NURS 6051 Assignment: Advocating for the Nursing Role in Program Design and Implementation

Sample Answer for NURS 6051 Assignment: Advocating for the Nursing Role in Program Design and Implementation Included After Question

NURS 6051 Assignment: Advocating for the Nursing Role in Program Design and Implementation

Assignment: Advocating for the Nursing Role in Program Design and Implementation

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

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In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
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The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population? Assignment: Advocating for the Nursing Role in Program Design and Implementation
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

A Sample Answer For the Assignment: NURS 6051 Assignment: Advocating for the Nursing Role in Program Design and Implementation

Title: NURS 6051 Assignment: Advocating for the Nursing Role in Program Design and Implementation

Osteoporosis and low bone density affect approximately 54 million Americans making it a growing health issue in the United States. Osteoporosis affects a significant proportion of the aged American population, according to statistics. The implication is that a sizable proportion of the population is predisposed to increased rate of bone fractures and breakage that might not be easy to heal. Osteoporosis prevention and reduction programs have been implemented in the United States (Lieberman et al., n.d.). This paper aims at looking in nursing role in osteoporosis reduction program implemented in my practice.

What is the Cost and Projected Outcome of the Program?

The Osteoporosis Prevention Program is a program that has been implemented in my practice to address high incidences of post knee and hip bone surgeries. The Texas government created the OPP program with the goal of preventing and reducing osteoporosis rates in the state. Implementation of the OPP program was necessitated by the fact that close to one-third of the population in Texas was suffering from recurrent bone fractures in 2015. This program is guided by a number of principles. They include addressing the social determinants of health that contribute to osteoporosis, increasing resource availability, and transforming environments to promote physical activity and healthy eating.

In order to meet the program’s objectives, a number of activities have been implemented.

They include expanding possibilities for healthy eating, encouraging active living through the construction of healthy settings, and providing community and clinical preventive interventions for people who are at risk of becoming bone fractures. The initiative also improves the chances of children and elderly populations at risk having a healthy lifestyle, as well as public health efforts aimed at preventing osteoporosis (Osteoporosis Treatment & Prevention in Houston, Texas, n.d.). The program’s implementation costs are paid for with public funds. Projected outcomes include a decrease in the state’s bone fracture rate, a decrease in morbidity and mortality rates, and increased access to healthy foods and environments for the population (des Bordes et al., 2020). It is also expected to improve Texans’ health and well-being, as evidenced by increased awareness, lifestyle, and behavioral changes on health-related issues.

What is the target Population?

According to the research, the program targets all of the populations in Texas that are at risk of or affected by osteoporosis and low bone density associated with post knee and hip bone surgeries. The state’s population includes children, adults, and the elderly. The program addresses the social inequalities that contribute to the state’s osteoporosis problem. It also broadens the population’s access to healthy living options, regardless of background.

What is the role of the nurse in providing input for the design of this healthcare program? What are the examples?

My experience and research have taught me that nurses play a variety of roles in providing input for the design of the OPP program. The first role they play is to ensure that the program’s strategies align with the expected goals and objectives. They ensure, for example, that the strategies adopted are relevant to the needs of the populations affected and at risk of bone fractures and osteoporosis. The nurses’ other role in contributing to the design of OPP is to ensure that the needs of the target population are incorporated into the program.

For example, they conduct needs assessments to identify health-related aspects that should be prioritized in the project, thereby increasing the project’s relevance to the population (Curry et al., 2018). Another way nurses influence the design process is by assisting in determining the program’s resource requirements. Adequate resources, such as financial and human resources, are required for the program’s successful implementation. As a result of their experience with public health programs, nurses can contribute insights into the resources that are required.

What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

My responsibilities as an advocate for populations at risk of or affected by the OPP program are diverse. One of them is to ensure that adequate public awareness of the program’s importance and use of its strategies is generated. Health education is required to ensure that those at risk of or affected by osteoporosis understand the lifestyle and behavioral interventions required for their health and well-being. My other role as an advocate is to ensure that all members of the community have equal access to and use of the program initiatives. I ensure that all affected and at-risk populations have improved access to program resources to promote their health. I address issues such as costs associated with the population’s use of the program. I also connect people with the resources they require. For example, I assist them in gaining access to community support groups where they can obtain the assistance, they require in managing and preventing osteoporosis and bone fractures. I had a say in the design. I collaborate with other program stakeholders to define the program’s goals, strategies, and objectives. In addition, I help to determine the program’s resource requirements.

