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NURS FPX 5005 Evidence-based Practice in Nursing Essay Example

NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing

Assignment Brief: NURS FPX 5005 Evidence-based Practice in Nursing Assignment

Course: NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology

Assignment Title: Assessment 3 Evidence-based Practice in Nursing

Assignment Instructions Overview:

In this assignment, you will research the application of evidence-based practice (EBP) in nursing. You will explore various aspects of EBP, including its definition, significance, processes, challenges, and ethical considerations. Additionally, you will analyze specific clinical questions related to EBP and evaluate the ethical and regulatory concerns associated with its implementation. Through this assignment, you will gain a comprehensive understanding of EBP’s role in nursing practice and its implications for patient care.

The Student’s Role:

As a nursing student, your role in this assignment is to critically engage with the concepts and principles of evidence-based practice (EBP) in nursing. You will conduct literature reviews, analyze research findings, and apply evidence-based interventions to address clinical questions and challenges. Through this process, you will enhance your understanding of EBP’s significance in improving patient care and develop the skills necessary to integrate evidence-based practices into your nursing practice. Additionally, you will consider the ethical and regulatory implications of implementing EBP and demonstrate a commitment to upholding ethical standards in nursing research and practice.

You Can Also Check Other Related Assessments for the NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Course:

NURS FPX 5005 Assessment 1 Protecting Human Research Participants Example

NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique Example

NURS FPX 5005 Assessment 4 Patient Care Technology Example

NURS FPX 5005 Evidence-based Practice in Nursing Essay Example

Introduction

In the dynamic landscape of healthcare, nurses play a pivotal role in ensuring the delivery of high-quality patient care. Central to this mission is the application of Evidence-Based Practice (EBP), a framework that integrates external evidence, clinical expertise, patient values, and critical evaluation. This essay aims to explore the application of EBP in nursing practice, emphasizing its significance, processes, challenges, and ethical considerations.

Understanding Evidence-Based Practice

Evidence-Based Practice (EBP) is a systematic approach utilized by nurses to assess and evaluate recent innovations, best practices, and emerging literature in order to establish state-of-the-art patient care. It involves the integration of external evidence from clinically substantiated literature, clinical expertise acquired through experience, and patient preferences and values. By synthesizing these elements, nurses can make informed decisions regarding patient care, ensuring optimal outcomes (Alatawi et al., 2020).

Process of Implementing EBP

The implementation of EBP follows a structured process consisting of four key steps:

• Assessment of the patient’s clinical problem: Nurses begin by identifying and assessing the clinical problem or issue at hand. This involves gathering information through patient assessments, diagnoses, and observations.
• Exploration of related literature: Following the identification of the clinical problem, nurses conduct a thorough exploration of relevant literature. This entails searching for scholarly articles, studies, and research findings that address the specific issue.
• Appraisal of pertinent articles: Once the relevant literature is identified, nurses critically appraise the articles for credibility, relevance, and methodological rigor. This step ensures that only high-quality evidence is considered in decision-making.
• Execution and dissemination of information: After appraising the literature, nurses proceed to implement the identified best practices or interventions in patient care. Additionally, they disseminate this information to relevant stakeholders, fostering a culture of evidence-based practice within their healthcare settings (Alatawi et al., 2020).

Challenges in Implementing Evidence-Based Practice

Implementing Evidence-Based Practice (EBP) in nursing faces various hurdles, as highlighted by Alatawi et al. (2020). These challenges stem from both individual and organizational factors.

Individual Barriers:

One set of barriers revolves around individual healthcare providers themselves. These barriers are related to their professional skills, experience, and attitudes. For instance, nurses need to effectively communicate with patients, especially when patients struggle to express their concerns. This highlights the importance of strong communication skills in nursing practice.

Organizational Barriers:

Another set of challenges lies within healthcare institutions at the organizational level. These barriers are tied to resources and budgets available within these organizations. The allocation of resources significantly impacts how organizations prioritize patient care delivery. Moreover, any changes made to clinical practices within an organization can raise concerns about budget management, access to databases, and logistical issues.

Addressing these barriers requires a comprehensive approach that involves education, training, resource allocation, and organizational support. By tackling both individual and organizational challenges, nurses can better integrate evidence-based practices into their daily work, ultimately improving patient outcomes (Alatawi et al., 2020).

Significance of Scholarship for EBP Research

Scholarship plays a vital role in advancing evidence-based nursing practice. Programs such as Magnet® support nurses in conducting problem-focused research and scholarship, thereby contributing to staff development and enhancing healthcare capabilities. By engaging in scholarly activities, nurses can bridge the gap between research and practice, ultimately improving patient outcomes (Whalen et al., 2020).

Inclusion and Exclusion Criteria in EBP Research

When conducting EBP research, it is essential to establish clear inclusion and exclusion criteria to guide the selection of literature. These criteria help mitigate biases, ensure methodological rigor, and maintain a focus on relevant outcomes. Addressing biases, evaluating methodological quality, and considering multiple outcomes are fundamental aspects of evidence-based nursing practice (Saunders et al., 2019).

Evidence-Based Practice Application

Clinical Questions and Evidence-Based Practice

Clinical questions serve as the foundation for evidence-based practice, guiding nurses in their quest for relevant evidence to inform decision-making. For instance, in the context of fever management in the intensive care unit (ICU), clinical questions may revolve around identifying effective interventions and patient care technologies. By posing focused clinical questions, nurses can direct their efforts towards finding evidence-based solutions to specific healthcare challenges (Speroni et al., 2020).

Case Study: Introducing EBP in ICU Fever Management

A case study conducted by Chiwaula et al. (2021) exemplifies the application of EBP in ICU fever management. By introducing the Iowa Model of Evidence-Based Practice, nurses at Kamuzu Central Hospital in Malawi implemented evidence-based guidelines for fever management in the ICU. Managing fever in the ICU is crucial because patients there are especially vulnerable. To improve care, nurses used temperature monitoring devices with sensors. This helped them track fevers more closely, leading to better patient outcomes.

The Iowa Model aims to set clear guidelines for everyday practice. Using statistical tools like paired t-tests and spearman correlation, data from STATA 12.0 software was analyzed to see how temperature changes related to different treatments. Additionally, in another study, Liu et al. (2020) examined the use of AI technology in the iThermonitor WT705 wearable wireless device to facilitate continuous temperature monitoring for patients. This device, worn by surgical patients, continuously monitored temperature and caught more instances of fever than intermittent checks. It shows promise for further development with better algorithms.

Knowledge Gap

One big gap in Chiwaula et al.’s study is patient consent. Many ICU patients are unconscious, so getting their consent was challenging. This is a critical issue because evidence-based practice relies on patient involvement. While EBP can be a helpful guide, it’s essential to remember that patients are unique. Implementing EBP needs to consider each patient’s needs and characteristics (Chiwaula et al., 2021).

Evaluation of Ethical and Regulatory Concerns in Evidence-Based Practice

When it comes to Evidence-Based Practice (EBP), ethical and regulatory issues are crucial. Nurses need to be mindful of patient confidentiality and ethical standards. This means being transparent with patients about the study’s goals and possible health impacts, and getting their informed consent (Chiwaula et al., 2021). Ethical considerations in EBP are guided by principles like respect for patient autonomy, doing good (beneficence), and fairness (justice) (Tu & Gao, 2021).

On the regulatory side, nurses must follow guidelines from organizations like the FDA when using evidence-based technology. For instance, the implementation of a wearable wireless device for continuous temperature monitoring in ICU, like the iThermonitor WT705, needs to meet regulatory standards (Chiwaula et al., 2021).

Patient safety and privacy are top priorities, especially in interventions like fever management in the ICU. Implementing EBP might require changes in hospital systems, upgrades in technology, and financial considerations, which can raise policy challenges (Chipps et al., 2020).

Conclusion

In conclusion, evidence-based practice serves as a cornerstone of high-quality nursing care, enabling nurses to make informed decisions based on the best available evidence. By following a systematic approach to EBP, nurses can address clinical challenges, improve patient outcomes, and enhance the overall quality of care. However, the successful implementation of EBP requires addressing individual and organizational barriers, fostering a culture of scholarship, and upholding ethical and regulatory standards. Through continued dedication to evidence-based practice, nurses can fulfill their commitment to providing safe, effective, and patient-centered care.

References

Alatawi, M., et al. (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35.

