NSG6002 Group Health Promotion Proposal Paper - 20% Overview

NSG6002 Group Health Promotion Proposal Paper-20% Overview/Description

The purpose of this assignment is to provide the learner an opportunity to design a health promotion proposal specific to your role specialization (primary care FNP). Each group will write a scholarly paper that demonstrates graduate school level writing and critical analysis of existing nursing knowledge. The paper will be a minimum of 12 pages and maximum of 15 pages, using APA style.

Go to Healthy People 2030, click on the “Objectives and Data” tab, and select a specific objective relevant to your chosen topic. For example, if your topic is “Older Adults,” you might choose an objective such as “Reduce the rate of hospital admissions for diabetes among older adults — OA05.” Based on this objective, develop a specific evidence-based intervention, such as teaching older adults how to manage their diabetes.

In addition, review literature from sources such as South’s Online Library, the CDC, NINR, and AHRQ, to gather evidence related to health promotion and disease prevention in your selected topic area. Your paper should include the following criteria:

  • Clearly describe the health promotion and disease prevention problem specific to your target population.
  • Explain how this problem relates to the advanced practice nurse role, especially as a family nurse practitioner.
  • Critically analyze current literature related to interventions addressing the problem, drawing from nursing, sciences, and humanities sources.
  • Select an appropriate health promotion or disease prevention theoretical framework that applies to your problem.
  • Design an intervention aimed at addressing the problem within your selected population and setting, incorporating epidemiological, social, and environmental assessments.
  • Develop an evaluation plan to measure the efficacy of your proposed intervention.

Paper For Above instruction

In the evolving landscape of healthcare, the significance of targeted health promotion and disease prevention strategies cannot be overstated, especially within the context of primary care. As future family nurse practitioners (FNPs), understanding how to effectively design and implement such interventions is crucial for reducing health disparities, improving patient outcomes, and promoting overall community health. This paper critically analyzes a specific health promotion goal derived from Healthy People 2030, focusing on managing type 2 diabetes in older adults—a population particularly vulnerable to the adverse effects of unmanaged chronic illnesses.

Problem Description and Population Focus

The increasing prevalence of type 2 diabetes among older adults represents a significant public health challenge. According to the Centers for Disease Control and Prevention (CDC, 2020), approximately 26.8% of individuals aged 65 and older have diabetes, with many remaining undiagnosed or inadequately managed. This problem is compounded by factors such as polypharmacy, comorbidities, cognitive decline, and limited health literacy, all of which hinder effective self-management. The specific objective from Healthy People 2030 selected for this proposal is “Reduce hospitalizations for unmanaged diabetes in older adults,” with the aim of improving glycemic control and reducing complications.

This problem is critical because poorly managed diabetes leads to increased hospitalizations, higher healthcare costs, and reduced quality of life for older adults (American Diabetes Association, 2022). Moreover, the risk of cardiovascular disease, neuropathy, and retinopathy escalates with inadequate blood glucose control, often resulting in preventable hospital stays (CDC, 2020).

Relation to the Advanced Practice Role

The role of the family nurse practitioner (FNP) in addressing diabetes management is pivotal. FNPs serve as primary care providers, educators, coordinators, and advocates for patient-centered care (American Association of Nurse Practitioners [AANP], 2021). By developing tailored interventions that enhance self-management skills and foster proactive health behaviors, FNPs directly influence health outcomes. In the context of older adults, FNPs are uniquely positioned to assess social determinants, coordinate community resources, and provide education tailored to cognitive and sensory limitations (Schulz & Sherwood, 2019). This aligns with the broader scope of advanced practice nursing, emphasizing health promotion, disease prevention, and holistic care.

Critical Analysis of Literature

Research indicates that multifaceted interventions encompassing patient education, behavioral counseling, and technology-based support are most effective in managing diabetes among older adults (Kirkman et al., 2015). For instance, lifestyle intervention programs that promote physical activity, nutritional modifications, and medication adherence have demonstrated significant improvements in glycemic control (Reichard et al., 2018). Technology interventions—such as telemonitoring and mobile health applications—are increasingly being utilized to enhance self-management and detect complications early (Morrison et al., 2020).

However, barriers such as limited health literacy, socioeconomic constraints, and technological disparities often limit the success of these interventions (Fitzgerald et al., 2021). Tailoring interventions to accommodate cognitive decline and sensory deficits, as well as engaging caregivers, is essential for success. Moreover, fostering a supportive environment through community engagement and addressing social determinants of health enhances sustainability.

Theoretical Framework

This proposal is grounded in Pender’s Health Promotion Model (HPM), which emphasizes individual characteristics and experiences, behavior-specific cognitions, and behavioral outcomes (Pender et al., 2015). The HPM is appropriate here because it encourages active participation in health-enhancing behaviors and considers personal factors influencing motivation. This framework guides the development of interventions focused on improving self-efficacy, reducing barriers, and fostering motivational readiness in older adults managing diabetes.

Intervention Design

The intervention will involve a multi-component program comprising individualized diabetes education sessions, group support meetings, and technological support through telehealth tools. Initial assessments will include evaluating health literacy, social determinants, and current self-management practices via structured questionnaires and interviews. Based on these assessments, tailored education materials will focus on medication management, nutrition, physical activity, and recognizing hypoglycemia symptoms.

Prioritization of interventions will depend on individual risk profiles; for example, those with poor glycemic control and limited self-efficacy will receive intensified education and support. Engagement of caregivers will be integrated into the program, providing them with resources to assist in daily diabetes management. The use of telehealth services will address barriers like transportation and mobility issues, facilitating ongoing monitoring and follow-up (Morrison et al., 2020).

Evaluation Plan

Effectiveness of the intervention will be measured through quantitative and qualitative outcomes, including changes in HbA1c levels, frequency of hospitalizations, patient self-efficacy scores, and satisfaction surveys. Pre- and post-intervention assessments at baseline, three months, and six months will track progress. Process evaluations, such as attendance rates and engagement levels with telehealth tools, will assess feasibility and acceptability.

Success will be determined by statistically significant reductions in HbA1c, decreased hospital admissions related to diabetes complications, and positive feedback from participants regarding empowerment and understanding. Continuous quality improvement measures will be implemented to refine intervention components based on feedback and outcome data.

Conclusion

This health promotion proposal underscores the vital role of the family nurse practitioner in designing culturally sensitive, evidence-based interventions for managing chronic illnesses in vulnerable populations. By integrating theoretical frameworks, assessing social and environmental factors, and employing multifaceted strategies, FNPs can significantly influence health outcomes in older adults with diabetes. Continuous evaluation and adaptation of these interventions are paramount to ensuring their efficacy and sustainability in diverse community settings.

References

  • American Association of Nurse Practitioners. (2021). Nurse Practitioner Role. https://www.aanp.org/about/all-about-nps
  • American Diabetes Association. (2022). Standards of Medical Care in Diabetes—2022. Diabetes Care, 45(Supplement 1), S1-S264.
  • Centers for Disease Control and Prevention (CDC). (2020). National Diabetes Statistics Report. https://www.cdc.gov/diabetes/data/statistics-report
  • Fitzgerald, N., et al. (2021). Overcoming Barriers to Diabetes Self-Management in Older Adults. Journal of Aging & Social Policy, 33(2), 159-174.
  • Kirkman, M. S., et al. (2015). Diabetes in Older Adults: A Position Statement. Diabetes Care, 38(10), 2064-2079.
  • Morrison, A., et al. (2020). Telehealth Interventions for Diabetes Management in Older Adults. Telemedicine and e-Health, 26(4), 413-422.
  • Pender, N., et al. (2015). Health Promotion in Nursing Practice (7th ed.). Pearson.
  • Reichard, A., et al. (2018). Lifestyle Interventions for Managing Diabetes in Older Adults. Geriatric Nursing, 39(4), 436-442.
  • Schulz, R., & Sherwood, P. R. (2019). Physical and Mental Health Effects of Family Caregiving. American Journal of Nursing, 119(2), 38-46.
  • Health, Education, and Welfare. (2020). Healthy People 2030 Objectives & Data. https://health.gov/ healthypeople/objectives-and-data

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