What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

Nurses play a variety of roles in healthcare program implementation. One of the roles of nurses in the implementation of healthcare programs is that of implementers. Nurses help to carry out the program’s strategies. They put the strategies developed to bring the program to life into action. Another role of nurses in program implementation is to coordinate the process. Nurses can help ensure that the program’s strategies are followed as planned. They also make certain that the allocated resources are used to their full potential in order to achieve the program’s objectives. Working with the project management team to evaluate resource utilization versus plan to identify any deviations and implement changes is one example (Pinheiro et al., 2020). However, the roles differ in program design and implementation. Nurses are involved in the development of program plans. During the implementation phase, they carry out the plans.

The design phase is also hands-off because it includes strategy development, whereas the implementation phase is hands-on because it includes the actual use of strategies in practice.

Who are the members of a healthcare team that you believe are the most needed to implement a program? Can you explain why?

Registered nurses, dieticians, and physicians are the members of the healthcare team I believe are most needed to implement the OPP program. Registered nurses perform tasks such as screening, health education, and follow-up on patients. Dieticians perform tasks such as nutritional assessment and counseling for the at-risk patients. Finally, doctors diagnose and treat these patients.

Conclusion

The osteoporosis prevention program is a successful one to help curb the increased incidences of post knee and hip bone surgeries. The program aims to educate those who are impacted by osteoporosis and those who are at risk of developing the condition in future life about how to live a better lifestyle. Nurses are vital in the planning and implementation of programs. All stakeholders involvement is crucial to the success of the program.

References

Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Phipps, M. G., Pignone, M., Silverstein, M., Simon, M. A., Tseng, C.-W., & Wong, J. B. (2018). Screening for Osteoporosis to Prevent Fractures. JAMA, 319(24), 2521. https://doi.org/10.1001/jama.2018.7498

des Bordes, J., Prasad, S., Pratt, G., Suarez-Almazor, M. E., & Lopez-Olivo, M. A. (2020). Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies. PLOS ONE, 15(1), e0227765. https://doi.org/10.1371/journal.pone.0227765

Lieberman, I. H., MD, MBA, & FRCSC. (n.d.). Osteoporosis Prevention Plan. SpineUniverse. https://www.spineuniverse.com/conditions/osteoporosis/how-start-your-osteoporosis-prevention-plan-today

Osteoporosis Treatment & Prevention in Houston, Texas. (n.d.). Texas Endocrinology Group. Retrieved October 24, 2021, from https://www.txendocrine.com/services/osteoporosis/

Pinheiro, M. B., Oliveira, J., Bauman, A., Fairhall, N., Kwok, W., & Sherrington, C. (2020). Evidence on physical activity and osteoporosis prevention for people aged 65+ years: a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity, 17(1). https://doi.org/10.1186/s12966-020-01040-4

A Sample Answer For the Assignment: NURS 6051 Assignment: Advocating for the Nursing Role in Program Design and Implementation

Title: NURS 6051 Assignment: Advocating for the Nursing Role in Program Design and Implementation

Nurses collaborate with other health professionals from various specialty areas to design effective programs. Nurses bring various specialties in designing and implementing programs that make them effective partners to professionals in such undertaking. Their involvement through leadership positions in the healthcare system allows them to deliver highly successful programs that meet set goals and objectives (Evripidou et al., 2019). The purpose of this essay is to demonstrate through an interview with a nurse leader the type of leadership required for nurses to advocate for a healthcare program. Based on a transcript of the interview, the assignment illustrates the critical role of these healthcare providers in design and implementation of programs.

Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?

Nurse Interviewee

Nurses play a vital role that include linking healthcare professionals and patients to offer effective treatment interventions, especially in mental and behavioral health areas. Caring for adults with mental health issues is challenging for families and even healthcare providers. The implication is that these challenges require stakeholders, especially healthcare providers like nurses, to design and implement effective programs that can lead to optimal care and better outcomes. An effective program that is being implemented in my practice is the use of home-based care interventions like meditation and dance therapy to enhance the psychological aspects of individuals with mental health issues. The program that was designed by the nursing team in the facility involves using meditation and dancing therapy as ways of helping the mentally sick individuals to enhance their cognitive functioning.