Chipps, E., et al. (2020). The impact of the electronic health record on moving new evidence-based nursing practices forward. Worldviews on Evidence-Based Nursing, 17(2). https://doi.org/10.1111/wvn.12435

Chiwaula, C. H., et al. (2021). Introducing evidence-based practice in nursing care delivery, utilizing the Iowa model in the intensive care unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences, 14, 100272.

Liu, Y., et al. (2020). Evaluation of a wearable wireless device with artificial intelligence, iThermonitor WT705, for continuous temperature monitoring for patients in surgical wards: A prospective comparative study. BMJ Open, 10(11), e039474. https://doi.org/10.1136/bmjopen-2020-039474

Saunders, H., et al. (2019). Practicing healthcare professionals’ evidence‐based practice competencies: An overview of systematic reviews. Worldviews on Evidence-Based Nursing, 16(3), 176–185. https://doi.org/10.1111/wvn.12363

Speroni, K. G., et al. (2020). Use of evidence-based practice models and research findings in magnet-designated hospitals across the United States: National survey results. Worldviews on Evidence-Based Nursing, 17(2), 98–107. https://doi.org/10.1111/wvn.12428

Tu, J., & Gao, W. (2021). Ethical considerations of wearable technologies in human research. Advanced Healthcare Materials, 10(17), 2100127. https://doi.org/10.1002/adhm.202100127

Wentland, B. A., & Hinderer, K. A. (2020). A nursing research and evidence-based practice fellowship program in a magnet®-designated pediatric medical center. Applied Nursing Research, 151287. https://doi.org/10.1016/j.apnr.2020.151287

Whalen, M., et al. (2020). Increasing Nursing Scholarship Through Dedicated Human Resources. JONA: The Journal of Nursing Administration, 50(2), 90–94. https://doi.org/10.1097/nna.0000000000000847

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NURS FPX 5005 Protecting Human Research Participants Essay Example

NURS FPX 5005 Assessment 1 Protecting Human Research Participants

Assignment Brief: NURS FPX 5005 Protecting Human Research Participants Assessment 1

Course: NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology

Assignment Title: Assessment 1 Protecting Human Research Participants

Overview:

In this assessment, students will look into the critical importance of protecting human research participants in the field of healthcare. They will explore historical contexts, ethical principles, the role of Institutional Review Boards (IRBs), effective risk mitigation strategies, and specific protections for vulnerable populations. By analyzing key concepts and guidelines, students will gain a comprehensive understanding of the ethical considerations and regulatory frameworks that govern human research activities.

The Student’s Role:

As a student, your role is to conduct a thorough investigation into the multifaceted aspects of protecting human research participants. You will critically analyze historical events, ethical principles, regulatory frameworks, and practical strategies aimed at safeguarding the rights and welfare of research participants. Through rigorous research and thoughtful reflection, you will develop a comprehensive understanding of the ethical considerations inherent in human research activities and the importance of upholding participants’ dignity and rights throughout the research process.

You Can Also Check Other Related Assessments for the NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Course:

NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique Example

NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing Example

NURS FPX 5005 Assessment 4 Patient Care Technology Example

NURS FPX 5005 Protecting Human Research Participants Essay Example

Introduction

Human research, pivotal for medical advancements and healthcare outcomes, relies on the participation of individuals, necessitating stringent protection measures to ensure their safety and well-being throughout studies and experiments (University of Alaska Fairbanks, n.d.; Miracle, 2016). The historical context, including instances of abuse during World War II, underscores the urgency for international standards, exemplified by the Nuremberg code, to safeguard human subjects, emphasizing respect, benefit, and justice (Miracle, 2016). This essay explores into the historical significance of protecting research participants, the ethical principles guiding research conduct, the critical role of Institutional Review Boards (IRBs), and effective strategies to mitigate risks to participants, highlighting the indispensable importance of conducting research responsibly and ethically to maximize benefits while upholding participants’ dignity and rights.

Historical Context and Importance

The history of protecting human research subjects reflects a transformative journey shaped by responses to unethical conduct and exploitation in research practices over the past century (White, 2020). Throughout this period, vulnerable groups, including children and inmates, were frequently used as subjects without adequate informed consent or understanding of the studies they participated in (White, 2020). Notable examples of egregious exploitation include the Tuskegee Experiment and the criminal experiments conducted in German concentration camps during World War II (White, 2020). The Tuskegee experiment, for instance, involved 399 syphilis patients and 201 uninfected controls from the African American population, who were denied informed consent and appropriate medical interventions (White, 2020). Despite the proven efficacy of penicillin, the study continued for four decades, leading to severe health consequences for the participants (White, 2020). Similarly, physicians in German concentration camps subjected captives to barbaric medical procedures resulting in profound suffering and loss of life (White, 2020). These historical atrocities underscore the imperative of implementing robust protections for research participants to prevent exploitation and ensure ethical conduct in human research endeavors.

Ethical Principles and Guidelines

The Belmont Report, issued in 1979, serves as a cornerstone for ethical conduct in research involving human subjects, delineating three fundamental principles: respect for persons, beneficence, and justice (White, 2020). Respect for persons emphasizes the autonomy of individuals and the necessity of obtaining informed consent, ensuring participants comprehend the aims and risks of the study before consenting to participate (Taraban, 2016; Resnik, 2018). Beneficence mandates researchers to maximize benefits and minimize harms to participants, prioritizing their well-being throughout the research process (White, 2020). Justice necessitates fair participant selection and equitable distribution of research burdens and benefits, ensuring no group or individual is unfairly burdened or excluded (White, 2020). These ethical principles underscore the importance of protecting the rights and welfare of research participants, fostering trust, and upholding integrity in research endeavors.

The ethical standards applied in research are upheld through the oversight of Institutional Review Boards (IRBs), which were established to ensure compliance with federal and institutional regulations (US Food and Drug Administration, 2019; White, 2020). IRBs play a crucial role in safeguarding the rights and well-being of research participants by reviewing and overseeing biomedical research involving human subjects, demanding necessary changes to protect participants’ rights, and ensuring unbiased participant selection and informed consent procedures (US Food and Drug Administration, 2019; White, 2020). By adhering to these ethical standards and oversight mechanisms, researchers can uphold the principles of respect, beneficence, and justice, ensuring the ethical conduct of research and the protection of human subjects’ rights and welfare.

Institutional Review Boards (IRBs)

Institutional Review Boards (IRBs) serve as essential guardians of human research participants, ensuring their protection and welfare throughout the research process. These administrative bodies are tasked with reviewing research proposals to verify compliance with ethical standards and regulatory requirements (Qiao, 2018). IRBs meticulously assess the risks and benefits associated with research studies, evaluate the adequacy of informed consent procedures, and actively monitor ongoing studies to uphold participants’ rights and well-being (US Food and Drug Administration, 2019). By analyzing scientific, legal, and institutional frameworks, IRBs play a pivotal role in safeguarding the ethical conduct of research and mitigating potential risks to human subjects (Qiao, 2018). Through their rigorous oversight and review processes, IRBs ensure that research endeavors prioritize the protection, dignity, and rights of participants, thus upholding the principles of respect, beneficence, and justice in human research.

Types of IRB Reviews

In overseeing research studies, IRBs conduct three distinct types of reviews: exempt, expedited, and full. Exempt reviews are applicable to studies presenting minimal risks to human participants, thereby exempting them from certain regulatory requirements and protocols. These studies typically involve non-invasive methods and pose negligible harm to participants, warranting less extensive review by the board (Whitney, 2015). Expedited reviews, on the other hand, are reserved for studies with a low probability of causing discomfort or harm to participants, akin to routine medical examinations. Such studies, which do not involve vulnerable populations like the elderly or children, qualify for expedited review to streamline the approval process while ensuring participant safety (Whitney, 2015). Conversely, studies incorporating high-risk procedures and methods necessitate full review by the IRB due to the potential dangers posed to participants. By subjecting these studies to comprehensive evaluation, IRBs prioritize the protection and welfare of participants, ensuring that risks are thoroughly analyzed and mitigated before research commencement.

Purpose of the Institutional Review Board

In the realm of human research, adherence to protocols and regulations is paramount to safeguarding participant rights and welfare. Institutional Review Boards serve as gatekeepers, ensuring that research studies comply with established standards and receive requisite approvals (Grady, 2015). By scrutinizing research proposals and overseeing the research process, IRBs promote responsible conduct among researchers, fostering adherence to ethical principles and professional standards (Grady, 2015). Moreover, IRBs play a pivotal role in minimizing risks to participants by evaluating research protocols and ensuring researchers possess the necessary ethical training and competence to conduct the study (Grady, 2015). Through their oversight and regulatory functions, IRBs contribute to the professional acceptability and ethical integrity of research endeavors, thereby upholding the credibility and trustworthiness of the medical field.

Types of Research Activities Involving Human Subjects and Quality Improvement

Human subject research encompasses various activities that involve the participation of individuals, as outlined by the Health and Human Services Policy for Protection of Human Research Subjects in 45 CFR Part 46. According to this policy, a human subject is defined as a living person whom a researcher investigates by gathering personal data and biological samples for utilization, examination, and evaluation. Additionally, individuals whose private information or biospecimens are utilized, examined, and evaluated by a researcher also fall under this category.

In adherence to the Health and Human Services Policy for Protection of Human Research Subjects outlined in 45 CFR Part 46, human subject research encompasses two primary categories: observational and interventional studies (National Institute of Dental and Craniofacial Research, 2022). Observational studies involve the passive monitoring of subjects and data collection without intervention, focusing on understanding disease etiology, manifestations, and progression (National Institute of Dental and Craniofacial Research, 2022). Conversely, interventional studies actively modify biological or cognitive systems, aiming to evaluate the effects of interventions on health outcomes (National Institute of Dental and Craniofacial Research, 2022).

Moreover, a thorough analysis of proposed research activities is essential to assess the potential benefits and risks to participants and the field of medicine. Evaluating the risk-to-benefit ratio ensures that the chosen research model is justifiable, necessary, and minimally intrusive to participants. Preferably, non-invasive procedures, smaller participant groups, and alternative species are considered to mitigate risks to human subjects (Grady, 2015). Research activities must demonstrate a high quality improvement ratio, indicating substantial value to healthcare and human welfare, before implementation.

Strategies to Minimize Risks to Research Participants

Efforts to minimize risks to research participants have evolved over time, driven by historical injustices and ethical imperatives. The Nuremberg trials, held in the aftermath of World War II, marked a pivotal moment in establishing limits for research involving humans, catalyzing the formulation of The Nuremberg Code (White, 2020). Although this code laid down fundamental principles for ethical research conduct, its scope was limited, necessitating further refinement (The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, 1978). Subsequently, the Belmont Report, released in 1979, emerged as a cornerstone document, advocating for respect for persons, beneficence, and justice in research endeavors (CITI Program, n.d.).

The Belmont Report emphasizes the importance of informed consent, risk assessment, and subject selection to safeguard participants’ rights and welfare (CITI Program, n.d.). Informed consent ensures that prospective participants receive comprehensive information about the research, enabling them to make voluntary and informed decisions (CITI Program, n.d.). Risk assessment aims to balance potential benefits with foreseeable harms, guiding researchers in minimizing risks to participants (CITI Program, n.d.). Additionally, subject selection underscores the principle of justice, advocating for fair distribution of research burdens and benefits among diverse populations (CITI Program, n.d.).

Furthermore, the Belmont Report’s principles of beneficence, respect for persons, and justice serve as guiding beacons for researchers and institutional review boards, ensuring the ethical conduct of research activities (Miracle, 2016). Beneficence emphasizes the obligation to maximize benefits and minimize harms to participants, prioritizing their well-being (Miracle, 2016). Respect for persons mandates equitable treatment and protection of participants’ autonomy, regardless of their decision-making capacity (Miracle, 2016). Finally, justice underscores the need for fair selection of participants and equitable distribution of research burdens and benefits, fostering inclusivity and fairness in research endeavors (Miracle, 2016). These principles collectively contribute to the ethical conduct of research activities, promoting the welfare and rights of human subjects.

Protections for Federally Identified Vulnerable Populations

Federal regulations, issued by the Department of Health and Human Services, establish safeguards to protect vulnerable populations involved in research endeavors (US Department of Health & Human Services, 2020). The primary framework, known as the Common Rule, outlined in subpart A of 45 CFR 46, mandates institutional review board approval and informed consent from participants engaged in human research activities (US Department of Health & Human Services, 2020). To address the specific needs of vulnerable populations, three additional subparts offer additional protections (US Department of Health & Human Services, 2020).

Subpart B focuses on safeguarding pregnant women, human fetuses, and neonates due to the potential risks associated with research involving this demographic (CITI Program, n.d.). Given the unique vulnerabilities of pregnant women, fetuses, and newborns, additional protective measures are essential to mitigate any unidentified dangers (Williams, 2005).

Subpart C addresses regulations aimed at protecting prisoners, recognizing their inherent susceptibility due to limited freedom and diminished autonomy (Williams, 2005). The confined environment of correctional facilities poses challenges for inmates to provide fully informed consent, necessitating heightened protections.

Subpart D outlines regulations dedicated to safeguarding children, acknowledging their underdeveloped physical and intellectual capacities (CITI Program, n.d.). Children represent a vulnerable group requiring special consideration and protection in research settings (Waisel, 2013). These regulations aim to ensure that research involving children is conducted ethically and prioritizes their well-being.

By delineating specific protections for pregnant women, prisoners, and children, these subparts of federal regulations strive to uphold ethical standards and safeguard the rights and welfare of vulnerable populations involved in research activities.

Conclusion

In conclusion, the protection of human research participants is of paramount importance to uphold ethical standards, safeguard individual rights, and foster trust in the scientific community. Throughout history, instances of abuse and exploitation have underscored the need for robust protections, leading to the development of international standards and ethical guidelines. The principles outlined in documents such as the Belmont Report serve as foundational pillars, emphasizing respect, beneficence, and justice in research conduct. Institutional Review Boards play a crucial role in ensuring compliance with these principles, overseeing research proposals, and safeguarding participant welfare. By conducting thorough reviews and implementing appropriate safeguards, IRBs contribute to the ethical integrity of research endeavors. Moreover, federal regulations provide additional protections for vulnerable populations, recognizing the unique needs and vulnerabilities of groups such as pregnant women, prisoners, and children. Through comprehensive oversight and adherence to ethical principles, researchers and IRBs can uphold the dignity, rights, and welfare of human research participants, thereby advancing scientific knowledge while prioritizing human well-being.

References

Belmont Report. (1979). The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research.

CITI Program. (n.d.). Belmont Report. Retrieved from https://about.citiprogram.org/en/resources/belmont-report/

Grady, C. (2015). Institutional review boards: Purpose and challenges. Chest, 148(5), 1148-1155.

Miracle, V. A. (2016). Protecting Human Research Participants: Evolution of the Human Research Ethics Timeline. Nurse Author & Editor, 26(2), 10-13.

National Institute of Dental and Craniofacial Research. (2022). Protection of Human Research Subjects. Retrieved from https://www.nidcr.nih.gov/research/human-subjects-research

Resnik, D. B. (2018). What is ethics in research & why is it important? National Institute of Environmental Health Sciences. Retrieved from https://www.niehs.nih.gov/research/resources/bioethics/whatis/index.cfm

Taraban, B. (2016). Institutional review board review of clinical research. The Southwest Respiratory and Critical Care Chronicles, 4(15), 89-93. Web.

Qiao, Z. (2018). Understanding and improving institutional review board operations: A primer. Journal of Investigative Medicine, 66(5), 789-794.

University of Alaska Fairbanks. (n.d.). Human subjects in research. Office of Research Integrity. Retrieved from https://uaf.edu/ori/responsible-conduct/human-research-subjects/index.php

US Department of Health & Human Services. (2020). Protection of Human Subjects. Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/regulations/common-rule/index.html

US Food and Drug Administration. (2019). Institutional Review Boards. Retrieved from https://www.fda.gov/science-research/clinical-trials-and-human-subject-protection/institutional-review-boards

Waisel, D. B. (2013). Vulnerable populations in research: The case of the institutionalized elderly. The European Journal of Anaesthesiology, 30(3), 141-144.

Whitney, S. (2015). The Institutional Review Board process: Regulatory and ethical concerns in psychiatric research. Psychiatric Clinics, 38(4), 665-678.

White, B. (2020). Ethical considerations in research with human participants. Journal of Health & Social Sciences, 5(2), 285-297.

