Tag: Clinical-Nursing

NURS FPX 6011 ASSESSMENT 2: Evidence-Based Population Health Improvement Plan Capella University

Community Data Evaluation

Baltimore is a massive metropolitan community located in Maryland.

Blacks comprise almost 63%, whites 28%, Hispanic 5%, and Asian 2.5% of the population.

After a thorough evaluation, obesity is a major health concern in this community.

Environmental factors change illness patterns

They comprise sex, social-economic factors, alcohol consumption, food availability, and racial identity

These factors lead to decreased access to healthcare.

Level II

Evidence is reasonably consistent and can be used to make deductions.

Obesity is excessive fat assemblage presenting a health threat. A grown-up individual with a BMI of 30 or more is considered obese. In the United States, the condition is viewed as significant. According to CDC, the condition’s prevalence was 41.9% in 2017- 2020, March (CDC, 2022). Diabetes has been a critical issue in the United States and has some linked conditions like stroke, heart disease, type 2 diabetes, and some cancers. Experts claim that in 2019, the medical expenses related to obesity were $173 billion (CDC, 2022). Further, the condition affects some groups more than others. For instance, blacks are more affected by the condition, and in Baltimore, 44% of the adult black population is affected (Elflein, 2022) NURS FPX 6011 ASSESSMENT 2: Evidence-Based Population Health Improvement Plan Capella University.

Environmental health entails personal and community well-being. Environmental factors lead to modifying illness patterns making more people in the community susceptible to diseases.

The evidence used to deduce the data used is Level II which is reasonably reliable and consistent, meaning it can be used to make valid conclusions.

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Meeting Community Needs

Population Health Improvement Plan

The plan will encompass the following:

The objective is to reduce the number of obese adults in half within two years

The strategy will include educating the community on gains of healthy living

The action required comprises monthly outreach events, education programs aired on popular media, and free screening.

Potential Barriers
:

Cultural beliefs

Access to gyms for physical activities

Food availability

The black community faces many issues. For example, unemployment rates are higher among the community than among whites (Poteat et al., 2020). Some of the proximate causes of this unemployment comprise education and skills. These skills and education are significant determinants of earnings and education. Blacks lag whites in educational attainment, meaning they are more likely to lack employment opportunities. Also, food availability and transportation are environmental factors. Other issues entail entrenched poverty and economic biases.

Some of the interventions comprise enhancing the education system, which may encompass availing student loans to people with felony convictions. This may offer black people the chance to further their education.

Cultural beliefs will likely be hurdles within the community when dealing with obesity. For instance, the community valued soul food enjoyed by families and passed down to generations. This food contains elevated levels of sugar, fat, and salt.

 

Measuring Outcomes

The community will have increased their understanding and consumption of healthy food

Increased access to healthy food within the community in one year

Members will have elevated physical activities (30 minutes daily for three days)

When people access educational data on healthy living, there will be a reduction in junk and soul food consumption (Qobadi & Payton, 2017). This means that healthy food consumption will increase, reducing the prevalence of obesity in the community. Consumption sounds easy, but without access, the problem may persist. Thus, partnering with local stakeholders on availing healthy foods in stores is critical. Further, physical activity assists in managing and preventing illnesses like diabetes and cardiovascular diseases.

 

Communication Plan

Community Stakeholders

Overweight and obese black adults

Family and friends

Public health advocacy groups

Local hospitals

Communication Strategy

Verbal and visual

Non-verbal

Through one-on-one communication

Promotion of feedback

Communication is a critical element that can make or break a plan. Having a one-on-one session with obese people will help people to open up, leading to better understanding. This strategy can help when sharing confidential data. Further, in communication, feedback is vital. Information should flow from all directions because it will make communication effective.

 

Value & Relevance of Evidence

Relevance and Value to Community Health Concern:

The data is relevant and trusted

Passes CRAAP test

Resource Alignment to Health Improvement Plan:

Better healthcare results

EBP interventions

The CRAAP test scrutinized the data’s relevance, currency, purposes, and accuracy. With a lot of existing data, there is a need to verify data by using relevant tools.

Evidence-based education of obese people is also viewed as an EBP intervention that can help people deal with being overweight and obese.

References

CDC. (2022, May 17).
Adult obesity facts
. Centers for Disease Control and Prevention. Retrieved February 23, 2023, from https://www.cdc.gov/obesity/data/adult.html

Elflein, J. (2022, November 3).
Obesity rates Maryland adults by race/ethnicity 2021
. Statista. Retrieved February 23, 2023, from https://www.statista.com/statistics/207395/overweight-and-obesity-rates-for-adults-in-maryland-by-ethnicity/

Poteat, T., Millett, G. A., Nelson, L. E., & Beyrer, C. (2020). Understanding COVID-19 risks and vulnerabilities among black communities in America: the lethal force of syndemics. 
Annals of epidemiology
, 
47
, 1-3.

Qobadi, M., & Payton, M. (2017). Racial disparities in obesity prevalence in Mississippi: Role of socio-demographic characteristics and physical activity. 
International Journal of Environmental Research and Public Health
, 
14
(3), 258.

 

NURS FPX 6011 ASSESSMENT 2: Evidence-Based Population Health Improvement Plan Capella University

Create a 5-7 slide PowerPoint presentation about an evidence-based population health improvement plan.

Introduction

Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.

Professional Context

Master’s-level nurses need to be able to think beyond the bedside. It is important to research, synthesize, and apply evidence that will result in improved health outcomes for the communities and populations that are part of your care setting. Improving outcomes at a community or population level, even incrementally, can create noticeably significant, aggregate health improvements for patients across all of a care setting.

Scenario

Your organization has created an initiative to improve one of the pervasive and chronic health concerns in the community. Some examples of possibilities for health improvement initiatives include type 2 diabetes, HIV, obesity, and communicable diseases. You will need to do your own research to gather and evaluate the relevant data for your chosen issue.

Once you have created a presentation for the initiative, you have been asked to present to a group of community stakeholders. The purpose of your presentation is to inform and enlist support for the initiative from your audience.

Instructions

The optional Evidence-Based Population Health Improvement Plan Presentation Template [PPTX] is provided to help you prepare your slides. If you choose to work without the template, consider referring to Creating a Presentation: A Guide to Writing and Speaking and Guidelines for Effective PowerPoint Presentations [PPTX].

The suggested headings for your presentation are:

Community Data Evaluation.

Meeting Community Needs.

Measuring Outcomes.

Communication Plan.

Evidence.

In your presentation, you will:

Evaluate the environmental and epidemiological data about your community so that you can determine a population health issue within a chosen community.

Identify the relevant data. This can be communicated in a table or chart.

Describe the major population health issue suggested by the data within your community.

Explain how environmental factors affect the health of community residents.

Identify the level of evidence, validity, and reliability for each source.

Develop an ethical health improvement plan with outcome criteria that addresses the population health issue that you identified in your evaluation.

Consider the environmental realities and challenges existing in the community.

Include interventions that will meet community needs.

Address potential barriers or misunderstandings related to various cultures prevalent in the community.

Propose criteria that can be used to evaluate the achievement of the plan’s outcomes for your population health improvement.

Explain why your proposed criteria are appropriate and useful measures of success.

Explain how you plan to apply strategies for communicating with community stakeholders and community members in an ethical, culturally sensitive, and inclusive way about the development and administering of your population health improvement plan. NURS FPX 6011 ASSESSMENT 2: Evidence-Based Population Health Improvement Plan Capella University

Identify the community stakeholders that are relevant to your Evidence-Based Population Health Improvement Plan.

Develop a clear communication strategy that is mindful of the cultural and ethical expectations of colleagues and community members regarding data privacy.

Ensure that your strategy enables you to make complex medical terms and concepts understandable to members of the community regardless of disabilities, language, or level of education.

Explain the value and relevance of the resources you used as the basis for your population health improvement plan.

Explain why the evidence is valuable and relevant to the community health concern you are addressing.

Explain why each piece of evidence is appropriate and informs the goal of improving the health of the community.

Communicate the Evidence-Based Population Health Improvement Plan in a professional, effective manner that encourages the community stakeholders to implement and sustain change.

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

Submission Requirements

Length of submission: 5–7 slides. Balance text with visuals. Avoid text-heavy slides. Use speaker’s notes for additional content.

Font and font size: Appropriate size and weight for a presentation, generally 24–28 points for headings; no smaller than 18 points for bullet-point text. Use a suitable professional typeface, such as Times or Arial, throughout the presentation.

Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.

APA formatting: Resources and citations are formatted according to current APA style.

Competencies Measured

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

Competency 2: Apply evidence-based practice to design interventions to improve population health.

Evaluate the environmental and epidemiological data about a community to determine a population health issue.

Competency 3: Evaluate outcomes of evidence-based interventions.

Develop an ethical health improvement plan with outcome criteria that addresses the population health issue identified in the evaluation.

Explain the value and relevance of the resources used as the basis of a population health improvement plan.

Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.

Explain a plan to apply strategies for communicating with community stakeholders and community members in an ethical, culturally sensitive, and inclusive way about the development and implementation of the population health improvement plan.

Communicate the Evidence-Based Population Health Improvement Plan in a professional, effective manner that engages the community stakeholders to implement and sustain change.

Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. NURS FPX 6011 ASSESSMENT 2: Evidence-Based Population Health Improvement Plan Capella University

Evidence-Based Patient-Centered Concept Map Example

Concept Map Narrative Schizophrenia Patient

A concept map is a crucial visual tool that portrays the links between various ideas. This map is created to dig into the details of a specific subject. Also, it assists in organizing thoughts and comprehending the association between different concepts of a particular topic. Nursing trainers must improve students’ thinking skills and judgment, and the use of this mapping is vital. Additionally, with the suitability of the concept map, the patient’s therapy team can examine progress, advanced symptoms, and interventions and suggest changes in the care plan if needed. The concept map was developed for Judith, a 22-year-old female of European and Native American descent. Judith is a college student diagnosed with schizophrenia. She is experiencing hallucinations and delusions and contends that she lacks family and friends’ support. This concept map was created to tackle Judith’s needs and raise compliance with the care plan.

