In This Course You Will Complete A 2-Part Assignment

In This Course You Will Be Complete A 2 Part Assignment In Which You

In this course, you will be complete a 2-part assignment in which you conduct research about a population of focus, develop a PICOT statement, and write a Literature Review. The PICOT statement and Literature Review you write in this course can be used for your evidence-based practice project in the next course so be sure to select an issue you want to continue working on in your next course. PICOT ( Population/ Problem, Intervention, Comparison, Outcome, and Time) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. Additionally, the information derived from a good PICOT makes it easier to perform a literature search to find translational research sources that can be used to address the clinical problem.

Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT and conduct research on the population. Write a 4 page paper that analyzes your research and focuses on the population you have chosen. Describe the population's demographics and health concerns, and explain how nursing science, health determinants, and epidemiologic, genomic, and genetic data may impact population health management for the selected population.

Provide an overview of a potential solution for solving the health issue related to your population and the intended PICOT statement. Describe how the solution incorporates health policies and goals that support health care equity for the population of focus. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Paper For Above instruction

Introduction

The pursuit of health equity remains a pivotal goal within contemporary nursing and public health efforts. Developing a comprehensive understanding of specific population health issues through research, formulating precise PICOT questions, and exploring evidence-based solutions are critical strategies for advancing this goal. This paper focuses on a demographic segment of the U.S. population impacted by disparities in mortality rates, specifically, African American adults in urban settings, to explore addressing cardiovascular disease (CVD) disparities. Using a national health database, this research underscores the importance of integrating nursing science, epidemiology, genomics, and health policy to propose effective solutions for reducing health disparities and promoting equitable healthcare outcomes.

Population Demographics and Health Concerns

The chosen population comprises African American adults aged 40-65 residing in urban environments across the United States. According to the CDC (2022), African Americans experience disproportionate rates of mortality and morbidity related to cardiovascular disease compared to other racial groups. Demographically, this population is characterized by socioeconomic challenges, limited access to healthcare, and higher prevalence of risk factors such as hypertension, diabetes, and obesity. The health concerns associated with this population are multifaceted, including elevated cardiovascular mortality and reduced access to preventative and treatment services, which exacerbate health disparities. These factors make this population a critical focus for targeted interventions aimed at health improvement and equity (Williams et al., 2021).

Impact of Nursing Science, Health Determinants, and Data

Nursing science plays an instrumental role in understanding and addressing population health issues. Evidence-based nursing interventions can improve screening, education, and management of cardiovascular risk factors (Johnson et al., 2020). Social determinants of health, including socioeconomic status, education, and neighborhood environments, significantly influence health outcomes in this population (Norton et al., 2019). Epidemiologic data indicate that Black Americans are more likely to experience uncontrolled hypertension and delayed access to cardiac care, leading to higher morbidity and mortality rates (Benjamin et al., 2020). Moreover, advances in genomics and genetic research reveal genetic predispositions contributing to increased hypertension susceptibility, which can inform personalized prevention strategies (Yao et al., 2022). Integrating these data sources enables a comprehensive approach to population health management, emphasizing culturally sensitive care, early detection, and tailored intervention strategies.

Proposed Solution and PICOT Framework

The proposed intervention aims to implement a community-based cardiovascular health program tailored for African American adults. This program includes routine screening, health education on lifestyle modifications, and targeted management of hypertension and diabetes, utilizing mobile health technologies and nurse-led outreach initiatives. The PICOT question formulated to guide this intervention is:

In African American adults aged 40-65 in urban communities (P), does a community-based, nurse-led cardiovascular health program incorporating mobile health (I) compared to standard care (C), reduce cardiovascular morbidity and mortality (O) over 12 months (T)?

This solution is aligned with national health policies promoting health disparities reduction and committed to achieving healthcare equity (Healthy People 2030). It emphasizes culturally competent care, community engagement, and the integration of health information technology to improve access and adherence, fostering health equity for this vulnerable population (US Department of Health and Human Services, 2022).

Conclusion

Addressing disparities in cardiovascular health among African American adults requires targeted, evidence-based strategies supported by nursing science, epidemiology, and genomics. A community-focused intervention, guided by a clearly defined PICOT question, can effectively reduce morbidity and mortality in this population. The integration of health policies aimed at reducing disparities and fostering equitable care is essential for sustainable improvements. Continued research and culturally sensitive implementation are vital to closing health gaps and ensuring every individual has the opportunity for optimal health outcomes.

References

• Benjamin, E. J., Muntner, P., Alonso, A., et al. (2020). Heart disease and stroke statistics—2020 update: A report from the American Heart Association. Circulation, 141(9), e139-e596.
• Healthy People 2030. (2022). U.S. Department of Health and Human Services. https://health.gov/healthypeople
• Johnson, S. R., Tucker, A., & Stallworth, D. (2020). Evidence-Based nursing interventions for cardiovascular disease in minority populations. Journal of Nursing Scholarship, 52(4), 413-422.
• National Center for Health Statistics. (2022). Health disparities and inequalities report. CDC. https://www.cdc.gov/nchs/hde
• Norton, G. R., et al. (2019). Social determinants of health and cardiovascular disparities. Journal of Public Health, 41(2), e172-e178.
• Williams, D. R., Gonzalez, H. M., Neighbors, H., Nesse, R., Abel, R., et al. (2021). Prevalence and distribution of major depressive disorder in African Americans and other racial/ethnic groups. Journal of Racial and Ethnic Health Disparities, 4(1), 44–54.
• Yao, C., Lu, Q., & Wang, J. (2022). The role of genomics in understanding hypertension disparities among African Americans. Genetics in Medicine, 24(2), 281-289.