Tell us about a healthcare program, within your practice.
My facility has adopted a healthcare program that focuses on addressing the issues that face diabetic patients in the surrounding community, such as lack of literacy about the disease. The facility will conduct a community outreach at least once a week for about 10 hours to educate individuals on how they can prevent the risks of developing the disease that is commonly caused by a lack of exercise and consumption of great amounts of dietary fats. The facility will hold diabetes educational programs at various locations, such as churches, nursing homes, and schools. The facility will also advocate for the need of diabetic patients in the community to gain access to health resources, such as health insurance and sufficient health providers. The facility is based in a rural community that comprises groups that are at risk of developing type II diabetes, including older adults and individuals of Alaskan Native, American Indian, African American, Hispanic, and Asian descent.
What are the costs and projected outcomes of this program?
The projected cost for implementing the program will be approximately $70,000 in the first year of operation. The expenses will be associated with wage pays for the nurses who will be involved in educating the community about diabetes and how to prevent it, printing fliers that entail information related to diabetes, and transportation of the nurses from one area to another within the community, among other tasks. The targeted outcomes of this program are to reduce the incidence of diabetes within the community and ensure that individuals adopt positive eating habits, such as consumption of fewer amounts of dietary fats.
What is your target population?
The target population for this program is the groups that are at risk of diabetes in the surrounding community. The individuals who will be largely targeted are the African Americans, Asians, American Indians, Hispanics, and Alaskan Natives who are believed to be 2 to 5 times likely to develop diabetes compared to the Whites (“Diabetes,” n.d.). The other population that will be targeted in the program will include older adults.
What is the role of the nurse in providing input for the design of this healthcare Program? Can you provide examples?
In the initial design of this healthcare program, nurses will conduct discussions with diabetic individuals in the surrounding community and identify the population that is at great risk. Besides, the nurses will assess some of the challenges that diabetic individuals face in the surrounding community. From the nurses’ feedback, diabetic individuals within the community face challenges related to lack of literacy about the disease and shortage of physicians and health providers.
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?
As an advocate for the population through this healthcare program, I look forward to ensuring that the diabetic patients in the surrounding rural community gain access to proper healthcare resources. I will advocate for the need for diabetic patients to gain access to health insurance to cover their medical appointments, medications, and diabetic supplies. I will also advocate for the need of the various levels of government to allocate more physicians and providers to the community’s health settings as diabetic patients are already being adversely affected by a shortage of healthcare workforce in the area. The shortage of health workforce in the community makes it difficult for diabetic patients to access better health services.
The initial design of the program involved me collaborating with the nurses who had identified the health gaps that exist within the surrounding community to come up with effective solutions on how to address such gaps. Due to effective collaboration and teamwork, we settled on the decision that addressing the health gaps in the community would require adopting educational programs to educate the neighboring population about diabetes, its risks, and how it can be prevented. As a healthcare team, we also reached a decision that advocating for the needs of diabetic patients would be important in helping to address health gaps in the community.
I will also impact the design of the healthcare program by assigning the nurses to different roles. Some of the roles that the nurses will be assigned will include educator and advocacy roles. Nurse educators will help in educating members of the community about diabetes and how it can be prevented (Salminen et al., 2013). Those who will assume the advocacy role will be required to influence the development of public health policies to ensure that the needs of the surrounding community are effectively addressed.
What is the role of the nurse in healthcare program implementation?
Nurses will fill different roles in the program’s implementation, including advocacy and educator roles. By assuming these roles, nurses will help to address various health issues that the diabetic patients in the surrounding community face.
How does this role vary between the design and implementation of healthcare programs? Can you provide examples?
During the initial design of the healthcare program, the nurses were not assigned to the educator and advocacy. Rather, they were tasked with the responsibility to interview the surrounding population to identify the groups at risk of diabetes and the health challenges that diabetic patients face in the community. In the implementation stage, the nurses will be required to assume advocacy and educator roles. By assuming these roles, they will help to educate the surrounding population about diabetes and help to advocate for their health needs to be addressed through public policy formulation.
Who are the members of a healthcare team that you believe is most needed to implement a program? Can you explain why?
Nurses are the most needed health professionals during the implementation of a healthcare program. Nurses play a crucial role by providing a link between patients and health providers (Tzeng, 2011). Tzeng (2011) contends that nurses possess effective communication skills that are useful in the coordination of care between patients and physicians or other health providers. In the case of implementation of the diabetes program, they helped to identify the health challenges that diabetic patients face in the surrounding community and came up with solutions on the issues that could be addressed.
Diabetes. (n.d.). Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes
Salminen, L., Metsämäki, R., Numminen, O. H., & Leino-Kilpi, H. (2013). Nurse educators and professional ethics—Ethical principles and their implementation from nurse educators’ perspectives. Nurse Education Today, 33(2), 133-137. https://doi.org/10.1016/j.nedt.2011.11.013
Tzeng, H. (2011). Nurses Caring Attitude: Fall Prevention Program Implementation as an Example of Its Importance. Nursing Forum, 46(3), 137-145. https://doi.org/10.1111/j.1744-6198.2011.00222.x