Evidence-Based Patient-Centered Concept Map Example

Patient Analysis

During the interview with her parents, it was noted that the patient was diagnosed with schizophrenia when she was 19. This is after she joined college. Before then, she had an everyday daily life. The family is strongly affected by their cultural and spiritual beliefs. It was deduced that after the first diagnosis at 19 years, the family consulted tribe elders, who decided that Judith would not need to be admitted or any drugs administered. The tribal elders concluded that the girl was communicating with her ancestors. This communication with ancestors is a significant part of Native spirituality. However, where is the line drawn to differentiate between schizophrenia symptoms and hearing voices. Thus, Judith’s parents opted to stay with their daughter for a few months, and after the symptoms subsided, they sent her back to college. Her parents needed to be educated about the signs and symptoms of this mental condition and its management. Nonetheless, cultural beliefs hindered them. They did not know that hallucinations and withdrawal were some signs of the illness. Even though the parents are strict cultural adherents, the family is well-off and has insurance. This implies the family can afford medical services.

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Further, the patient and her parents must be initiated to resources that employ cultural and medical requirements because of their strong cultural beliefs. In Indigenous communities, the tribe and family play a vital function in decision-making regarding many issues, including some medical situations. Therefore, including the parents, elders, and Judith in the decision-making process will help the patient to get the necessary help. They should be educated on adhering to the care plan and the risk factors for developing schizophrenia Evidence-Based Patient-Centered Concept Map Example.

Justification of the Value and Relevance of the Evidence Used

Utilizing evidence-based practice (EBP) assists healthcare providers in designing care plans for individual clients and traditional beliefs. Evidence-based practice is founded on critical thinking and assessment proof. Also, healthcare professional experience is an advantage in EBP. It encompasses the utilization of proven research to generate measurable outcomes.

The issue facing Judith is schizophrenia, which was first diagnosed when she was 19 but went untreated because of the cultural beliefs of her family. This means that her cultural beliefs are essential in establishing how to treat her illness. The family’s lack of understanding of schizophrenia threatens Judith, and if left untreated, she can develop Obsessive Compulsive Disorder (OCD) (Stein et al., 2019). However, EBP shows that planning one-on-one family activities and not arguing about her cultural beliefs are significant components in averting the development of OCD and other related disorders. Evidence-Based Patient-Centered Concept Map Example Since Indigenous Americans believe that she is communicating with her ancestors, offering the patient and her parent measurable outcomes like social interaction and reduced anxiety can aid in adhering to the care plan.

Further, to guarantee that Judith manages her condition fully, her thought process and impaired social interaction can be tackled by establishing a support system within the family and the community. The three nurse diagnoses were vital in assessing her hallucinations and sensory perception. The nursing interventions helped develop improved social skills and reduced anxiety and hallucinations.

Relevant and Measurable Criteria for Assessing the Level of Desired Outcomes

During the interview, the parents and the patient contend that she likes board games and taking walks. Thus, a walking plan must be formulated, and a close relative or friend can accompany her. Also, since she is now living at home, the family should formulate game nights. Furthermore, since the episode happened in college, the patient can take some time off and rearrange her learning goals. The patient should be allowed to complete her activities at her pace to avoid increasing the pressure that may lead to anxiety. Notably, touching the patient has proven to avoid instances of outbursts.

Communicating Aspects of the Concept Map

The patient and her parents must meet the care providers involved in the treatment. This will ensure that the patient and her guardians comprehend the concept map. When making any communication, the healthcare providers must remember her cultural background. This communication must be honest and open, meaning that the providers must communicate the dangers of missing medication or other interventions. Trust is significant during this communication (Ward, 2018). If there are any existing risk factors, the patient must be told Evidence-Based Patient-Centered Concept Map Example.

Further, how to avert future episodes must also be communicated to the parents and Judith. The communication must be patient-centered, meaning the care providers must allow the patient to ask all relevant questions. All medical jargon should be explained to all parties ably. Moreover, the doctor and patient should get privacy if Judith feels the parents are intruding on her privacy.

References

Stein, D. J., Costa, D. L., Lochner, C., Miguel, E. C., Reddy, Y. J., Shavitt, R. G., … & Simpson, H. B. (2019).Obsessive–compulsive disorder. 
Nature reviews Disease primers
, 
5
(1), 52.

Ward, P. (2018). Trust and communication in a doctor-patient relationship: a literature review. 
Arch Med
, 
3
(3), 36.

 

Evidence-Based Patient-Centered Concept Map Example

Create a patient-centered concept map and write a 3-5 page narrative in which you explain the process and considerations that went into creating your concept map.

Introduction

Evidence-based practice is a key skill in the tool kit of the master’s-prepared nurse. Its goal is to ensure that health care practitioners are using the best available evidence to ensure that patients are receiving the best care possible (Godshall, 2020). In essence, evidence-based practice is all about ensuring quality care.

In this assessment, you will apply evidence-based practice and personalized care concepts to ensure quality care and improve the health of a single patient. The concept map that you will create is an example of a visual tool that you can use for patient and family education.

Reference

Godshall, M. (2020). Fast facts for evidence-based practice in nursing (3rd ed.). Springer Publishing Company.

Professional Context

Concept maps are widely used in nursing care. They can be effective tools for organizing workload, prioritizing patient care strategies, and developing personalized care approaches. In addition to organizing care, they can aid in ensuring that the patient’s care is individualized to not only their health conditions, but also their familial, cultural, and environmental situations.

Scenario

The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. By utilizing a concept map, a nurse can simplify the connection between disease pathways and emotional, cultural, socioeconomic, and personality considerations that impact a patient’s health.

Instructions

Develop a patient-centered concept map for a chosen condition. This could be a disease, or a disorder based upon the best available evidence that has been individualized to treat your patient’s health, economic, and cultural needs. Write a brief 3–5 page narrative that explains why the resources cited in the concept map and narrative are valuable and relevant. Describe how you incorporated the patient’s individual culture, identity, abilities, and beliefs into the plan of care. Also, be clear about your specific communication strategies for relating information to the patient and their family.

The bullet points below correspond to grading criteria in the scoring guide. Be sure that your map and narrative address all of the bullets below, at minimum.

Part 1: Concept Map

Visit Healthy People 2030’s Browse Objectives page and select a topic.

• Design a patient-centered concept map based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.

o Include objective and subjective assessment findings to support three nursing diagnoses.

o Include interventions that will meet your patient’s individual needs.

o Include measurable outcomes for each nursing diagnosis using SMART goals: (S)pecific, (M)easurable, (A)chievable, (R)elevant, and (T)ime-bound.

Part 2: Supporting the Concept Map

• Analyze the needs of a patient, and those of their family, to ensure that the interventions in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle.

o Explain how you incorporated the patient’s individual culture, identity, abilities, and beliefs into the plan of care.

o Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition or could affect future health.

o Consider how your patient’s culture or family should inform your concept map.

• Apply strategies for communicating with the patient and their family in an ethical, culturally sensitive, and inclusive way.

o Explain how you will communicate the proposed interventions and evaluation plan in an ethical, culturally sensitive, and inclusive way. Ensure that your strategies:

 Promote honest communications.

 Facilitate sharing only the information you are required and permitted to share.

 Enable you to make complex medical terms and concepts understandable to your patient and their family regardless of language, abilities, or educational level.

• Explain the value and relevance of the resources you used as the basis for your patient-centered concept map.

o Explain why your evidence is valuable and relevant to your patient’s case Evidence-Based Patient-Centered Concept Map Example

 Include a critique of the resources you used and specify the level of evidence.

o Explain why each piece of evidence is appropriate for the health issue you are addressing and for the unique situation of your patient and the family.

 Include how the evidence was used to plan your interventions.

• Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.

o Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.

The suggested headings for your paper are:

• Patient Needs Analysis.

• Communication Strategies.

• Value and Relevance of Resources.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Concept Map Exemplar [DOCX].

• Concept Map Narrative Exemplar [DOCX].

Submission Requirements

• Length of narrative: 3–5 double-spaced, typed pages. Your narrative should be succinct yet substantive.

• Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work. Be sure you are citing evidence in both parts.

• APA formatting: Resources and citations are formatted according to current APA style.

• Please submit both your concept map and your narrative as separate documents in the assessment submissions area.

o You must submit both documents at the same time. Make sure both documents are attached before submitting your assessment.

Competencies Measured

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

• Competency 1: Apply evidence-based practice to plan patient-centered care.

o Design an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.

o Analyze the needs of a patient, and those of their family, to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle.

Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.

o Explain the value and relevance of the resources used as the basis for a patient-centered concept map.

Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.

o Apply strategies for communicating with the patient and their family in an ethical, culturally sensitive, and inclusive way.

o Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence, and adhering to organizational, professional, and scholarly communication standards Evidence-Based Patient-Centered Concept Map Example

( Mental Health topic preferably)

Western Medical Enterprises Applicant Questionnaire Sample

Leadership and Collaborative Experience

Self-assessment is critical to a person’s growth. An excellent leader must comprehend the self-evaluation procedure, mainly for the success of trust, morality, and the general health of workers, firms, and partnerships.

Section 1: Leadership and Collaborative Experience

Two months ago, I had a chance to head a team at a home health organization I had been working for about six months. The organization’s vision was to convey patient care even in the comfort of their home. Its strategy comprised of providing critical education to patients and caregivers to reduce the prospects of visiting health facilities. Many people who require services from home health agencies are senior citizens who are housebound and encounter chronic medical problems (Cleary et al., 2018). Nonetheless, they rely on Medicare as the main source of insurance, and the organization’s management tracked reimbursement. Because of many readmissions, the facility encounters reimbursement challenges. The institution’s management resolved to create a team to explore the origin of readmission. The facility management assigned me the coordinator function. The duty encompassed motivating and supervising team members to work together to attain set goals.

Additionally, I was responsible for reporting team progress to the facility management. I ensured the group operated within the set parameters and evaluated and endorsed timesheets and outliers. Further, I was mandated to train members and tackle any queries concerning the program. A group coordinator must adhere to project strategies, coordinate team trials, and partner with the group to accomplish departmental and administrative goals, which I achieved (Karam et al., 2018).

I am a transformational leader. This means I inspire my team to accomplish remarkable and unexpected outcomes. I offer team members independence over particular tasks and the power to make resolutions once training is over. The style is effective because it helps set higher and more challenging targets. I would meet the team twice a week, and in our initial meeting, I communicated our vision. The vision advocated for enhancements in patient care through retraining staff members. This communication was to ensure the team understood its purpose. My leadership style was successful since it permitted members to provide their postulations and suggest a process we could follow to decipher the rehospitalization challenge. As a result, the group had to convey their best since they suggested the procedure. I believe this was an excellent resolution.