The facility implemented this program due to elderly patients over 60 years presenting with different types of mental disorders like Alzheimer’s disease, Parkinson disease, Schizophrenia, and dementia (Chiesi et al., 2021). The program aims at improving memory for this individuals, enhancing their cognition and coordination of activities. Mental health benefits of meditation are broad and include better focus and concentration, improved self-awareness and self-esteem as well as a reduction in stress and anxiety and fosters kindness. Dance movement therapy (DMT) is used in nursing care and practice as way of reducing symptoms linked to different mental health conditions. The average cost of the program whose duration is two hours; one hour for meditation and one hour for dance therapy, is $80. The program’s projected outcomes include enhancing coordination and cognition and reducing the adverse symptoms of mental health conditions.

Who is your target population?

Interviewee

The program targets mainly all individuals who are 60 years and above and have some form of mental health challenges, especially those presenting in the facility with dementia, and Alzheimer’s disease.

What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

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Interviewee

The nurse plays a significant role in offering input for designing the healthcare program. Nurses possess extensive and hands-on knowledge about patient needs than other healthcare practitioners as they provide care and interact with more. Nurses’ input in the program is founded on using best practices from research findings. The implication is that nurses suggests the different aspects of the program. Nurses design communication approaches and strategies, different ways to implement the program, and various aspects of the initiative to enhance its effectiveness on the target population (Evripidou et al., 2019). Nurses are also critical in the program as they encourage patients to develop positive body image, have self-esteem and self-concept to ensure that they benefit from its approaches. For example, the nurses propose different approaches to implementing the program with the aim of meeting patient needs and expectations on outcomes.

What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

Interviewee

Nurses are patient advocates in all their settings or practice environment as they seek better ways to help improve care outcomes. As an advocate for the target population, my role is to ensure that these individuals get quality care at their convenience. The care does not need to be hospital-based but can be private in the comfort of their homes. My role is to ensure that these individuals feel free and can express their feelings. Further, I ensure that they get sufficient resources and interact well with the providers for effective care delivery.

I believe that their involvement in the program is critical to both the facility and communities where they live. Secondly, I have significant input in the design decisions as I am part of the team that recommended and developed the program for the target population. My suggestions include integrating the dance movement therapy with the meditation process that has proved successful for the target population based on positive outcomes attained since implementation. I impact the design by ascertaining that the program can also run in patients’ homes for those who cannot move to the facility.

What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples.

Interviewee

The nurse plays a critical role in implementation of healthcare programs, not just this one. The initial role is program coordination that involves the monitoring of various patients and their care needs to ensure effective and quality performance of the expected outcomes. Nurses also link different healthcare professionals in their teams to provide a common approach to the health situation at hand. In this program, nurses are the pivot of the implementation as they execute the suggested strategies for patients in different settings, including at home and in the facility Innes et al., 2018). Nurses incorporate the proposed program into their clinical practices and offer patient-centered care to meet the individual needs of a patient. Nurses incorporate the individual specifications of the initiative to like personal or customized plans for different patients with mental health issues.

The role of nurses in implementation differs from the design as implementation entails executing aspects of the program and ascertaining that they meet patient’s needs. In design, a nurse suggests different approaches to the program that include scope and size and sustainability. However, in implementation, the nurse incorporates these specifications into clinical practice and hands-on execution to ascertain expected outcomes.

Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Interviewee

Effective design and implementation of healthcare intervention programs requires collective efforts from different stakeholders and players. These include healthcare professionals, nurses in the practice, organizational managers and leaders and patients. In this case of this program and its implementation, the members of the healthcare team include nurse practitioners in the facility, the mental health professionals like psychologists, psychotherapists, and psychiatrists. The nurse practitioners and the mental health experts are essential for this program because of their role and experience in its overall success (Singh et al., 2019). As members of the team, they will ensure that all components of the program succeed and are tailored to meet the needs of the different patients in the facility and even those in home-based settings.

Conclusion

Nurses like other healthcare providers, play a critical role in the design and implementation of healthcare programs or initiatives focused on enhancing target populations based on their suggested interventions. The need to enhance mental health among elderly patients is essential since many suffer from mental health disorders. The program in this case will enhance their mental cognition and functions leading to better lifestyle experience for the target population.

References

Chiesi, F., Gori, E., Collini, F., Palfrader, A., Galli, R., Guazzini, A., … & Bonaccorsi, G. (2021).

Biodanza as a Nonpharmacological Dance Movement–Based Treatment in Older People with Alzheimer’s Disease: An Italian Pilot Study in 2 Tuscan Nursing Homes. Holistic Nursing Practice, 35(5), 264-272. DOI: 10.1097/hnp.0000000000000470

Evripidou, M., Charalambous, A., Middleton, N., & Papastavrou, E. (2019). Nurses’ knowledge

and attitudes about dementia care: Systematic literature review. Perspectives in psychiatric care, 55(1), 48-60. doi: 10.1111/ppc.12291.

Innes, K. E., Selfe, T. K., Brundage, K., Montgomery, C., Wen, S., Kandati, S., … & Huysmans,

Z. (2018). Effects of meditation and music-listening on blood biomarkers of cellular aging and Alzheimer’s disease in adults with subjective cognitive decline: An exploratory randomized clinical trial. Journal of Alzheimer’s Disease, 66(3), 947-970.

doi: 10.3233/JAD-180164.

Singh, N. N., Lancioni, G. E., Medvedev, O. N., Sreenivas, S., Myers, R. E., & Hwang, Y. S.

(2019). Meditation on the soles of the feet practice provides some control of aggression for individuals with Alzheimer’s disease. Mindfulness, 10(7), 1232-1242. https://digitalcommons.kennesaw.edu/facpubs/4362

Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care coordination: roles of registered nurses

across the care continuum. Nursing Economics, 37(6), 317-323.  https://jdc.jefferson.edu/nursfp/101

Thorough planning and designing of healthcare programs are essential for success. Program design entails determining the program’s scope, including the population it will serve and the health issue of focus. It also includes defining the roles of different individuals in implementation, outlining short- and long-term goals and targeted outcomes, making an evaluation plan, and identifying suitable evaluation measures. This assignment aims to present an interview transcript about a healthcare program in my current practice.

Interviewer: Tell us about a healthcare program in your practice.

Me: Our organization established an ADHD program five years ago, which seeks to help children with ADHD and their parents/guardians to manage the condition. The program focuses on teaching parents the skills required to address and prevent behavioral and emotional problems in their children. The program was informed by the growing need to improve the management of children diagnosed with ADHD to improve their mental and overall health outcomes and lower the risk of the disorder progressing to adolescence and adulthood (Bahraini et al., 2022). Besides, it was observed that many parents/guardians with ADHD children were not well-versed in managing their children at home due to inadequate parental training.

The program offers a range of services, including:

  • Parenting interventions such as individual and group-based therapy to empower caregivers to manage their children’s attention and behavior successfully.
  • Adolescent education support for adolescents 11 to 18 years to help them be successful in school by improving time management, organization, and academic performance.
  • Family therapy with caregivers and children where they receive personalized training to manage ADHD and behavior issues.
  • Group therapy for children and adolescents to enable them to develop skills and practice them with their peers.
  • Education on frustration management for children 8 to 11 years for effective coping with disappointment and negative emotions.

Interviewer: What are the costs and projected outcomes of this program?

Me: The ADHD program was established at the cost of $ 450,000, which was inclusive of screening tools, training healthcare providers, and health education materials. The program’s average yearly operational cost is $ 150,000. The projected outcomes are improved health outcomes for ADHD patients, reduced ADHD comorbidities, and improved management of ADHD symptoms at home (Kleve et al., 2022).   

Interviewer: Who is your target population?

Me: The target population is children and adolescents with ADHD and their caregivers.

Interviewer: What is the role of the nurse in providing input for the design of this healthcare program?

Me: Nurses were involved in the design of the ADHD program. They acted as consultants on the services that should be incorporated into the program to meet the desired outcomes. This is because they are well-versed in the challenges ADHD patients and their caregivers encounter and the services that can be offered to address them (Gerber, 2018). Besides, nurses provided input on how the services should be programmed for the different age groups, children and adolescents, and the interventions that should be provided in individual and group therapy.

Interviewer: What is your role as an advocate for your target population for this healthcare program?

Me: My role as an advocate for children and adolescents with ADHD includes evaluating the quality of the services to ensure they adequately meet their health needs. I educate individuals about ADHD to lower the stigma associated with the condition and encourage parents with ADHD children to enroll in the program (Gerber, 2018). Besides, I create awareness about cultural sensitivity to the healthcare providers to ensure services provided align with patients’ cultures. 

Interviewer: Do you have input into design decisions? How else do you impact design?

Me: I contribute to the program’s design decisions owing to my knowledge and experience in mental health. I propose evidence-based interventions that can be implemented in the program, including various therapy approaches counselors can employ when handling ADHD patients (Baweja et al., 2021). Besides, I offer input on how the services should be implemented to meet the individual patient’s and family’s needs and encourage patients to continue attending the therapy sessions.

Interviewer: How does this role vary between the design and implementation of healthcare programs?

Me: My role in ADHD program design and implementation is relatively different. In program design, I propose solutions that can optimize the program and help attain the program’s goals. The proposed solutions are usually analyzed for viability and often modified before implementation. However, my role in implementation is to put the interventions into action as per the program’s policy and ensure quality and patient safety are considered. Besides, I evaluate the impact of the interventions during implementation, which guides the solutions I propose to improve the program. For example, I proposed including behavioral parenting training in the program’s design. However, I evaluated how the counselors delivered the training in the implementation phase and recommended solutions to improve it.  

Interviewer: Who are the members of a healthcare team that you believe is most needed to implement a program? Can you explain why?

Me: The ADHD program healthcare team comprises child psychiatrists, PMHNPs, registered nurses, counseling therapists, and social workers. I believe that no team member is more important than the other, and each professional equally contributes to the success of the ADHD program. Each member brings their unique knowledge and expertise in the design and implementation of the program. All team members contribute to continually optimizing the program and implementing the interventions to improve the health outcomes of our target population (Kleve et al., 2022). For instance, the psychiatrist and PMHNP have specialized knowledge in assessing, diagnosing, and providing ADHD treatment. In contrast, counselors have specialized skills in providing psychosocial interventions, and social workers are skilled in providing social support.

References

Bahraini, S., Maisoneuve, A. R., Liu, Y., Samson, A., Ying, Q., Li, F., Yang, L., & Robaey, P. (2022). Implementing a Canadian shared-care ADHD program in Beijing: Barriers and facilitators to consider prior to start-up. BMC Psychiatry22(1), 321. https://doi.org/10.1186/s12888-022-03955-7

Baweja, R., Soutullo, C. A., & Waxmonsky, J. G. (2021). Review of barriers and interventions to promote treatment engagement for pediatric attention deficit hyperactivity disorder care. World journal of psychiatry11(12), 1206–1227. https://doi.org/10.5498/wjp.v11.i12.1206

Gerber, L. (2018). Understanding the nurse’s role as a patient advocate. Nursing202048(4), 55-58. https://doi.org/10.1097/01.NURSE.0000531007.02224.65

Kleve, L., Vårdal, L., & Elgen, I. B. (2022). The Nurse Role in the Management of ADHD in Children and Adolescent: A Literature Review. Frontiers in psychiatry13, 676528. https://doi.org/10.3389/fpsyt.2022.676528

Discussion 2: The Role of the RN/APRN in Policy-Making

Kooienga and Wilkinson (2017) stated that as nurses, citizens, community members, and employees, there is a wide variety of opportunities available to us to get involved.  Sometimes it is difficult to see how involvement can impact a larger picture. As Registered Nurses (RNs), policymaking can be one of those items that seem difficult to connect with (Kooienga & Wilkinson, 2017).  How can the day-to-day patient care activities impact policy and governmental action? Opportunities on how RN’s can participate in policymaking will be explored as well as challenges and ways to overcome them.  Recommendations will be offered on how to improve communication on the existence of the opportunities to participate in policymaking.

APRNs and RNs are critical when it comes to advocating for health care policy because they have clinical expertise and the educational backgrounds for presenting the case for passing legislation on health care issues (Yearwood et al., 2020). According to Yearwood et al. (2020), APRNs and RNs are at the forefront of health care and treating multiple patients with peculiar needs and can relate personal experiences about how legislation can impact these patients. With this regard, APRNs and RNs have a number of opportunities when it comes to participating in policy-making. For instance, advocacy. The APRNs and RNs, who advocate for major health policies, can influence several people throughout their states and nations, depending on the levels of the health policy. APRNs and RNs have the ability to alter health care for individuals for several years to come (Yearwood et al., 2020).

With advocacy, APRNs and RNs are provided with the ability of conducting quality improvement projects in their working environments and use findings in helping the implementation of new policies at their facilities (American Nurses Association, 2019). Another opportunity that APRNs and RNs have is writing to their state and federal legislators about health policy bills that have been filed. Since they work with patients on a daily basis, APRNs and RNs have the ability of sharing personal stories regarding how enacted bills could have aided specific patients to reduce complications, or maybe may have decreased health costs through screening or treatment at earlier disease stages. Talking points ought to incorporate economic impact (American Nurses Association, 2019).

Another way RN’s and APRNs can impact policymaking is by writing letters to their local newspapers or interviewing on radio stations telling their story.  Bringing stories of home communities to the eye and ear of the public and news media can be a way to get attention on the issues going on.  Sometimes it is a personal story that makes the difference.  Knowing how an issue impacts one person and their story can be the spark needed to move the issue forward. Many State-level congressmen do not have a staff to help them stay abreast on the issues, and they rely on constituents to keep them informed (American Nurses Association, 2019).  

The above opportunities present a number of challenges despite the fact that they have the ability to influence the patients positively. For example, the negative image of APRNs and RNs, which involves the commitment to the strategy procedure not being perceived and the absence of chance to be associated with wellbeing arrangement advancement (Yearwood et al., 2020). At the same time, lack of skills, knowledge, and support. These include the absence of tertiary training, absence of learning relating to wellbeing approach improvement process and all through the phases of arrangement advancement, just as the absence of help and certainty (Yearwood et al., 2020).

The above challenges can be overcome by providing APRNs and RNs with direct opportunities for taking part in the health policy development process. The above implies enhancing APRN’s and RN’s involvement in policy development activities could enrich their experience, confidence, and competence in the process (Yearwood et al., 2020). At the same time, APRNs and RNs ought to proactive in seeking opportunities for being involved through various forums. Moreover, APRNs and RNs should be provided with the opportunity to gain experience and competence for enabling them to participate effectively in policy development, thus making their voices heard and honored (Yearwood et al., 2020).

From above, the opportunities for taking part in policy-making are advocacy and the opportunity of writing to their state and federal legislators about health policy bills that have been filed. The effectiveness of these opportunities can be achieved through public awareness, thus ensuring that every element and aspect of the society that is impacted by the policy is positively influenced (Lewinski & Simmons, 2018). Another strategy is having a direct role in policy development. Taking part in health policy is the most critical role APRNs and RNs can have in influencing positive changes in health care (Lewinski & Simmons, 2018). 

References

American Nurses Association. (2019). Advocacy. Retrieved April 21, 2021, from https://www.nursingworld.org/practice-policy/advocacy/

Kooienga, S., & Wilkinso. https://doi-org.ezp.waldenulibrary.org/10.3928/00220124-20180813-06 Links to an external site.n, J. (2017, January). RN prescribing: an expanded role for nursing. In Nursing forum (Vol. 52, No. 1, pp. 3-11). https://doi.org/10.1111/nuf.12159

Links to an external site.

Lewinski, A. A., & Simmons, L. A. (2018). Nurse Knowledge and Engagement in Health Policy Making: Findings from a Pilot Study. Journal of Continuing Education in Nursing49(9), 407–415.

Yearwood, E., Raphel, S., Malmo, L., & Galehouse, P. (2020). Analysis of child and adolescent psychiatric-mental health APRN education: Implications for the nursing workforce. Archives of Psychiatric Nursing34(5), 345–350. https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edo&AN=146248748&site=eds-live&scope=site Links to an external site..

Advocating for the Nursing Role in Program Design and Implementation on Diabetic Education program

The primary aim of healthcare providers and organizations is to improve the health and wellbeing of the populations they serve by reducing disease incidences and severity. Diabetes is one of the chronic conditions that affects millions of Americans and nurses are a core aspect of the healthcare delivery system have a duty to design and implement diabetic education programs to help patients and their families navigate the delicate situation for patient based on severity (Laureate Education, 2018). Newly developed healthcare programs on diabetes education can improve outcomes and the quality of care and life for those with the chronic condition. Based on an interview, this essay summarizes the role of nurses in designing and implementing a diabetic education program for patients with diabetes.

Tell us about a healthcare program, within your practice.

The healthcare program within the facility by nurses is the designing and implementing a diabetic education program. Diabetes continues to be a serious public health concern and efforts to offer education to diabetic patients can improve adherence to medication, and self-care management (Powers et al., 2020). The diabetes self-management education and support offers the foundation to help people with the disease navigate decisions that they must make daily and activities to improve health outcomes (Milstead & Short, 2019). Through the education program, diabetic patients will have knowledge, skills, and abilities necessary for improved self-care.

What are the costs and projected outcomes of this program?

The program focuses on providing resources and educational interventions at the convenience of a patient who visits the facility and would like to enhance their self-management approaches to diabetes. The institution will provide access to information through its online portal, physical materials to those visiting the facility, and one-on-one sessions with patients and their families to demonstrate the efficacy of the program. The health facility will save on workforce and resource costs since patient only need access to the portal. For those accessing the materials from the facility, the cost will be minimal based on the level and type of diabetes disease. [E-USER1] 

The projected outcomes from the program are varied. These include increased and better adherence to diabetes self-management protocols, lower or reduced costs of diabetes management, improved knowledge and abilities for patients and their families. The implication is that this program will enhance awareness and abilities among patients to self-manage and self-care for themselves.

Who is your target population?

The program’s main target is diabetic individuals and their families who shall benefit from the information and resources offered by the facility. The program also targets nurses working in the facility to enhance their knowledge and abilities to care for these patients in an effective manner.

What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

Nurses play a critical role in care provision that includes designing healthcare programs like education program for diabetic patients. In this case, the nurse will offer interventions that can improve care and self-management for patients with different types of diabetes. The nurse will also guide the inclusion of self-management aspects that align with best evidence-based practice (EBP) interventions in the facility. For example, the nurse will identify strategies to enhance adherence to blood sugar monitoring and taking insulin medication at appropriate time.

What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

Nurses are patient advocates and in this instance, education programs are necessary for patients to improve care outcomes. In this regard, the role of a nurse as a patient advocate is to ensure that the program meets patient needs, is easy to understand and can be implemented at home in collaboration with patients’ families. Nurses have a chance to directly influence policies because of their unique positions in healthcare system. Imperatively, having input in designing the diabetic education program is essential for effective success of the initiative. In this regard, I impact the design by ensuring that the initiative addresses key patient concerns and issues aimed at improving their overall management of diabetes. My input also includes having a monitoring system that allows providers to interact better with the patients.

What is the role of the nurse in healthcare program implementation?

Nurses play a critical role in the implementation of healthcare program. At the core of this role is coordination where they work collaboratively with both patients and other providers to ensure the success of the program. Nurses also undertake roles of initiating the program by being educators and offering lessons to diabetic patients. 

How does this role vary between the design and implementation of healthcare programs? Can you provide examples?

The design and implement roles differ since the two stages are also different. The design stage entails having research, effective structures and collaboration, and laying the foundation for the program. The design stage also entailed identifying different roles and duties that each nurse should play and keeping them abreast with all aspects of the initiative (Robert Wood Johnson Foundation, 2018). However, the implementation stage is the real working and being on the ground to execute the interventions. For instance, in implementation, one must execute the interactions with patients to attain their feedback and customize the education program to their needs. Implementation also entails working with community leaders and patient families to carry out the various interventions meant to enhance self-management.

Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why you think this?

The most important members of the healthcare team to implement this initiative include nurses, nurse managers, and social workers as well as physician dealing with particular customers. Nurses are patient advocate and understand the different aspects of their needs (Tomaschewski-Barlem et al., 2018). They are also providers dealing with different patients and can work alongside their managers and physicians to deliver quality care. As educators, they can offer lessons to patients with diabetes on the benefits of self-management and care to improve the quality of life.

Conclusion

The inclusion of nurses in designing and implementing diabetic education program illustrates the critical role that nurses play in care delivery. As demonstrated, the program to enhance education will improve quality of life for patients with diabetes. The program will also enable nurses to participate in different initiatives to improve overall care for patients. The implication is that diabetic patients require education programs that will enhance their adherence to medications and self-management decisions.

References

Laureate Education (Producer). (2018). Design and Implementation [Video file]. Baltimore, MD:

Author

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.).

            Burlington, MA: Jones & Bartlett Learning.

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., … &

Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care, 43(7), 1636-1649. DOI: 10.2337/dci20-0023.

Robert Wood Johnson Foundation. (2018). Nurses Take on New and Expanded

Roles in Health Care. https://www.rwjf.org/en/library/articles-and-news/2015/01/nurses-take-on-new-and-expanded-roles-in-health-care.html

Tomaschewski-Barlem, J. G., Lunardi, V. L., Barlem, E. L. D., Silveira, R. S., Ramos, A. M., &

Piexak, D. R. (2017). Patient advocacy in nursing: Barriers, facilitators, and potential implications. Texto Contexto-Enfermagem, 26(3), e0100014. http://dx.doi.org/10.1590/0104-07072017000100014


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Advocating for The Nursing Role in Program Design and Implementation 

Improving patient outcomes calls for a united effort of every healthcare professional. With a commitment to the course, and contributing through their expertise, the goal of better patient care and safety can be realized. One way of boosting the chances of better patient care and safety is through the initiation of healthcare programs and advocating for their implementation through policy advocacy (Powel et al., 2019). One of such health programs that will be discussed in this interview transcript is the healthcare-acquired infection control healthcare program. 

Interviewer: Tell us about a healthcare program within your practice. What are the costs and projected outcomes of this program? 

Me: The healthcare program targeted is a healthcare-acquired infection control program with a bias to the catheter-associated urinary tract infection. This is a common problem among the intensive care units and surgical wards where the use of indwelling urinary catheters is common. The catheter-associated urinary tract infection has adverse impacts on the patient. The specific program will be about the development of a health care program that ensures the prevention of the use of indwelling catheters. Since the program will be implemented in 20 facilities, one of the costs will be transportation costs for training and educating practitioners and other staff, as well as training and education material. Projected outcomes include reducing the unnecessary use of indwelling catheters by over 50% and lowering the rates of infection by at least 70%. 

Interviewer: Who is your target population? 

Me: My target population is patients admitted at the surgical wards and the intensive care units, which are prone to be fitted by the indwelling urinary catheters. 

Interviewer: What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? 

Me: The nurse takes centre-stage in designing the healthcare program by using the SBAR model that is the situation, background assessment, and request for unnecessary use of catheters. Upon analyzing the situation, the program ensures that the indwelling catheters are used when necessary. The nurse, therefore, collaborates with other interdisciplinary team members in ensuring that catheters are used only when needed and promptly removed hence improving patient outcomes. The nurse will also offer insight on evaluation or guidelines to be followed before the patient is fitted with an indwelling catheter or when it should be removed. 

Interviewer: What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design? 

Me: Advocacy is so vital in ensuring that a particular health care program is implemented (Burlington, 2017). Hence as an advocate, I have several roles to play for my target population. One is coming up with guidelines for inserting the catheters and when to take them out, with the main aim to eliminate unnecessary use of the indwelling catheters. Yes, I will have input in the design decisions, majorly in the form of evaluation of who should be fitted with the catheter and formulating guidelines that ensure the catheters are minimally used and taken out as soon as the patient does not need it (Atkins, 2017). I will also impact the program further by providing the current data on catheter-associated urinary tract infections and advocating for the implementation of the program in the selected health care facilities. 

Interviewer: What is the role of the nurse in healthcare program implementation? How does this role vary between the design and implementation of healthcare programs? Can you provide examples? 

Me: The nurse has a role to play both in the program design and implementation. While the nurse may not have a lot to do during the program design, the nurse takes center-stage during the implementation of the program. The nurse is responsible for ensuring that only deserving patients are fitted with the catheters and that they are removed promptly when the patient no longer needs them. 

Interviewer: Who are the members of a healthcare team that you believe is most needed to implement a program? Can you explain why? 

Me: The implementation of a health care program requires collaboration between various interdisciplinary professionals (Nyström et al., 2017). Among the healthcare team that will be most needed include the doctors responsible for directing the insertion of indwelling catheters. The doctors are important since through collaboration, and careful assessment of patients before catheterization, lower usage of catheters is possible. The other members include nursing assistants, registered nurses, and nursing directors. 

References 

Atkins, L., Sallis, A., Chadborn, T., Shaw, K., Schneider, A., Hopkins, S., … & Lorencatto, F. (2020). Reducing catheter-associated urinary tract infections: a systematic review of barriers and facilitators and strategic behavioural analysis of interventions. Implementation Science, 15(1), 1-22. https://doi.org/10.1186/s13012-020-01001-2 

Nyström, M. E., Karltun, J., Keller, C., & Gäre, B. A. (2018). Collaborative and partnership research for improvement of health and social services: researcher’s experiences from 20 projects. Health research policy and systems, 16(1), 1-17. 

Powell, D. L., & Milstead, J. A. (2019). The impact of globalization: Nurses influencing global health policy. Health Policy and Politics: A Nurse’s Guide, 6th ed.; Milstead, JA, Short, NM, Eds, 193-213. Burlington, MA: Jones & Bartlett Learning. 

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