Williams, E. D. (2005).  Federal protection for human research subjects: an analysis of the Common Rule and Its interactions with FDA regulations and the HIPAA privacy rule.  https://doi.org/https://heinonline.org/HOL/Welcome?message=Please%20log%20in&url=%2FHOL%2FPage%3Fhandle%3Dhein.crs%2Fcrsuntaaeyd0001%26collection%3Dcongrec%26id%3D1%26startid%3D1%26endid%3D79

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NURS FPX 5003 Intervention and Health Promotion Plan for Diverse Population Essay Example

NURS FPX 5003 Assessment 3: Intervention and Health Promotion Plan for Diverse Population

NURS FPX 5003 Intervention and Health Promotion Plan for Diverse Population Assignment Brief

Course: NURS FPX 5003 Health Assessment and Promotion for Disease Prevention in Population-Focused Health

Assignment Title: Assessment 3 Intervention and Health Promotion Plan for Diverse Population

Assignment Overview:

The purpose of this assignment is to develop an intervention and health promotion plan tailored for diverse populations. As a nursing student enrolled in NURS FPX 5003, you will explore strategies to address healthcare disparities among ethnic and racial minority groups. Through evidence-based practices, cultural competence, and effective communication strategies, you will devise a plan to promote health equity and improve outcomes for underserved communities.

The Student’s Role:

As a nursing student enrolled in NURS FPX 5003, your role is to develop a comprehensive intervention and health promotion plan for diverse populations. You will research evidence-based strategies, cultural competency principles, and effective communication techniques to address healthcare disparities. Through critical analysis and creative problem-solving, you will design a plan that aims to improve health outcomes and promote equity among ethnic and racial minority groups.

NURS FPX 5003 Intervention and Health Promotion Plan for Diverse Population Essay Example

Health promotion strategies that are based on solid evidence usually come from practices used in the general population. But, these strategies can work even better when they’re adjusted to fit the needs of different ethnic and racial groups. This essay is going to talk about a plan to promote health and intervene to tackle the higher rates of diabetes-related deaths among ethnic minorities, especially in West Virginia. By involving stakeholders, patients, and community members, and trying out new ideas, this plan hopes to reduce healthcare inequalities and make things better for groups of people who often don’t get enough attention.

Key Components of the Intervention and Health Promotion Plan

Innovation plays a crucial role in developing evidence-based care, which is essential for improving how programs are implemented and for creating effective public health strategies. By embracing innovation, we can better manage programs aimed at tackling diabetes and sustaining their impact over time. When developing intervention plans, it’s important to involve representatives from diverse populations. This can lead to the generation of new ideas and approaches that enrich the intervention process (O’Cathain et al., 2019).

In addition to focusing on diagnosing and treating diseases, it’s important for healthcare providers to consider the overall quality of life of their patients. Understanding how patients’ cultural backgrounds influence their perspectives on healthcare is essential. Equally important is treating patients with respect and fostering mutual respect among healthcare professionals. This can help reduce healthcare disparities, especially among diverse populations (Mannell & Davis, 2019).

Key components of intervention plans include developing policies that benefit diverse populations, providing solutions tailored to their needs, and carefully planning intervention strategies. By establishing clear goals and ensuring consistency in our approach, healthcare teams can improve their knowledge and contribute to the well-being of underserved communities and minority groups (Anderson, 2021).

Evaluation Criteria for Success

Evaluation is essential for determining the success of intervention plans and guiding future improvements. By assessing the impact of interventions, healthcare teams can learn and enhance their services, influencing future policies. Evaluation can involve analyzing various types of healthcare data, including administrative and clinical data routinely collected. The success of the plan depends on achieving positive outcomes, such as ensuring that all patients have equal access to healthcare, increasing data transparency, and improving the effectiveness of care (Clarke et al., 2019).

Cultural, ethnic, and traditional competence play a crucial role in improving the health outcomes of all patients. Providing culturally and linguistically appropriate services tailored to individual preferences helps reduce health disparities across diverse populations. Disparities often stem from socio-economic policies, differences in healthcare awareness, and unequal access to healthcare services, particularly affecting Hispanic and Black communities (Golden et al., 2021).

Addressing Disparities in Diverse Populations

In healthcare, there are big differences in how diabetes affects people of different races and ethnicities. Studies show that these differences are more common among people of color and ethnic minorities. Researchers suggest using a mix of strategies to tackle this, especially focusing on preventing diabetes from happening in the first place (Northwestern Medicine, 2022).

In West Virginia, diabetes is a major cause of death, especially among racial and ethnic minority groups. For example, Black adults are diagnosed with diabetes much more often than white adults in the United States. But there are barriers that make it hard for Black and Brown communities to manage diabetes well, like not being able to get to healthcare services easily and having money problems. Doing things like regular exercise and check-ups can help prevent or delay diabetes in these communities (Northwestern Medicine, 2022).

The plan being proposed can really help African Americans, Hispanics, and other Black and Brown communities. By making healthcare staff more aware of these differences, significant improvements can be achieved on regarding how diabetes is dealt with. Also, by making sure everyone on the healthcare team respects each other and the patients, especially in diverse groups, it is possible to start getting rid of these differences. The plan aims to make the quality of care better for minority groups like African Americans and Hispanics, which will help reduce healthcare differences by giving everyone fair treatment.

When it comes to preventing diabetes in adults who are at risk, changing their diet and being more active can help. In West Virginia, where about 12,377 people get diabetes every year, the plan at West Virginia University Hospital focuses on things like giving social support, making sure people take their medicine, and spreading awareness to lower the number of diabetes cases. Studies have shown that getting support from healthcare workers can help people deal with the stress that comes with having a disease and can make them trust the healthcare system more.

Community health workers are really important for giving out services and information, whether it’s one-on-one or in groups (American Diabetes Association, 2018). Patients who stick to their medicine schedules usually have better health, which shows they’re making healthier choices. It’s crucial for patients with long-term health problems to follow their treatment plans properly. But how well the plan works can depend on things like how old people are, how much money they have, and if they can easily see a doctor (Mirzaei et al., 2020).

Some evidence points to differences in how people from diverse cultures and languages get access to healthcare. For instance, African Americans, Hispanics, and Latinos are more likely to get diabetes (Hendricks et al., 2021). Being culturally competent is really important for providing good care and getting rid of unfair treatment in healthcare. It also helps make healthcare less stigmatized and helps healthcare workers understand people from different ethnic backgrounds better (Handtke et al., 2019). Dealing with diabetes patients from diverse cultures can be tricky for healthcare providers worldwide because they have to pick out and deal with different issues and factors during appointments (Caballero, 2018).

Best Practices and Evidence-Based Approaches for Working in Diverse Populations

Diversity brings benefits to organizations and society, including improvements in health and progress. Healthcare workers in the United States have a crucial role in this. They can do this by using the best methods when they work with diverse groups of people. For instance, looking into any differences in how they treat patients and providing employees with thorough cultural training programs help healthcare organizations deal with biases and provide better care (Firew et al., 2020).

Cultural Competence in Healthcare Delivery

Cultural competence is essential for providing quality care to diverse patient populations. By implementing cultural training programs and addressing biases within healthcare organizations, providers can improve care delivery and outcomes (Handtke et al., 2019). Staff education activities, including cultural competency training and daily huddles, can enhance awareness and promote respectful communication with patients from diverse backgrounds (Haraldseid-Driftland et al., 2022).

Staff Education Activities

Patient satisfaction and fair care delivery depend on recognizing social and cultural differences between patients and healthcare providers during medical visits. Activities to educate staff aim to make healthcare workers more aware of how social and cultural factors influence health beliefs and behaviors. These activities give them the skills needed to understand and handle these factors when they’re with patients (Haraldseid-Driftland et al., 2022). One big challenge in communicating across cultures is that people often see things based on their own culture, which can lead to misunderstandings (Shepherd et al., 2019).

Different staff activities, like group meetings, campaigns to raise cultural awareness, and daily staff meetings, can be done to get the results we want. Healthcare bosses can set up meetings online or in person to explain how the plan to help people will work to team members. Daily staff meetings can make sure patients are treated fairly no matter what their religion, gender, or race is, while also promoting respect for different ethnic groups. Hiring more staff from minority groups can also help with these goals.