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Perspective to Promoting Collaboration and Motivation

Through the partnership leadership model, I employed a few methods to guarantee group members participated in finding resolutions together. Firstly, I precluded making all decisions for them; instead, I empowered the team members to make critical resolutions. Access to data was handy, meaning it was not only availed when needed. I created mutual respect, trust, and support instead of concentrating on my interests. Lastly, I affirmed to motivate the participation of everybody to operate as a team. This led to team members responding successfully and generating various beneficial recommendations that helped resolve the issue. Information-based decision-making and technology were some of the endeavors I used for this project, and they assisted members in realizing the vision. The technology action used comprised emails and conference calls. These actions were practical since the approach and idea to attain were stuck in the minds of each member. Further, information-based decision-making ensures that all resolutions are supported by proof, not conjecture Western Medical Enterprises Applicant Questionnaire Sample.

Section Two: Ethics and Experience

As the team coordinator, I faced ethical issues which impacted the lives of the team and clients. I addressed these issues through a code of ethics. James Childress and Tom Beauchamp generated them via their biomedical ethics philosophies. They configured a design of attitudes helpful to healthcare professionals in managing ethical challenges with honesty. The guide has four principles: autonomy, justice, beneficence, and nonmaleficence. If two principles are in dispute, they lead to an ethical situation. When I encountered a moral issue during the period, I employed the LEADS formula, which depicts leading self, engaging others, accomplishing outcomes, developing partnerships, and changing the system toward due process (Levitt, 2014). This formula provides expertise, understanding, and capabilities that leaders follow in their style.

My ethical encounter as a coordinator at the facility was when two people in the team overpriced a medication service. It was supposed to cost $35, but they double-charged it. Since these members visited the client’s homes alone, it took the management some time to notice this issue. One client I had attended to before contacted me. The patient wanted to enquire about the price rise of that treatment. This was the moment I recognized the ethical challenge. I used the moral philosophies starting from justice which highlighted a fair distribution of drug resources. Another principle, nonmaleficence, recommends that healthcare safeguard the client’s well-being regardless of any restrictions. Upon informing management about the two team members, they defended themselves by asserting that they made these increased prices because their houses were far from the organization, yet the institution provided no transport allowance. Since the two philosophies of nonmaleficence and justice conflicted, an ethical dilemma arose.

The facility’s management appointed me as a team coordinator to resolve the problem. I communicated the aim of the challenge, and the team formulated recommendations for solving the predicament. After careful and thoughtful deliberations, the group suggested that the facility management give all employees a transport allowance whenever they conduct work-related tasks. Hence, the particular medical cost remained at $35. Nonetheless, the two employees were fired because they did not involve management.

In conclusion, leaders must have an excellent style of leadership, communication skills, and decision-making approaches. Such attributes would help a leader to successfully stimulate and lead s group by linking them to the facility’s goals. The leader also follows ethical schedules to portray to the group the significance of moral decision-making yardstick. This may assist those involved with the compensation of motivation and joint work. Notably, communication is vital, and it must be ethical and sound. As leaders, we are responsible for the partnership of team members, the prospects of the facility, and the wellness of the patients. Possessing a definite ethics process sets an excellent instance for team members and the whole organization about the significance of ethical decision-making.

References

Cleary, S., Toit, A. D., Scott, V., & Gilson, L. (2018). Enabling relational leadership in primary healthcare settings: lessons from the DIALHS collaboration. 
Health Policy and Planning
, 
33
(suppl_2), ii65-ii74.

Karam, M., Brault, I., Van Durme, T., & Macq, J. (2018). Comparing interprofessional and inter-organizational collaboration in healthcare: A systematic review of the qualitative research. 
International journal of nursing studies
, 
79
, 70-83.

Levitt, D. (2014, July). Ethical decision-making in a caring environment: The four principles and LEADS. In 
Healthcare Management Forum
 (Vol. 27, No. 2, pp. 105-107). Sage CA: Los Angeles, CA: SAGE Publications.

 

Western Medical Enterprises Applicant Questionnaire

Directions
: Please provide responses to the two sections below. The expectation is that each response is from 1–2 pages in length (not including the information already present in this document which is approximately one page). You are expected to support your assertions, ideas, or opinions with at least two scholarly or professional resources where appropriate using current APA style and formatting.

Section 1: Leadership and Collaboration Experience

Briefly describe an instance where you were required to lead and motivate a team of professionals to collaborate. It does not need to be in a health care setting. If you have not lead a team of professionals before, use a different example.

Next, analyze your approach to the challenge using specific examples. It is not important whether or not your efforts were successful. What is important is the approach you take to
appraising your leadership
and collaboration decisions and actions. Western Medical Enterprises Applicant Questionnaire Sample Do the following:

Analyze your leadership of the project. Consider the following:

What was the purpose or shared vision of the team?

The effectiveness of your leadership approach and style. Did you get “buy in” from stakeholders?

Decision making processes and outcomes? What were your good decisions? What would you have done differently?

How did you communication your vision, values, decisions, information, et cetera?

Analyze your approach to fostering collaboration and motivation among stakeholders. Consider:

How well you facilitated member or participant collaboration and engagement with one another. Did participants communicate effectively?

Actions you took to motivate people to realize your vision or tactics. Did the team or participants feel motivated and energized by you? Why or why not?

[Enter Your Response for Section 2 Here]

Section 2: Ethics Experience

Briefly describe an ethical dilemma that that demonstrates your application of ethical principles in the health care setting. Next, analyze your response or actions (even if there were none) to the event against one of the reference points below. Were your inactions or choices supported by the chosen framework? Be specific and include two references citing one or more of the following.

Any workplace code of ethics (consider choosing one from a place you work or have worked).

The professional code of ethics for your profession.

AND one of the following:

Levitt, D. (2014).
Ethical decision-making in a caring environment: The four principles and LEADS
.
Healthcare Management Forum, 27
(2), 105–107.

American College of Healthcare Executives. (n.d.).
ACHE code of ethics
. https://www.ache.org/about-ache/our-story/our-commitments/ethics/ache-code-of-ethics

 

Western Medical Enterprises Applicant Questionnaire Sample

Write a 3-4 page response to an employment questionnaire requiring a self-evaluation of your leadership, collaboration, and ethical experiences.

Introduction

An understanding of one’s own approaches to leadership, motivation, collaboration, and ethical situations is important to the evolution of an effective leader. An introspective lens can help emerging leaders better understand and hone these important skills.

Preparation

Use the 
Western Medical Enterprises Questionnaire [DOCX]
to complete this assessment.

Scenario

Imagine that over the past few months you have participated in several organizational projects and met many new people. The opportunities to collaborate and demonstrate your emerging skills as a leader prompted you to think about applying for a new position. After exploring online job postings, you prepared a resume and submitted the application to Western Medical Enterprises. A few days later you received the following email:

Dear applicant,

Thank you for your interest in employment at Western Medical Enterprises. We have received your application packet. The next step for all potential employees is to provide a narrative response to the questions in the attached document. Please return your completed document to me by replying to this email.

Once we receive your responses, we will review them and notify you of the next steps.

Good luck!

Sincerely,

Thomas Hardy

Human Resources Recruiter

Western Medical Enterprises

Instructions

Respond to the scenario by completing the
Western Medical Enterprises Questionnaire [DOCX]
. Be sure to follow the prompts in the document and, when complete, submit it for this assignment.

You will use one of the following to complete Section 2 of the questionnaire:

Levitt, D. (2014). 
Ethical decision-making in a caring environment: The four principles and LEADS
. 
Healthcare Management Forum, 27
(2)
, 
105–107.

American College of Healthcare Executives. (n.d.). 
ACHE code of ethics
. https://www.ache.org/about-ache/our-story/our-commitments/ethics/ache-code-of-ethics

Please refer to the scoring guide for details on how your assessment will be evaluated. Western Medical Enterprises Applicant Questionnaire Sample

Example Assessment
: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Assessment 4 Example [PDF]
.

Competencies Measured

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

Competency 1: Apply qualities, skills, and practices used by effective health care leaders.

Analyze one’s own leadership qualities and actions relative to a specific experience, using personal core values of one’s profession.

Competency 2: Apply practices that facilitate effective interprofessional collaboration.

Analyze one’s own leadership and motivational techniques used to foster collaboration among stakeholders.

Competency 3: Apply ethical codes and diversity best practices in health care organizations.

Analyze actions taken in response to an ethical dilemma, using an ethical code.

Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.

Convey clear meaning in active voice, with minimal issues in grammar, usage, word choice, spelling, or mechanical errors.

Western Medical Enterprises Applicant Questionnaire Sample

Capella University NHS FPX 5004 – professional response to the supervisor questionnaire Western Medical Enterprises

Instructions

Develop a 3–4 page professional response to the supervisor using the
Letter Template [DOCX]
, which has two main components. In your response:

Identify the qualities of a successful leader and compare them to your own leadership characteristics.

Make recommendations on how to lead and foster teamwork.

Additional Requirements

Your assessment should also meet the following requirements:

Written communication
:

Express your main points, arguments, and conclusions coherently.

Use correct grammar and mechanics.

Proofread your writing.

Length
: 3–4 double-spaced pages.

Font and font size
: Times New Roman, 12 point.

References
: Support your claims, arguments, and conclusions with credible evidence from 2–3 current, scholarly or professional sources.

APA format
: Apply current APA formatting to all in-text citations and references.

Please refer to the scoring guide for details on how your assessment will be evaluated.

Competencies Measured

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

Competency 1: Apply qualities, skills, and practices used by effective health care leaders.

Describe leadership qualities desirable for the proposed project.

Compare one’s own leadership skills against those of a chosen health care leader.

Explain one’s role as project leader, using approaches from a selected leadership model.

Capella University NHS FPX 5004 – professional response to the supervisor questionnaire western medical enterprises

Competency 2: Apply practices that facilitate effective interprofessional collaboration.

Describe and apply to practice an approach to effectively facilitate collaboration among a professional team.

Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.

Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.

 

Capella University NHS FPX 5004 – professional response to the supervisor questionnaire western medical enterprises

xxxx

I am drafting the letter to reply to your supplication for a report on the leadership scheme required to tackle the diversity challenges crucial to enhancing worker, community, and patient outcomes. It is an immense privilege to lead the recommended interdisciplinary project at the clinic. The project is an excellent chance to reinforce my leadership style and expertise. Further, since I will be working with professionals from distinct personal and professional settings, I will have the opportunity to obtain pertinent cultural competence. Hence, I appreciate the consideration to be on the team to strategize and execute the project that will help to enhance its cultural capability. Capella University NHS FPX 5004 – professional response to the supervisor questionnaire western medical enterprises.

