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NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

Student Name

Capella University

NURS-FPX 6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

Prof. Name

Date

Biopsychosocial Population Health Policy Proposal

As health care practitioners, we’re uniquely positioned to drive meaningful change in policy to improve patient outcomes. In this policy proposal, we focus on a specific issue within the African American community: Sickle Cell Disease (SCD). Although SCD affects millions worldwide, it disproportionately impacts those of African descent. In the United States, SCD is a leading cause of health disparity in the African American population. Given this, it is crucial to propose a comprehensive policy that enhances the diagnosis, care, and education surrounding SCD to ultimately improve the quality of care and health outcomes for this target population.

Policy: Comprehensive Sickle Cell Disease Management Program (CSDMP)

The proposed policy calls for a comprehensive approach to managing SCD in the African American community, focusing on early detection, integrated care, and community education. The CSDMP is expected to enhance early detection, prompt initiation of interventions, and improve patient outcomes, thus increasing the overall quality of healthcare provided (Andrews Adjei Druye et al., 2023).

  • Universal Newborn Screening: Recognizing that early diagnosis significantly improves SCD management, it is paramount to implement universal newborn screening for SCD. This initiative requires a synergistic partnership between healthcare providers, public health departments, and parents, ensuring that all newborns, particularly those of African American descent, are screened for SCD. The introduction of a legal mandate at the state or federal level, coupled with public awareness campaigns and adequate funding, will be critical to the success of this initiative (Archer et al., 2022).
  • Establishment of Interprofessional Teams: This policy emphasizes the establishment of interprofessional teams at each healthcare facility. These teams will comprise medical professionals from various disciplines, including physicians, nurses, genetic counselors, social workers, and psychologists. By integrating diverse professional perspectives, these teams can deliver holistic, patient-centered care, enhancing the quality of healthcare provided. Crucially, this approach aligns with the emerging trend in healthcare towards interprofessional collaboration, supported by extensive research demonstrating its effectiveness in improving patient outcomes (Ochiltree, 2022).

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

  • Continuous Care and Monitoring: As SCD is a chronic disease, continuous care and monitoring form a vital part of its effective management. The proposed policy recommends that interprofessional teams provide ongoing care and regular check-ups for SCD patients. These services should include prompt interventions during crises and comprehensive long-term management strategies, involving routine monitoring, anticipatory guidance, and patient-centered care planning. Additionally, the policy calls for the development of efficient care coordination systems and digital health tools to support remote monitoring and patient engagement (Badawy et al., 2021).
  • Genetic Counseling and Education: The policy emphasizes the importance of genetic counseling and education for SCD patients and their families. Genetic counselors, working with the interprofessional team, will provide information about SCD risks, complications, and management, as well as emotional support. The policy also proposes community-based initiatives to increase public understanding of SCD and promote health-conscious behaviors, thereby improving the quality of life for SCD patients and their families (Hankins et al., 2020).

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

Implementing the Comprehensive Sickle Cell Disease Management Program (CSDMP) might face several difficulties such as logistic and funding constraints, differences in professional viewpoints within interprofessional teams, and public misconceptions about SCD. To manage funding and logistic issues, strategic planning, sufficient funding allocation, and legal mandates at governmental levels are crucial, along with public awareness initiatives. Moreover, differences within interprofessional teams can be managed by fostering open communication and  conflict resolution strategies.

Public misconceptions about SCD, affecting genetic counseling, can be dispelled through comprehensive public education initiatives, ensuring an improved understanding of SCD. Furthermore, increasing the number of trained genetic counselors will provide effective genetic education. These strategies aim to mitigate potential obstacles in implementing the CSDMP, striving for improved outcomes and care quality for SCD in the African American community (Falasinnu et al., 2023). 

