Advocating For the Nursing Role in Program Design Assignment

1. Tell us about a healthcare program within your practice. What are the costs and projected outcomes of this program?

Thank you for having me. One of the healthcare programs we have been working on is a community-based diabetes management program. This program aims to provide education, support, and resources to individuals with diabetes to improve their self-management skills and overall health outcomes. The costs involve funding for educational materials, outreach efforts, and organizing group sessions, which cost approximately $50,000 annually. Our projected outcomes include a reduction in HbA1c levels, increased patient adherence to treatment plans, and decreased diabetes-related hospital admissions by 20% within the first year of implementation. The anticipation is for long-term benefits in terms of improved quality of life for participants, reduced healthcare costs associated with diabetes complications, and increased community awareness of diabetes prevention and management strategies. Advocating For the Nursing Role in Program Design Assignment

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2. Who is your target population?

The target population primarily includes adults with type 2 diabetes in our community. Identified individuals may have difficulty accessing comprehensive diabetes management resources due to financial constraints or limited healthcare facilities in their area. We focus on reaching out to underserved populations and minority groups within our community to address health disparities and promote equitable healthcare access for all individuals with diabetes.

3. What is the nurse’s role in providing input for the design of this healthcare program? Can you provide examples? Advocating For the Nursing Role in Program Design Assignment

Nurses play a crucial role in the design of this healthcare program. As front-line healthcare providers, we have first-hand experience caring for patients with diabetes and understanding their needs (Sacristán & Dilla, 2015). During the program’s design phase, we actively participate in multidisciplinary team meetings, providing insights on patient education materials, session content, and potential program implementation challenges. For example, we advocated including culturally relevant resources to cater to our diverse community, ensuring the program’s effectiveness for all participants. Nurses collaborate with community focus groups to gather input on program preferences and identify strategies to overcome language barriers and improve health literacy. Advocating For the Nursing Role in Program Design Assignment

4. 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?

Advocacy is a vital aspect of nursing, especially in program development. According to Milstead and Short (2019), as an advocate for the target population, I ensure that the program is designed with their unique needs and challenges in mind. This means voicing concerns about potential barriers to access or participation and suggesting practical solutions (Milstead & Short, 2019). I have direct input into design decisions through regular meetings with the program’s planning committee, where I can present data and share patient perspectives. I collaborate with community leaders and organizations to raise awareness about the program and garner support, ultimately influencing its design to align with the community’s requirements. I actively engage in evidence-based practice research to identify innovative approaches to diabetes management and integrate cutting-edge technologies and tools into the program design to enhance patient outcomes. Advocating For the Nursing Role in Program Design Assignment

5. What is the role of the nurse in healthcare program implementation? How does this role vary between the design and implementation of healthcare programs? Can you provide examples?

In healthcare program implementation, nurses serve as hands-on facilitators and coordinators. During this phase, nurses engage directly with the participants, conduct educational sessions, and provide ongoing support (American Nurses Association, 2021). The roles shift from curators in the design process to agents in delivering care. For example, during the diabetes management program implementation, we work closely with participants to teach them about blood glucose monitoring, medication management, and lifestyle modifications. Nurses are also responsible for tracking patient progress and making necessary adjustments to the program to ensure its effectiveness (American Nurses Association, 2021). Nurses act as patient advocates during implementation, ensuring participants receive individualized care plans tailored to their unique health needs and preferences. They also continuously communicate with other healthcare team members to ensure coordinated and patient-centered care. Advocating For the Nursing Role in Program Design Assignment

6. Who are the member’s healthcare team members believe are most needed to implement a program? Can you explain why?

A thriving healthcare program requires a diverse and collaborative team. The program needs physicians who can provide medical oversight, prescribe medications, and address complex medical issues. Dietitians are essential for offering personalized nutrition plans, which are crucial for diabetes management. Social workers play a vital role in addressing the psychosocial needs of patients and assisting with potential socioeconomic barriers. Community health workers are valuable assets as they deeply understand the culture and can establish trustful relationships with participants, enhancing program engagement and outcomes (Sacristán & Dilla, 2015). Collaborating with pharmacists ensures proper medication management and adherence support. At the same time, IT specialists and data analysts facilitate collecting and analyzing program metrics to measure its effectiveness and identify areas for improvement (Sacristán & Dilla, 2015). Engaging with patient representatives and community advisory boards ensures that the program remains patient-centered and aligns with the community’s priorities and preferences. Advocating For the Nursing Role in Program Design Assignment

References

American Nurses Association. (2021). Nursing advocacy. American Nurses Association. https://www.nursingworld.org/practice-policy/advocacy/

Milstead, J. A., & Short, N. M. (2019). Health Policy and Politics: A Nurse’s Guide: A Nurse’s Guide. Jones & Bartlett Learning. https://books.google.com/books?hl=en&lr=&id=P8E6DwAAQBAJ&oi=fnd&pg=PP1&dq=Health+Policy+and+Politics:+A+Nurse%27s+Guide+6th+Edition&ots=kiqEfV5pMR&sig=f4lqSfC7HQ_WlBqR_XSHJGpqoAw

Sacristán, J. A., & Dilla, T. (2015). No big data without small data: learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017. Advocating For the Nursing Role in Program Design Assignment

To Prepare:

Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
Select a healthcare program within your practice and consider the design and implementation of this program.
Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. Advocating For the Nursing Role in Program Design Assignment

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

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Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
Who is your target population?
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
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?
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? Advocating For the Nursing Role in Program Design Assignment

Resources:
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.
Chapter 5, “Public Policy Design” (pp. 87–95 only)
Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)
Chapter 9, “Interprofessional Practice” (pp. 152–160 only)
Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)
American Nurses Association (ANA). (n.d.). AdvocacyLinks to an external site.. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/
Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementationLinks to an external site.. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf
Congress.govLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementationLinks to an external site.. Academy of Management Review, 21(4), 1055–1080.
Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patientLinks to an external site.. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017.
Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretionLinks to an external site.. Public Management Review, 16(4), 527–547. Advocating For the Nursing Role in Program Design Assignment