Desirable Qualities for the Project

A diverse team is excellent for a firm’s business, but leading this team may present issues. Therefore, leaders heading this project must possess several qualities. Firstly, the leader must cultivate trust (Koohang et al., 2017). The leader must think about certitude, connection, and collaboration. All stakeholders must trust the leader to experience meaningful outcomes. A lack of trust means there will be no connection and teamwork. An excellent tactic to build certainty is open communication. Furthermore, being aware of biases is another quality needed. The leader must recognize any underlying assumptions about distinct cultural groups and make changes where necessary. This will assist in decreasing unconscious prejudice.

GET WRITING HELP HERE

Comparison of Skills with a Leader

Dr. Errol Norwitz, President of Newton-Wellesley Hospital and Chief Scientific Officer at Tufts Medical Center. He is also Chairman of the Department of Obstetrics & Gynecology at Tufts. Errol is a dynamic and exemplary leader who has advocated for and executed quality enhancement projects as a member of the executive leadership team of Tufts MC since 2016 (Tufts, 2022). His leadership style is transformative and linked to collaboration and teamwork. Thus, as a collaborative leader, Norwitz considers this style vital to recognizing, recruiting, and retaining top talent. Growing up as a minority in South Africa, Errol understands diversity first-hand. He has the leadership ability and experiences to execute plans that can tackle the diversity challenges in the firm.

Moreover, I contend we share several qualities compared to his leadership style. Consistent open communication, robust work ethic, empathy, and modeling conduct are some of the few qualities that we share. Thus, I am willing and humbled to work with this accomplished medic to tackle the challenges impacting employee performance at the facility.

Role as a Project Leader

As a transformative leader heading the project, the first role is inspiring a shared vision. These leaders believe they can make a difference (Roop, 2022). They possess a passion and inclination to better things in the organizations. Also, they strive to modify a project or process and form something never produced before. These leaders inspire commitment instead of commanding it. Further, these leaders have a role in challenging the status quo. These transformational leaders are viewed as pioneers since they like stepping out to unknown territories. They strive to recognize and support excellent ideas.

Approach to Solving Diversity Challenges

For this project, I will utilize a collaborative leadership method. It is an approach that will enable me to use non-verbal and verbal communication techniques, planning, shepherding, and management skills to motivate employees to assimilate the transformations into the company culture (Karam et al., 2018). Further, the leadership approach is vital to show workers how culture influences communication techniques and the outlook of individuals outside a particular cultural group. For instance, the intercultural group committee would use members’ experiences of how they conquered cultural differences to enhance communication and foster collaboration. The entire healthcare system is created upon the capability to communicate. In an overwhelmed system, communication breaks are likely. From telecommunications to in-person communication, miscommunication between interprofessional is imminent. The bottom line is that communication becomes ineffective, and the team does not work harmoniously; thus, teamwork efforts are compromised. Hence, as the leader of this diverse team, I will encourage active listening and specific non-verbal communication techniques among clinical and non-clinal employees.

Additionally, endeavors to foster team collaboration in the facility need positive attitudes that lead to elevated levels of respect and trust that staff can use to partner and execute resolutions to several challenges. I possess outstanding communication skills, meaning dispatching information via suitable channels would promote the belief that members require to share data and participate in all tasks and projects. Further, honest and explicit communication on issues can reduce intercultural and interprofessional conflict. Also, proficiency in cultural communication must be amalgamated into recruiting and hiring new staff members to assist in recognizing future challenges and use the onboarding procedures to train them in developing critical skills.

Moreover, incorporating empathy in tackling diversity issues is another approach. While cultural and language differences may lead to challenges during staff relations on the one hand and those with residents and patients on the other, empathy guarantees active listening that fosters positive exchanges. Empathy is a critical feature that assists individuals in respecting the attitudes and approaches to the tasks or notions for achieving projected outcomes and comprehending how to realign their prospects with them. Apart from incorporating empathy lessons in the modules for cultural competence training of existing and new staff, intercultural committee members must display empathy in their inter-team and interpersonal interactions to strengthen how critical it is. This means that integrating company practices that mirror its culture and policy will be utilized to tackle the cultural challenges, comprising traditions, language hurdles, and beliefs that could lead to diversity issues between employees, communities, and patients Capella University NHS FPX 5004 – professional response to the supervisor questionnaire western medical enterprises.

In summation, the letter has presented the leadership qualities desirable for this project. It has recognized trust as a core quality. The healthcare system is multicultural, and mistrust is a possibility. Thus, leaders must be people who can be trustworthy and possess the capability to instill quality in members. Also, they must be people who detest prejudice. Further, the letter has discussed a healthcare leader who can inspire an intercultural committee dealing with diversity issues. A comparison of leadership styles and competencies between Errol and me has also been presented. Moreover, the letter has recognized leadership approaches needed to tackle the cultural competence challenges restricting the employees’ potential to deliver positive results. Thus, I have demonstrated how my collaborative style, employee development schemes, and communication skills can solve the clinic’s cultural issues. Implementation of specific plans can eradicate diversity challenges in the healthcare facility. By eliminating these issues and collaboration in the facility, enhanced services are highly likely to lead to positive outcomes.

Regards

xxx

 

References

Karam, M., Brault, I., Van Durme, T., & Macq, J. (2018). Comparing interprofessional and interorganizational collaboration in healthcare: A systematic review of the qualitative research. 
International journal of nursing studies
, 
79
, 70-83.

Koohang, A., Paliszkiewicz, J., & Goluchowski, J. (2017). The impact of leadership on trust, knowledge management, and organizational performance: A research model. 
Industrial Management & Data Systems
.

Roop, J. (2022). Addiction and leadership: How authentic and transformative leaders are emerging from the adversity of substance use disorder.

Tufts. (2022, February 2).
Errol R. Norwitz
. Tufts CTSI. Retrieved January 16, 2023, from https://www.tuftsctsi.org/people/errol-r-norwitz/

Capella University NHS FPX 5004 – professional response to the supervisor questionnaire western medical enterprises

NURS FPX 6008 Assessment 4: Lobbying for Change

Lobbying for Change

To the Director

The state of Department for Health and Human Services

Xxx
State

Dear Sir/Madam,

RE
: The Burden of Ageing Population

My name is [Name & Position]. Having served in the healthcare sector for some years, I have observed a trend that needs your attention and input on how it burdens the current healthcare facilities, healthcare workers, and the entire community. As a healthcare worker and a nurse in a local healthcare facility, I know there has been a change in patients, demographics, and needs with strain on care providers and the hospital financially in the quest to meet the aging population’s health needs. While the state has worked hard to increase care accessibility among the diverse communities in the state, one area remains ineffectively addressed: providing ongoing care solutions to the ever-growing aging population. According to Fulmer et al. (2021), the aging population is linked to a host of adverse healthcare characteristics, including a high rate of chronic diseases, low income, lack of specialized care marginalization, and increasing demand for patient-based healthcare practices.

ORDER HERE

As an elected member of the state, your input would be critical in developing policies and other measures to ensure healthcare organization has evolved to accommodate the aging population. On the other hand, with the aging population diversely impacting the healthcare sector, your input would be critical in identifying the relevant policymakers and stakeholders to help foster a change that would reverse the unwanted trend of marginalization of the aging population due to their status and lack of income to cater for their healthcare needs (Tang et al., 2022). Improving the healthcare status of the focus group (The Ageing Population) would mean a host of benefits, including the practices to bridge healthcare accessibility, marginalization, lack of healthcare insurance, and increased government support (Martinez-Lacoba et al., 2021). While healthcare facilities are expected to experience the burden of setting up facilities to hold up aging patients, the practice would give a foundation for the universal healthcare system in the country. With the united states’ lack of a uniform healthcare system, the effort to mitigate the issue can be used towards formulating effective and less costly healthcare plans to reduce healthcare disparity.

The government expenditure on healthcare will continue to rise unless the issue is amicably addressed through the participation of all the relevant stakeholders. This would provide lasting and practical strategies to mitigate the problem according to affordable, quality, and adequate healthcare intervention. Cristea et al. (2020) identified that inability to address healthcare disparities would continue to increase the cost of care while reducing quality and care accessibility among marginalized and minority groups. Through your office, the campaign for change would foster purposeful goals that would increase the revolution in the healthcare sector for a better tomorrow NURS FPX 6008 Assessment 4: Lobbying for Change.

While developing a remedy to address the financial burden connected to the changing population demographics, healthcare will benefit from developing lasting interventions to address the issue. According to Dall et al. (2018), a collaborative effort would mean a well-devised mitigation change process to foster positive growth and reduce negative aspects aligned with the aging population issue. As a nurse professional and having first experience in serving the patients, I foresee a case of uncontrollable influx of aged people with no access to healthcare services.

A lasting solution would be developed through your office support to address the issues. I look forward to hearing back from you, and anticipating a favorable response to address the issue. My best wishes as you continue serving our beloved state and the people.

Yours sincerely

[Name]

References

Cristea, M., Noja, G. G., Stefea, P., & Sala, A. L. (2020). The Impact of Population Aging and Public Health Support on EU Labor Markets. 
International journal of environmental research and public health
, 
17
(4), 1439.
https://doi.org/10.3390/ijerph17041439

Dall, T. M., Gallo, P. D., Chakrabarti, R., West, T., Semilla, A. P., & Storm, M. V. (2018). An aging population and growing disease burden will require a large and specialized health care workforce by 2025. Health Affairs, 32(11), 2013–2020.
https://doi.org/10.1377/hlthaff.2013.0714

Fulmer, T., Reuben, D. B., Auerbach, J., Fick, D. M., Galambos, C., & Johnson, K. S. (2021). Actualizing Better Health And Health Care For Older Adults.
Health Affairs
,
40
(2), 10.1377/hlthaff.
https://doi.org/10.1377/hlthaff.2020.01470
  NURS FPX 6008 Assessment 4: Lobbying for Change

Martinez-Lacoba, R., Pardo-Garcia, I., & Escribano-Sotos, F. (2021). Aging, Dependence, and Long-Term Care: A Systematic Review of Employment Creation. 
Inquiry : a journal of medical care organization, provision and financing
, 
58
, 469580211062426.
https://doi.org/10.1177/00469580211062426

Tang, B., Li, Z., Hu, S., & Xiong, J. (2022). Economic Implications of Health Care Burden for Elderly Population. 
Inquiry : a journal of medical care organization, provision and financing
, 
59
, 469580221121511.
https://doi.org/10.1177/00469580221121511

 

NURS FPX 6008 Assessment 4: Lobbying for Change

Write a letter to an official in your state or local government. (Choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue.

Introduction

Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.

As health care leaders, it is important to understand strategies for advocating and lobbying elected officials. This can lead to the development of policies or laws that can help drive improved equity and outcomes for all participants in the health care environment as well as a more sustainable financial future.

Background and Context

As a master’s-level health care practitioner, you may be expected to implement plans to ensure that initiatives designed to take advantage of economic opportunities for the organization are rolled out successfully and can be sustained over multiple years. Additionally, it is important to be able to envision how an initiative could be implemented in different contexts and for different purposes to ensure the investment remains a viable and positive asset to your organization or care setting.

As a master’s-level practitioner, you will often be challenged to influence the health care environment in a variety of ways. This influence can occur on a micro-level (implementing change on your unit, institution, community, or local organizations) or at a macro level (implementing change via state or federal regulations and policy). One way you can influence the health care environment is by lobbying an elected official at the local, state, or national level to adopt policies or legislation that would support positive economic and health outcomes for patients, practitioners, and organizations within the health care environment.

Instructions

For this assessment, you will develop a letter to an official in your state or local government (choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue. Remember, when writing the letter, you must use your personal address and telephone number unless you are exclusively representing a group or your organization.

Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.

Overall, your assessment submission will be assessed on the following criteria:

Summarize the health care economic issue that you are addressing.

Keep this brief but try to include details about how the issue is currently impacting the elected officials’ constituents.

Explain the positive outcomes that will occur if the issue is addressed and the negative outcomes that will occur if the issue is not addressed.

Tailor this messaging to focus on the impacts in the communities and organizations that are relevant to the elected official you are writing to.

Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, or national level; and proposed changes or actions to address the issue.

Cite at least five current, scholarly sources that support your argument and help provide the elected official (who may not have a detailed knowledge of the health care environment) with an understanding of the issues, changes, or actions that you are proposing to drive improved outcomes.

Identify the impact your issue has on health care institutions and health care providers at the local community, state, or national level.

Make sure to include information from both a health care and an economic perspective. An elected official may be more responsive to one perspective than another.

Incorporate social justice, structural racism, and inequity principles when picking resources and making recommendations for change in your assessment.

Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.

Think about how your experiences (the experiences can be personal, professional, or from your team’s perspective or experience) affect how you have planned for the resources needed to implement your desired changes or actions. How did this impact your approach to conducting a risk analysis on the project?

Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.

Remember to conclude your letter with a summary of your position on the issue and a compelling reason that the elected official should act in your favor and support your issue or initiative.

Additional Requirements

Audience: Make sure you are addressing your letter to an actual local or state official.

For most states, you can use the following resource:

Assessment 4: Lobbying for Change.

For local officials, search your city’s government website for officials and their positions.

Length of Submission: 1–2 double spaced pages. Your letter needs to be succinct and persuasive.

Number of References: Cite at least five sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.

APA formatting: Resources and citations are formatted according to current APA style.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Competencies Measured

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

Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.

Summarize the health care economic issue that you are addressing.

Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.

Explain the positive outcomes that will occur if the issue is addressed and negative outcomes that will occur if the issue is not addressed.

Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.

Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, or national level; and proposed changes or actions to address the issue.

Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.

Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.

Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards NURS FPX 6008 Assessment 4: Lobbying for Change.

Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

change strategy and implementation in nursing example essay

Change Strategy and Implementation

Hospitals develop and execute change strategies to enhance care quality and patient satisfaction. At distinct points in the operation, healthcare institutions must adopt change plans to help transform and meet client and industry needs. Improving and changing the quality of care environment for a specific illness is composite and needs input from healthcare professionals, families, and the patient to recognize gaps, create meaningful interventions, and guarantee that these interventions enhance care and results. The assessment’s central focus is type 2 diabetes, characterized by insulin resistance, high blood sugar, and a lack of insulin. The condition must be controlled and managed frequently to avert elevated issues, which may lead to adverse effects. Change strategies like evidence-based education to manage the illness can help improve outcomes. This education will be successful via the collaboration of different healthcare professionals.

Data Table

Current State

Change Strategies

Projected Outcomes

Patients with this type of diabetes lack sufficient support systems

i). Encounter feelings of anxiety and powerlessness

ii). Less compliant with medication and therapy

iii). At an elevated risk of complications like renal failure and amputations linked to non-adherence

Education on illness medication compliance, procedures, insulin administration, finger stick glucose check, lifestyle changes, complications, and coping mechanisms

 

 

Patients will possess one support

Patients will comply with medications and decrease complications

 

Proposed Change Strategy: Patient Education

Changing the current care environment for diabetic type 2 patients will require evidence-based patient education. The education aims to offer patients skills and understanding to manage their lifestyle habits and clinical situations. Many patients fail to adhere to medications and lifestyle changes leading to an increased risk of complications. If the education strategy is effective, patients will attain metabolic control, avert acute and chronic complications, and enhance the patient’s quality of life (Cruz‐Cobo & Santi‐Cano, 2020). This means the patients will achieve optimal control of the illness. The methods to be applied in diabetes primary care comprise group and personal learning, techniques that can be amalgamated and modified according to the needs and attributes of the patients.

Notably, this education change strategy has encountered critical transformations. Cognitive, psychosocial, technological, clinical, and behavioral elements will be integrated into the teaching-learning and content strategies. The contents of this strategy will be founded on: the transformation of lifestyle (diet, physical exercise), increased understanding of the illness and its management, adherence to medications, and coping mechanisms (Figueira et al., 2017). This education will need an interdisciplinary team to achieve optimum results. Thus, doctors, nutritionists, nurses, and psychologists will partner to offer this education to patients. The patients will experience improved healthcare outcomes with educational support from these professionals. For instance, medication adherence and lifestyle changes will lead to high-quality care.

How Patient Education Leads to Care Improvement

Excellent patient education may lead to patient safety. When education involves different healthcare providers, they learn more about the patient and offer safe services. This may assist in tailoring the patient’s care successfully. Today, patients are involved in medical decisions, and arming them with knowledge and offering them greater control and management of their care may lead to excellent results. For example, when patients understand the type of exercise they are supposed to undertake or the type of food to eat, their safety is preserved. Further, sharing health education about insulin administration or finger stick glucose checks with patients ensures that patients do it safely, enhancing health outcomes. Notably, since education improves safety, it leads to the minimization of healthcare providers’ liability. Also, since education fosters patient-focused care and elevates compliance with medication and therapy, the safety of the patients is improved.

Interprofessional Consideration

As healthcare delivery becomes more interrelated, coordinating diabetes care between physicians, nurses, social workers, dieticians, and pharmacists is becoming critical. Approaching care for diabetic patients from a team-based perspective may provide excellent quality care and patient satisfaction. This partnership means that inefficiencies will be reduced because the nurse communicates with every member involved in the treatment. Also, in interprofessional collaboration, the physician can delegate monitoring, education, and drug administration to other healthcare professionals leading to enhanced care. Treatments and evaluations will be conducted together, focusing on the client as a whole rather than a particular therapy or diagnosis. The collaboration leads to a safe and comprehensive healthcare system responsive to the patient’s needs change strategy and implementation in nursing example essay.

Communication

Change is difficult, and many stakeholders reject it. Thus, there is a need for open and effective communication that involves every member of the interprofessional team (Stouten et al., 2018). The hospital management must share its change vision of how the organization and patients will gain from this specific change strategy. Every stakeholder must be given a role in the change process to avoid feeling left out. Employees who feel engaged support the process, making it a success. Notably, if there are any modifications to the strategy, they should be communicated. Open communication is a two-way procedure, and it fosters values like transparency.

In conclusion, healthcare systems are constantly changing, and it is vital to comprehend elements that impact change and when this change is crucial. Change may take different strategies, and this assessment has focused on evidence-based education to assist type 2 diabetes patients. Education is vital for these patients because it helps encourage lifestyle change and medication compliance leading to quality outcomes and patient satisfaction change strategy and implementation in nursing example essay.

References

Cruz‐Cobo, C., & Santi‐Cano, M. J. (2020). Efficacy of diabetes education in adults with diabetes mellitus type 2 in primary care: a systematic review. 
Journal of Nursing Scholarship
, 
52
(2), 155-163.

Figueira, A. L. G., Boas, L. C. G. V., Coelho, A. C. M., Freitas, M. C. F. D., & Pace, A. E. (2017). Educational interventions for knowledge on the disease, treatment adherence, and control of diabetes mellitus. 
Revista latino-americana de enfermagem
, 
25
.

Stouten, J., Rousseau, D. M., & De Cremer, D. (2018). Successful organizational change: Integrating the management practice and scholarly literature. 
Academy of Management Annals
, 
12
(2), 752-788.

 

change strategy and implementation in nursing example essay

Analyze a professional environment and relevant data, and develop a change strategy (3-5 pages) and discuss how to implement it successfully.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.

Knowing the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.

The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For if we cannot effectively implement changes in practice or procedure, then our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.

This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.

Professional Context

One area in health care that it is necessary to consider is the environment in which nurses work. It is important that this environment evolves and changes so that all patients are adequately supported. For this assessment, you will develop a change strategy to improve the health care environment. These changes can be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug administration, or disease recovery rates. A key skill for master’s-level nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data to reach set goals.

Scenario

Consider a current environment. This could be your current care setting, the care setting presented in the scenario Vila Health: Using Concept Maps for Diagnosis, or a care setting in which you are interested in working. For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course, a relevant data set that already exists (a data set from the case study you used as a basis for your previous Concept Map assessment or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)

After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.

Potential topics for this assessment could be:

Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your previous Concept Map assessment. As a starting point, you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?” change strategy and implementation in nursing example essay

Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point, you could ask yourself, “How could the care environment be changed to enhance coping?”

Once you determine the change you would like to make, consider the following:

What data will you use to justify the change?

How can the team achieve this change with a reasonable cost?

What are the effects on the workplace?

What other implementation considerations do you need to consider to ensure that the change strategy is successful?

How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?

Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?

Instructions

Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: change strategy and implementation in nursing example essay Change Strategy and Implementation [DOCX] to better understand how each grading criterion will be assessed.

Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.

Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.

Justify the specific change strategies used to achieve desired outcomes.

Explain how change strategies will lead to quality improvement with regard to safety and equitable care.

Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.

Communicate the change plan in a way that makes the data and rationale easily understood and compelling.

Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Example assessment: You may use the assessment example, Assessment 2 Example [PDF], to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Submission Requirements

Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.

Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.

APA formatting: The APA Template Tutorial [DOCX] can help you in writing and formatting your analysis. No abstract is required.

Competencies Measured

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

Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.

Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.

Competency 2: Develop change strategies for improving the care environment.

Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.

Justify the specific change strategies used to achieve desired outcomes.

Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.

Explain how change strategies will lead to quality improvement with regard to safety and equitable care.

Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.

Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.

Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence, and adhering to organizational, professional, and scholarly communication standards change strategy and implementation in nursing example essay

Planning for Community and Organizational Change Essay

Planning for Community and Organizational Change

Health discrepancies and poor ingress to healthcare services are serious issues in many areas of the United States. Notably, these discrepancies are preventable health situations linked to socioeconomic and environmental factors. Cost is the biggest driver of these issues, and some people and areas are exposed to illnesses because of a lack of insurance coverage. In a country where almost 28 million people had no insurance coverage during COVID-19 in 2020, much must be done to improve the healthcare system (Keisler-Starkey & Bunch, 2022). It is even more challenging for people in rural areas who must traverse long distances to access healthcare services. Thus, this paper will propose and solicit assistance from facility executives to transform Jordan’s healthcare system.

Summary

To foster the area’s population health, I suggest that St. Francis Health Center collaborate with the Health and Human Services Department to open a satellite healthcare institution at the core of downtown Jordan where patients can walk. This health department tries to offer critical human services and foster population health, mainly in marginalized areas. The HHS is collaborating with local facilities in different areas of the United States to coordinate and fund projects and invest in interpositions to reduce healthcare discrepancies; thus, when the local healthcare system in Jordan partners with HHS, funds to address some of the healthcare challenges impacting residents may be dispersed improving healthcare immensely.

Benefits and Implications

Located in Scott County, where the physician-to-patient ratio is 1:1935, the Jordan area may accrue several benefits if St. Francis sets up a satellite institution (Data USA, n.d). One fundamental benefit is enhanced access to healthcare since people do not have to travel long distances. Notably, improved access means decreased mortality because early detection and preventive care will decrease the threat of death from several conditions. Also, access to healthcare services means there will be equitable services that will tackle discrepancies among diverse racial and socioeconomic groups. A lack of access inordinately impacts vulnerable people in the Jordan region, elevating the current inequities in health results.

Another benefit is improved medical services. With more satellite institutions, the Jordan region will provide a wider cluster of clinical services, comprising surgeries and specialized care, leading to excellent healthcare results. Moreover, when medical services are improved, it implies the region gets a rapid emergency response. Proximity and distance to a facility can immensely decrease response periods during emergencies.

Lastly, the expansion of St. Francis means there will be more employment chances that positively change the physician-patient ratio. This expansion develops jobs for healthcare professionals and support and administrative employees, stimulating Jordan’s economy.

Remarkably, even with these positive benefits and effects, establishing this satellite institution may have an environmental effect. For example, land use changes and raised energy use may affect the environment where the facility will be established.

Potential Barriers to this Transformation

Even though the new satellite facility is supposed to ease access to healthcare services, there are several barriers that the change might face. One potential hurdle is community resistance because of concerns like increased noise and traffic (Rajhans, 2018). Most of the time, downtown areas are congested with traffic, and establishing the new facility might aggravate the situation.

Another barrier is land utilization regulation and zoning. Some areas possess particular zoning regulations that St. Francis must navigate before establishing the facility. For example, downtown Jordan might have laws that prescribe the type of complexes permitted, intended use, and size, affecting the practicality of building a new facility.

Proactive Strategies

A comprehensive communication plan is vital in making organizational stakeholders understand. This plan will have a key message that elucidates the reason behind these transformations, the gains, and how they will position the institutions’ values, mission, and objectives. The organization has different stakeholders, implying that communication must be tailored according to the needs of each stakeholder group. This is because each group has distinct interests and concerns. Further, the plan should also encompass regular updates on the project’s progress. These frequent briefs engage and keep them informed during the implementation process, decreasing resistance and doubt. These updates can be enhanced with visual aid of the project.

Changing Barriers into Opportunities

Furthermore, overcoming these barriers needs open communication and involving every stakeholder (Stouten et al., 2018). When open communication lines exist, it implies that resistance is drastically reduced because this communication tackles all concerns, dismisses all misapprehensions, and spotlights the positive consequences of having this facility in downtown Jordan. Further, open communication and involvement of stakeholders will help St. Francis and its partners to collect intuitions since these local stakeholders possess and bring diverse perspectives about the project. This means St. Francis can tap into their concepts and skills, leading to excellent solutions. Lastly, collaborating and coordinating solutions with locals is vital Planning for Community and Organizational Change Essay.

Conflicts are inevitable during the implementation of changes, and there is a need to establish feedback mechanisms that will allow everyone’s input to be considered; feedback allows frequent evaluation of the project and successful resolutions.

In summation, proposing strategies to enhance population health is massive. While the proposal can positively affect the local Jordan community and St. Francis Health Center, it might encounter resistance from diverse stakeholders. Thus, the facility must find ways to convince all internal and external stakeholders of the significance of this project. Overcoming hurdles and changing them into opportunities may be challenging if the organization needs to communicate with stakeholders effectively. Having a satellite healthcare facility downtown can help close the healthcare disparities experienced in this community.

References

Data USA. (n.d.).
Jordan, MN
. Data USA. https://datausa.io/profile/geo/jordan-mn/#health

Keisler-Starkey , K., & Bunch, L. N. (2022, August 22).
Health insurance coverage in the United States: 2020
. Census.gov. https://www.census.gov/library/publications/2021/demo/p60-274.html

Rajhans, K. (2018). Effective communication management: A key to stakeholder relationship management in project-based organizations. 
IUP Journal of Soft Skills
, 
12
(4), 47-66.

Stouten, J., Rousseau, D. M., & De Cremer, D. (2018). Successful organizational change: Integrating the management practice and scholarly literatures. 
Academy of Management Annals
, 
12
(2), 752-788.

Appendix 1: Grant Proposal

Need Statement
: Jordan residents have a challenge in accessing healthcare services fast. Setting up a satellite facility will ease screening and preventive care in this area, improving health outcomes. This proposal will benefit everyone in this downtown area and decrease any health discrepancies. Further, the project seems simple but it might face a myriad of issues that can be resolved via open communication with stakeholders.

Description of Program
: It is a satellite facility affiliated with St. Francis Health Center. The project aims to increase access and reduce healthcare costs like transportation. Also, it aims to decrease preventable mortalities. Furthermore, the execution of this project will be in 3 phases. Preparation for change will be the initial phase and it comprises setting objectives, formulating strategic plans, and allocating monies. The second step is the actual execution and it entail renting a complex, recruiting and hiring staff, and procuring every resource and equipment. Lastly, evaluation of all existing project gaps. 16-18 months is the estimated time of completing the project.

Summary

The project aims to increase access and reduce health disparities in the community.

Appendix II: Budget Estimates (All Amounts in $)

Item

1
st
Year

Other Sources of Income

Wages and Salaries

 

Donations 500000

Project Manager

120000

 

Support Employees (7)

62000

 

Physicians (2)

200000

 

Nurses (5)

200000

 

Margin Benefits

 

 

Health Insurance for workers

84000

 

Contract Services

 

 

IT Specialists

60000

 

Rent/Lease

150000

 

Equipment

 

 

Furniture

70000

 

Laptops and Tablets

85000

 

Materials

 

 

Medical equipment and Pharmaceuticals

200000

 

Others

 

 

Staff Training

60000

 

Internet

10000

 

Total

1301000

801000

 

Draft a 3-5 page change proposal to executive leaders, soliciting their support for a change to the health care system in the community you selected in the previous assessment.

Introduction

To improve health care outcomes within a community, leaders must understand the needs of specific populations. In addition, it is important that leaders are able to gather and present persuasive evidence to decision makers to obtain the necessary funding and establish these needs as priorities for budget and resource planning. Thus, proposed changes should support improved outcomes and align with the current or needed health care policy.

This assessment provides an opportunity to propose a community health care change that is based on the community health assessment you completed in Assessment 2.

Preparation

Your community health assessment was well received by the executives at Vila Health. Consequently, they have asked you to recommend a change in the community that will improve health outcomes. They have also asked you to submit your recommendation in a formal change proposal. You are confident that you can present a strong case for change, including a financial plan, that will ensure the success of this initiative.

In this assessment, you will draft a change proposal to executive leaders to solicit support for a change to the current community health care system. To prepare for the assessment, you are encouraged to begin thinking about your justification for establishing the recommended change as a priority, a strategy for leading change, and how the change will be funded. In addition, you may wish to:

Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete.

Review Guiding Questions: Planning for Community and Organizational Change [DOCX], which includes questions to consider and additional guidance on how to successfully complete the assessment.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

The following resource is required to complete the assessment.

Vila Health: Planning for Change.

Vila Health is a virtual environment that simulates a real-world health care system. In the various Vila Health scenarios, you will apply professional strategies, practice skills, and build competencies that you can apply to your coursework and in your career. The information you gather in this scenario will help you to complete the assessment.

Templates

Use this template for your change proposal.

Change Proposal Template [DOCX].

Requirements

Complete this assessment in two steps:

If you have not already done so, complete the Vila Health: Planning for Change simulation.

Draft a change proposal to justify your recommendation for improving the health of the community and establish the change as a priority for the next budget cycle. Consider the feasibility of your proposed change, in terms of overall scope, funding, and timeframe Planning for Community and Organizational Change Essay.

The change proposal requirements outlined below, correspond to the grading criteria in the scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Planning for Community and Organizational Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

Identify the benefits of proposed health care system changes and its implications for a community.

Describe potential barriers to change in an organization or community.

Develop strategies for changing barriers into opportunities and resolving conflict.

Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.

Develop a grant proposal and associated budget for a proposed change to an existing health care system.

Write clearly and concisely in a logically coherent and appropriate form and style.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Document Format and Length

Use the Change Proposal Template. This APA Style Paper Tutorial [DOCX] can help you in writing and formatting your assessment. If you would like to use a different template or document format for your change proposal, obtain prior approval from faculty.

Your change proposal should be 3–5 pages in length, not including the title page and references page.

Be sure to apply correct APA formatting to all source citations and references.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your change proposal.

Additional Requirements

Proofread your change proposal before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.

Portfolio Prompt: You may choose to save your change proposal to your ePortfolio.

Competencies Measured

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

Competency 1: Identify the challenges and opportunities facing health care.

Identify the benefits of proposed health care system changes and its implications for a community.

Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.

Describe potential barriers to change in an organization or community.

Develop a grant proposal and associated budget for a proposed change to an existing health care system.

Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.

Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.

Develop strategies for changing barriers into opportunities and resolving conflict.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.

Write clearly and concisely in a logically coherent and appropriate form and style.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated Planning for Community and Organizational Change Essay

Assessing a Healthcare Program/Policy Evaluation

Healthcare Program/Policy Evaluation Analysis Template

 

Use this document to complete the Module 5 Assessment
Assessing a Healthcare Program/Policy Evaluation

Joan Wade

 

 

 

Healthcare Program/Policy Evaluation

 

Massachusetts Health Policy Commission: Health Care Cost Growth Benchmark Policy Evaluation

Description

The Massachusetts Health Policy Commission (HPC) is a state agency created to address healthcare costs while maintaining quality. Massachusetts was the first state to use this approach in 2012, with the HPC being responsible for collecting data on health care costs and setting a yearly cost growth benchmark (Chen, 2025).

How was the success of the program or policy measured?

 

 

The primary indicator is keeping annual spending increases at or below the specified target. Secondary outcomes include increased transparency and greater accountability among payers and providers, and a shift toward prevention-focused care.

How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected?

 

 

Because it applies to all payers and providers, the benchmark affects all 7 million Massachusetts residents, and since 2012, health care cost growth has remained at or near the benchmark in most years, which has resulted in slower premium growth in Massachusetts. For my patients, this means coverage has remained more stable than it would have been otherwise, and the HPC does ongoing evaluations through annual Cost Trends Reports, which represents more than ten years of data.

At what point in program implementation was the program or policy evaluation conducted?

 

The HPC measures have been in place since 2012, and the program has conducted evaluations on a yearly basis, using data submitted from many sources. The policy evaluations are provided annually in the HPC’s annual Cost Trends Reports and at public forums, during which stakeholder input is gathered. The reports themselves represent more than ten years of data.

What data was used to conduct the program or policy evaluation?

 

 

The HPC measures success by tracking whether total health care expenditures remain at or below the annual benchmark. Data sources include claims from commercial insurers, MassHealth, and Medicare, along with enrollment data, premium information, and prescription drug spending. The HPC also monitors quality indicators and regional variation in high-cost services (Berger & Czypionka, 2021). The HPC does ongoing evaluations through annual Cost Trends Reports.

What specific information on unintended consequences were identified?

 

Secondary outcomes include increased transparency and greater accountability among payers and providers, and a shift toward prevention-focused care. The HPC’s standards have unintended consequences, and some providers worry that cost containment limits investment in technology and workforce development. There is also the concern that cost pressures will reduce access in underserved areas if providers close clinics in lower-margin communities. Digital access is very important, and moving to online healthcare can harm equity if it goes forward without addressing the consumers’ access to online content, which requires planning (Lyles et al., 2021).

What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.

 

 

Stakeholders include state officials, insurers, hospital systems, physician groups, consumer advocates, employers, and patients. The HPC holds annual public hearings where these groups provide input. Those who benefit most from the results and reporting of health policy evaluation include consumer advocacy groups who can hold the system accountable. For example, Health Care For All used ConnectorCare program data showing average premium reductions of $150 per month and improved preventive care access to advocate for extending affordable coverage to over 40,000 residents (Health Care For All, 2026).

Did the program or policy meet the original intent and objectives? Why or why not?

 

 

The HPC has largely met its primary objective. Spending growth has remained at or near target since 2012, but the policy has been less successful in its secondary objectives. Some populations have disparities in access and affordability. Research shows that care that meets the guideline’s standards improves outcomes and reduces ineffective interventions (Lindqvist et al., 2022), but the benchmark alone does not ensure that providers follow evidence-based guidelines. Hospital spending still accounts for a large share of expenditures despite goals to shift care to community settings. However, the Massachusetts model shows that transparent, data-driven accountability can slow cost growth without necessarily reducing quality.

Would you recommend implementing this program or policy in your place of work? Why or why not?

 

 

The HPC’s program is already in place statewide and applies to my hospital by default. It has been successful in achieving its primary goal and has for the most part done so without compromising quality of care. For my patients, this means coverage has remained more stable than it would have been otherwise. However, my interest and that of my patients is more focused on the program’s secondary goals. Healthcare equity must be taken into consideration, not as a secondary goal but as a primary focus. Many patients suffer from disparities in access and affordability, and the policy benchmark does not ensure that providers follow evidence-based care guidelines. That is where I would focus my advocacy efforts.

Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after one year of implementation.

 

 

As a nurse advocate, I plan to participate in the HPC’s annual Cost Trends Hearing process by attending public hearings and submitting testimony that presents the perspectives of patients and front-line clinicians. The HPC actively solicits input from the public, and nurses have direct insight into how cost pressures affect care at the bedside. For example, I could testify about how my patients face barriers to access or affordability that the cost data does not capture.

 

I also plan to work with quality improvement teams in my organization to collect and analyze data on how the benchmark affects clinical outcomes and patients, especially among underserved populations. We could design surveys to assess whether patients have experienced changes in access to care or out-of-pocket costs since the benchmark was implemented. Data collection that tracks equity indicators would help ensure that vulnerable patients’ needs are reflected in the evaluation process.

General Notes/Comments

The Massachusetts HPC’s cost growth benchmark is a clear way to evaluate healthcare spending. It helps policymakers to track cost trends and provides a transparent view of how that control affects our patients. The benchmark has largely achieved its primary objective of cost control, but it’s important that we continue to pay attention to its effect on healthcare equity. As a nurse advocate, I am committed to ensuring that cost containment keeps patients at the center of policy decisions.

 

 

References

Berger, M., & Czypionka, T. (2021). Regional medical practice variation in high-cost healthcare services.
The European Journal of Health Economics, 22
(6), 917-929. https://doi.org/10.1007/s10198-021-01298-w

Chen, L. J. (2025). The problem with California’s plan to contain health care costs.
JAMA Health Forum, 6
(7), e253383. https://doi.org/10.1001/jamahealthforum.2025.3383

Health Care For All. (2026, January 29). Press statement: Health Care For All reacts to Governor Healey’s budget plan [Press release]. https://hcfama.org/press-statement-health-care-for-all-reacts-to-governor-healeys-budget-plan-january-29-2026/

Lindqvist, J., Jekunen, A., Sihvo, E., Johansson, M., & Andersén, H. (2022). Effect of adherence to treatment guidelines on overall survival in elderly non-small-cell lung cancer patients.
Lung Cancer, 171
, 9-17. https://doi.org/10.1016/j.lungcan.2022.07.006

Lyles, C. R., Wachter, R. M., & Sarkar, U. (2021). Focusing on digital health equity.
JAMA, 326
(18):1795-1796. https://doi.org/10.1001/jama.2021.18459 Assessing a Healthcare Program/Policy Evaluation

Benchmark – Part A: Population Health Research and PICOT Statement

Grand Canyon University

Translational Research and Population Health Management

NUR-550

Introduction

Health disparity is the difference in the occurrence, mortality and prevalence of diseases and the associated adverse health issues that exist among groups of the population. These specific groups within the population maybe depicted by age, ethnicity or race, gender, income, education, disability, social class, sexual orientation, or geographic location (Center for Disease and Prevention, 2020). This paper will discuss the noticeable difference in the Human Immunodeficiency Virus (HIV) rates within minority groups namely Blacks/ African Americans and Latinos/ Hispanics. The demographics along with health determinants, nursing science, genomic and genetic, and epidemiology will also be explained and how these factors may affect populations health management. An overview of a possible solution will also be provided for resolving this issue in the minority population along with a PICOT statement.

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Ethnicity and race are linked to human ancestry. Race is defined as a group of people who have specific distinctive common physical traits, such as hair texture and skin color. Ethnicity means  groups of people categorized according to a common language, race, tribe, religion, background or cultural origin (Blakemore, 2020). Ethnic and racial minorities is one of the fastest growing communities in the United States. Yet, figures on health status have revealed poorer health outcomes among racial and ethnic minorities regarding death and preventable diseases (National HIV Curriculum, 2021).

Population Demographic

Hispanics and Blacks noticeably out number all other racial and ethnic groups. In the year 2018 African American represented only 13% of the entire population but they accounted for 41% of people living with HIV. Latinos represent 15% of the population but they accounted for 23% of people living with HIV. Asians made up 6% of population and accounted for 1.5%.  This disparity also exists in the new HIV infection rates. Subpopulations within these ethnic groups are more adversely affected.  Men who have sex with men are affected the most. They represent 70% of all new HIV infections, even though they only make up 2% of the entire population. (National Curriculum of HIV, 2021).

Health Disparity

Health disparities are differences in injuries, violence, disease burden or experiences that prevent specific population from attaining maximum health and are experienced by populations that are socially disadvantaged. Despite medical advances in the treatment of HIV, minority groups continue to be one of public health biggest concerns. There are many variables that affect minority health. It is essential that practitioners of public health are aware of these disparities and how they affect these groups.

Nursing Science and Health determinants

Nursing actions and interventions focused on decreasing the inequalities that exist in health should be targeted at racial and ethnic minorities. These interventions should emphasize design and delivery to encourage and promote access and use of services and resources. Nursing science is crucial as it carries out research and apply the results to bridge the gap between clinical setting and specific populations (Grady, 2017). Numerous determinants do exist in understanding the distinctive and unique susceptibility to HIV in ethnic and racial minority populations. The determinants are trauma, poverty, and incarceration. These determinants are disproportionate in the minority groups especially Blacks and Latinos. For example, Latinos and Blacks are more likely to experiment with illegal substances or turn to sex work, both activities increase their vulnerability. The use of drugs and engaging in illegal activities can lead to increased incarceration rates, which damages the familial foundations and break up stable sexual partnerships increasing the vulnerability to HIV even more. These determinants are synergistic and reciprocal. Imprisonment may lead to unemployment and poverty. Poverty leads to increased risky behaviors and drug use. These behaviors increased the likelihood of them becoming infected. Research in social sciences has also correlated the experience of adverse health outcomes with stigma. Stigma and stress may contribute to increased numbers of depression, substance abuse, engaging in risky sexual behaviors which will increase the risk even more. For example, sex with multiple partners and condom less sex. (National Hiv Curriculum, 2021).

Epidemiolgy

Epidemiology continues to show that HIV infections rates are higher in minority groups. The estimated prevalence of HIV infection takes into consideration the entire population living with HIV, diagnosed and undiagnosed. In 2018, the Center for Disease Control and Prevention (CDC) reported that 1173,200 people 13 years and older were living with HIV of which 482,900 were Blacks and 274000 were Hispanics. Surveillance data also revealed that in 2018, 36,400 were newly infected of which 15,300 were black and 10,300 were Latinos. The projected overall lifetime risk of being infected with this virus in the U.S. is 0.94%-0.95%. This risk significantly varies by ethnic and racial groups and sex. Male has a lifetime risk of 1 in 68, however a black male is 1 in 22. Men who have sex with men from all ethnic/racial group are at a very high risk of becoming infected (1 in every 6). For black men it is  (1 in 2). This shows the significant disparity that must be addressed to meet the goal of healthy people 2030. (National HIV Curriculum, 2021).

Genomic and genetics

The death rates among blacks are 6.5 times higher than whites and 3.6 higher than Latinos. Retrospective studies analysis of insurance records and hospitals revealed that blacks were 6 times more likely than whites to need hospitalization. Achieving suppression of plasma RNA is very crucial in the fight against HIV. Studies showed that after giving antiviral regimen to different population, blacks had 40% more virologic failure than whites and this was seen when replicated with  multiple antiretroviral therapies medications. This is crucial when addressing disparity in fighting HIV in public health (National HIV Curriculum, 2021).

Potential Solutions and PICOT statement

A multidisciplinary approach will be needed to reduce the HIV disparity that exists in ethnic/racial groups. The structural and social drivers of HIV must be addressed and should be tailored to meet local and cultural needs of these populations. Community partnership will be needed, academic institutions, public and private players, media personnel and faith-based organizations can promote awareness, testing and prevention. For example, faith-based organization usually play a significant role with blacks. Faith based organizations can be used to promote Healthy People 2030 agenda-health for all with a specific focus on HIV. The HIV workforce should focus on the recruitment of minority practitioners as well as enhancing practitioner’s cultural competency. Racial concordance has shown to increase rates of testing for sexually transmitted disease among Black/American women and improve rates of adherence to medication regimen (National HIV Curriculum, 2021).

The PICOT statements. P- Ethnic and racial minority diagnosed with HIV. I- An analysis of the racial and ethnic health disparity that creates a barrier and increase the risk of minorities likelihood of getting infected. C-Promoting and enhancing equity to the access of quality healthcare to minorities living with HIV. O-Improved delivery and access to quality healthcare for minorities living with HIV; contributing to the 2030 healthy people goal whose mantra is building a healthier future for all. T 1-2 years.

Research carried out by academia should be translated to interventions that benefit minority communities. Results of these researches should also influence policies and programs that are specific to HIV and the minorities communities. Interventions that are replicable and sustainable should be implemented to stimulate innovation and research in meeting Healthy People 2030, health for all people. A foundational principle of healthy people 2030 is attaining well-being and health for everyone, which will require putting an end to health disparity, attaining health equity and accomplishing health literacy. For this to be achieved measurable national goal have to be set and guided by evidence-based programs and policies and provide factual, accessible and timely data that can guide selected interventions to address populations that are at high risks for poor health or have poor health outcomes (Office of Disease Prevention and Promotion, n.d.)

References

Blakemore, E., (2019). Race and ethnicity explained.
National Geographic.

 https://www.

HIV in Racial and Ethnic Minority Populations – Core Concepts (uw.edu)

Centers for Didease Control and Prevention, (2020).
African American Blacks.

 
https://www.
African Americans | Health Disparities | NCHHSTP | CDC

Grady P.A. (2017). Investigating the determinants of health: The role of nursing science. Official Journal of the American Academy of Nursing.
Nursing Outlook
. 
Official Journal of the council for the Advancement of Nursing Scien
ce
. Vol. 65
(5) , pp. 489-491.Retrieved June 8, 2019, from
https://www.nursingoutlook.org/article/S0029-6554(17)30189-6/fulltext

National HIV Curriculum, (2021).
Hiv in ethnic and racial minority populations.

 
https://
HIV in Racial and Ethnic Minority Populations – Core Concepts (uw.edu)

Office of Disease Prevention and Promotion, (n.d). Healthy people 2030 framework.

U.S.Department of Health and Human Services.

 
https://www.
Healthy People 2030 Framework – Healthy People 2030 | health.gov

Global Healthcare Comparison Matrix and Narrative Statement

Global Health Comparison Grid Template
 

Global Healthcare Issue

HIV/AIDS

 

Description

HIV/AIDS is a (World Health Organization (WHO) priority because approximately 40.8 million people were living with HIV at the end of 2024, and 630,000 people died from HIV-related causes that year (World Health Organization [WHO], 2025). HIV is also associated with chronic conditions such as metabolic syndrome, making it an ongoing healthcare problem (Asgedom et al., 2024).

Country

United States

 

Uganda

Describe the policy in each country related to the identified healthcare issue

The Ryan White HIV/AIDS Program (RWHAP), passed in 1990, finances HIV care and support services for low-income or uninsured people with HIV, including funding for community health workers and patient navigators (Shade et al., 2021; Davoust et al., 2021). Medicaid expansion has also improved care and helped patients to reduce their viral load (Basu et al., 2025), with expansion states showing greater PrEP uptake (Hatch et al., 2025).

Uganda’s National HIV Strategic Plan (NSP) uses WHO’s treat-all approach, and prioritizes adolescent viral suppression and TB-HIV integration (Oryokot et al., 2020). It also prioritizes service delivery tailored to patient needs (Wilkinson & Grimsrud, 2020) Global Healthcare Comparison Matrix and Narrative Statement.

What are the strengths of this policy?

Strong funding, advanced diagnostics, and 77% global ART coverage influenced by PEPFAR (WHO, 2025)

Task-shifting authorizes nurses to initiate ART, which expands access amid physician shortages (Davey et al., 2023).

What are the weaknesses of this policy?

Outcomes vary by race and geography, with the rural and Deep South non-expansion states showing lower rates of suppression (McClarty et al., 2021). AIDS Drug Assistance Program (ADAP) recertification requirements often interrupt treatment (Erly et al., 2022).

Dependence on donor funding creates a large vulnerability. TB stigma persists with sex disparities (Sekandi et al., 2024). Women with disabilities have lower HIV testing utilization (Zandam et al., 2021).

Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)

 

In the U.S., housing instability and inadequate insurance contribute to ART non-adherence, and racial disparities persist across the care continuum (Moroko et al., 2025) Global Healthcare Comparison Matrix and Narrative Statement.

In Uganda, poverty and rural residence reduce care access, while transportation costs cause treatment interruption, and adolescent girls carry disproportionate disease risk (Moroko et al., 2025)

How has each country’ government addressed cost, quality, and access to the selected global health issue?

U.S. annual HIV treatment costs approximately $28,950 per person, with lifetime costs of $1.08 million (HIV+Hepatitis Policy Institute, 2022). Medicaid expansion improves suppression but requires FQHC capacity and navigation supports (Sommers et al., 2024).

In Uganda, HIV services are free through donor programs. Dried blood spots expand rural viral load monitoring (Simushi et al., 2023). Globally, 87% know their status, 77% are on ART, and 73% achieved suppression (WHO, 2025).

How has the identified health policy impacted the health of the global population? (Be specific and provide examples)

The President’s Emergency Plan for AIDS Relief (PEPFAR) and Global Fund contributions have reduced HIV deaths 54% since 2010, from 1.4 million in 2010, to 630,000 in 2024 (WHO, 2025).

Retention interventions improve disease outcomes (Joaquim et al., 2023). To reach 95-95-95 targets, 3.2 million more people need diagnosis and 5.2 million more need treatment (WHO, 2025).

Describe the potential impact of the identified health policy on the role of nurse in each country.

In the U.S., nurses support screening, care coordination, and telehealth follow-up for adherence (Rutledge et al., 2021).

In Uganda, nurses are the primary HIV providers through task-shifting. Nurse Initiated Management of Anti-Retroviral Therapy (NIMART) has expanded coverage but increases nursing workload (Davey et al., 2023). Nurses lead QI initiatives and integrate HIV with cervical cancer screening, but there are large training gaps (Oryokot et al., 2020; Obol et al., 2021).

Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples)

In the U.S., global rapid-ART initiatives have influenced hospital policies supporting same-day treatment starts

In Uganda, the National HIV and AIDS Strategic Plan (NSP) addresses global targets locally and facilities align with PEPFAR reporting. The system develops HIV estimates using Spectrum and Naomi tools (Eaton et al., 2021).

General Notes/Comments

 

 

 

Part 2: Plan for Social Change

 

Advocacy for Global Health

As a nurse leader, I would advocate for three strategies: 1) Routine screening to identify housing instability and insurance gaps (Moroko et al., 2025); 2) Protocols for treat-all service delivery (Wilkinson & Grimsrud, 2020); and 3) Nurse-led case management models that improve service uptake (El-Bassel et al., 2022).

Impact on Local Practice

I would support nurse-led discharge planning to address social barriers, and screening for housing and insurance before discharge, then use referrals to assistance programs. Evidence shows nurse-led interventions improve adherence (El-Bassel et al., 2022). I would advocate for telehealth follow-up for patients with transportation barriers (Rutledge et al., 2021) and work with community organizations that provide housing and food supports.

Social Change

By applying strategies used globally, like task-shifting and QI frameworks we can provide better, more equitable care. By advocating for nurses to initiate PrEP we would be using the effective examples of scope expansions that have increased access in resource-limited settings (Davey et al., 2023). Applying Uganda’s QI methods here would show how global learning can create local change (Oryokot et al., 2020).

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