Advocating for the Nursing Role in Program Design and Implementation

Program Design and Implementation

 

Program Design and Implementation

Nurses play a critical role in the promotion of equity in healthcare. They explore interventions that can

be implemented to address disparities in access to and utilization of the available healthcare services. Nurses also lead the implementation of health programs that address the critical and potential health needs of the diverse populations. Therefore, this paper is an exploration of a healthcare program in my area of practice from an interview that was conducted.

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

Answer: A healthcare program within my practice is the Montefiore Einstein Cardiac Wellness Program. Montefiore Einstein Cardiac Wellness Program is an initiative that Robert Ostfeld and Lauren Grat developed to improve the health and wellbeing of patients with heart disease. The program advocates the utilization of lifestyle and behavioral interventions to reverse and prevent the development of heart disease. The primary interventions that are utilized in the program include plant-based and whole-food diet to reverse and prevent cardiovascular disorders. The participants are encouraged to embrace diets that are free from animal products. The diets comprise of whole grains, legumes, fruits, and vegetables. The effectiveness of this program is that it facilitates weight loss as well as prevention of cardiovascular conditions and risk factors such as obesity, hypertension, and arteriosclerosis (Montefio

re, n.d.). The costs of the Montefiore Einstein Cardiac Wellness Program are not provided. However, some of the projected outcomes that I know about the program include the reduction in the risk of disease progression in patients with heart disease and prevention of cardiovascular disorders in the overal

l population.

Question: Who is your target population?

Answer: The target population for Montefiore Einstein Cardiac Wellness Program is mainly on individuals who have been diagnosed with cardiovascular problems such as heart disease. It also comprises of individuals who are at a high risk of developing cardiovascular health problems. Any other person that is interested in living a healthy lifestyle can also benefit from the program (Montefiore, n.d.).

Question: What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

Answer: I believe that nurses play critical roles in providing inputs on the Montefiore Einstein Cardiac Wellness Program. Firstly, nurses can assist in the development of appropriate interventions for obtaining participants for the program. For example, nurses can provide input on the use of interventions such as health educational campaigns to create awareness among the population on the existence of the program. Nurses can also assist in developing the goals that must be achieved by the program. I have learned from my experience that goal development entails ensuring that the program addresses the critical needs of the target population. An example of the ways in which nurses can assist in goal development is ensuring that the goals align with the outcomes of the program. The other example is nurses comparing the proposed interventions with the objectives to determine any need for a revision or change in strategies or objectives. Nurses also ensure that the needs of the target populations are prioritized in the design of the healthcare program. Nurses utilize information from needs assessment to determine the actual needs of the target populations and the ways in which they can be addressed in the program. Lastly, nurses provide inputs on the resources needed for the successful design and implementation of the program. For instance, they provide information about materials and human resources that are required for the successful implementation of the program (Fulton & Holly, 2021). Therefore, nurses are critical in the design of the program.

Question: 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?

I play a number of roles as an advocate for the target populations in the Montefiore Einstein Cardiac Wellness Program. One of the roles is health education. I provide the populations with and at risk of heart attack health education on the importance of the program in promoting their health and wellbeing. I also educate them about the benefits of lifestyle and behavioral change to minimize cardiovascular risks. My other role as an advocate entails ensuring the protection of the rights of those with and at risk of cardiovascular health problems. I ensure that the right of the target population to safe, high quality and efficient care is protected. I also ensure that barriers to care for the population are addressed. I also play the role of linking them with the available resources in the community. I explore the available resources such as social support groups for people with cardiovascular problems to ensure that they cope with their health problems. I have input in the design decisions. I provide my inputs on the resources, goals, objectives and strategies that are needed to address the needs of those with cardiovascular problems (Stanhope & Lancaster, 2019).

Question: 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?

Answers: I believe that nurses play several roles in the implementation of healthcare programs. One of the roles is the actual implementation of the program. Nurses work with other program stakeholders in implementing program interventions. Nurses also manage change. They ensure that interventions such as active stakeholder participation are utilized to manage resistance to change (Banerjee et al., 2017). Nurses also act as mentors and supervisors in the implementation process. They provide the adopters of a program with the needed guidance for the successful implementation of a program. The roles of nurses in program design vary from those of implementation. The design phase entails the development of strategies, resources and objectives of the program. The implementation phase entails the use of resources to achieve the project objectives (Beeber et al., 2019). An example is the use of resources such as skilled workforce from the design phase in the implementation phase to achieve project outcomes.

