Based On Part 1, Complete Part 2 With The Requirements

Based On Part 1 Attached Complete Part 2 With The Requirements Below

Based on PART 1 ATTACHED, COMPLETE PART 2 WITH THE REQUIREMENTS BELOW: 4-Do not forget to tell me about what program you are proposing. How will you do your project and tell what will you do at each time point over the 6 months. 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2 to 4 paragraph. You may use bullets if appropriate). 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. (1 paragraph). 7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 9. Conclude the paper with a Conclusion paragraph. Don’t type the word “Conclusion”. Here you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph). Requirements Your assignment should be 3 pages (excluding title page, references, and appendices), following APA standards. Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. DUE DATE JUNE 5, 2024 NO PLAGIARISM MORE THAN 10% ACCEPTED PLEASE CHECK GRAMMAR 3 PAGES

Paper For Above instruction

The proposed health promotion program aims to address the prevalent issue of diabetes management among middle-aged adults in community clinics. The intervention will focus on implementing a structured, evidence-based lifestyle modification program emphasizing dietary changes, physical activity, and self-monitoring techniques, tailored for individuals at risk of or living with type 2 diabetes. The program will be delivered over six months, with phased activities aligned to participant engagement levels and resource availability. The initial phase (months 1–2) will involve community education sessions, baseline assessments, and recruitment. The second phase (months 3–4) will include individualized counseling, group activities, and resource distribution such as educational materials and self-monitoring tools. The final phase (months 5–6) will focus on reinforcement, follow-up assessments, and program evaluation to measure outcomes and sustainability.

The health promotion program will utilize an evidence-based intervention known as Motivational Interviewing (MI), which has been demonstrated to effectively enhance behavioral change in chronic disease management, including diabetes. This intervention involves trained nurse practitioners engaging participants in personalized, non-judgmental conversations that address ambivalence toward health behavior change, thus increasing motivation and commitment to lifestyle modifications. Resources necessary for implementation include training sessions for nursing staff in MI techniques, educational materials on nutrition and physical activity, self-monitoring devices such as glucometers and pedometers, and access to community exercise venues. The feasibility for an advanced practice nurse is high given their clinical and educational expertise, and their ability to lead and coordinate interdisciplinary teams. Collaborations with local community centers, fitness instructors, and dietitians will strengthen resource availability and community engagement.

The timeline for the program is structured to ensure systematic progression and evaluation: In months 1–2, the focus will be on recruitment, baseline data collection, and initial education sessions. Months 3–4 will involve personalized counseling sessions based on MI principles, group activities to encourage peer support, and resource dissemination. During months 5–6, the program will emphasize reinforcement of behaviors, follow-up assessments, and data collection for outcome measurement. Regular supervisory meetings will monitor progress, and adjustments will be made as needed to address emerging issues. This phased approach ensures resource optimization and sustained participant engagement throughout the intervention.

The intended outcomes include improved glycemic control, increased physical activity, enhanced dietary habits, and better self-efficacy in disease management. The SMART goals are: (1) Increase average HbA1c levels among participants by 1% within six months; (2) Achieve at least 150 minutes of moderate-intensity physical activity per week for 80% of participants; (3) Improve dietary adherence as measured by a validated dietary intake questionnaire by 20%; and (4) Enhance self-efficacy scores related to diabetes self-management by 15%. These outcomes are specific, measurable, attainable, relevant, and time-bound, aligning with best practices in health promotion.

Evaluation strategies for each outcome will include pre- and post-intervention blood tests to measure HbA1c, self-reported physical activity logs, dietary intake questionnaires, and self-efficacy surveys. Data will be analyzed using paired t-tests and descriptive statistics to identify significant changes over baseline measurements. Feedback sessions and focus groups will complement quantitative data, providing contextual insights into participant experiences and perceived barriers. The evaluation process aims to determine the effectiveness, acceptability, and sustainability of the intervention, guiding future scaling and replication efforts.

Potential barriers to implementation include limited participant engagement due to time constraints or motivational challenges, resource limitations, and initial staff training needs. Strategies to mitigate these barriers involve flexible scheduling of activities, consistent follow-up, motivational incentives, and ongoing education for staff in evidence-based techniques such as Motivational Interviewing. Building strong community partnerships and leveraging existing resources will enhance feasibility. Securing funding and administrative support early in the process will further address resource limitations. Open communication channels among team members will facilitate problem-solving and adapt the program as necessary to maintain momentum.

Reflecting on this strategy, I believe that utilizing a structured, evidence-based intervention like Motivational Interviewing within a community-based program holds significant promise for improving diabetes management outcomes. My anticipation is that, through systematic planning, ongoing evaluation, and adaptive strategies, the program will foster meaningful behavioral changes and contribute to improved health outcomes in the targeted population. I am optimistic that this comprehensive approach will demonstrate the potential for nurses in advanced roles to lead impactful health promotion initiatives that address chronic disease disparities effectively.

References

• Fisher, L., & Glasgow, R. E. (2014). Better management of type 2 diabetes through behavioral modifications. Journal of Clinical Endocrinology & Metabolism, 99(10), 3711-3718.
• Given, B., & Sherif, K. (2019). Evidence-based nursing: A guide to clinical practice. Springer Publishing.
• Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). Guilford Press.
• Norris, S. L., et al. (2002). Effectiveness of community health workers in the management of diabetes: A systematic review. American Journal of Preventive Medicine, 22(4), 289-304.
• Ruggiero, L., et al. (2015). Diabetes self-management education and support. Diabetes Spectrum, 28(4), 265-272.
• Steiler, B., et al. (2020). Strategies to promote physical activity in patients with type 2 diabetes. Journal of Clinical & Translational Endocrinology, 22, 100233.
• Wagner, E. H., et al. (2012). Improving chronic illness care: translating evidence into action. Jossey-Bass.
• Yancey, A. K., et al. (2010). Community health workers and health outcomes: A systematic review. American Journal of Preventive Medicine, 39(4), 324-330.
• Zorzi, A., et al. (2019). Dietary interventions for type 2 diabetes. Current Diabetes Reports, 19(5), 29.
• World Health Organization. (2020). Noncommunicable diseases fact sheet. WHO Publications.