of the chronic conditions that affects millions of Americans and nurses are a core aspect of the healthcare delivery system have a duty to design and implement diabetic education programs to help patients and their families navigate the delicate situation for patient based on severity (Laureate Education, 2018). Newly developed healthcare programs on diabetes education can improve outcomes and the quality of care and life for those with the chronic condition. Based on an interview, this essay summarizes the role of nurses in designing and implementing a diabetic education program for patients with diabetes. Tell us about a healthcare program, within your practice. The healthcare program within the facility by nurses is the designing and implementing a diabetic education program. Diabetes continues to be a serious public health concern and efforts to offer education to diabetic patients can improve adherence to medication, and self-care management (Powers et al., 2020). Diabetes self-management education and support offers the foundation to help people with the disease navigate decisions that they must make daily and activities to improve health outcomes (Milstead & Short, 2019). Through the education program, diabetic patients will have knowledge, skills, and abilities necessary for improved self-care. What are the costs and projected outcomes of this program? The program focuses on providing resources and educational interventions at the convenience of a patient who visits the facility and would like to enhance their self-management approaches to diabetes. The institution will provide access to information through its online portal, physical materials to those visiting the facility, and one-on-one sessions with patients and their families to demonstrate the efficacy of the program. The cost involved in implementing the program will include funds to publish materials like brochures for patients and families, funds to develop online resources through increasing the organization’s website interface to have one on diabetes self-management and resources to fund the one-on-one sessions with appropriate consultants that shall boost the current nurses’ efforts. The
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