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NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Student Name

Capella University

NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Prof. Name

Date

Slide 1: 

Hey everyone, my presentation topic for today is an evidence-based population health improvement plan.

Slide 2: 

Choose a health problem: diabetes type 2

Diabetes is a chronic health disease that alters the human body’s ability to convert food into energy. It is a metabolic disease that may impact the blood glucose levels in one’s bloodstream. According to the World Health Organization, it  occurs either due to the inability of the pancreas to process the desired amount of insulin or due to the inability of the body to utilize the insulin. Type 1 diabetes, type 2 diabetes, and pregnancy-related diabetes are the three most common forms of diabetes. Type 1 diabetes is an autoimmune disease, which means that the body’s immune system attacks the cells in the pancreas that make insulin. This type of diabetes is rather common in children. Lifestyle factors like obesity, inactivity, and unhealthy eating habits have been linked to the development of type 2 diabetes. Type 2 diabetes is characterized by insulin resistance and can manifest at any age, though it is typically diagnosed in adults. Whereas gestational diabetes usually occurs during pregnancy and resolves after giving birth, Our focus for the presentation is type 2 diabetes.

The following statistics show the trends in diabetes among US citizens.

  • The National Diabetes Statistics report highlights the 11.3% diabetes ratio among US citizens, making up 37.3 million people.
  • Out of these, 28.7 million people are diagnosed with diabetes, including 28.5 million adults, while around 9 million are still undiagnosed (Center for Disease Control and Prevention, 2022).
  • American Indians and Alaska Natives have the highest prevalence of diabetes among adult populations (14.5%), followed by non-Hispanic blacks (12.1%), Hispanics (11.8%), Hispanic Asians (9.5%), and non-Hispanics (7.4%) (CDC, 2022).
  • Around 96 million people, aged 18 years or older are diagnosed with prediabetes, which is 38.0% of adults in the US (Julia, 2022).

Slide 3: 

Environmental Determinants. 

  • These environmental and epidemiological issues are significant determinants of the prevalence of diabetes type 2 in the US population.
  • The environmental determinants of diabetes were obesity, dietary habits, a lack of physical activity, a sedentary lifestyle, urbanization, and environmental toxins.
  • Sedentary lifestyle, excess calorie intake, and unhealthy dietary habits are among the leading determinants of diabetes type 2 among adults in the US, as they lead to insulin resistance in the body.
  • Studies have highlighted that lifestyle choices, food preferences, and lack of physical activity have a positive relationship with insulin resistance as the body gets used to the sedentary lifestyle and fails to cope with the toxicity (Li et al., 2022).
  • Similarly, lack of physical activity, urban lifestyle, and added stress factors also increase the risk of diabetes, as with modern lifestyles, people’s food preferences, timing, and habits have drastically changed.
  • Furthermore, environmental toxins such as beta-cell dysfunction are associated with the progression of diabetes (Bonini & Sargis, 2018).

Epidemiological determinants 

  • Diabetes is a global epidemic with a rapidly growing prevalence over the past few decades.
  • Similarly, age and gender factors also contribute to diabetes, as childhood obesity or all-sit-in working styles play a significant role in diabetes.
  • Low socioeconomic factors, lack of availability of healthy foods, and limited resources also contribute to diabetes type 2.
  • Comorbidity with other diseases and complications such as renal failure, heart disease, and blood pressure issues may also increase the risk of diabetes.

Slide 4 

Ethical Health Improvement Plan: Promoting a Healthy Lifestyle and Diabetes Prevention

 Goals

  • Diabetes Prevention Program
  • Healthy Lifestyle 
  • Incorporate physical activity.
  • Food preference awareness

Interventions 

  • Implementation of education and awareness campaigns to provide awareness regarding the disease, its life course, risk factors, and management to help people identify indicators of the problem and opt for early intervention
  • Offer help in diabetes management by providing medication adherence tips.
  • Nutritional improvement to help people understand the need to have a regulated diet
  • Constant monitoring of blood glucose levels
  • Encourage medication and lifestyle change adherence.
  • Encourage physical activities by including walking and other physical activities in your daily routine.
  • Incorporate telehealth technology for medication and health-related queries.
  • Constant monitoring and follow-up.

Outcomes

  • Increasing physical activity helps reduce body mass and unwanted fat.
  • Providing education regarding diabetes, food preferences, and lack of physical activity helps in managing the prevalence.
  • Increasing the health food alternatives in markets and stores
  • Regular monitoring, medication adherence, and follow-up routine checkups can help in the management of the diseases.
  • Provide better glycemic control.
  • reflect a positive impact on the social determinants of health.

Slide 5

Communication Strategies (Malikhao, 2020)

  • Cultural Competence Training Dividing training for a better team Communication on cultural competence and sensitivity can help provide a basic understanding of the culture and allow people from different cultures to respect the cultural norms, beliefs, and practices of the patients as well as their own diverse community staff members.
  • Clear communication objectives Having clear communication objectives, such as raising awareness or providing educational programs, can allow members of the divorce community to understand the objective of the program and address concerns like
  • Tailoring messages. Crafting messages that are culturally sensitive The background language and values of different community groups can provide a better communication medium to share information that is easily understood.

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

  • Two-way communication. Two-way communication can help in stating the expectations of the patient and the responsibilities of the stakeholders in a very clear manner that helps everyone to come on the same page and understand each other.
  • Incorporating linguistic and cultural sensitivity into communication Insurance that the information that is being provided is basically and culturally sensitive to particular community groups can allow the stakeholders to have a very open approach toward the health improvement plan.
  • Multiple mediums of communication. Utilizing multiple mediums of communication, such as language-specific newspapers, journals, and radios to tackle a specific community, can help spread the message and provide a better outcome for the health improvement plan
  • Addressing cultural sensitivity and cultural shocks For the success of any health improvement plan, it is important to address culturally sensitive topics and cultural shocks that may be present in the message that is being spread for the awareness of a disease. Therefore, it is important to be very conscious when addressing cultural sensitivity and culture shops so that the sentiments of people cannot be hurt.
  • Collaborative decision-making Including different stakeholders from divorce and exclusive community groups can allow a very collaborative approach toward the decision making that helps in providing better quality outcomes and helps in the success of the health improvement plans.
  • Cohesive and collaborative culture. Having a cohesive and collaborative culture within the organization can help the staff become familiar with different cultures and their celebrations and provide an opportunity to grow their knowledge and mindset.
  • Engaging community leaders. For the success of the health improvement plan, it is important to utilize community leaders that can help in the endorsement of the plan. The engagement of the community leader can help to increase the reliability and validity of the plant and ensure that people try to adhere to the plan.

Slide 6: 

Value and Relevance

  • The plan was based on evidence-based practices to promote quality of life while tackling the diseases in a culturally and ethnically appropriate way to encourage better health outcomes.
  • Studies have highlighted that a health improvement plan regarding diabetes is associated with lifestyle changes that include physical activity, mindful dietary habits, and avoiding a sedentary lifestyle (Mayo Clinic, 2022).
  • Also, other studies have highlighted that an integrated understanding of the facilitators and barriers of lifestyle changes is required by professionals and policymakers to acknowledge the specific psychological, social, and environmental needs of the population and incorporate them in diabetes management (Skoglund et al., 2022).
  • Having effective communication can help improve the outcomes of the health improvement plan.
  • Malikhao (2022) has suggested effective communication strategies that help foster cultural inclusivity and cohesiveness among the diverse population and help stakeholders provide quality care regardless of cultural and linguistic barriers.

Slide 7 

In conclusion, the aim of developing an ethical health improvement plan for diabetes type 2 was to establish a community with a reduced incidence of health issues and enhanced quality of life, with the key goal of encouraging training and awareness, diversity and community engagement, health lifestyle changes, and access to preventive care. While the communication strategies that were designed were based on effective and collaborative communication strategies such as two-way communication, cultural inclusivity and diversity, and technology integration such as using telehealth mediums. However, the aim is to provide a long-lasting commitment to healthcare quality improvement initiatives.

Reference 

Bonini, M. G., & Sargis, R. M. (2018). Environmental Toxicant Exposures and Type 2 Diabetes Mellitus: Two Interrelated Public Health Problems on the Rise. Current opinion in toxicology7, 52–59. https://doi.org/10.1016/j.cotox.2017.09.003

Center for Disease Control and Prevention. (2022). National diabetes statistics report. CDC. https://www.cdc.gov/diabetes/data/statistics-report/index.html

CDC. (2022). The Facts, Stats, and Impacts of Diabetes. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/library/spotlights/diabetes-facts-stats.html

Julia, N. (2022, November 30). Diabetes Statistics: Facts & Latest Data in the US (2023 Update). CFAH. https://cfah.org/diabetes-statistics/

Malikhao P. (2020). Health Communication: Approaches, Strategies, and Ways to Sustainability on Health or Health for All. Handbook of Communication for Development and Social Change, 1015–1037. https://doi.org/10.1007/978-981-15-2014-3_137

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Mayo Clinic. (2022, June 3). Diabetes management: How lifestyle, daily routine affect blood sugar. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-management/art-20047963

Li, D., Yang, Y., Gao, Z., Zhao, L., Yang, X., Xu, F., Yu, C., Zhang, X., Wang, X., Wang, L., & Su, J. (2022). Sedentary lifestyle and body composition in type 2 diabetes. Diabetology & Metabolic Syndrome14(1). https://doi.org/10.1186/s13098-021-00778-6

Scottish Government. (2021, February 25). Diabetes care – Diabetes improvement plan: commitments – 2021 to 2026. Www.gov.scot. https://www.gov.scot/publications/diabetes-improvement-plan-diabetes-care-scotland-commitments-2021-2026/pages/4/

Skoglund, G., Nilsson, B. B., Olsen, C. F., Bergland, A., & Hilde, G. (2022). Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies. BMC Public Health22(1). https://doi.org/10.1186/s12889-022-12885-8

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan