NR 506 Week 7: Policymaker Visit Electronic Presentation

NR 506 Week 7: Policymaker Visit Electronic Presentation

NR 506 Week 7: Policymaker Visit Electronic Presentation

Purpose

The purpose of this assignment is to: (a) identify and reflect upon key concepts related to your policymaker visit; (b) provide empirical evidence to support new insights gained regarding your policy issue and the policy making process; and (c) present ideas in a clear, succinct, and scholarly manner.

Course Outcomes

CO 1: Employ strategies to impact the development, implementation, and consequences of holistic-focused healthcare policies using evidence-based practice principles. (PO 1)

CO 2: Communicate with decision-makers to advocate for effective policies that impact nurses and nursing, consumers, or the healthcare system to foster population health including quality and safety. (PO 2)

CO 3: Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nurse in fostering policy within diverse healthcare settings. (PO 3)

CO 4: Analyze social, historical, ethical, and political contexts of healthcare policies while integrating professional values to impact population health. (PO 4)

CO 5: Advocate for institutional, local, national, and international policies that fosters person-centered healthcare and nursing practice. (PO 5)

Due Date:  Sunday 11:59 p.m. MT at the end of Week 7

Total Points: 275 points

Requirements

Assignment Criteria for Presentation

1. Describe your visit/presentation, including any PowerPoint presentation materials that you utilized during your policymaker visit. Limit these slides to five slides in this project (of the 15 total slides). This includes any handouts that you left with the policymaker.
2. Discuss the response of the policymaker to your message/ask/recommendation(s).
3. Reflect on the process, follow-up plans, insights gained about the issue and process, and support with evidence.
4. Describe possible future opportunities as a result of this meeting and their importance to nursing.
5. Provide concluding statements summarizing the content.
6. Develop a 15-slide PowerPoint presentation with speaker notes in APA format, not including title and reference slides. Write speaker notes sufficient enough to enable someone to take over or give the presentation other than you.

Preparing the Presentation

After completing Policymaker Visit Ungraded Worksheet 3, develop an electronic presentation to describe, analyze, and reflect upon your policymaking visit. Include 5 slides from the PowerPoint presentation that you would have used during an actual policymaker visit. Include a minimum of five (5) classic or current references within the past 5 years that specifically support insights gained regarding your policy issue and the policymaking process.

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Theories offer a foundation for all professions, and healthcare theories offer the same foundation for nursing students and professionals. Nursing theories help guide and define nursing practice and provide a foundation for clinical decision-making.

The following presentation discusses a theoretical model relevant to NP (Medical-surgical) specialty that would provide a meaningful context for evidence-based practice surrounding a common issue in NP practice. In addition, I will outline how the theoretical model can be employed to address the issue.

Pender’s Health Promotion Model (HPM) aims to increase a patient’s level of wellbeing. The model identifies behavior-modifying factors like demographics, behavioral factors, and interpersonal influences, which interact to determine cognitive-perceptual processes. HPM is applied to modify unhealthy behaviors and initiate behavioral changes to promote health (Vakilian et al., 2021).

It has assumptions that: People seek to regulate their behavior actively; Individuals interact with the environment, gradually transforming the environment and being transformed over time; Healthcare professionals make up a part of the interpersonal environment, which influences individuals through their life span; Self-initiated reconfiguration of the person-environment interactive patterns is crucial to behavior change (Vakilian et al., 2021).

Pender HPM is relevant to my NP specialty in medical-surgical nursing since it can be applied to modify unhealthy behaviors and lifestyle practices associated with common chronic illnesses like hypertension, obesity, hyperlipidemia, and diabetes. In addition, HPM can be applied to initiate behavioral changes in patients with or at risk of these conditions to promote health (Vakilian et al., 2021).

Med-surgical NPs provide health education and promotion and can use HPM in these roles. Various studies have found HPM effective in alleviating unhealthy behaviors and promoting healthy behaviors. Furthermore, Med-surgical NPs can use the model to learn that individuals are highly likely to commit to and adopt health-promoting behaviors when their significant others copy the behavior, anticipate the behavior to occur, and offer assistance and support to foster the behavior (Vakilian et al., 2021).

Diabetes complications are a major concern related to the medical-surgical NP specialty. For instance, we have had many diabetic patients diagnosed with complications like retinopathy, kidney failure, nerve damage, and diabetic foot ulcers. Most patients with these complications have a prolonged history of uncontrolled hyperglycemia (Cole & Florez, 2020). In addition, most usually report failing to adhere to the lifestyle recommendations like modifying dietary habits, engaging in physical exercises, smoking cessation, and minimizing alcohol consumption. For example, 12 out of 18 patients who underwent foot amputations in our setting were known smokers using 1-3 PPD. Furthermore, some diabetes patients do not adhere to the recommendation for daily glucose monitoring, which leads to undetected hyperglycemia.

Diabetes complications have impacted patients’ health outcomes, wellbeing, and quality of life. The complications lead to prolonged hospital stays and increased hospital readmissions. This leads to high healthcare costs for patients and high hospital operational costs (Cole & Florez, 2020). The hypoglycemic agents routinely prescribed to patients with diabetes also increase medical costs. Furthermore, complications like foot ulcers lead to foot amputations which tremendously reduce patients’ quality of life. Diabetic retinopathy causes cataracts that affect patients’ vision, which impairs their ability to perform ADLs (Cole & Florez, 2020). Diabetes complications are associated with high morbidity and mortality rates.

Pender’s HPM can be employed as a framework to guide EBP in addressing diabetes complications. HPM can be used to assess patients’ biological, psychological, and socio-cultural factors that influence their health behavior and self-care practices (Shahabi et al., 2022). It can also be used to examine patients’ perceived benefits of action, barriers to adopting healthy behaviors, and perceived self-efficacy, which influences perceived barriers to action. Patients with a higher efficacy have a low perception of barriers to adopting the behavior (Kurnia et al., 2018). Medical-surgical NPs can use the HPM to improve diabetic patients’ perceived self-efficacy. This can help achieve desired self-management behavior, like exercising, having a healthy diet, actively monitoring blood glucose, and adhering to medication and foot care.

Pender’s HPM is applied to modify unhealthy behaviors and initiate behavioral changes to promote health. It seeks to improve individuals’ level of wellbeing. HPM is related to the Medical-surgical nursing NP specialty since NPs provide health education and promotion. NPs can use the model to foster healthy behaviors to lower the incidence of chronic illnesses. Diabetes complications are a common issue facing med-surgical NPs. HPM can be used to assess and improve a patient’s perceived efficacy, which improves outcomes.

NR 506 Week 7: Policymaker Visit Electronic Presentation References

Cole, J. B., & Florez, J. C. (2020). Genetics of diabetes mellitus and diabetes complications. Nature reviews. Nephrology, 16(7), 377–390. https://doi.org/10.1038/s41581-020-0278-5

Kurnia, A. D., Amatayakul, A., & Karuncharernpanit, S. (2018). Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model. International journal of nursing sciences, 4(3), 260-265. https://doi.org/10.1016/j.ijnss.2017.06.010

Shahabi, N., Hosseini, Z., Aghamolaei, T., Ghanbarnejad, A., & Behzad, A. (2022). Application of Pender’s health promotion model for type 2 diabetes treatment adherence: protocol for a mixed methods study in southern Iran. Trials, 23(1), 1-9. https://doi.org/10.1186/s13063-022-07027-9

Vakilian, P., Mahmoudi, M., Oskouie, F., Firouzian, A. A., & Khachian, A. (2021). Investigating the effect of educational intervention based on the Pender’s health promotion model on lifestyle and self-efficacy of the patients with diabetic foot ulcer: A clinical trial. Journal of Education and Health Promotion, 10. DOI: 10.4103/jehp.jehp_1301_20

Rubric

W7 Policymaker Presentation