NURS 6050 Advocating for the Nursing Role in Program Design and Implementation

Sample Answer for NURS 6050 Advocating for the Nursing Role in Program Design and Implementation Included After Question

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?
  • 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 6050 Advocating for the Nursing Role in Program Design and Implementation

Title: NURS 6050 Advocating for the Nursing Role in Program Design and Implementation

 Obesity is one of the health problems with increasing prevalence in America. According to statistics, the percentage of the American population that is affected by obesity has been rising significantly over the past years. The implication is that a significant proportion of the population is predisposed to chronic illnesses such as hypertension, diabetes, and heart disease (Liu et al., 2019). Programs have been implemented to ensure that the prevention and reduction of rates of obesity in the US. Therefore, this paper explores a program in my practice implemented to address obesity.

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

The program within my practice that has been implemented to address obesity is the Obesity Prevention Program (OPP). The government of Texas came up with the OPP program with the aim of preventing and reducing the rates of obesity in the state. The fact that a third of the population in Texas was obese in 2015 necessitated the implementation of the OPP program. A number of principles guide the program. They include improvement of social determinants of health contributing to obesity, improving health equity, increasing resource availability, and transforming environments to address physical activity and healthy eating. Several initiatives have been adopted in a bid to achieve the objectives of the program. They include increasing opportunities for healthy eating, promoting active living through the creation of healthy environments, and provision of community and clinical preventive services for the populations at risk and affected by obesity. The program also strengthens the opportunities for healthy childhood for the children at risk as well as public health campaigns to address obesity (Texas.gov, n.d.). The costs incurred in the implementation of the program are obtained from the public resources. The projected outcomes include the reduction in the rates of obesity in the state, reduction in morbidity and mortality rates, and access to healthy foods and environments for the population (Ash et al., 2017). The program is also anticipated to improve the health and wellbeing of the Texans as evidenced by their increased awareness, lifestyle, and behavioral change on issues that affect their health.

What is your target population?

I learned from my research that the program targets all the populations at risk and affected by obesity in Texas. The populations include children, adults, and the elderly in the state. The program addresses the social inequalities that contribute to obesity in the state. It also increases the opportunities for healthy living for the population irrespective of their backgrounds.

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

I have learned from my experience and research that nurses play several roles in providing input for the design of the OPP program. The first role that they play is ensuring that the strategies of the program align with the anticipated goals and objectives to be achieved. For example, they ensure that the adopted strategies are relevant to the needs of the populations affected and at risk of obesity. The other role of the nurses in providing input for the design of OPP is ensuring that the needs of the target population are incorporated into the program. For instance, they perform needs assessment to identify health-related aspects that should be prioritized in the project, hence, relevance of the project to the population (Lavie et al., 2018). The other way in which nurses influence the design process is assisting in the determination of the resource needs of the program. Adequate resources such as financial and human resources are needed for the successful implementation of the program. As a result, nurses can participate in providing insights into the needed resources based on their experiences with public health programs.

NURS 6050 Advocating for the Nursing Role in Program Design and Implementation
NURS 6050 Advocating for the Nursing Role in Program Design and Implementation

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 roles as an advocate for the populations at risk of and affected by OPP program are varied. One of them is ensuring that adequate awareness is creating among the population on the need for the program and utilization of its strategies. Health education is needed to ensure that those at risk and affected by obesity understand the lifestyle and behavioral interventions that are needed for their health and wellbeing. My other role as an advocate is ensuring that the population has equal access to and utilization of the program initiatives. I ensure that all the populations affected and at risk of obesity have enhanced access to program resources to promote their health. I address barriers such as costs related to the utilization of the program by the population. I also link the population to the resources that they need (Cheng et al., 2021). For example, I assist them in accessing community support groups where they can access the help they need in managing and preventing obesity. I have input on the design decisions. I work with other stakeholders in developing goals, strategies, and objectives of the program. I also participate in the determination of the resource needs of the program.

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 number of roles in the implementation of healthcare programs. One of the roles of nurses in healthcare program implementation is acting as implementers. Nurses participate in the actual implementation of the strategies of the program. They put into action the strategies that were developed to actualize the program. The other role of the nurses in program implementation is coordinating the implementation process. Nurses can participate in ensuring that the strategies of the program are implemented as expected. They also ensure that the allocated resources are utilized optimally to ensure that the goals of the program are achieved. An example is working with the project management team in evaluating the resource utilization versus the plan to determine any deviations and implement changes (Lavie et al., 2018). The roles however vary in program design and implementation. Nurses participate in the development of program plans in the design. They implement the plans in the implementation phase. The design phase is also hands-off; as it entails strategy development while implementation is hands-on as it encompasses 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?

The members of the healthcare team that I believe are the most needed to implement OPP program are registered nurses, dietician, and physicians. Registered nurses play roles such as screening, health education, and follow-up of patients with hypertension. Dietician plays roles such as nutritional assessment and counseling for obese patients and those at risk. Lastly, physicians diagnose and treat the obese patients.

Conclusion

Overall, OPP is an effective program that addresses the issue of obesity. The program ensures that the affected and populations at risk of obesity are empowered on ways of living a healthier lifestyle. Nurses play critical roles in program design and implementation. Therefore, their active participation should be prioritized in program implementation and design.

References

Ash, T., Agaronov, A., Young, T., Aftosmes-Tobio, A., & Davison, K. K. (2017). Family-based childhood obesity prevention interventions: A systematic review and quantitative content analysis. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 113. https://doi.org/10.1186/s12966-017-0571-2

Cheng, H., George, C., Dunham, M., Whitehead, L., & Denney-Wilson, E. (2021). Nurse-led interventions in the prevention and treatment of overweight and obesity in infants, children and adolescents: A scoping review. International Journal of Nursing Studies, 121, 104008. https://doi.org/10.1016/j.ijnurstu.2021.104008

Lavie, C. J., Laddu, D., Arena, R., Ortega, F. B., Alpert, M. A., & Kushner, R. F. (2018). Healthy weight and obesity prevention. Journal of the American College of Cardiology, 72(13), 1506–1531. https://doi.org/10.1016/j.jacc.2018.08.1037

Liu, Z., Xu, H.-M., Wen, L.-M., Peng, Y.-Z., Lin, L.-Z., Zhou, S., Li, W.-H., & Wang, H.-J. (2019). A systematic review and meta-analysis of the overall effects of school-based obesity prevention interventions and effect differences by intervention components. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 95. https://doi.org/10.1186/s12966-019-0848-8

Texas.gov. (n.d.). Obesity Prevention Program. Texas Department of State Health Services. https://www.dshs.texas.gov/obesity/

Week 8 Discussion – Main Question Post

Over the years, nursing has seen significant growth and has undoubtedly become one of the most trusted professions in the US and around the world. Because of this recognition, nurses have a more substantial influence that, when utilized appropriately – may significantly affect policies and politics internally and across artificial boundaries. Nurses are known to be ardent patient advocates and fight for policies that will ultimately improve healthcare delivery to our patients. While some nurses are interested in affecting healthcare policy decisions, it is essential to note that most nurses do not find the world of politics enticing enough and do not participate in healthcare decisions making.

However, nurses are increasingly becoming interested in making decisions affecting their patients and the nursing profession as they perceive a professional and moral need to partake in health legislation. Nursing constitutes the most significant part of the healthcare system in the US, and it rapidly continues to grow. Another opportunity that RNs and APRNs can participate in policymaking is by taking up roles in lobbying for their interest and directly lobbying for policies affecting their patients to enhance and improve healthcare delivery rather than just being satisfied with working as bedside caregivers who are ignorant of policies affecting their trade. Over the years, more and more nurses are taking part in decisions affecting healthcare policies, and many nurses view this growing role as a professional and moral responsibility to contribute to healthcare legislation.

Most of the nurses that are venturing into this relatively new area of policy decision-making are often nurses that are frustrated by healthcare policies affecting the overall nursing practice, especially knowing that individuals that are writing up those policies have little or no experience and knowledge in the field of healthcare, and this leads to bitterness, negativity, burnout, and disappointment towards policymakers. Nurses should not just look at healthcare policy as something that happens to them but rather as something they can collectively influence positively – especially when channeling frustrations into positive change that will improve the nursing experience. All nurses can influence policy-making decisions and politics in one way or the other, being at state, federal, and local levels. At local levels, there are increasing number of nurses that are becoming politically active in different ways, some by contacting the elected legislature directly to discuss their stance about legislation affecting the nursing industry and taking part in healthcare leadership positions. With formal and sometimes informal political training, nurses can run for office and be leaders in their local political offices, taking part in committees and city councils, and in some cases, can affect policy decisions by simply exercising their right to vote (Welliver, 2023).

Another opportunity that exists for nurses is to endeavor to be a part of a professional nursing organization like the American Nursing Association and to become active in decisions surrounding policy making and to be a part of those nursing leaders at the forefront advocating for policies change at the legislative level to improve the conditions at which nurses work. We all know that most nursing organizations undoubtedly focus on policy advocacy for nurses. One way nurses can employ an effective method to better advocate for their needs is to organize peaceful rallies to push for the needed changes in their areas of concern. These rallies will raise public awareness, prompting the political elite and other decision-makers to at least listen to the policy change demands by nurses and take the necessary actions.  For RNs and APRNs to further the influence nursing has globally for the advancement of the systems of healthcare and our societies, nurses must expand their focus beyond not only the advocacy role of individual nurses but also to ensure that the capacity of nursing organizations is effectively organized for optimal impact on the society, practice, and policy (Chiu et al., 2021).

In addition, nurses have an extended spectrum of areas to advocate for. As part of the numerous responsibilities of nurses, they lobby for safe staffing standards affecting nurse-to-patient ratios at the hospital level and other clinical settings to protect nurses from being overworked and from working in stressful working conditions. At the same time, nurses ensure their patients receive quality care regardless of the challenges. Another opportunity is for nurses to participate in state committees, defend the need for increased appropriation of funding for nurses – including investing in policies that will lead to better patient care experience, and push for legislation requiring states to allow RNs and APRNs to work with complete autonomy to practice at total capacity proportional to the extent of their education, experience, and training.  Unfortunately, due to bureaucracy, a list of permissions and steps is needed for an intended policy change bill to be voted upon and ultimately implemented, which may discourage many nurses.  However, both RNs and APRNs have unique skills, knowledge, and experiences essential for creating health policy. For APRNs, policy creation is a fundamental part of the degree curriculum; however, only a few APRNs are involved in this crucial nursing role of policy advocacy and policy decision-making (Hajizadeh et al., 2021).

Conclusion

In conclusion, while numerous factors affect nurses’ involvement in politics and policy, the time and resources, formal health care policy education in nursing, inadequate skills, less awareness, and limited opportunities for involvement are some factors alienating nurses and further hindering the nursing profession’s participation in politics and policy decision making.  However, regardless of these limitations, the fact is that nurses are very instrumental in the development and implementation of healthcare policy. As one of the most significant medical professions in the world, nurses should lead the way forward in restructuring the healthcare system locally, at state levels, and nationally through the federal government. To achieve such results, nurses should be well-rounded and partner with people in other medical professions, like doctors. Nurses must also be skilled in implementing evidence-based practice, informatics, interdisciplinary teamwork, technology, quality improvement, and most importantly – being efficient in patient care.

 References

Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021, November 17). Policy advocacy and nursing organizations: A scoping review. Policy, politics & nursing practice. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8600587/

Links to an external site.

Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021). Factors influencing nurses participation in the health policy-making process: a systematic review. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00648-6

Links to an external site.

Welliver, M. (2023). The nursing profession’s potential impact on policy and politics. American Nurse. https://www.myamericannurse.com/nursing-professions-potential-impact-policy-politics/#:~:text=Locally%2C%20nurses%20can%20become%20politically,even%20run%20for%20local%20office Links to an external site..

A Sample Answer For the Assignment: NURS 6050 Advocating for the Nursing Role in Program Design and Implementation

Title: NURS 6050 Advocating for the Nursing Role in Program Design and Implementation 

Introduction

In this interview transcript, a nurse discusses a comprehensive diabetes management program designed to improve the quality of life for patients with diabetes. The program’s objectives, target population, and the roles of various healthcare professionals involved are explored. The interviewee highlights the importance of a multidisciplinary team and the role of nurses in the design, advocacy, and implementation of healthcare programs.

Interview Transcript

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

Interviewee: The healthcare program I would like to discuss is a comprehensive diabetes management program. This program aims to improve the quality of life for patients with diabetes by providing education, resources, and support to help them manage their condition effectively (Silva-Tinoco et al., 2020). The costs of this program include hiring and training specialized diabetes care educators, developing and providing educational materials, and maintaining a support system for ongoing patient follow-ups. The projected outcomes of this program include better blood sugar control, reduced diabetes-related complications, increased patient adherence to treatment plans, and an overall improvement in patients’ quality of life (Jarab et al., 2023).

Interviewer: Who is your target population?

Interviewee: The target population for this diabetes management program includes individuals diagnosed with Type 1 or Type 2 diabetes, as well as those at risk for developing diabetes due to factors such as obesity, family history, or other health conditions (Tanaka et al., 2020).

