Master Of Science In Nursing - FNPSchool Of Nursing Graduate

Master Of Science In Nursing Fnpschool Of Nursinggraduate Studies M

The purpose of this assignment is to identify health objectives from Healthy People 2030 that will impact health outcomes through population-level health assessment and intervention. This assignment will allow for a discovery into a selected practice problem, encompassing social determinant risk factors, an evidence-based population health intervention, and relevant measurable goals and objectives.

For this assignment, each student will:

  • Provide a brief statement introducing the selected practice problem.
  • Identify three social determinant risk factors for the selected practice problem and how it affects vulnerable populations.
  • Describe strategies/methods you will implement based on the identified health risk/problem, focusing on primary and secondary prevention strategies. Refer to Healthy People 2030 Topics and Objectives.
  • Describe a related Healthy People 2030 Goal and its correlation with the selected practice problem.
  • Describe an evidence-based intervention to address the Healthy People 2030 goal.
  • Define a measurable objective to address the Healthy People 2030 goal.
  • Prepare a PowerPoint presentation following APA 7th Edition guidelines, with a minimum of 12 slides and maximum of 15 slides, including title and references slides. No abstract is needed.
  • Use at least five scholarly references published within the last five years.

Paper For Above instruction

Introduction

Endemic health disparities and the rising prevalence of chronic diseases necessitate targeted interventions aligned with national health goals. For this purpose, this paper selects hypertension as a prevalent practice problem affecting vulnerable populations. Understanding social determinants that influence hypertension and leveraging Healthy People 2030 objectives can guide effective health promotion strategies. This exploration aims to address the multifaceted factors contributing to hypertension and outline evidence-based interventions to improve health outcomes.

Practice Problem and Social Determinant Risk Factors

Hypertension, commonly known as high blood pressure, remains a significant risk factor for cardiovascular disease and stroke, leading to increased morbidity and mortality worldwide. Vulnerable populations such as low-income communities, ethnic minorities, and elderly individuals experience disproportionately higher prevalence rates. Three social determinant risk factors influencing hypertension include:

  1. Socioeconomic Status: Limited income hampers access to healthy foods, preventive healthcare, and medications, exacerbating hypertension disparities. Low-income individuals often reside in neighborhoods with limited recreational facilities, reducing opportunities for physical activity (Bleich et al., 2018).
  2. Educational Level: Lower health literacy correlates with poor understanding of hypertension management and lifestyle modifications, leading to inadequate disease control (Miller et al., 2019).
  3. Environmental Factors: Living in environments with high noise pollution, limited green spaces, and exposure to environmental toxins can elevate stress levels, contributing to increased blood pressure (Kondo et al., 2018).

Strategies and Methods for Prevention

Addressing hypertension requires comprehensive primary and secondary prevention strategies:

  • Primary Prevention: Community-based health education programs promoting a healthy diet (reduced sodium intake), regular physical activity, smoking cessation, and weight management. Implementing policy changes such as increased access to healthy foods in underserved areas, and urban planning to create walkable neighborhoods are critical (CDC, 2020).
  • Secondary Prevention: Enhancing screening programs to identify undiagnosed hypertension, especially in high-risk populations. Expanding access to affordable antihypertensive medications and promoting adherence through patient education can prevent progression (Whelton et al., 2018).

Healthy People 2030 Goal and Its Relevance

The relevant Healthy People 2030 goal is to “Reduce the proportion of adults with hypertension” (Office of Disease Prevention and Health Promotion, 2021). This goal aims to decrease the prevalence of high blood pressure among adults, thereby reducing the incidence of cardiovascular complications. Addressing social determinants and implementing preventive strategies align with this objective and are critical for improving population health outcomes.

Evidence-Based Intervention

An effective intervention to address hypertension is the use of "health coaching" combined with telehealth services. This approach involves personalized counseling sessions that focus on lifestyle changes, medication adherence, and regular blood pressure monitoring (McCombs et al., 2020). Studies indicate that health coaching significantly improves blood pressure control, especially when integrated with telehealth platforms facilitating remote monitoring and follow-up (Baker et al., 2018).

Measurable Objective

Based on the Healthy People 2030 objectives, a measurable goal could be: "Increase the proportion of hypertensive adults who have controlled blood pressure to 62% by 2030," as currently, control rates are approximately 54% (American Heart Association, 2022). This objective provides a clear, quantifiable target for healthcare providers and policymakers.

Conclusion

Hypertension remains a significant public health challenge, particularly among vulnerable populations influenced by social determinants such as socioeconomic status, education, and environment. Strategies emphasizing primary prevention through community-based education and policy changes, along with secondary prevention via screening and medication adherence, are vital. Aligning these efforts with Healthy People 2030 goals offers a structured pathway to mitigate disparities and improve health outcomes. Evidence-based interventions like health coaching combined with telehealth provide promising avenues for effective hypertension management, with measurable objectives serving to track progress toward national health improvements.

References

  • Bleich, S. N., Smith, K. C., & Mallya, G. (2018). Urban food environments and health disparities: A call for policy action. American Journal of Preventive Medicine, 54(2), 225-231.
  • Baker, R., Brown, W., & Willis, A. (2018). Telehealth interventions for improving hypertension management. Telemedicine and e-Health, 24(4), 308-317.
  • Centers for Disease Control and Prevention (CDC). (2020). Strategies to prevent hypertension. CDC.gov. https://www.cdc.gov/bloodpressure/prevent.htm
  • Kondo, M. C., Gutra, T., & Akiyama, M. J. (2018). Environmental stressors and hypertension. Environmental Health Perspectives, 126(5), 057001.
  • Miller, K., Brown, A., & Lee, S. (2019). Impact of health literacy on hypertension management. Journal of Behavioral Medicine, 42(4), 557-565.
  • Office of Disease Prevention and Health Promotion. (2021). Healthy People 2030: Hypertension. Health.gov. https://health.gov/healthypeople/objectives-and-data/built-environment-and-health/heart-disease-and-stroke
  • Whelton, P. K., Carey, R. M., & Aronow, W. S. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. Hypertension, 71(6), e13-e115.
  • McCombs, J. S., Regan, J., & Thomas, M. (2020). Effects of health coaching on blood pressure control: A systematic review. Patient Education and Counseling, 103(10), 2267-2274.
  • Wong, M. D., Shapiro, M. F., & Bosworth, H. (2019). Addressing social determinants of health in hypertension management. American Journal of Hypertension, 32(4), 404-410.
  • American Heart Association. (2022). Blood pressure statistics. Heart.org. https://www.heart.org/en/about-us/media-center/news/2022-blood-pressure-stats

Related Assignments