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Capella 4060 Assessment 4

Capella 4060 Assessment 4 Health Promotion Plan Presentation

Student Name

Capella University

NURS-FPX 4060 Practicing in the Community to Improve Population Health

Prof. Name

Date

Introduction

Good afternoon everyone, I am _______, a senior nurse at Joseph Health Community Center and I hope all of you are well. Thank you to all of you for sparing your valuable time for this session. Today I am going to present a health promotion plan to you all. To answer any kind of queries, I have kept a Q&A session at the end of our session so keep your curious question with you till the end.  But before I start presenting the topic for today, I would like you all to brief me on your introduction so I get to know my audience.

For this purpose, I have introductory questionnaires with me which I will disseminate among you all to fill out. This introductory questionnaire covers the questions related to each individual’s personality such as your name, gender, age, educational qualification, hobbies, employment status, etc., and sections where all of you will fill in information according to your personal learning needs related to our topic of discussion which is cessation of tobacco products. Now that you all have got done with this introductory activity, let’s jump to our topic.

Health Promotion Plan – Cessation of Tobacco Products

The topic for my presentation is based on developing a health promotion plan for the cessation of tobacco products. These tobacco products can be in the form of smoking cigarettes, electronic vaping, hookah, and chewable tobacco. Tobacco use in any form is dangerous for the human body as it affects almost all organs including the lungs, heart, blood vessels, eyes, mouth, digestive organs, bladder, and reproductive organs (National Heart Lung and Blood Institute, 2022). The most common manifestation of using tobacco products in terms of morbidities is lung cancer.

Other than lung cancer, heart diseases, stroke, diabetes and chronic obstructive pulmonary disease (COPD) are some of the diseases caused by tobacco consumption. There is an increased risk of the development of tuberculosis, eye diseases, and disorders related to the immune system as a result of tobacco use.  About 28.3 million U.S. adults consume tobacco in the form of cigarettes and approximately 4.7 million middle and high school students engage in utilizing at least one tobacco product, including e-vape. Almost 1600 U.S adolescents smoke their first cigarette every day (CDC, 2023).

Capella 4060 Assessment 4

These stats show the emergence of this dangerous act of consuming tobacco products in our communities and reflect the health condition of our young generation. Profound use of tobacco products can cause dependent on medical care treatments due to deterioration of health. In America, the annual cost of medical care treatment for smoking-related diseases in adults is more than $225 billion. In Colorado, about 12% of adults consume tobacco in the form of smoking cigarettes and 18.9 % of high school youth used tobacco in the form of other tobacco products including e-cigarettes (CDC,2023).

Therefore, there is a need for tobacco product cessation and quitting programs to promote health in our community members and to enhance the economy of the community that falls as a result of extensive costs incurred on medical treatments. Some of you might be engaged as well in the consumption of any of such tobacco products. This is why, I have developed this session of health promotion plan designed to tailor all your related needs and to ease your tobacco cessation journey. 

The Plan Based on Specific, Identified Health Needs and Goals

Considering the health consequences and stats of the utilization of tobacco products, it is important to develop a health promotion plan on the basis of identified health needs and goals specific to all participants. There are various evidence-based health plans for tobacco cessation interventions. One of the plans can be implementing 5A’s intervention method. It consists of Ask, Advise, Assess, Assist, and Arrange sections.

The “Ask” component is about engaging participants to identify their use of tobacco, frequency, and willingness to quit using tobacco products. This step is followed by advising all individuals to quit using tobacco products. In the next part, an assessment of their needs and willingness to quit tobacco use is done which is followed by assisting in sorting preferable ways to quit tobacco use. Lastly, the arrangement is for monitoring the cessation interventions and their effectiveness in follow-up meetings (Chai et al., 2018). 

