Evidence-Based Population Health Improvement Plan

Write a 4-5 page population health improvement plan, based on your evaluation of the best available evidence from a minimum of 3-5 current scholarly or professional sources of demographic, environmental, and epidemiological data that focuses on your diagnosis of a widespread population health issue.

Part of effectively engaging in evidence-based practice is the ability to synthesize raw health data with research studies and other relevant information in the literature. This will enable you to develop sound interventions, initiatives, and outcomes to address health concerns that you find in data during the course of your practice.

In this assessment, you have an opportunity to evaluate community demographic, environmental, and epidemiological data to diagnose a widespread population health issue, which will be the focus of a health improvement plan that you develop.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Apply evidence-based practice to design interventions to improve population health.
    • Evaluate community demographic, epidemiological, and environmental data to diagnose widespread population health issues.
    • Develop an ethical health improvement plan to address a population health issue within a community.
  • Competency 3: Evaluate outcomes of evidence-based interventions.
    • Propose criteria for evaluating population health improvement plan outcomes.
  • Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
    • Justify the value and relevance of evidence used as the basis of a population health improvement plan.
  • Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
    • Develop a strategy for communicating with colleagues and members of the community in an ethical, culturally sensitive, and inclusive way.
    • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Scenario

Your organization is undertaking a population health improvement initiative focused on one of the pervasive and chronic health concerns in the local community. Examples of health improvement initiatives include nationwide concerns, such as type 2 diabetes, HIV, obesity, insect bites, and Zika. However, your organization has asked you to determine which widespread health concern should be addressed in a population health improvement plan for your community and has entrusted you with gathering and evaluating the relevant data.

Your Role

You are a nurse in a community clinic or hospital and you have a good idea about the most common chronic health issues among its patients. You have been asked to prepare a presentation for the next staff meeting about the issue and the plan that you are proposing to help improve the community’s health.

Instructions

The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance-level descriptions for each criterion to see how your work will be assessed.

Part 1: Data Evaluation

Evaluate the outcomes of a population health improvement initiative from community demographic, epidemiological, and environmental data.

  • Identify the relevant data.
  • Identify the level of evidence, validity, and reliability for each source.
  • Describe the major community health concerns suggested by the data.
  • Explain how environmental factors affect the health of community residents.
Part 2: Health Improvement Plan

Develop a health improvement plan that ethically and effectively addresses the population health concern that you identified in your evaluation of the relevant data.

  • Base your plan on the best available evidence from a minimum of 3–5 current scholarly or professional sources.
    • Apply correct APA formatting to all in-text citations and references.
    • Attach a reference list to your plan.
  • Ensure that your plan meets the cultural and environmental needs of your community and will likely lead to some improvement in the community’s health related to this concern.
    • Consider the environmental realities and challenges existing in the community.
    • Address potential barriers or misunderstandings related to the various cultures prevalent in the community.
  • Justify the value and relevance of the evidence you used as the basis of your plan.
    • Explain why the evidence is valuable and relevant to the community health concern you are addressing.
    • Explain why each piece of evidence is appropriate and informs the goal of improving the health of the community.
  • Propose relevant and measurable criteria for evaluating the outcomes of your plan.
    • Explain why your proposed criteria are appropriate and useful measures of success.
  • Explain how you will communicate with colleagues and members of the community, in an ethical, culturally sensitive, and inclusive way, with regard to the development and implementation of your plan.
    • Develop a clear communications strategy mindful of the cultural and ethical expectations of colleagues and community members regarding data privacy.
    • Ensure that your strategy enables you to make complex medical terms and concepts understandable to members of the community, regardless of language, disabilities, or level of education.
  • The headings for your Evidence-Based Population Health Improvement Plan should be the following:
    • Data Evaluation.
    • Meeting Community Needs.
    • Evidence.
    • Measuring Outcomes.
    • Communication Plan.

Additional Requirements

  • Length: Your recommendation will be 4–5 double-spaced pages, not including title and reference pages.
  • Font: Times New Roman, 12 points.
  • APA Format: Your title and reference pages need to conform to APA format and style guidelines. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines.
  • Scoring Guide: Please review this assessment’s scoring guide to ensure you understand how your faculty member will evaluate your work.

Grading Rubric:

1.  Evaluate community demographic, epidemiological, and environmental data to diagnose widespread population health issues.

Passing Grade:  Evaluates community demographic, epidemiological, and environmental data to diagnose widespread population health issues. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the evaluation).

2.  Develop an ethical health improvement plan to address a population health issue within a community.

Passing Grade:   Develops an ethical health improvement plan to address a population health issue within a community, identifying multiple complementary elements that will sensitively meet a wide variety of community members’ needs.

3.  Justify the value and relevance of evidence used as the basis of a population health improvement plan.

Passing Grade:  Justifies the value and relevance of evidence used as the basis of a population health improvement plan, and impartially considers conflicting data and other perspectives.

4.  Propose criteria for evaluating population health improvement plan outcomes.

Passing Grade:  Proposes criteria for evaluating population health improvement plan outcomes, and explains why other possible criteria were considered and rejected.

5.  Develop a strategy for communicating with colleagues and community members in an ethical, culturally sensitive, and inclusive way.

Passing Grade:   Develops a strategy for communicating with colleagues and community members in an ethical, culturally sensitive, and inclusive way; acknowledges potential difficulties and how those challenges will be met.

6.  Write clearly and logically, with correct grammar and mechanics.

Passing Grade:   Writes clearly, logically, and persuasively; grammar and mechanics are error-free.

7.   Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Passing Grade:   Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Citations are error-free.

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nur521p1reply

Reply1

Ethical dilemma is a decision-making problem between two possible moral imperatives,neither of which is unambiguously acceptable or preferable .One action must be chosen, thereby generating a quandary for the person or group who is burdened with the choice. Example,the ethical dilemma which was encountered is in line of patient autonomy.The patient relatives were refusing to have blood transfusion for their child post operatively, despite the possible consequences ,but blood transfusion was necessary for saving the life of the child.With their refusal almost they created the end of life issue situation.

In the above scenario the other nurse was trying to leave the case by mentioning that patient and relatives are not willing  and are not consenting for blood transfusion.

I was not against the patient autonomy,but  my intention was to save the life of the child by explaining the consequences of refusal of blood transfusion.At last, they understood the importance of it ,they have been convinced for the blood transfusion and the child was out of danger.

Reply2

Nurses face variety of ethical issues while dealing with patients, colleagues, or other health care personnel. Nurses, as a human being, differ from one another and possess their own intellectual and moral values. The ethical dilemmas vary in different situations depending upon the way we address it. Some nurses deal with the situation easily while it would create a dilemma for others. One of the examples of an ethical dilemma that can occur in our nursing practice is when nurses themselves are not properly equipped to complete their duties like nurses who notice their coworker’s lack of knowledge face an ethical dilemma of whether they should bring the issue to their nurse manager (Duquesne University, n.d.).

For some nurses, it would not be a problem and whistle blow right away, whereas, for other, it would be dilemma between patient care and the loyalty to colleagues and employer. One of my colleagues had a patient who had Ventricular Tachycardia then CODED at the beginning of the shift soon after taking the report. It was found that patient’s potassium and magnesium level been low for the last 12hrs and EKG showing frequent PVCs which was not addressed. The patient was on Lasix injection and the potassium level was not monitored. In my opinion, it happened because of a delay in patent management due to incompetency. My colleague had a dilemma about whether to report it or not because the nurse who gave a report to her was her best friend.

Personally, when I notice the incompetency among peers, I critically analyze the situation and if it is a threat to patient safety, I would report because as per the code of ethics as a patient advocator we are obliged to take action when a patient’s right or safety is endangered (Mansbach.,Kushnir., Ziedenberg., & Bachner, 2014). If it is something, we can help our colleague improve incompetency, I privately talk and advice the best way so that the nurse’s license as well as patient’s safety would not be affected.  In that case, I talked to and assessed the knowledge of the nurse who gave the report. She said that she was not so confident to analyze the EKG rhythms and not aware of the protocols of managing patients on Lasix. So, I brought this issue and requested the management for the Inservice education which keeps us up to date in knowledge and skill helping to manage promptly and prevent from reoccurrence of the situation.

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mental illness

According the National Alliance on Mental Illness (2016), 1 in 5 adults will experience mental illness each year–that’s 20% of the American population. Examples of mental illness include anxiety, depression, post-traumatic stress disorder, and schizophrenia. Like other chronic conditions, mental illnesses are marked by behavioral and biological components.

  • Pick a mental illness and briefly describe it.
  • Describe both the behavioral and biological components of the disease. What treatment options exist for each component of the disease?

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521 Week 2 Ethical Frameworks Essay

Week 2 Ethical Frameworks Essay

 

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below).  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice?

Your paper should be 1-2 pages. Adhere to APA formatting throughout and cite any outside sources you may use.

All the question should be answer in an essay format (no bullet)

 

Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

2.  What are the goals of treatment?

3.  In what circumstances are medical treatments not indicated?

4.  What are the probabilities of success of various treatment options?

5.  In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?

 

 

 

Notes for this paperwork:

Base on the work that I do, (Care management) I need to apply a situation where I had faced the principles of Beneficence and Nonmaleficence.

As a care management I take care of:

· wound care (patient without treatment can develop an Osteomyelitis, severe infection (sepsis)

· IV for dehydration, (patient without treatment can develop arrhythmias, electrolytes imbalance, hypotension.

 

· high level of glucose in blood, (patient without treatment can develop Ketoacidosis that can lead to a shortness of breast and death.

 

· Medication Issues (patient without medication can end in an ER department with other complication, if patient felt due to an arrhythmia, low blood pressure, infection, severe pain.

 

· Emergencies and Urgencies (patient without treatment can develop Myocardial Infarction, Strokes, Respiratory syndrome, anaphylactic shock, asthma attack.

 

I give you some examples that can used to apply for a situation.

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Science and Policy Alignment

As a healthcare professional, effective communication is an essential skill for you to have. For this assignment, you will synthesize scientific research with relevant health policy, and write a professional editorial piece for public consumption.

Your role: Content contributor for The American Journal of Nursing

Audience: Healthcare professionals, nursing and administrative.

Format: 3-page paper, editorial style. Plus, a cover and reference page. A minimum of three scholarly sources should be included. In-text citations are required. APA style should be followed throughout.

  • Refer to the article Engaging policy in science writing: Patterns and strategies within Unit 3 Topic 2 for additional guidance on using the “push” style of writing.

Structure:

  • Choose any scientific research topic, with relevant and reliable scholarly sources available for you to review. If your background is clinical, your focus may be heavy on the science or clinical elements. If your background is more administrative, you may choose research which is more closely related to a social issue (such as emergency contraceptives, vaping use, etc.)
  • Choose a policy or proposed policy that directly relates to your area of scientific research.
  • Write an editorial article, approximately 3 pages in length, summarizing the scientific research on your chosen topic, and aligning it with relevant health policy. Explain the need for increased awareness around the topic:
    • Who needs to do something about it,
    • When action is needed,
    • What that action could look like, and
    • Why such action will positively influence the future of healthcare.

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Workplace Environment Assessment Assignment

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review the Work Environment Assessment Template.
  • Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
  • Select and review one or more of the following articles found in the Resources:
    • Clark, Olender, Cardoni, and Kenski (2011)
    • Clark (2018)
    • Clark (2015)
    • Griffin and Clark (2014)

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

  • Review the Work Environment Assessment Template you completed for this Module’s Discussion.
  • Describe the results of the Work Environment Assessment you completed on your workplace.
  • Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
  • Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

  • Briefly describe the theory or concept presented in the article(s) you selected.
  • Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
  • Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

  • Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
  • Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

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Developing a Culture of Evidence Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 10

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

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Dementia

 Topic to discuss is Dementia and Alzheimer’s disease.

1.  Discuss aspects of a health concern not being addressed despite the efforts of services and partnerships involved and describe the ultimate outcome(s) or goal(s) from Healthy People 2020 relating to that specific health concern.

Answering the following questions may assist in data interpretation:

  • What similarities are apparent between the data that were gathered and the data that were generated?
  • What differences are apparent between the data that were gathered and the data that were generated?
  • What are the weakness and strengths of this community?
  • In what areas is improvement needed in this community?
  • In this course are permitted to use first person, such as “I, we, me, us”, etc., due to the nature of the assignments.

The assignment should be written in an APA-formatted essay. The essay should be between 1500 and 2000 words in length and include at least two scholarly sources other than provided materials

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evidence base

To Prepare:

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 10

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

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evidenced base

Discussion: Developing a Culture of Evidence-Based Practice

 

· Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

o This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

· Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

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