NURS FPX 5005 Protecting Human Research Participants Essay Example

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NURS FPX 5005 Protecting Human Research Participants Essay Example

NURS FPX 5005 Assessment 1 Protecting Human Research ParticipantsNURS 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 Nursing Executive Summary Community Health Assessment Essay Example

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NURS FPX 5003 Nursing Executive Summary Community Health Assessment Essay Example

NURS FPX 5003 Assessment 4 Executive Summary: Community Health AssessmentNURS FPX 5003 Assessment 4 Executive Summary: Community Health Assessment

Assignment Brief: NURS FPX 5003 Assessment 4 Nursing Executive Summary Community Health Assessment

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

Assignment Title: Assessment 4 Executive Summary: Community Health Assessment

Overview:

In this assignment, students will get involved with the process of conducting a community health assessment and synthesizing the findings into an executive summary. The assignment aims to enhance students’ understanding of population-focused health, including the identification of health issues, needs assessment, and the development of intervention strategies.

Understanding Assignment Objectives:

The primary objective of this assignment is for students to demonstrate their ability to comprehensively assess the health needs and issues within a community. Students will collect relevant data, analyze it effectively, and identify key health concerns affecting the community. They will then synthesize this information into an executive summary, highlighting crucial findings and proposing intervention strategies for addressing identified health disparities.

The Student’s Role:

As a student undertaking this assignment, your role is to act as a healthcare professional tasked with assessing the health needs of a specific community. You will engage in data collection, analysis, and interpretation to gain insights into the community’s health status. Additionally, you will propose evidence-based intervention strategies aimed at addressing identified health issues and promoting health equity within the community.

NURS FPX 5003 Nursing Executive Summary Community Health Assessment Essay Example

A community health assessment serves as a foundational tool for understanding the health needs and challenges within a specific community. It’s a thorough process involving gathering lots of information to figure out what health issues are important and what the community needs to stay healthy. This helps organizations understand what the community is dealing with health-wise and figure out the best ways to help. This report focuses on evaluating the demographics related to diabetes in West Virginia, drawing insights from healthcare professional interviews, and proposing intervention strategies to improve health outcomes, particularly in underserved populations.

Demographics Addressing Diabetes in West Virginia

In West Virginia, diabetes is a significant health concern affecting approximately 250,000 individuals, with an additional 65,300 residents suspected of having undiagnosed diabetes. In 2010, the prevalence of diabetes was slightly higher among males at 12% compared to females at 11.5%. The state boasts a diverse population consisting of White, Asian, Hispanic, African American, and other racial and ethnic groups. Education is highlighted as a crucial determinant of health, with disparities evident between individuals with and without high school diplomas. Over a decade, those without a high school diploma had a notably higher proportion of diabetes cases compared to their educated counterparts.

West Virginia’s diabetes prevalence varies across racial and ethnic groups, with around 17% of Black individuals, 16% of White individuals, 9% of Asian Americans, 7% of non-Hispanic Whites, and 11% of multiracial individuals living with diabetes. Annually, roughly 12,400 West Virginians are diagnosed with diabetes, representing approximately 16% of the adult population. The economic burden of diabetes is substantial, with medical expenses for diabetes patients being approximately 2.5 times higher than those for non-diabetic individuals. In 2017, direct medical costs for diabetes diagnosis in West Virginia amounted to $2 billion, with an additional $640 million in indirect costs attributed to diabetes-related productivity losses.

Demographics cover a wide range of community traits, like age, education, income, and employment. Epidemiology helps us make sense of disease patterns in a population, using data to understand what a community needs (America’s Health Ranking).

Insights from Healthcare Interviews

Analyzing insights from conversations with healthcare professionals can provide valuable information about healthcare issues, prevention strategies, community needs, and culturally sensitive care. Culturally and linguistically appropriate services (CLAS) are essential for ensuring fair access to healthcare for everyone, regardless of their gender, race, or ethnicity. These standards can be incorporated into intervention plans and assessed based on an organization’s accomplishments and the effectiveness of its staff (Think Cultural Health).

However, implementing the National CLAS Standards may pose challenges, such as the need for more resources and guidance on understanding and applying these standards. West Virginia University Hospital has established procedures to address these challenges, including hiring skilled interpreters, offering training to current and new staff members, and collecting important patient information related to ethnicity and language. Overcoming these hurdles will help diabetic patients receive fair and high-quality care, reducing disparities in healthcare access (Think Cultural Health).

Key Components of Intervention and Health Promotion Plan

Effective public health programs rely on communicating accurate information to healthcare professionals, stakeholders, and the public, which helps in changing behaviors. Intervention plans need clear goals, well-thought-out strategies, and regular monitoring of progress. These plans improve healthcare quality, leading to better outcomes for individuals and communities. Proper training for healthcare workers is crucial for providing diabetes care in the community (Fernandez et al., 2019).

The intervention plan should include the following essential components:

  • Patients’ Awareness: Launching campaigns to raise awareness about cultural competence can change patients’ behaviors and contribute to the plan’s success (Kumela Goro et al., 2019).
  • Staff Awareness: It’s important to ensure that staff members are knowledgeable about the plan’s goals and are supportive. They should receive proper training on how to implement the interventions effectively.
  • Stakeholders’ Feedback and Support: Getting input and support from key stakeholders like patients, policymakers, and payers is crucial for successfully implementing the intervention plan (Vanaken & Masand, 2019).
  • Evaluation Criteria: Healthcare interventions are assessed using various methods. Success criteria include initiatives to educate staff, targeted campaigns for specific groups, efforts to collaborate across cultures, and improved medication adherence. Patient satisfaction is also essential for measuring the success of health management programs.

Strategies to Foster Cross-Cultural Collaboration

In healthcare, understanding and respecting different cultures is crucial for providing effective care to everyone, no matter where they come from. Conferences that focus on diversity can teach us a lot about how to make healthcare more welcoming for everyone, especially those who have been left out in the past. Teaching activities for staff can also help them learn about their colleagues’ backgrounds and the cultures of the patients they serve (Ladha et al., 2018). Success in cross-cultural collaboration can measured by looking at how healthcare quality and fairness improve.

Some of the strategies to promote cross-cultural collaboration include:

  • Spreading Awareness: Making sure everyone gets the same level of care and recognizing the importance of diversity in the community.
  • Regular Staff Meetings: Bringing together staff from different departments to talk about why it’s essential to give everyone equal access to healthcare and celebrate the diversity in the community.
  • Acknowledgment Campaigns: Highlighting the different backgrounds and experiences in the community to encourage collaboration among different groups.

Stakeholder Advocacy for Intervention

Advocating for interventions involves identifying and prioritizing key stakeholders, such as community leaders, insurance and pharmaceutical companies, and investors. These stakeholders are crucial for supporting health promotion plans. Communicating the goals and benefits of the project effectively can gain their support, as they play a significant role in keeping healthcare systems updated with the latest developments. It’s essential to overcome challenges like limited resources and conflicting priorities (Byrne, 2019).

Engaging stakeholders includes:

  • Clarifying Strategic Priorities: Making sure stakeholders understand the department’s main goals and asking for their input.
  • Regular Educational Meetings: Hosting informative sessions for important stakeholders to discuss proposed interventions.
  • Encouraging Feedback: Giving stakeholders a chance to share their thoughts and concerns during meetings.

Professional Communication of Assessment

In communicating assessments professionally, it’s crucial to remember the diverse audience, including people of different races, ethnicities, ages, genders, sexual orientations, and educational backgrounds. It’s essential to communicate with respect, empathy, and understanding to ensure everyone feels valued and understood. Clear communication is key to preventing misunderstandings and making sure health improvement plans are successful (Arnold & Boggs, 2019).

Some of the effective communication methods include:

  • Genuine Engagement: Interacting sincerely with the audience and openly sharing the project’s goals and progress.
  • Summary Reports: Providing summaries of the project to stakeholders.
  • Patient-Centered Approach: Prioritizing communication strategies that focus on the needs and preferences of patients to reach a diverse audience.

Conclusion

In conclusion, effective intervention strategies are vital for addressing health disparities and promoting health equity within communities. Through community health assessments and stakeholder engagement, valuable insights are gained to inform these strategies. Adhering to Culturally and Linguistically Appropriate Services (CLAS) standards ensures healthcare equality, while clear communication and strategic planning are essential for achieving positive healthcare outcomes. Ultimately, success in healthcare interventions hinges on the implementation of these strategies and the commitment to addressing the diverse needs of communities.

References

American Diabetes Association. (2018). The burden of diabetes in West Virginia. https://diabetes.org/sites/default/files/2021-11/ADV_2021_State_Fact_sheets_West%20Virginia_rev.pdf

America’s Health Ranking. (n.d.). America’s Health Rankings | AHR. America’s health rankings. Retrieved January 18, 2023, from https://www.americashealthrankings.org/explore/annual/measure/Diabetes/population/Diabetes_White_C/state/WV

Arnold, E. C., & Boggs, K. U. (2019). E-book: Professional communication skills for nurses. In Google Books. Elsevier Health Sciences. https://books.google.com.pk/books?hl=en&lr=&id=XC2GDwAAQBAJ&oi=fnd&pg=PP1&dq=Professional+Communication&ots=NqYj2_XPQQ&sig=XQQRv-VxjalcG1s_tkca-

Byrne, M. (2019). Increasing the impact of behavior change intervention research: Is there a role for stakeholder engagement? Health Psychology, 38(4), 290–296. https://doi.org/10.1037/hea0000723

Centers for Disease Control and Prevention. (2019). National Diabetes Prevention Program. Centers for disease control and prevention. https://www.cdc.gov/diabetes/prevention/index.html

Fernandez, M. E., Ruiter, R. A. C., Markham, C. M., & Kok, G. (2019). Intervention mapping: theory- and evidence-based health promotion program planning: perspective and examples. Frontiers in Public Health, 7(209). https://doi.org/10.3389/fpubh.2019.00209

Health Statistics Centre. (n.d.). HSC Statistical Brief No. 28 Diabetes and Health Equity in West Virginia: A Review. http://www.wvdhhr.org/bph/hsc/pubs/briefs/028/brief28_20121220_health_eq_stat.pdf

Kumela Goro, K., Desalegn Wolide, A., Kerga Dibaba, F., Gashe Fufa, F., Wakjira Garedow, A., Edilu Tufa, B., & Mulisa Bobasa, E. (2019, May 12). Patient awareness, prevalence, and risk factors of chronic kidney disease among diabetes mellitus and hypertensive patients at Jimma University Medical Center, Ethiopia. BioMed Research International. https://www.hindawi.com/journals/bmri/2019/2383508/

Ladha, T., Zubairi, M., Hunter, A., Audcent, T., & Johnstone, J. (2018). Cross-cultural communication: Tools for working with families and children. Paediatrics & Child Health, 23(1), 66–69. https://doi.org/10.1093/pch/pxx126

Think Cultural Health, (n.d.). Culturally and linguistically appropriate services. https://thinkculturalhealth.hhs.gov/clas#:~:text=The%20National%20CLAS%20Standards%20are

Vanaken, H., & Masand, S. N. (2019). Awareness and collaboration across stakeholder groups important for eConsent achieving value-driven adoption. Therapeutic Innovation & Regulatory Science, 53(6), 724–735. https://doi.org/10.1177/2168479019861924

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

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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 PopulationNURS 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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