Question: Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Answer: The healthcare team that is needed to implement the Montefiore Einstein Cardiac Wellness Program includes community nurses and dieticians. The team members such as community nurses will recruit participants for the program while dieticians assist in dietary education to the target audience.

Conclusion

In summary, the Montefiore Einstein Cardiac Wellness Program is an effective program that contributes to the health and wellbeing of patients with cardiovascular problems. Nurses can play critical roles in the design and implementation of the program. The successful implementation of the program may require inputs from additional healthcare stakeholders. Therefore, nurses should explore the different ways in which they can play a proactive role in program design, implementation, monitoring, and evaluation.

 

 

References

Banerjee, S. C., Manna, R., Coyle, N., Penn, S., Gallegos, T. E., Zaider, T., Krueger, C. A., Bialer, P. A., Bylund, C. L., & Parker, P. A. (2017). The implementation and evaluation of a communication skills training program for oncology nurses. Translational Behavioral Medicine, 7(3), 615–623. https://doi.org/10.1007/s13142-017-0473-5

Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354–364. https://doi.org/10.1016/j.outlook.2019.02.006

Fulton, J. S., & Holly, V. W. (2021). Clinical Nurse Specialist Role and Practice: An International Perspective. Springer Nature.

Montefiore. (n.d.). Cardiac Wellness Program—New York—Montefiore Medical Center. Retrieved July 10, 2021, from https://www.montefiore.org/cardiacwellnessprogram

Stanhope, M., & Lancaster, J. (2019). Public Health Nursing E-Book: Population-Centered Health Care in the Community. Elsevier Health Sciences.

• Grid View

		Excellent	Good	Fair	Poor
Main Posting		45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.   Supported by at least three current, credible sources.   Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	40 (40%) – 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.   At least 75% of post has exceptional depth and breadth.   Supported by at least three credible sources.   Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	35 (35%) – 39 (39%) Responds to some of the discussion question(s).   One or two criteria are not addressed or are superficially addressed.   Is somewhat lacking reflection and critical analysis and synthesis.   Somewhat represents knowledge gained from the course readings for the module.   Post is cited with two credible sources.   Written somewhat concisely; may contain more than two spelling or grammatical errors.   Contains some APA formatting errors.	0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately.   Lacks depth or superficially addresses criteria.   Lacks reflection and critical analysis and synthesis.   Does not represent knowledge gained from the course readings for the module.   Contains only one or no credible sources.   Not written clearly or concisely.   Contains more than two spelling or grammatical errors.   Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness		10 (10%) – 10 (10%) Posts main post by day 3.	0 (0%) – 0 (0%)	0 (0%) – 0 (0%)	0 (0%) – 0 (0%) Does not post by day 3.
First Response		17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings.   Responds fully to questions posed by faculty.   Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.   Demonstrates synthesis and understanding of learning objectives.   Communication is professional and respectful to colleagues.   Responses to faculty questions are fully answered, if posed.   Response is effectively written in standard, edited English.	15 (15%) – 16 (16%) Response exhibits critical thinking and application to practice settings.   Communication is professional and respectful to colleagues.   Responses to faculty questions are answered, if posed.   Provides clear, concise opinions and ideas that are supported by two or more credible sources.   Response is effectively written in standard, edited English.	13 (13%) – 14 (14%) Response is on topic and may have some depth.   Responses posted in the discussion may lack effective professional communication.   Responses to faculty questions are somewhat answered, if posed.   Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	0 (0%) – 12 (12%) Response may not be on topic and lacks depth.   Responses posted in the discussion lack effective professional communication.   Responses to faculty questions are missing.   No credible sources are cited.
Second Response		16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings.   Responds fully to questions posed by faculty.   Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.   Demonstrates synthesis and understanding of learning objectives.   Communication is professional and respectful to colleagues.   Responses to faculty questions are fully answered, if posed.   Response is effectively written in standard, edited English.	14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings.   Communication is professional and respectful to colleagues.   Responses to faculty questions are answered, if posed.   Provides clear, concise opinions and ideas that are supported by two or more credible sources.   Response is effectively written in standard, edited English.	12 (12%) – 13 (13%) Response is on topic and may have some depth.   Responses posted in the discussion may lack effective professional communication.   Responses to faculty questions are somewhat answered, if posed.   Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	0 (0%) – 11 (11%) Response may not be on topic and lacks depth.   Responses posted in the discussion lack effective professional communication.   Responses to faculty questions are missing.   No credible sources are cited.
Participation		5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days.	0 (0%) – 0 (0%)	0 (0%) – 0 (0%)	0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days.
Total Points: 100

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Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource