PHN 652 Assignment Population-Based Intervention Implementation Plan

Implementation Plan

Substance abuse is one of the public health problems affecting global nations, including the USA. Substance abuse is a prevalent issue among individuals of all age groups. Substance abuse is a common problem among adults in the USA. Substance abuse is associated with significant health effects. It increases the risk of complications such as drug dependence, sexually transmitted infections and low quality of life. Interventions that aim at reducing the rate of substance abuse among the adults exist. However, there effectiveness is largely unexplored in evidence-based investigations. As a result, the proposed project explores the effectiveness of population specific health education in reducing and controlling substance abuse among adults. The purpose of this paper is to explore the barriers to implementing the change initiative, strategies for overcoming them and ethical, legal, and regulatory aspects that should be considered.

Potential Barriers to Implementation of the Evidence-Based Intervention

As noted above, the proposed interventional plan entails the implementation of population specific health education to reduce and control the issue of substance abuse among adults. The health education should target the needs of the adults who abuse and are at risk of substance abuse. The implementation of the intervention plan is however likely to experience a number of barriers. One of the barriers is the low uptake of the intervention by adults who abuse and at risk of substance abuse. The successful implementation of the plan requires the active uptake and utilization of the intervention by the adults. A low uptake is likely to affect the realization of the desired outcomes (Duncombe, 2018). Factors such as the low level of involvement, lack of awareness, and fear of the unknown outcomes may affect the uptake of the intervention by the adults.

The other barrier that may be experienced is resistance to change. Resistance to change entails the adults not willing to participate in the implementation of the project. Other stakeholders such as the healthcare providers may not express willingness to support the intervention. Resistance to change may be attributed to factors such as lack of knowledge and skills related to the intervention, lack of stakeholder participation, and bureaucratic communication strategies (Tappen et al., 2017). The other barrier that may be experienced is the lack of or inadequate institutional support. The successful implementation of the intervention requires adequate support from the organization and other institutions interested in promoting the health of the population. However, inadequate support in the forms of financial and human resources may result in the lack of realization of the desired project outcomes. The last barrier is the withdrawal of the adults from the project. Their withdrawal is likely to affect the reliability and validity of the data obtained in the project (Engle et al., 2017). Therefore, effective interventions should be adopted to address the above barriers.

Strategies to Overcome the Barriers

A number of evidence-based interventions can be used to address the above barriers to the implementation of the project. One of the strategies is encouraging active stakeholder participation. Stakeholders such as healthcare providers, public health officials, and adults who abuse and at risk of substance abuse should be actively involved in the entire processes of project assessment, planning, implementation, and evaluation. Active stakeholder involvement is important, as it builds the desired competencies in the implementers and adopters of the intervention (Koivunen & Saranto, 2018). It also promotes intervention ownership and empowerment of the stakeholders.

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The other intervention that should be adopted to address the above barriers is facilitating change. Strategies that facilitate the successful implementation of the intervention plan should be adopted. They include providing adequate support, coaching, mentorship, and training to the implementers and adopters of the intervention plan. Coaching and mentorship ensures that the implementers and adopters of the intervention utilize best, sustainable practices. They also enable the adoption of corrective strategies should the targeted population experience challenges in implementation process. Training is important, as it equips the stakeholders with the knowledge and skills that they need to implement the intervention. The other strategy for facilitating the intervention plan is through regular assessment and provision of feedback (Mathieson et al., 2019). Regular assessment and feedback ensures that strategies that improve the success of the process are embraced.

PHN 652 Assignment Population-Based Intervention Implementation Plan

The other strategy that is adopted to address the above barriers is close follow-up of the targeted populations. Close follow-up is important to ensure that the actual and potential needs of the adults are addressed in a timely manner. It also addresses issues such as withdrawal of the project participants from the project. The other strategy that can be adopted is providing the adopters of the intervention plan with sources of accurate information. Accurate information is needed to assist them in making informed decisions about lifestyle and behavioral interventions to address substance abuse (Sims & Bias, 2021). Therefore, the above interventions will be actively explored to address the potential barriers that may affect the implementation of the intervention plan.

Ethical, Legal and Regulatory Aspects of Community Health

A number of ethical, legal and regulatory aspects that relate to community health with be considered in the implementation of the intervention plan. One of them will be seeking informed consent from the adults who abuse or at risk of substance abuse. Informed consent from the participants will be obtained to signify their willingness to participate in the project. The principles of ensuring data integrity will also be considered in the implementation of the intervention plan. The implementers will ensure that the confidentiality and privacy of the participant information is safeguarded (Harman & Cornelius, 2017). Anonymity will be maintained to ensure that the identifiable data of the participants is not used for other purposes beyond those related to the project.

The implementers will also ensure that the participants are not subjected to any form of harm from their participation in the project. This will be achieved by utilizing evidence-based strategies that have optimum benefits to the participants and minimal harm. Through it, the principles of benevolence and non-maleficence will be upheld in the implementation process. The implementation will also utilize culturally appropriate interventions in the target populations (Sims & Bias, 2021). The interventions will be appropriate to the cultural values, beliefs, and preferences of the community where the project will be implemented.

Conclusion

In conclusion, a number of barriers will affect the successful implementation of the intervention plan addressing the issue of substance abuse among adults. Evidence-based interventions will be adopted to address any potential barriers that may be experienced in the process. The implementers will place a focus on effective facilitation of the intervention plan for its successful adoption. In addition, regular assessment and provision of feedback will be embraced to promote the use of successful interventions in the project. Ethical, legal and regulation considerations will prioritize to ensure that the strategies align with the expectations of the adopters.

References

Duncombe, D. C. (2018). A multi-institutional study of the perceived barriers and facilitators to implementing evidence-based practice. Journal of Clinical Nursing, 27(5–6), 1216–1226. https://doi.org/10.1111/jocn.14168

Engle, R. L., Tyler, D. A., Gormley, K. E., Afable, M. K., Curyto, K., Adjognon, O. L., Parker, V. A., & Sullivan, J. L. (2017). Identifying barriers to culture change: A qualitative analysis of the obstacles to delivering resident-centered care. Psychological Services, 14(3), 316–326. https://doi.org/10.1037/ser0000169

Harman, L. B., & Cornelius, F. (2017). Ethical Health Informatics: Challenges and Opportunities. Jones & Bartlett Publishers.

Koivunen, M., & Saranto, K. (2018). Nursing professionals’ experiences of the facilitators and barriers to the use of telehealth applications: A systematic review of qualitative studies. Scandinavian Journal of Caring Sciences, 32(1), 24–44. https://doi.org/10.1111/scs.12445

Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: A systematic mixed-studies review and qualitative synthesis. Primary Health Care Research & Development, 20. https://doi.org/10.1017/S1463423618000488

Sims, R. R., & Bias, S. K. (2021). Human Resources Management and Ethics: Responsibilities, Actions, Issues, and Experiences. IAP.

Tappen, R. M., Wolf, D. G., Rahemi, Z., Engstrom, G., Rojido, C., Shutes, J. M., & Ouslander, J. G. (2017). Barriers and Facilitators to Implementing a Change Initiative in Long-Term Care Utilizing the INTERACT^TM Quality Improvement Program. The Health Care Manager, 36(3), 219–230. https://doi.org/10.1097/HCM.0000000000000168

PHN 652 Assignment Population-Based Intervention Implementation Plan