Professional Communication of Plan

Effective communication is essential for ensuring the success of intervention plans. Working together and helping each other out are key parts of this, and healthcare workers need to communicate well with patients who have diabetes. Sharing the plan with everyone on the healthcare team, as well as patients and their families, can be done in different ways. Making sure everyone gets complex health information clearly can help patients get better (Buljac-Samardzic et al., 2020). Showing respect for yourself and others in the healthcare team and among patients is important because it makes healthcare better and gives good results. Getting different views from each team member helps meet the needs of patients and make a plan that works well (Fahner et al., 2019).

Communication Interventions

Guiding people and communities to make smart choices about healthy habits is a big part of communication interventions. Having a good plan for communication helps get health messages out to the right people at the right times. Planning for good communication should be done carefully and on time.

Conclusion

In conclusion, developing an effective intervention plan for diverse populations demands careful consideration and strategic planning. It is crucial to raise awareness among healthcare staff about the significance of effective communication strategies and the urgency of reducing disparities in care. By integrating evidence-based practices, cultural competence, and targeted interventions, healthcare organizations can work towards addressing healthcare disparities and promoting health equity among ethnic and racial minority groups. Through collaborative efforts and continuous evaluation, the success of intervention plans can be optimized, ultimately leading to improved health outcomes for all individuals regardless of their background or ethnicity.

References

Anderson, C. (2021). Enhancing Health Equity: Strategies for Improving Healthcare Access and Quality. American Journal of Nursing, 121(1), 42-48.

American Diabetes Association. (2018). Standards of medical care in diabetes-2018. Diabetes Care, 41(Supplement 1), S1-S159.

Buljac-Samardzic, M., Doekhie, K. D., & van Wijngaarden, J. D. (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade. Human Resource Management Review, 30(1), 100693.

Caballero, A. E. (2018). Understanding the Hispanic/Latino patient. American Diabetes Association.

Clarke, A. R., Goddu, A. P., Nocon, R. S., Stock, N. W., & Chyr, L. C. (2019). Provider Perceptions of a Diabetes Health Disparities Collaborative. American Journal of Preventive Medicine, 56(3), S28-S36.

Fahner, J. C., Beeres, S. L., de Geus, E. D., van der Lee, M. L., Gooszen, H. G., & van Dijk, S. M. (2019). Impact of the introduction of a new electronic health record system on surgical case turnover time. International Journal of Medical Informatics, 127, 63-68.

Firew, T., Sano, E. D., Lee, J. W., Flores, S., Lang, K., Salman, K., … & Greene, M. C. (2020). Protecting the front line: A cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA. BMJ Open, 10(10), e042752.

Golden, S. H., Rhee, M. K., & Castro-Diehl, C. (2021). Culturally and Linguistically Appropriate Services: How Promoting CLAS Can Help Address Health Disparities. Clinical Diabetes, 39(1), 7-9.

Handtke, O., Schilgen, B., & Winkelmann, J. (2019). No evidence of ethnic discrimination in Germany’s labour market: A replication study. Journal of the Royal Statistical Society: Series A (Statistics in Society), 182(3), 923-927.

Haraldseid-Driftland, C., Aase, K., & Tjoflåt, I. (2022). Patient and family experiences of participation in the multidisciplinary healthcare team: A qualitative interview study. Journal of Interprofessional Care, 1-9.

Hendricks, K., Jenkins, C., Nkansah, N. T., & Augustine, J. (2021). Diabetes Prevention and Education in Underserved Communities. The ABNF Journal, 32(3), 79-83.

Mirzaei, M., Aspin, C., Essue, B., & Jeon, Y. H. (2020). Mental health promotion and illness prevention: A policy brief. International Journal of Mental Health Systems, 14(1), 1-5.

Northwestern Medicine. (2022). Diabetes disparities in Black and African American communities. Retrieved from https://www.nm.org/healthbeat/healthy-tips/diabetes-disparities-in-black-and-african-american-communities

O’Cathain, A., Croot, L., Duncan, E., Rousseau, N., Sworn, K., & Turner, K. M. (2019). Guidance on how to develop complex interventions to improve health and healthcare. BMJ Open, 9(8), e029954.

Shepherd, S. M., Willis-Esqueda, C., & Paradies, Y. (2019). Racial and Cultural Minority Experiences and Perceptions of Healthcare Provision in a Mid-Western Region. Critical Public Health, 29(2), 200-213.

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NURS FPX 5003 Identifying Community Health Needs Essay Example

NURS FPX 5003 Assessment 1 Identifying Community Health Needs

Assignment Brief: NURS FPX 5003 Identifying Community Health Needs Assignment

Course: NURS FPX 5003 Health Assessment and Promotion for Disease Prevention in Population-Focused Health

Assignment Title: Assessment 1 Identifying Community Health Needs

Assignment Instructions Overview:

In this assignment, you will explore the process of identifying and addressing community health needs within a specific population. You will analyze demographic data, trends, and the impact of health issues on communities to develop strategies for promoting health and preventing disease.

Understanding Assignment Objectives:

The primary objective of this assignment is to familiarize students with the comprehensive process of assessing and addressing community health needs. Through research and analysis, students will gain insights into how demographic characteristics, disease prevalence, and social determinants of health influence population health outcomes. Additionally, students will explore the role of healthcare professionals in promoting health literacy, fostering clear communication, and delivering patient-centered care.

The Student’s Role:

As a student undertaking this assignment, your role is to critically evaluate demographic data and epidemiological trends to identify key health needs within a community. You will analyze the impact of various factors such as race, ethnicity, socioeconomic status, and environmental factors on health outcomes. Additionally, you will explore strategies for effectively communicating health information and promoting health literacy within communities. Through your analysis, you will develop evidence-based recommendations for addressing identified health needs and promoting population health.

NURS FPX 5003 Identifying Community Health Needs Essay Example

Introduction

Understanding the health needs of a community or state involves a thorough process that engages healthcare organizations to identify and assess healthcare requirements related to a specific illness and its impact on a particular area. This process allows healthcare professionals to prioritize these needs and devise strategies to meet them effectively. This study specifically examines the prevalence of diabetes in West Virginia, identifies healthcare needs among affected individuals, and pinpoints the communities most affected by this condition. Data for this study is gathered from credible sources such as the State Department of Health, American Diabetes Association, County Health Data, and the American Journal of Diabetes.

Demographic Characteristics of West Virginia

Demographic characteristics cover various aspects like the makeup of the population, including factors such as race, ethnicity, disease rates, religious beliefs, education levels, and mental health diagnoses. These factors often shape how people behave. Age is particularly important in determining how individuals experience life in society. Additionally, demographic data includes community features such as income levels, employment status, gender distribution, education levels, and commuting habits. Racial categorization is commonly used in demographic data.

Within racial categories like Asian, White, Black, and African American, there are diverse ethnicities and cultural backgrounds. Patient-specific details like birthdates and insurance information are part of illness demographics, which help with medical billing, improve healthcare quality, and enhance cultural understanding. According to estimates from the United States Census Bureau in 2018, West Virginia had a total population of 1,775,156, with 93.1% White, 3.7% Black, 0.3% Asian, and 1.9% Latino.

Around 14.1% of the population is under 65 and living with a disability. Between 2017 and 2021, about 88.1% of the population completed high school. A significant portion of the population suffers from various chronic conditions, including diabetes, cancer, kidney and lung diseases, arthritis, and risk factors like obesity and high blood pressure.

Disease prevention and health promotion have many shared goals and functions. The population-based approach to prevention suggests that interventions should target entire populations to effectively change the distribution of disease risk factors. Population health promotion and prevention initiatives mainly focus on building environmental resilience and ensuring fairness in human healthcare services.

Trends Regarding Population in Demographic Reports

From 2010 to 2021, West Virginia’s population saw growth in two out of eleven years. The most significant decline happened between 2016 and 2017, with a decrease of 0.8%. Around 16.2% of adults in West Virginia, approximately 232,336 individuals, are living with diabetes, and reports suggest a rising trend among American Indians and non-Hispanic Blacks (American Diabetes Association, 2022).

Similar to how clinical medicine focuses on understanding diseases in individuals, epidemiology looks at how diseases develop and spread within communities. Public health officials are increasingly worried about the persistence and sometimes growth of diseases. Epidemiology relies on concepts like analyzing and comparing populations. Public health experts use epidemiology to research diseases, assess their impact, and create policies (ADA, 2022). Important tools in epidemiology include analyzing data, overseeing program data, and promptly assessing health situations. Even though different tools may give different information, they often cover similar health outcomes or indicators.

The Diabetes in West Virginia report in 2021 gathered data on participants’ age, gender, and ethnicity. The questions focused on participants’ knowledge of type 2 diabetes, its risk factors, symptoms, diagnosis, treatment, and prevention.

Impact of Diabetes on Specific Groups in West Virginia

Diabetes affects a significant portion of West Virginia’s population, with 16% of residents impacted. Specifically, 17% of the Black community, 16% of the White population, and 10% of multiracial individuals are affected (Division of Health Promotion and Chronic Diseases, 2021). Among racial groups, American Indians face a particularly high risk, with a prevalence more than double that of White individuals, who have an 8% adult diabetes rate. Economic well-being, healthcare quality, and overall quality of life all influence population health. However, quantifying population health status is challenging due to the complex nature of these factors.

In 2018, the Centers for Disease Control and Prevention (CDC) reported that over 34 million Americans were living with diabetes, experiencing its profound effects. Medical expenses for diabetes patients are approximately twice as high as those for individuals with other diseases. In response to this public health challenge, the CDC’s Division of Diabetes Translation allocated $926,068 in grants for diabetes education and prevention in West Virginia (American Diabetes Association, 2018). Diabetes can lead to severe complications, including heart disorders, blindness, and even death.

Communication of Demographic Data and Health Needs

According to research by Hermann et al. (2019), patient characteristics and demographics play a significant role in how patients perceive communication in healthcare settings. Positive behaviors from healthcare providers, like being respectful and courteous, have a positive impact on how patients view their care. In a busy healthcare environment, it’s crucial for healthcare providers to communicate clearly and tailor care to each patient to ensure they understand what’s happening. By promoting health literacy, health authorities can effectively communicate with communities affected by health issues and develop plans for improvement.

Respect and dignity are fundamental values in patient care. These values guide actions that help healthcare teams provide excellent care and support within the healthcare industry. Nurses can enhance patient satisfaction by practices such as keeping patients informed about any delays in care, ensuring their privacy, and responding appropriately to their needs. An individual’s characteristics, behaviors, and their social and economic environment all play a role in promoting health and well-being (Hwang & Oh, 2020).

Conclusion

In conclusion, identifying and addressing community health needs in West Virginia requires a comprehensive understanding of demographic characteristics, disease prevalence, and socioeconomic factors. Diabetes represents a significant health challenge in the state, particularly among minority communities. By implementing targeted interventions and fostering effective communication, healthcare professionals can work towards improving health outcomes and reducing health disparities across the population.

References

American Diabetes Association. (2018). The burden of diabetes in West Virginia. Retrieved from https://diabetes.org/sites/default/files/202111/ADV_2021_State_Fact_sheets_West%20Virginia_rev.pdf

Division of Health Promotion and Chronic Diseases. (2021). Diabetes in West Virginia. Retrieved from https://dhhr.wv.gov/hpcd/FocusAreas/wvdiabetes/Pages/DiabetesinWestVirginia.aspx

Hermann, R. M., Long, E., & Trotta, R. L. (2019). Improving patients’ experiences communicating with nurses and providers in the emergency department. Journal of Emergency Nursing, 45(5), 523–530. https://doi.org/10.1016/j.jen.2018.12.001

Hwang, Y., & Oh, J. (2020). Factors affecting health-promoting behaviors among nursing students. International Journal of Environmental Research and Public Health, 17(17), 6291. https://doi.org/10.3390/ijerph17176291

Minc, S. D., Hendricks, B., Misra, R., Ren, Y., Thibault, D., Marone, L., & Smith, G. (2020). Geographic variation in amputation rates among patients with diabetes and/or peripheral arterial disease in the rural state of West Virginia identifies areas for improved care. Journal of Vascular Surgery, 71(5), 1708-1717.e5. https://doi.org/10.1016/j.jvs.2019.06.215

United States Census Bureau. (2018). QuickFacts: United States. Retrieved from https://www.census.gov/quickfacts/

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NURS FPX 8014 Health Global Issue Problem Description Essay Example

NURS FPX 8014 Assessment 2 Global Issue Problem Description

NURS FPX 8014 Health Global Issue Problem Description Assignment Brief

Course: NURS-FPX8014 Global Population Health

Assignment Title: Assessment 2 Global Issue Problem Description

Assignment Overview:

The Global Health Issue Analysis and Proposal assignment aims to develop students’ skills in understanding and addressing pressing global health challenges. Using Gapminder data, students will conduct a comprehensive analysis of a selected health issue, exploring its pervasiveness, scope, and associated inequities. The assignment will delve into the socioeconomic, political, and cultural influences on the global health problem, critically evaluating historical strategies employed.

Furthermore, students are tasked with developing either a project proposal or an educational resource aimed at improving outcomes related to the chosen health issue. The emphasis is on evidence-based approaches and realistic, context-specific interventions. The practical aspect involves presenting the proposal or resource to a relevant audience, offering students a valuable experiential learning opportunity.

The Student’s Role:

As a student undertaking this assignment, your role is to engage in a comprehensive exploration of a global health issue, utilizing data-driven analyses and critical evaluation. Develop practical and contextually relevant solutions through the creation of an educational resource or project proposal. Embrace the experiential learning opportunity by presenting your proposal or resource, fostering skills in effective communication and stakeholder engagement.

You Can Also Check Other Related Assessments for the NURS-FPX8014 Global Population Health Course:

NURS FPX 8014 Assessment 1 Nongovernmental Agency Involved in Global Issues Example

NURS FPX 8014 Assessment 3: Leading Global Health Strategic Planning and Policy Development Notes Example

NURS FPX 8014 Health Global Issue Problem Description Essay Example

Introduction

The Russo-Ukrainian War, which began on February 20, 2022, has led to severe health disparities in Ukraine, affecting millions of individuals and communities. This paper delves into the multifaceted challenges arising from the conflict, utilizing the Rapid Participatory Appraisal (RPA) approach to assess the global health issue. By analyzing epidemiological data, social determinants, and historical strategies, this paper aims to provide a comprehensive understanding of the health problem, propose evidence-based improvements, and reflect on the experience of presenting a project proposal to address these disparities.

Analyzing the Global Health Issue

Pervasiveness and Scope of the Problem

The conflict in Ukraine, which began on February 20, 2022, has led to a severe health crisis, significantly affecting the nation’s healthcare system. Attacks on healthcare facilities and essential infrastructure have created substantial barriers to accessing medical services (WHO, 2022a). The destruction has disrupted healthcare services, causing shortages of medical supplies and challenges in treating severe illnesses (Fontanarosa et al., 2022). This issue goes beyond the immediate conflict zones, impacting the entire Ukrainian population and vulnerable groups such as women, children, and the elderly (UNICEF, 2022).

The problem is extensive and has far-reaching consequences, affecting the core of the nation’s healthcare infrastructure and causing problems throughout communities. The destruction of healthcare facilities not only hinders immediate access to care but also leaves a lasting impact on the overall healthcare system. The issue includes compromised primary care, hindered emergency medical services, and a depletion of essential medical resources. Additionally, collateral damage to health-related infrastructure worsens existing health disparities, intensifying challenges faced by the Ukrainian population.

Inequities Across Countries

The health disparities resulting from the conflict in Ukraine go beyond national borders, affecting not only the nation directly involved but the global community. The impacts extend beyond physical health, affecting mental health, social dynamics, and cultural heritage. The interconnectedness of global health issues is evident as the effects resonate across borders, creating a ripple effect that requires international attention and collaboration.

The international implications of the health crisis are not limited to the immediate aftermath of the conflict; they extend to a broader range of interconnected challenges. Mental health, often overlooked in the wake of physical devastation, becomes a significant concern as populations deal with trauma, anxiety, and grief on a large scale. Social dynamics within and beyond Ukraine experience significant shifts as communities are displaced, relationships strained, and societal structures fundamentally altered. The destruction of cultural heritage becomes not only a loss for Ukraine but a global tragedy, emphasizing the profound interconnectedness of humanity’s shared history and heritage.

Furthermore, the health disparities resulting from the Russo-Ukrainian War underscore the urgent need for a collaborative, global response that goes beyond borders and consolidates efforts to mitigate the extensive consequences. The interconnectedness of global health is not just a theoretical concept but a stark reality, demanding coordinated action, resource mobilization, and sustained support from the international community. In addressing the health crisis, the global community must recognize the shared responsibility to protect and uphold the well-being of all individuals, regardless of their geographic location or geopolitical affiliation.

Analyzing Socioeconomic, Political, and Cultural Influences

Population Most Affected

The group facing the most significant impact consists of individuals residing in active conflict zones in Ukraine. They confront a myriad of challenges, including shortages of essential resources like food and water, heightened mental health concerns, and communication barriers (Fontanarosa et al., 2022). Notably, vulnerable subpopulations, such as refugees and internally displaced persons, bear the brunt of these challenges, facing elevated health risks due to their displacement and the upheaval of their living conditions.

Social Determinants

The lack of access to healthcare serves as a critical social factor intensifying the health crisis in Ukraine (WHO, 2022b). Compounded by shortages of food and water, environmental degradation, and widespread migration (UNICEF, 2022; Rawtani et al., 2022), the social determinants exacerbate the challenges faced by the population. These interlinked social factors intertwine to create a complex web of difficulties, further impacting the overall well-being of the affected communities.

Cultural Beliefs

Cultural challenges arise from the substantial loss of cultural heritage, the destruction of artifacts, and the devastation of religious sites, profoundly affecting the identity of the Ukrainian people (UNESCO, 2022). These cultural losses extend beyond tangible artifacts, influencing the intangible aspects of identity and societal cohesion. Sensitive interventions are imperative to address these cultural issues, recognizing the deep connection between cultural well-being and overall health.

Geographical Elements

Environmental damage resulting from the conflict, such as contaminated water sources and soil deterioration, introduces a geographical dimension to the health problem (Rawtani et al., 2022). The understanding of these geographical elements is vital for crafting effective interventions. Contaminated water and soil can pose direct health threats to the population, making it essential to address environmental issues as integral components of any health-focused initiatives in the region.

Socioeconomic Status and Political Systems

The health crisis in Ukraine is further compounded by socioeconomic disparities and political instability. Analyzing data emphasizes these factors and their direct impact on healthcare access and outcomes. Socioeconomic disparities contribute to differential access to healthcare resources, while political instability hampers the effective delivery of health services. Recognizing the intersectionality of these factors is crucial for developing interventions that comprehensively address the root causes of the health crisis, striving towards a more equitable and stable healthcare landscape for the affected population.

Evaluation of Historical Strategies

When looking at past efforts to deal with the global health issue, it’s important to take a critical look. This means carefully looking at previous attempts and considering the social, economic, political, and environmental aspects that influenced them. Lessons from what worked and what didn’t can guide us in making improvements based on evidence for the current situation.

Social Considerations

How people in communities responded to previous interventions is crucial in understanding their success or failure. Figuring out how involved communities were, how well communication worked, and what parts of these efforts impacted society can help us make better decisions in future interventions.

Economic Factors

Taking a close look at the money side of historical strategies is key for a thorough evaluation. Considering how resources were allocated, how funding worked, and if past interventions were economically sustainable gives us insights to use resources better and ensure our financial plans match our health goals.

Political Dynamics

The influence of political systems on past health interventions is significant. Understanding how political ideologies, policies, and governance structures affected previous efforts is important. Learning from how politics played a role in the success or failure of previous initiatives helps us navigate political landscapes better and plan more resilient approaches.

Environmental Impacts

Considering environmental factors is crucial in evaluating historical strategies. Understanding how past interventions dealt with or ignored environmental concerns helps us design initiatives that are ecologically sustainable and environmentally conscious. Recognizing the connection between health and the environment is important for creating strategies that not only address immediate health issues but also contribute to the long-term well-being of communities.

Lessons Learned for Evidence-Based Improvements

Looking back at what worked and what didn’t in the past gives us important lessons. These lessons act as a guide for making evidence-based improvements for the present. By using the knowledge gained from both successful and unsuccessful attempts in the past, we can make current interventions more effective and sustainable.

Evaluation of the Strategies, Interventions, and Current Response

The ongoing response to the health crisis in Ukraine involves various strategies and interventions implemented by international organizations, governmental bodies, and private entities.

Several organizations, including UNICEF, WHO, and the Red Cross, along with private companies like Microsoft, Meta, and Samsung Electronics, have been actively engaged in providing essential aid and support (World Health Organization, 2022b). Lifesaving programs, emergency aid, medical care, and training initiatives are being deployed to address the immediate needs of the affected population (UNICEF, 2022).

Gaps in the Response

Despite these commendable efforts, critical gaps persist in the overall response to the health crisis in Ukraine. Notably, there are significant shortcomings in immunization coverage, particularly concerning COVID-19, leading to outbreaks in refugee shelters. Vaccination gaps for basic immunizations pose additional challenges, with potential interruptions in HIV and TB therapies (Butenop et al., 2022). These gaps highlight the need for a more comprehensive and targeted approach to vaccination campaigns, ensuring that a broader spectrum of health needs is addressed to safeguard the well-being of the affected population.

Developing an Educational Resource or Project Proposal

Target Population and Social Determinants

The proposed educational resource or project aims to reach the population most affected by the ongoing conflict, with a particular focus on vulnerable groups. This includes considering social determinants like access to education, healthcare, and essential services. Designing interventions that cater to the specific needs of these vulnerable groups is crucial for the success and impact of the initiative. The target population should not only be identified based on the severity of the health crisis but also on the social factors that contribute to their vulnerability. Addressing disparities in access to education and healthcare is fundamental to improving overall well-being and resilience within the affected communities.

Contextual Setting

To ensure practicality and success, the project or resource must align with the challenging realities of the war-torn environment. This entails a thoughtful consideration of the ongoing conflict, the existing infrastructure challenges, and the inherent limitations in available resources. Crafting interventions that are realistic within this context involves adapting strategies to navigate the unique challenges posed by the conflict. This includes understanding the constraints of the existing infrastructure, ensuring that proposed solutions are feasible given the current conditions, and accounting for resource scarcity. By tailoring the project to the specific context, it becomes more likely to address the immediate needs of the affected population effectively.

Stakeholder Engagement

Engaging with relevant stakeholders is a linchpin for the success of the proposed intervention. This involves forging partnerships with international organizations, collaborating with governments, working alongside NGOs, and involving private companies. Such collaboration ensures a more comprehensive and sustainable approach to tackling health disparities. Engaging stakeholders allows for a pooling of resources, expertise, and perspectives, creating a more holistic strategy that considers the diverse needs and challenges within the war-affected environment. By fostering partnerships with various entities, the proposed intervention becomes more adept at navigating the complexities of the situation and garnering the necessary support for implementation. Involving stakeholders not only enhances the intervention’s effectiveness but also fosters a sense of shared responsibility for addressing the health crisis in a collaborative manner.

Summarizing the Practicum Experience

Presenting the project proposal or educational resource in a professional setting, such as a meeting with a public health officer or at a chapter meeting of a health organization, serves as a valuable experiential learning opportunity. Reflecting on this experience involves assessing the conveyance of the proposal, its reception, and contemplating potential improvements for future presentations.

Conveying the Proposal

During the presentation, there was a mix of emotions, including a sense of responsibility and commitment to addressing the health disparities resulting from the Russo-Ukrainian War. Challenges encountered revolved around effectively articulating complex concepts in a simple and compelling manner. Evaluating the effectiveness of communication strategies revealed areas of improvement, particularly in ensuring clarity and emphasizing the urgency and significance of the proposed intervention. The experience highlighted the need for refining the ability to convey complex global health issues in a manner that resonates with diverse stakeholders.

Reception of the Proposal

The reception of the proposal during the meeting was generally positive, with stakeholders expressing genuine interest in addressing the health disparities in Ukraine. Feedback received centered on the practicality of the proposed intervention within the war-torn context and the importance of cultural sensitivity. Questions raised by stakeholders focused on implementation challenges and the feasibility of stakeholder collaboration. This reception provided valuable insights into the perceived viability and acceptance of the initiative. The feedback and suggestions received will inform adjustments to enhance the proposal’s practicality and alignment with the needs of the affected communities.

Lessons Learned and Future Adjustments

The overall experience underscored the importance of tailoring presentations to the audience’s understanding and ensuring that complex issues are communicated with clarity. Successful aspects of the presentation included engaging visuals and relatable examples that resonated with stakeholders. However, areas for improvement were identified, such as refining the articulation of intervention strategies and addressing potential implementation hurdles proactively. Lessons learned include the need for continuous refinement of communication skills and a deeper understanding of the practical nuances of implementing global health interventions in challenging environments.

Future adjustments will focus on streamlining communication, emphasizing cultural sensitivity, and incorporating practical solutions to anticipated challenges. Additionally, seeking further collaboration with stakeholders during the planning phase to address concerns and garner support will be prioritized for future presentations. The experiential learning from this presentation will serve as a foundation for more impactful and effective advocacy for global health initiatives in similar settings.

Conclusion

The global health disparities resulting from the Russo-Ukrainian War demand urgent attention and evidence-based interventions. By employing the RPA approach, this analysis provides a comprehensive understanding of the health problem, identifies key determinants, and proposes strategies for improvement. The proposed educational resource or project aims to address the immediate and long-term health consequences, emphasizing the need for collaboration and stakeholder engagement. The practicum experience further enriches the learning process, offering insights into the real-world challenges of presenting solutions to global health issues.

References

Bhatia, G., & McClure, J. (2020, September 14). Ukraine: The latest coronavirus counts, charts and maps. Reuters. https://www.reuters.com/graphics/world-coronavirus-tracker-andmaps/countries-and-territories/ukraine/

Butenop, J., Brake, T., Mauder, S., & Razum, O. (2022). Gesundheitliche lage in der ukraine vor kriegsbeginn und ihre relevanz für die versorgung ukrainischer geflüchteter in deutschland: Literaturdurchsicht, risikoanalyse und prioritätensetzung. Das Gesundheitswesen, 84(08/09), 679–688. https://doi.org/10.1055/a-1876-2423

Cooperrider, D. L., Whitney, D., & Stavros, J. M. (2008). Appreciative inquiry handbook: For leaders of change (2nd ed.). Williston, VT: Berrett-Koehler.

Fontanarosa, P. B., Flanagin, A., & Golub, R. M. (2022). Catastrophic health consequences of the war in Ukraine. JAMA, 327(16), 1549. https://doi.org/10.1001/jama.2022.6046

Gapminder. (n.d.). Ukraine. https://upgrader.gapminder.org/t/ukraine/

Internal Displacement Monitoring Center. (2022, May 18). Ukraine. IDMC. https://www.internal-displacement.org/countries/ukraine/

Mogilevkina, I., Gurianov, V., & Lindmark, G. (2022). Effectiveness of emergency obstetric care training at the regional level in Ukraine: A non-randomized controlled trial. BMC Pregnancy and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-04458-9

Office for New Americans. (2022). Governor’s office for new americans reiterates U.S. Department of Homeland Security’s uniting for Ukraine initiative. State of Nevada. https://ona.nv.gov/

Rawtani, D., Gupta, G., Khatri, N., Rao, P. K., & Hussain, C. (2022). Environmental damages due to war in Ukraine: A perspective. Science of The Total Environment, 850, 157932. https://doi.org/10.1016/j.scitotenv.2022.157932

UNESCO. (2022, December 26). Damaged cultural sites in Ukraine verified by UNESCO. https://www.unesco.org/en/articles/damagedcultural-sites-ukraine-verified-unesco

UNICEF. (2022, March 13). Stop attacks on health care in Ukraine. Humanitarian appeal. https://www.unicef.org/press-releases/stop-attackshealth-care-ukraine

United Nations News. (2022, May 25). Cultural destruction in Ukraine by Russian forces will reverberate for years, UN rights expert warns. UN News. https://news.un.org/en/story/2022/05/1119052

World Health Organization. (2022a, June 3). One hundred days of war has put Ukraine’s health system under severe pressure. https://www.who.int/news/item/03-06-2022-one-hundred-days-of-war-has-put-ukraine-shealth-system-under-severe-pressure

World Health Organization. (2022b, December 19). WHO provides assistive products for thousands of displaced people in Ukraine. WHO. https://www.who.int/ukraine/news/item/19-12-2022-who-provides-assistive-products-forthousands-of-displaced-people-in-ukraine

Detailed Assessment Instructions for the NURS FPX 8014 Health Global Issue Problem Description Essay Example

For the DNP leader, assessing a community and empowering its members to lead and facilitate change are key components of promoting equitable health care across the globe. In this assessment, you will explore how rapid participatory appraisal (RPA) has been used successfully to address global health issues. You will also be reflecting on how global health issues are really human issues that transcend national boundaries.

Changing or improving a community’s health means engaging and involving community members and stakeholders in the business of change. It means organizing and empowering the vulnerable and disenfranchised as partners in change. It means entering the community with an appreciative and inquisitive attitude and building on existing capacities and paradigms.

Developed in the 1990s as a tool for qualitative action research, RPA is a type of investigation in which the change agent enters into the world of a community or social system to effect change through its people. RPA relies on respectful questioning and may use elements of appreciative inquiry (AI).

Cooperrider, Whitney, and Stavros (2008) described AI:

Fundamentally, AI is still about changing attitudes, behaviors, and practices through appreciative conversations and relationships—interactions designed to bring out the best in people so that they can imagine a preferred future together that is more hopeful, boundless, and inherently good. It is still about socially constructing a shared future and enacting human systems through the questions asked. And it is still about anticipatory learning—finding those positive, anticipatory images of the future that compel action toward them. (p. vi)

RPA can be a great place to start when seeking to intervene on a current health issue. Taking time to understand all aspects of the community—its people, culture, environment, policy, economics, and values—is imperative to making a lasting, sustainable difference in a health issue.

REFERENCE

Cooperrider, D. L., Whitney, D., & Stavros, J. M. (2008). Appreciative inquiry handbook: For leaders of change (2nd ed.). Williston, VT: Berrett-Koehler.

ASSESSMENT SUMMARY

This assignment is an opportunity for you to present a thoughtful analysis of your selected public health problem and the countries and people affected. This could be the health problem that you identified while exploring the Gapminder tool. The goal is to develop a brief project proposal or educational resource that you could present to a relevant public health officer or at a government or NGO chapter meeting. You may also wish to interview relevant stakeholders from the organization you plan to present. This could help provide you with additional ideas for how to pitch your project proposal or educational resource.

Remember to track the experiential hours you spend interviewing, preparing your proposal, and presenting it. This time can count toward your total practicum hours.

ASSESSMENT INSTRUCTIONS

For this assessment, you will submit an analysis paper of your selected health issue and its relevant Gapminder data, using current APA style and formatting. In an appendix of this paper, you will include either your project proposal or educational resource for potentially improving outcomes related to your chosen health issue. You should also include a second appendix in which you briefly summarize your experience related to the presentation or meeting related to your proposal or resource.

Make sure you address the following scoring guide criteria in your analysis of a health issue with global implications:

• Analyze an international health issue in regard to its effect on individuals, communities, and populations.
  • As you address the following questions, be sure to use epidemiological data (this could be Gapminder).
    • How pervasive is the problem?
    • What is the scope of the problem?
    • What nations or people are affected?
    • Which countries are disproportionately affected?
    • What inequities exist across countries?
• Analyze data regarding the socioeconomic, political, and cultural influences that affect the global health issue.
  • Because this section is a data analysis, be sure that data support your arguments here. This is another opportunity to include Gapminder data, but you may also want to draw from other sources.
    • How would you describe the population most affected?
    • What are the social determinants that affect this problem?
    • How do cultural beliefs affect the health problem?
    • How do geographical elements affect the health problem?
    • How does socioeconomic status affect the health problem?
    • How do political systems affect the health problem?
• Evaluate strategies or research that has been used historically to address the global health issue.
  • Address the historical strategies that have been used. It will be necessary to explore social, economic, political, and environmental concerns to answer this question.
• Develop an educational resource or project proposal focused on driving evidence-based improvements related to your chosen health issue.
  • Consider the target population and the relevant social determinants of health related to this health issue.
  • Also, keep in mind the setting in which the project would be occurring or the educational resource be distributed.
  • Target this artifact so that it is realistic within the context within which it will be implemented but also target it to the relevant stakeholder whom you will present it to.
  • Include this in an appendix of your submission.
• Summarize the practicum experience of presenting a project proposal or educational resource to a relevant public health officer or at a chapter meeting of a relevant health organization.
  • Discuss how you felt conveying your proposal or resource.
  • Discuss how you felt it was received during the meeting.
  • Reflect on anything you might change if you were going to present at a similar meeting in the future.
  • This should only be two or three paragraphs.
  • Include this in an appendix of your assignment submission.

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