Some other community-based health plans to promote cessation of tobacco products can be educational campaigns with the help of mass media, raising prices for tobacco products, school-based tobacco prevention programs to find social factors that promote tobacco use and educate them on reducing them, increasing knowledge and awareness about harmful effects of tobacco use among people by the help of community health workers, which can reduce the gaps between primary healthcare providers and the community resulting in positive results in tobacco cessation (Zulkiply et al., 2020). These plans are helpful in preventing the use of tobacco products and building healthier communities.  

SMART Goals Setting

The strategy used in our educational session to establish goals was SMART goal setting. It is an acronym for S: Specific, M: Measurable, A: Attainable, R: Realistic, and T: Time-bound. While the goals should be specific to the needs and measurable, they should also be attainable and realistic based on the resources available in the community. Additionally, the goals should be attained within a time window to be SMART goals. 

Agreed-Upon SMART Goals with Community Members

We used the SMART goal approach to set some goals with members of the Joseph Community. The agreed-upon SMART goals with the community members are as follows:

  • Goal 1: We will find (attainable) two major reasons (measurable, realistic) that promote tobacco use in teenagers by the end of this educational session (time-bound) to prevent them from making them tobacco users in the future (specific). 
  • Goal #2: Identification (attainable) of two practical ways (measurable, realistic) to overcome addiction to tobacco products (specific) by the end of this session (time-bound).
  • Goal #3: Finding out three (measurable) customized plans (specific) to help ourselves make informed, wise, and healthy decisions (attainable and realistic) to prevent the use of tobacco products as the session ends (time-bound).

Evaluation of Educational Session Outcomes & SMART Goals

 Once the SMART goals were developed and the educational session was ended, the evaluation was initiated. The questionnaires were provided to all the participants who were asked to fill in the questions on SMART goals and whether they were able to achieve them or not. The results showed that 50% of participants were able to fulfill goal #1 and identified two major reasons that promote tobacco use in teenagers. Some of the common reasons are peer pressure and influence from the media.

About goal #2, most of the participants were clueless and only 10% were able to find two ways to overcome tobacco addiction. The ways they mentioned to overcome addiction were finding alternatives to tobacco such as using bubble gums and self-reminders for the benefits of tobacco cessation. All of the participants were able to fulfill goal #3 and made customizable plans to prevent the use of tobacco. Some mentioned they will engage in physical activity to get rid of tobacco use as they will feel more active and less stressed.

Some participants i.e. teenagers made plans on keeping good company and staying away from smokers and other tobacco users so they prevent from falling into the same pit of using tobacco products. Other participants made individualized plans according to their needs and lifestyles, etc. 

Future Revisions 

Considering goal #2 which the community participants barely accomplished, there is a need for revisions to future educational sessions. The revisions include educational sessions on tobacco addiction, the harms of tobacco-related diseases, and ways to reduce it. The enhanced awareness of tobacco-related diseases will bring consistency in staying away from tobacco products and helps overcome addiction (Szymański et al., 2022).

These educational sessions will be conducted once every two months and all the willing participants will be involved in engaging sessions with community health nurses and other community health workers. Additionally, parents of young participants such as teenagers can also be involved to improve tobacco cessation and make them understand the effort it takes to quit tobacco use in any form (Susanto et al., 2020).  These changes in future educational sessions might improve future outcomes in tobacco product cessation. 

Evaluation of Outcomes in Terms of Healthy People 2030 Objectives

Healthy People 2030 has provided various objectives related to tobacco use to achieve in the future to promote a healthy community with the least percentage of tobacco consumption in any form of the product. Some of these objectives are to increase successful quit attempts in adults who smoke, reduce the current use of smokeless tobacco products among adolescents, and eliminate cigarette smoking initiation in adolescents and young kids (U.S. Department of Health and Human Services, 2020).

All of these objectives are the targeted goals. For example, goal #1 was similar to the Healthy People 2030 goal of eliminating cigarette smoking initiation in adolescents and young kids and was fulfilled by the end of the session when 50% of community members were able to find reasons which make young people initiate the use of tobacco products. Goals #2 and 3 were also developed in the light of indicators of Healthy People 2030 goals on reducing the current use of tobacco products and enhancing cessation attempts. Future educational sessions will further measure the progress made towards goals # 2 and 3 in the light of Healthy People 2030 objectives on tobacco cessation.

Future Revisions 

In future educational sessions, several revisions can be incorporated to help achieve the Healthy People 2030 goals of tobacco control and cessation. For this purpose, tobacco control initiatives and programs can be initiated at various sites such as schools, colleges, universities, and working places. This will involve the participation of various authorities such as governmental & primary healthcare involvement so that policies can be developed to promote tobacco quitting and reduce the current use of tobacco products. This way all these authorities with combined effort will be able to achieve the tobacco-related objectives of Healthy People 2030 in the future. 

Conclusion 

To conclude the health promotion plan, I would like to emphasize that tobacco products have been massively used in the Joseph community of Colorado state of U.S. As tobacco use causes various health problems; therefore, this required a health promotion plan to control and quit the use of tobacco products. For that purpose, an educational session was conducted at the community level in Joseph’s community. Participants were divided into three groups and SMART goals were developed. After the goals were set, their evaluation was done in terms of achievement. Future revisions were recommended for future sessions to achieve the unmet goals. Evaluation of goals in terms of the progress made towards Healthy People 2030 objectives was also done.

References

CDC. (2023, May 4). Data and statistics. https://www.cdc.gov/tobacco/data_statistics/index.htm#:~:text=An%20estimated%2028.3%20million%20U.S

CDC. (2023, May 31). State fact sheets | smoking & tobacco use. https://www.cdc.gov/tobacco/stateandcommunity/state-fact-sheets/index.htm#CO 

Chai, W., Zou, G., Shi, J., Chen, W., Gong, X., Wei, X., & Ling, L. (2018). Evaluation of the effectiveness of a WHO-5A model based comprehensive tobacco control program among migrant workers in Guangdong, China: A pilot study. BMC Public Health, 18(1). https://doi.org/10.1186/s12889-018-5182-6 

National Heart Lung and Blood Institute. (2022, March 24). Smoking and Your Heart – How Smoking Affects the Heart and Blood Vessels. https://www.nhlbi.nih.gov/health/heart/smoking#:~:text=Smoking%20harms%20nearly%20every%20organ 

Capella 4060 Assessment 4

Susanto, A., Hartono, H., Dwi, I., Nurhaeni, A., & Kartono, D. (2020). The role of parents to prevent early adolescents smoking behavior: A qualitative study on adolescents in tegal city, indonesia correspondence. Systematic Reviews in Pharmacy, 11(7), 71–75. https://www.sysrevpharm.org/articles/the-role-of-parents-to-prevent-early-adolescents-smoking-behavior-a-qualitative-study-on-adolescents-in-tegal-city-indon.pdf 

Szymański, J., Ostrowska, A., Pinkas, J., Giermaziak, W., Krzych-Fałta, E., & Jankowski, M. (2022). Awareness of tobacco-related diseases among adults in poland: A 2022 nationwide cross-sectional survey. International Journal of Environmental Research and Public Health, 19(9), 5702. https://doi.org/10.3390/ijerph19095702 

U.S. Department of Health and Human Services. (2020). Increase successful quit attempts in adults who smoke — data – healthy people 2030. https://health.gov/healthypeople/objectives-and-data/browse-objectives/tobacco-use/increase-successful-quit-attempts-adults-who-smoke-tu-14/data 

Zulkiply, S. H., Ramli, L. F., Fisal, Z. A. M., Tabassum, B., & Abdul Manaf, R. (2020). Effectiveness of community health workers involvement in smoking cessation programme: A systematic review. PloS One, 15(11), e0242691. https://doi.org/10.1371/journal.pone.0242691 

Capella 4060 Assessment 4