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

Interviewee: Nurses play a critical role in the design of healthcare programs, as they have the clinical expertise and firsthand experience in patient care (Mathose & Mash, 2023). In the diabetes management program, nurses can provide valuable input on the educational content, resources, and support services needed to effectively manage diabetes. For example, a nurse may suggest incorporating interactive workshops on insulin administration, or recommending resources for managing stress and mental health challenges associated with diabetes.

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?

Interviewee: As a nurse, my role as an advocate for the target population involves ensuring that the needs and preferences of patients with diabetes are considered during the program’s design and implementation (Mathose & Mash, 2023). I have input into design decisions by collaborating with other healthcare professionals and providing feedback on proposed plans. Additionally, I impact the design by promoting evidence-based practices and advocating for resources and support that will benefit the patients we serve (Jarab et al., 2023).

Interviewer: 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: During the implementation of a healthcare program, nurses play a crucial role in delivering program services, monitoring patient progress, and adjusting the program as needed based on patient outcomes (Mathose & Mash, 2023). This role differs from the design phase in that nurses are actively engaged in providing patient care and support. For example, in the diabetes management program, nurses may lead educational workshops, provide one-on-one counseling and support, and coordinate care with other healthcare providers to ensure patients receive comprehensive diabetes management (Silva-Tinoco et al., 2020).

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

Interviewee: To effectively implement a healthcare program, a multidisciplinary team is essential. Key members of this team may include:

  • Nurses: They provide direct patient care, monitor progress, and make necessary adjustments to the program based on patient outcomes (Mathose & Mash, 2023).
  • Physicians: They diagnose, treat, and manage the medical aspects of a patient’s condition and provide guidance on the overall program (Jarab et al., 2023).
  • Dietitians: They provide personalized nutrition counseling and education to help patients manage their dietary needs (Jarab et al., 2023).
  • Pharmacists: They ensure appropriate medication management, including medication therapy reviews and patient education on proper medication usage (Tanaka et al., 2020).
  • Mental health professionals: They address the emotional and psychological aspects of managing a chronic condition, such as stress, anxiety, and depression (Silva-Tinoco et al., 2020).
  • Social workers: They assist patients with accessing resources and support for financial, housing, or transportation needs that may impact their ability to manage their condition (Mathose & Mash, 2023).

The collaboration of these team members allows for a comprehensive and effective healthcare program that addresses the diverse needs of patients and promotes optimal health outcomes (Jarab et al., 2023). By working together, each team member contributes their expertise and skills, ensuring the successful implementation of the healthcare program and ultimately improving the quality of life for patients with diabetes.

Conclusion

The interview provides valuable insights into the various aspects of a comprehensive diabetes management program, emphasizing the importance of multidisciplinary collaboration and the role of nurses in different stages of the program. Such programs have the potential to improve blood sugar control, reduce complications, increase patient adherence, and enhance patients’ quality of life. By working together, healthcare professionals can effectively address the diverse needs of patients and promote optimal health outcomes.

References

Jarab, A. S., Al-Qerem, W., Alqudah, S., Heshmeh, S. R. A., Mukattash, T. L., & Alzoubi, K. H. (2023). Blood pressure control and its associated factors in patients with hypertension and type 2 diabetes. Electronic Journal of General Medicine20(3), 1–7. https://doi.org/10.29333/ejgm/13028

Mathose, T. T., & Mash, R. (2023). Factors influencing insulin initiation in primary care facilities in Cape Town, South Africa. South African Family Practice65(1,Part 1), 1–7. https://doi.org/10.4102/safp.v65i1.5656

SILVA-TINOCO, R., SALAS-MARTÍNEZ, O., DELATORRE-SALDAÑA, V., GUZMAN, E. B., CUATECONTZI, E. T. C., CABRERA-GERARDO, D., CASTILLO-MARTINEZ, L., GALLARDO-RINCÓN, H., SERNA, J., GONZALEZ-CANTU, A., & ROMERO-IBARGUENGOITIA, M. E. (2020). 790-P: Multicomponent Integrated Care Program Benefits on Diabetes-Related Grief and Stage of Change and Glycemic Control Association. Diabetes69, N.PAG. https://doi.org/10.2337/db20-790-P

Tanaka, R., Shibayama, T., Sugimoto, K., & Hidaka, K. (2020). Diabetes self-management education and support for adults with newly diagnosed type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials. Diabetes Research and Clinical Practice, 169. https://doi.org/10.1016/j.diabres.2020.108480