Advocating the Proposed Policy Considering Current Sickle Cell Disease 

The need for this proposed policy is underlined by the current inadequate outcomes and poor quality of care for SCD in the African American community, primarily attributable to late diagnosis, inadequate ongoing care, and lack of education and counseling services. Early diagnosis is a critical determinant of health outcomes in SCD, as immediate initiation of treatment and preventive interventions can significantly reduce morbidity and mortality associated with the disease (Hankins et al., 2020). 

However, in the absence of universal newborn screening, many SCD cases may go undetected until they present with severe complications. This situation underscores the urgent need for implementing a policy mandating universal newborn screening for SCD, with the goal of ensuring that every newborn, particularly those of African American descent, receives timely diagnosis and early interventions. This approach is supported by numerous studies demonstrating the effectiveness of newborn screening in improving health outcomes in SCD (Archer et al., 2022).

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

The provision of holistic, patient-centered care is a key element of high-quality healthcare, and yet, it is often lacking in the current management of SCD. Interprofessional teams, by bringing together healthcare providers from various disciplines, can ensure comprehensive care that addresses not only the physical but also the emotional and psychosocial aspects of SCD. Therefore, the proposed policy emphasizes the need for the establishment of interprofessional teams at each healthcare facility, a measure that aligns with the contemporary trend in healthcare towards interprofessional collaboration (Ochiltree, 2022).

Effective management of SCD requires continuous care and regular monitoring, aimed at reducing complications and enhancing quality of life. However, gaps in care coordination and lack of resources often result in fragmented care and suboptimal health outcomes for SCD patients. The proposed policy, by advocating for continuous care and monitoring by interprofessional teams, seeks to address this issue, potentially leading to improved disease management and increased life expectancy (Badawy et al., 2021).

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

Lack of accurate knowledge and awareness about SCD often hampers self-management, treatment adherence, and health-seeking behaviors among patients and their families, contributing to poor health outcomes (Zaidman et al., 2022). By advocating for the provision of genetic counseling and education services, the proposed policy aims to empower patients and their families with the necessary knowledge and skills to effectively manage SCD. This measure aligns with the principles of patient-centered care and shared decision-making, recognized as key drivers of high-quality healthcare (National Academies of Sciences et al., 2020).

Analysis of Interprofessional Approach Impact in Policy Implementation and Quality Outcomes

Interprofessional collaboration is a key factor in achieving high-quality outcomes in healthcare, especially in managing complex conditions like Sickle Cell Disease (SCD). The proposed policy strongly advocates for an interprofessional approach, recognizing its potential to enhance the efficiency and effectiveness of care delivery (Ochiltree, 2022).

The Role of Interprofessional Teams: The formation of interprofessional teams in the management of SCD promises a holistic approach to patient care. It amalgamates the unique skills and knowledge of diverse healthcare professionals, such as doctors, nurses, genetic counselors, social workers, and psychologists. This interdisciplinary collaboration results in comprehensive care plans tailored to the needs of the individual, leading to improved patient outcomes and satisfaction (Badawy et al., 2021).

Enhanced Communication and Coordination: An interprofessional approach fosters better communication and coordination among care providers. Each professional brings a unique perspective to the team, helping to formulate a more rounded understanding of the patient’s condition and the most effective ways to manage it. This coordination reduces potential errors, duplication of services, and gaps in care, which can lead to improved patient safety and quality of care (National Academies of Sciences et al., 2020).

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

Efficient Resource Allocation: Interprofessional teams can effectively strategize the allocation of healthcare resources, ensuring that SCD patients receive the necessary care at the right time. This method not only reduces unnecessary costs but also ensures that resources are optimally used to improve patient outcomes (Etges et al., 2020).

Patient Education and Counseling: A key aspect of the proposed policy is genetic counseling and education, a task well suited to an interprofessional approach. Genetic counselors, in conjunction with nurses and other team members, can provide comprehensive education to SCD patients and their families. This empowers patients and fosters self-management, leading to better treatment adherence, disease understanding, and overall outcomes (Hankins et al., 2020).

Continuous Care and Monitoring: Implementing an interprofessional approach ensures continuous monitoring and care, essential in managing a lifelong condition like SCD. Regular checks by an integrated team of professionals reduce the risk of complications and crisis episodes, thus improving the quality of life for SCD patients (National Academies of Sciences et al., 2020).

Conclusion

In conclusion, this policy proposes comprehensive measures to enhance Sickle Cell Disease outcomes within the African American community. The approach advocates for universal newborn screening, continuous interprofessional care, and comprehensive education. It is anticipated that this policy will not only improve current health outcomes but also demonstrate our commitment to health equity and the power of collaborative efforts in achieving high-quality outcomes. The implementation of this policy represents a crucial step towards a more equitable healthcare system.

References

Andrews Adjei Druye, Nelson, K., & Robinson, B. (2023). Self-management for sickle cell disease among patients and parents: A qualitative study. Chronic Illness, 174239532311727-174239532311727. https://doi.org/10.1177/17423953231172797 

Archer, N. M., Inusa, B., Makani, J., Nkya, S., Tshilolo, L., Tubman, V. N., McGann, P. T., Ambrose, E. E., Henrich, N., Spector, J., & Ohene-Frempong, K. (2022). Enablers and barriers to newborn screening for sickle cell disease in Africa: Results from a qualitative study involving programmes in six countries. BMJ Open12(3), e057623. https://doi.org/10.1136/bmjopen-2021-057623 

Badawy, S. M., Abebe, K. Z., Reichman, C. A., Checo, G., Hamm, M. E., Stinson, J., Lalloo, C., Carroll, P., Saraf, S. L., Gordeuk, V. R., Desai, P., Shah, N., Liles, D., Trimnell, C., & Jonassaint, C. R. (2021). Comparing the effectiveness of education versus digital cognitive behavioral therapy for adults with sickle cell disease: Protocol for the cognitive behavioral therapy and real-time pain management intervention for sickle cell via mobile applications (CaRISMA) Study. JMIR Research Protocols10(5), e29014. https://doi.org/10.2196/29014 

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

Etges, A. P. B. da S., Ruschel, K. B., Polanczyk, C. A., & Urman, R. D. (2020). Advances in value-based healthcare by the application of time-driven activity-based costing for inpatient management: A systematic review. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research23(6), 812–823. https://doi.org/10.1016/j.jval.2020.02.004 

Falasinnu, T., Bao, G., Brady, T. J., Lim, S. S., & Drenkard, C. (2023). Factors associated with the initiation and retention of patients with lupus in the chronic disease self‐management program. Arthritis care & research, 75(3), 519-528.

https://doi.org/10.1002/acr.24811

Hankins, J. S., Shah, N., DiMartino, L., Brambilla, D., Fernandez, M. E., Gibson, R. W., Gordeuk, V. R., Lottenberg, R., Kutlar, A., Melvin, C., Simon, J., Wun, T., Treadwell, M., Calhoun, C., Baumann, A., Potter, M. B., Klesges, L., & Bosworth, H. (2020). Integration of mobile health into sickle cell disease care to increase Hydroxyurea utilization: Protocol for an Efficacy and Implementation Study. JMIR Research Protocols9(7), e16319. https://doi.org/10.2196/16319 

National Academies of Sciences, E., Division, H. and M., Practice, B. on P. H. and P. H., Action, C. on A. S. C. D. A. S. P. and B. for, Martinez, R. M., Osei-Anto, H. A., & McCormick, M. (2020). Community engagement and patient advocacy. In www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK566476/ 

Ochiltree, A. (2022). The role of child life specialists in transitioning patients with sickle cell disease from pediatric care to adult management. LSU Master’s Theseshttps://doi.org/10.31390/gradschool_theses.5548 

Zaidman, E. A., Scott, K. M., Hahn, D., Bennett, P., & Caldwell, P. H. (2022). Impact of parental health literacy on the health outcomes of children with chronic disease globally: A systematic review. Journal of Paediatrics and Child Healthhttps://doi.org/10.1111/jpc.16297 

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal