Feb 23, 2024 NURS 6050 Week 8 Assignment Advocating for the Nursing Role in Program Design and Implementation
NURS 6050 Week 8 Assignment Advocating for the Nursing Role in Program Design and Implementation NURS 6050 Week 8 Assignment Advocating for the Nursing Role in Program Design and Implementation Advocating for the Nursing Role in Program Design and Implementation on Diabetic Education program The primary aim of healthcare providers and organizations is 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). The 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 health facility will save on workforce and resource costs since patient only need access to the portal. For those accessing the materials from the facility, the cost will be minimal based on the level and type of diabetes disease. Struggling to Meet Your Deadline? Get your assignment on NURS 6050 Week 8 Assignment Advocating for the Nursing Role in Program Design and Implementation done on time by medical experts. Don’t wait – ORDER NOW! Meet my deadline The projected outcomes from the program are varied. These include increased and better adherence to diabetes self-management protocols, lower or reduced costs of diabetes management, improved knowledge and abilities for patients and their families. The implication is that this program will enhance awareness and abilities among patients to self-manage and self-care for themselves. Who is your target population? The program’s main target is diabetic individuals and their families who shall benefit from the information and resources offered by the facility. The program also targets nurses working in the facility to enhance their knowledge and abilities to care for these patients in an effective manner. What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? Nurses play a critical role in care provision that includes designing healthcare programs like education program for diabetic patients. In this case, the nurse will offer interventions that can improve care and self-management for patients with different types of diabetes. The nurse will also guide the inclusion of self-management aspects that align with best evidence-based practice (EBP) interventions in the facility. For example, the nurse will identify strategies to enhance adherence to blood sugar monitoring and taking insulin medication at appropriate time. 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? Nurses are patient advocates and in this instance, education programs are necessary for patients to improve care outcomes. In this regard, the role of a nurse as a patient advocate is to ensure that the program meets patient needs, is easy to understand and can be implemented at home in collaboration with patients’ families. Nurses have a chance to directly influence policies because of their unique positions in healthcare system. Imperatively, having input in designing the diabetic education program is essential for effective success of the initiative. In this regard, I impact the design by ensuring that the initiative addresses key patient concerns and issues aimed at improving their overall management of diabetes. My input also includes having a monitoring system that allows providers to interact better with the patients. What is the role of the nurse in healthcare program implementation? Nurses play a critical role in the implementation of healthcare program. At the core of this role is coordination where they work collaboratively with both patients and other providers to ensure the success of the program. Nurses also undertake roles of initiating the program by being educators and offering lessons to diabetic patients. How does this role vary between the design and implementation of healthcare programs? Can you provide examples? The design and implement roles differ since the two stages are also different. The design stage entails having research, effective structures and collaboration, and laying the foundation for the program. The design stage also entailed identifying different roles and duties that each nurse should play and keeping them abreast with all aspects of the initiative (Robert Wood Johnson Foundation, 2018). However, the implementation stage is the real working and being on the ground to execute the interventions. For instance, in implementation, one must execute the interactions with patients to attain their feedback and customize the education program to their needs. Implementation also entails working with community leaders and patient families to carry out the various interventions meant to enhance self-management. Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why you think this? The most important members of the healthcare team to implement this initiative include nurses, nurse managers, and social workers as well as physician dealing with particular customers. Nurses are patient advocate and understand the different aspects of their needs (Tomaschewski-Barlem et al., 2018). They are also providers dealing with different patients and can work alongside their managers and physicians to deliver quality care. As educators, they can offer lessons to patients with diabetes on the benefits of self-management and care to improve the quality of life. Conclusion The inclusion of nurses in designing and implementing diabetic education program illustrates the critical role that nurses play in care delivery. As demonstrated, the program to enhance education will improve quality of life for patients with diabetes. The program will also enable nurses to participate in different initiatives to improve overall care for patients. The implication is that diabetic patients require education programs that will enhance their adherence to medications and self-management decisions. References Laureate Education (Producer). (2018). Design and Implementation [Video file]. Baltimore, MD: Author Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., … & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care, 43(7), 1636-1649. DOI: 10.2337/dci20-0023. Robert Wood Johnson Foundation. (2018). Nurses Take on New and Expanded Roles in Health Care. https://www.rwjf.org/en/library/articles-and-news/2015/01/nurses-take-on-new-and-expanded-roles-in-health-care.html Tomaschewski-Barlem, J. G., Lunardi, V. L., Barlem, E. L. D., Silveira, R. S., Ramos, A. M., & Piexak, D. R. (2017). Patient advocacy in nursing: Barriers, facilitators, and potential implications. Texto Contexto-Enfermagem, 26(3), e0100014. http://dx.doi.org/10.1590/0104-07072017000100014 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. 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 Question 1 One of the most frequently handled infections in the nursing home is UTI. This infection poses problems regarding its proper treatment administration. I work for an organization with 36 long-term care facilities, all under the same upper corporate management, although they function differently. I have been in charge of my facilities’ infection control for the last three years, and in this period, I have witnessed the outrageous number of UTI infections reported. About 70% of all the total reported infection cases in my facility are UTI cases. We are looking to develop a health care program that will ensure that there is a reduction of inappropriate antibiotics used to deal with these cases. This initiative achieved quite remarkable success when rolled out in my facility, significantly reducing the infections rates. Therefore, I am looking to have it rolled out in the rest of our facilities. The primary focus of this initiative is to ensure patients with UTI are prescribed the appropriate antibiotics as we rid the non-effective ones to decrease the number of UTI cases. The costs projected in this project are traveling and training material costs as I will have to travel to all our 36 facilities and train all the nursing practitioners and staff. Question 2 The program targets the elderly in our long-term care facilities. Several research studies indicate that they are the most at-risk populations to contracting urinary tract infections. Question 3 &4 We, as nurses, will conduct assessment and Request (SBAR) for the patients with symptoms of UTI rather than randomly requesting physicians to provide urinalysis on the patient’s samples. In essence, the program will ensure that inappropriate antibiotics used to treat UTIs are disposed of, which will improve the effectiveness of the appropriate antibiotics among patients. In addition, nurses will work with other professionals in the healthcare facilities to prescribe the right antibiotics to UTI patients. A design example is as follows: All the nursing staff at each of our training facilities will be acquainted with UTI classic symptoms and told to watch out for any of these symptoms inpatient analysis. 100or 2.4 increase above baseline New delirium onset Rigors New Flank tenderness/pain All NPs will submit their forms to me since I am the infection control nurse. I will ensure all criteria are adequately satisfied, after which the nurses can now notify the respective clinicians. Question 5 As previously stated, my target population includes the older adults who are accommodated in nursing homes since these facilities top the list for harmful antibiotics resistant infection strain breeding grounds. We will eliminate the unneeded antibiotics that might become resistant and provide new and appropriate antibiotics for UTI. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 6050 Week 8 Assignment Advocating for the Nursing Role in Program Design and Implementation Nursing professionals in today’s healthcare systems are on the front line making new important policies and decisions. Specifically, RNs (Registered Nurses) and APRNs (Advanced Practice Registered Nurses) can proactively participate in policy-making processes within their practice settings (Barzegar et al., 2020). For instance, they can join professional nursing organizations such as the American Nurses Association to lobby and advocate for important changes (American Nurses Association). The discussion seeks to explore and understand some challenges and opportunities for nursing professionals participating in policy-making. Opportunities that exist for RNs and APRNs to participate in policy-making The RN and APRN have numerous opportunities and options to participate in policy-making. For instance, they can participate in direct patient care and advocacy by joining professional nursing organizations (Milstead & Short, 2019). These professional nursing organizations can influence the development and implementation of essential health policies in favor of nurses and patients. Nurses can advocate for change through these professional nursing organizations (Milstead & Short, 2019). They can also use this opportunity to bring social issues in healthcare to policymakers’ attention. RNs and APRNs also have the opportunity to push for the formulation and implementation of important policies suitable for their practice settings. For instance, they can request a review of inappropriate or ineffective workplace policies. They can also engage in evidence-based research to help policymakers identify possible problems, estimate the cost of the targeted changes, and help with the cost-benefit analysis (Milstead & Short, 2019). Most organizations consider nurses professional experts when formulating policy decisions or drafting new legislation to attain the best patient outcomes for the community being served. Finally, nurses can participate in policy-making by engaging in education (Milstead & Short, 2019). Specifically, they can educate policymakers and elected representatives on important trends and issues in healthcare. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges The stipulated opportunities also present numerous challenges for APRNs and RNs. Budgetary constraints and inadequate knowledge or education on specific regulations are some of the common challenges. For instance, nurses must interrogate the monetary cost of a policy change and the impact on how the hospital functions or spend on other important activities (Milstead & Short, 2019). Government agencies and policymakers may need to understand how the new proposed policy will likely impact healthcare systems and residents (Barzegar et al., 2020). Another challenge is that most lawmakers do not fully comprehend the nursing profession or appreciate the implications of certain health policies. Therefore, nurses should conduct comprehensive health research to establish the most cost-effective way of implementing a policy change within their practice settings. They should also educate themselves on the proposed policies through in-depth, evidence-based research (Barzegar et al., 2020). Specifically, continuing education will allow nurses to update their skills and knowledge on different important topics (Milstead & Short, 2019). Finally, nurses should also make appointments with their representatives to discuss important issues and trends in nursing to encourage them to support a specific policy position or bill. Two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making The first strategy I will use to advocate better for these opportunities to participate in policy-making is to obtain membership in a professional nursing organization. As members of the professional organization, nurses can educate fellow professionals on the current legislation or lobby for the ratification and support of a bill in Congress (Milstead & Short, 2019). They can also contribute funds to professional organizations to help support lobbyists determined to shape healthcare. For example, the Nurse and Healthcare Worker Protection Act was successfully lobbied and completed by nurses through the American Nurses Association (Congress.gov. n.d.). The final strategy is to get involved in the practice facility’s committees to help influence important policy-making processes within the hospital. I can shape policies and review evidence-based practices through the organization’s committees. For example, by joining the organization’s safety committee, I will be able to examine and understand safety issues in the facility and determine ways to prevent the problems from re-occurring through policy changes. In conclusion, decision-makers should encourage nurses to participate in policy-making because they spend more time with patients than other healthcare professionals. Nurses can inform policymakers about important issues regarding patients. Nurses have the moral and professional obligation to get involved in important legislation that affects them and their patients. References American Nurses Association (ANA). (n.d.). Advocacy. Ret
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