Advocating for the Nursing Role in Program Design and Implementation
The nurses here work to improve hypertension (HTN) care by focusing on prevention and treatment through education, diet, medication, and physical activity. Large numbers of Hispanic and African American residents, who are at increased risk of developing HTN, live in the area immediately around the facility’s ethnicity, regional cuisine, and other local influences.
Many studies and trends in hypertension diagnoses show that African American men and women are more likely to be diagnosed with hypertension than Caucasian men and women living in the same area (Buchanan et al., 2020). Volunteers will travel around the community twice a month for a period of two to four hours at a time to various locations (churches, schools, etc.) in order to screen citizens for hypertension and refer them to a clinic that provides treatment for the illness at no cost or at a reduced cost.
The guide to monitor incidences of hypertension also includes recipes that use healthier alternatives to common items and advice on cutting down on salt intake. This sum also covers the initial purchase of marketing materials, two sets of manual blood pressure cuffs, two stethoscopes, and the salary of two nurses to conduct these screenings over the course of a year. Reduced hypertensive emergency room visits, improved adherence to hypertension treatment, and reduced cardiovascular disease risk are all goals of this initiative.
Programs similar to this may be found in communities throughout the country, and they have resulted in beneficial patient outcomes, including a large drop in uncontrolled hypertension, positive changes in lifestyle, and a reduction in risk factors for cardiovascular illnesses.
We employed a multi-stage random sampling technique to find out the intended population. After taking blood samples from each person who had finished all of the essential steps on the checklist, the following biomarkers were measured: fasting blood sugar, serum creatinine, high-density lipoproteins, total cholesterol, hemoglobin, triglycerides, and low-density lipoproteins. Participants’ height, weight, and blood pressure were all measured in accordance with established standards.
Role of the Nurse in Providing Input for the Design of this Healthcare Program
The nurse’s perspective is vitally important to the development of any healthcare program. Due to their constant interaction with patients, nurses learn more about their requirements than any other medical professional. Nurses, for instance, spend a disproportionate amount of time with young adults and adolescents hospitalized due to tobacco-related disorders.
In contrast, during therapies, diagnoses, treatments, and consultations, doctors and nurses only engage with patients for short periods (Sensmeier et al., 2019). For the healthcare program to adequately meet the needs of the people it is intended to serve, nurses should contribute to its structure. Tobacco users, for instance, may benefit from nurses’ suggestions regarding the structure of healthcare programs aimed at this population.
Individual Role as an Advocate for your Target Population for this Healthcare Program
Registered nurses can play an integral role in setting and maintaining project priorities during a hospital’s design and construction phases. We are cognizant of administrative, clinical, and quality concerns. Nurses’ insight can be invaluable when making tough value engineering decisions. They will assist the leadership in determining the clinical priorities and in understanding what the staff can go without and what they absolutely need (Turale & Kunaviktikul, 2019).
As a nurse, it is my responsibility to advocate for the coverage needs of minors and young adults who use tobacco products under this policy. My role is to care for hospitalized adolescents and young adults exposed to tobacco products. As I spend more time with patients than any of the other doctors and nurses in the hospital, I can better address their needs.
Role of the Nurse in Healthcare Program Implementation
Nurses are often left out of the decision-making process during the design phase of new healthcare facilities. As a result, teams working on projects can produce designs that affect the quality of nursing. Despite the evidence showing the importance of nurses at the bedside, the trend toward entirely decentralized nurse stations in many hospitals has reduced the number of opportunities for nurses to work together and share their expertise with less seasoned coworkers (Rosa et al., 2019).
In order to assess patients’ health needs and create treatment plans, nurses frequently play the role of front-line healthcare practitioners. To create and carry out healthcare programs that are tailored to the requirements of particular populations or areas, they may collaborate with other healthcare professionals like doctors, social workers, and public health officials.
How the Role vary between the Design and Implementation of Healthcare Programs
Although decentralized nursing stations on patient units are desirable things, they have been deployed in a very restrictive way. We did not get the greatest possible result from that design because the workflow processes were not adequately analyzed. An example derived from this was the design of the acuity-adaptable patient room. To assist patients in quitting smoking, my clinic currently offers healthcare workshops.
The biggest cost for the healthcare provider will be the salary of the trainers they hire to spread awareness about the dangers of smoking (Miller et al., 2020). Printing educational materials like banners and posters also requires cash from the hospital. The budget also includes the cost of a projector and other educational resources. This health promotion effort aims to reduce youth tobacco use in the neighborhood.
Nursing responsibilities shift as new healthcare initiatives are developed and put into action. The nurse’s design responsibilities include coming up with the best solution to a problem in the healthcare system. On the other hand, the role of the nurse in the implementation of healthcare programs entails incorporating the needs of the suggested design, such as size and scope, into clinical practices to enhance the standard of care provided to patients and develop the nursing profession (Hudson et al., 2019).
A nurse, for example, may offer recommendations regarding the size, scope, scalability, and sustainability of the design of a healthcare program. One example of nurses’ role in the implementation of healthcare programs is the adoption of the specified design requirements into clinical practices.
Healthcare Team Members most needed to Implement a Program.
When implementing a program, I think nurses are the most crucial team members. Nurses spend the most time directly caring for patients, even though doctors and other medical professionals are often engaged in making diagnoses and treating patients who appear with a variety of symptoms (Hudson et al., 2019). Hence, if the nurses implement a healthcare program, it is likely to achieve the desired results. They frequently perform needs assessments, create treatment plans, and educate and counsel patients and their families. Nurses also work with other healthcare providers to ensure that care is coordinated and patient centered.
Buchanan, C., Howitt, M. L., Wilson, R., Booth, R. G., Risling, T., & Bamford, M. (2020). Predicted influences of artificial intelligence on the domains of nursing: a scoping review. JMIR Nursing, 3(1), e23939. doi:10.2196/23939
Hudson, B., Hunter, D., & Peckham, S. (2019). Policy failure and the policy-implementation gap: can policy support programs help? Policy Design and Practice, 2(1), 1–14. https://doi.org/10.1080/25741292.2018.1540378
Miller, C. J., Smith, S. N., & Pugatch, M. (2020). Experimental and quasi-experimental designs in implementation research. Psychiatry Research, 283, 112452. https://doi.org/10.1016/j.psychres.2019.06.027
Rosa, W. E., Kurth, A. E., Sullivan-Marx, E., Shamian, J., Shaw, H. K., Wilson, L. L., & Crisp, N. (2019). Nursing and midwifery advocacy to lead the United Nations Sustainable Development Agenda. Nursing Outlook, 67(6), 628–641. https://doi.org/10.1016/j.outlook.2019.06.013
Sensmeier, J., Androwich, I., Baernholdt, M., Carroll, W., Fields, W., Fong, V., & Rajwany, N. (2019). The value of nursing care through the use of a unique nurse identifier. Online Journal of Nursing Informatics (OJNI), 23(2). http://www.himss.org/ojni
Turale, S., & Kunaviktikul, W. (2019). The contribution of nurses to health policy and advocacy requires leaders to provide training and mentorship. International Nursing Review, 66(3), 302-304. https://doi.org/10.1111/inr.12550
Advocating for the Nursing Role in Program Design and Implementation Instructions
In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:
EXAMPLES OF HEALTHCARE PROGRAMS: EPIC, HCHB (Home Care Nome Base)
- 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?