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NURS 6051 Advocating for the Nursing Role in Program Design and Implementation

NURS 6051 Advocating for the Nursing Role in Program Design and Implementation

NURS 6051 Advocating for the Nursing Role in Program Design and Implementation

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Nurses collaborate with other health professionals from various specialty areas to design effective programs. Nurses bring various specialties in designing and implementing programs that make them effective partners to professionals in such undertaking. Their involvement through leadership positions in the healthcare system allows them to deliver highly successful programs that meet set goals and objectives (Evripidou et al., 2019). The purpose of this essay is to demonstrate through an interview with a nurse leader the type of leadership required for nurses to advocate for a healthcare program. Based on a transcript of the interview, the assignment illustrates the critical role of these healthcare providers in design and implementation of programs.
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?

Nurse Interviewee

Nurses play a vital role that include linking healthcare professionals and patients to offer effective treatment interventions, especially in mental and behavioral health areas. Caring for adults with mental health issues is challenging for families and even healthcare providers. The implication is that these challenges require stakeholders, especially healthcare providers like nurses, to design and implement effective programs that can lead to optimal care and better outcomes. An effective program that is being implemented in my practice is the use of home-based care interventions like meditation and dance therapy to enhance the psychological aspects of individuals with mental health issues. The program that was designed by the nursing team in the facility involves using meditation and dancing therapy as ways of helping the mentally sick individuals to enhance their cognitive functioning.
The facility implemented this program due to elderly patients over 60 years presenting with different types of mental disorders like Alzheimer’s disease, Parkinson disease, Schizophrenia, and dementia (Chiesi et al., 2021). The program aims at improving memory for this individuals, enhancing their cognition and coordination of activities. Mental health benefits of meditation are broad and include better focus and concentration, improved self-awareness and self-esteem as well as a reduction in stress and anxiety and fosters kindness. Dance movement therapy (DMT) is used in nursing care and practice as way of reducing symptoms linked to different mental health conditions. The average cost of the program whose duration is two hours; one hour for meditation and one hour for dance therapy, is $80. The program’s projected outcomes include enhancing coordination and cognition and reducing the adverse symptoms of mental health conditions.

Who is your target population?
Interviewee

The program targets mainly all individuals who are 60 years and above and have some form of mental health challenges, especially those presenting in the facility with dementia, and Alzheimer’s disease.
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

Interviewee

The nurse plays a significant role in offering input for designing the healthcare program. Nurses possess extensive and hands-on knowledge about patient needs than other healthcare practitioners as they provide care and interact with more. Nurses’ input in the program is founded on using best practices from research findings. The implication is that nurses suggests the different aspects of the program. Nurses design communication approaches and strategies, different ways to implement the program, and various aspects of the initiative to enhance its effectiveness on the target population (Evripidou et al., 2019). Nurses are also critical in the program as they encourage patients to develop positive body image, have self-esteem and self-concept to ensure that they benefit from its approaches. For example, the nurses propose different approaches to implementing the program with the aim of meeting patient needs and expectations on outcomes.
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?

Interviewee

Nurses are patient advocates in all their settings or practice environment as they seek better ways to help improve care outcomes. As an advocate for the target population, my role is to ensure that these individuals get quality care at their convenience. The care does not need to be hospital-based but can be private in the comfort of their homes. My role is to ensure that these individuals feel free and can express their feelings. Further, I ensure that they get sufficient resources and interact well with the providers for effective care delivery. I believe that their involvement in the program is critical to both the facility and communities where they live. Secondly, I have significant input in the design decisions as I am part of the team that recommended and developed the program for the target population. My suggestions include integrating the dance movement therapy with the meditation process that has proved successful for the target population based on positive outcomes attained since implementation. I impact the design by ascertaining that the program can also run in patients’ homes for those who cannot move to the facility.
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.

Interviewee

The nurse plays a critical role in implementation of healthcare programs, not just this one. The initial role is program coordination that involves the monitoring of various patients and their care needs to ensure effective and quality performance of the expected outcomes. Nurses also link different healthcare professionals in their teams to provide a common approach to the health situation at hand. In this program, nurses are the pivot of the implementation as they execute the suggested strategies for patients in different settings, including at home and in the facility Innes et al., 2018). Nurses incorporate the proposed program into their clinical practices and offer patient-centered care to meet the individual needs of a patient. Nurses incorporate the individual specifications of the initiative to like personal or customized plans for different patients with mental health issues.

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NURS 6051 Advocating for the Nursing Role in Program Design and Implementation
NURS 6051 Advocating for the Nursing Role in Program Design and Implementation

The role of nurses in implementation differs from the design as implementation entails executing aspects of the program and ascertaining that they meet patient’s needs. In design, a nurse suggests different approaches to the program that include scope and size and sustainability. However, in implementation, the nurse incorporates these specifications into clinical practice and hands-on execution to ascertain expected outcomes.
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Interviewee

Effective design and implementation of healthcare intervention programs requires collective efforts from different stakeholders and players. These include healthcare professionals, nurses in the practice, organizational managers and leaders and patients. In this case of this program and its implementation, the members of the healthcare team include nurse practitioners in the facility, the mental health professionals like psychologists, psychotherapists, and psychiatrists. The nurse practitioners and the mental health experts are essential for this program because of their role and experience in its overall success (Singh et al., 2019). As members of the team, they will ensure that all components of the program succeed and are tailored to meet the needs of the different patients in the facility and even those in home-based settings.

Conclusion

Nurses like other healthcare providers, play a critical role in the design and implementation of healthcare programs or initiatives focused on enhancing target populations based on their suggested interventions. The need to enhance mental health among elderly patients is essential since many suffer from mental health disorders. The program in this case will enhance their mental cognition and functions leading to better lifestyle experience for the target population.

References

Chiesi, F., Gori, E., Collini, F., Palfrader, A., Galli, R., Guazzini, A., … & Bonaccorsi, G. (2021).
Biodanza as a Nonpharmacological Dance Movement–Based Treatment in Older People with Alzheimer’s Disease: An Italian Pilot Study in 2 Tuscan Nursing Homes. Holistic Nursing Practice, 35(5), 264-272. DOI: 10.1097/hnp.0000000000000470
Evripidou, M., Charalambous, A., Middleton, N., & Papastavrou, E. (2019). Nurses’ knowledge
and attitudes about dementia care: Systematic literature review. Perspectives in psychiatric care, 55(1), 48-60. doi: 10.1111/ppc.12291.
Innes, K. E., Selfe, T. K., Brundage, K., Montgomery, C., Wen, S., Kandati, S., … & Huysmans,
Z. (2018). Effects of meditation and music-listening on blood biomarkers of cellular aging and Alzheimer’s disease in adults with subjective cognitive decline: An exploratory randomized clinical trial. Journal of Alzheimer’s Disease, 66(3), 947-970.
doi: 10.3233/JAD-180164.
Singh, N. N., Lancioni, G. E., Medvedev, O. N., Sreenivas, S., Myers, R. E., & Hwang, Y. S.
(2019). Meditation on the soles of the feet practice provides some control of aggression for individuals with Alzheimer’s disease. Mindfulness, 10(7), 1232-1242. https://digitalcommons.kennesaw.edu/facpubs/4362
Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care coordination: roles of registered nurses
across the care continuum. Nursing Economics, 37(6), 317-323. https://jdc.jefferson.edu/nursfp/101

Osteoporosis and low bone density affect approximately 54 million Americans making it a growing health issue in the United States. Osteoporosis affects a significant proportion of the aged American population, according to statistics. The implication is that a sizable proportion of the population is predisposed to increased rate of bone fractures and breakage that might not be easy to heal. Osteoporosis prevention and reduction programs have been implemented in the United States (Lieberman et al., n.d.). This paper aims at looking in nursing role in osteoporosis reduction program implemented in my practice.

What is the Cost and Projected Outcome of the Program?

The Osteoporosis Prevention Program is a program that has been implemented in my practice to address high incidences of post knee and hip bone surgeries. The Texas government created the OPP program with the goal of preventing and reducing osteoporosis rates in the state. Implementation of the OPP program was necessitated by the fact that close to one-third of the population in Texas was suffering from recurrent bone fractures in 2015. This program is guided by a number of principles. They include addressing the social determinants of health that contribute to osteoporosis, increasing resource availability, and transforming environments to promote physical activity and healthy eating.

In order to meet the program’s objectives, a number of activities have been implemented.

They include expanding possibilities for healthy eating, encouraging active living through the construction of healthy settings, and providing community and clinical preventive interventions for people who are at risk of becoming bone fractures. The initiative also improves the chances of children and elderly populations at risk having a healthy lifestyle, as well as public health efforts aimed at preventing osteoporosis (Osteoporosis Treatment & Prevention in Houston, Texas, n.d.). The program’s implementation costs are paid for with public funds. Projected outcomes include a decrease in the state’s bone fracture rate, a decrease in morbidity and mortality rates, and increased access to healthy foods and environments for the population (des Bordes et al., 2020). It is also expected to improve Texans’ health and well-being, as evidenced by increased awareness, lifestyle, and behavioral changes on health-related issues.

What is the target Population?

According to the research, the program targets all of the populations in Texas that are at risk of or affected by osteoporosis and low bone density associated with post knee and hip bone surgeries. The state’s population includes children, adults, and the elderly. The program addresses the social inequalities that contribute to the state’s osteoporosis problem. It also broadens the population’s access to healthy living options, regardless of background.

What is the role of the nurse in providing input for the design of this healthcare program? What are the examples?

My experience and research have taught me that nurses play a variety of roles in providing input for the design of the OPP program. The first role they play is to ensure that the program’s strategies align with the expected goals and objectives. They ensure, for example, that the strategies adopted are relevant to the needs of the populations affected and at risk of bone fractures and osteoporosis. The nurses’ other role in contributing to the design of OPP is to ensure that the needs of the target population are incorporated into the program.

For example, they conduct needs assessments to identify health-related aspects that should be prioritized in the project, thereby increasing the project’s relevance to the population (Curry et al., 2018). Another way nurses influence the design process is by assisting in determining the program’s resource requirements. Adequate resources, such as financial and human resources, are required for the program’s successful implementation. As a result of their experience with public health programs, nurses can contribute insights into the resources that are required.

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?

My responsibilities as an advocate for populations at risk of or affected by the OPP program are diverse. One of them is to ensure that adequate public awareness of the program’s importance and use of its strategies is generated. Health education is required to ensure that those at risk of or affected by osteoporosis understand the lifestyle and behavioral interventions required for their health and well-being. My other role as an advocate is to ensure that all members of the community have equal access to and use of the program initiatives. I ensure that all affected and at-risk populations have improved access to program resources to promote their health. I address issues such as costs associated with the population’s use of the program. I also connect people with the resources they require. For example, I assist them in gaining access to community support groups where they can obtain the assistance, they require in managing and preventing osteoporosis and bone fractures. I had a say in the design. I collaborate with other program stakeholders to define the program’s goals, strategies, and objectives. In addition, I help to determine the program’s resource requirements.

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?

Nurses play a variety of roles in healthcare program implementation. One of the roles of nurses in the implementation of healthcare programs is that of implementers. Nurses help to carry out the program’s strategies. They put the strategies developed to bring the program to life into action. Another role of nurses in program implementation is to coordinate the process. Nurses can help ensure that the program’s strategies are followed as planned. They also make certain that the allocated resources are used to their full potential in order to achieve the program’s objectives. Working with the project management team to evaluate resource utilization versus plan to identify any deviations and implement changes is one example (Pinheiro et al., 2020). However, the roles differ in program design and implementation. Nurses are involved in the development of program plans. During the implementation phase, they carry out the plans.

The design phase is also hands-off because it includes strategy development, whereas the implementation phase is hands-on because it includes the actual use of strategies in practice.

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

Registered nurses, dieticians, and physicians are the members of the healthcare team I believe are most needed to implement the OPP program. Registered nurses perform tasks such as screening, health education, and follow-up on patients. Dieticians perform tasks such as nutritional assessment and counseling for the at-risk patients. Finally, doctors diagnose and treat these patients.

Conclusion

The osteoporosis prevention program is a successful one to help curb the increased incidences of post knee and hip bone surgeries. The program aims to educate those who are impacted by osteoporosis and those who are at risk of developing the condition in future life about how to live a better lifestyle. Nurses are vital in the planning and implementation of programs. All stakeholders involvement is crucial to the success of the program.

References

Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Phipps, M. G., Pignone, M., Silverstein, M., Simon, M. A., Tseng, C.-W., & Wong, J. B. (2018). Screening for Osteoporosis to Prevent Fractures. JAMA, 319(24), 2521. https://doi.org/10.1001/jama.2018.7498

des Bordes, J., Prasad, S., Pratt, G., Suarez-Almazor, M. E., & Lopez-Olivo, M. A. (2020). Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies. PLOS ONE, 15(1), e0227765. https://doi.org/10.1371/journal.pone.0227765

Lieberman, I. H., MD, MBA, & FRCSC. (n.d.). Osteoporosis Prevention Plan. SpineUniverse. https://www.spineuniverse.com/conditions/osteoporosis/how-start-your-osteoporosis-prevention-plan-today

Osteoporosis Treatment & Prevention in Houston, Texas. (n.d.). Texas Endocrinology Group. Retrieved October 24, 2021, from https://www.txendocrine.com/services/osteoporosis/

Pinheiro, M. B., Oliveira, J., Bauman, A., Fairhall, N., Kwok, W., & Sherrington, C. (2020). Evidence on physical activity and osteoporosis prevention for people aged 65+ years: a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity, 17(1). https://doi.org/10.1186/s12966-020-01040-4

Rubric

NURS_6050_Module04_Week08_Assignment_Rubric
NURS_6050_Module04_Week08_Assignment_Rubric
Criteria Ratings Pts
Program DesignIn a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions.·   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?
 
 
 
45 to >40.0 pts
Excellent
Response provides a clear and complete summary of the healthcare program, including an accurate and detailed description of the costs and projected outcomes of the program. …Response provides a clear and accurate description that fully describes the target population. …Response provides a clear and accurate explanation of the role of the nurse in providing input for the design of the program, including specific examples. …Response provides an accurate and detailed description of the role of the nurse advocate for the target population for the healthcare program selected. …Response provides an accurate and detailed explanation of how the advocate’s role influences design decisions as well as fully explaining impacts to program design.
 
40 to >35.0 pts
Good
Response provides a summary of the healthcare program, including a description of the costs and project outcomes of the program. …Response provides an accurate description of the target population. …Response provides an accurate explanation of the role of the nurse in providing input for the design of the program, including some examples. …Response provides an accurate description of the role of the nurse advocate for the target population for the healthcare program selected. …Response provides an accurate explanation of how the advocate’s role influences design decisions and somewhat explains impacts to program design.
 
35 to >31.0 pts
Fair
Response provides a summary of the healthcare program that is vague or incomplete or does not include costs or projected outcomes of the program. …Description of the target population is vague or inaccurate. …Explanation of the role of the nurse in providing input for the design of the program is vague, inaccurate, or does not include specific examples. …Description of the role of the nurse advocate for the target population for the healthcare program selected is vague or inaccurate. …Explanation of how the advocate’s role influences design decisions and impacts to program design is vague or inaccurate.
 
31 to >0 pts
Poor
Response provides a summary of the healthcare program that is vague and inaccurate, does not include costs or projected outcomes of the program, or is missing. …Description of the target population is vague and inaccurate or is missing. …Explanation of the role of the nurse in providing input for the design of the program, and specific examples is vague and inaccurate, or is missing. …Description of the role of the nurse advocate for the target population for the healthcare program selected is vague and inaccurate or is missing. …Explanation of how the advocate’s role influences design decisions and impacts to program design is vague and inaccurate, or is missing.
45 pts
Program Implementation·  What is the role of the nurse in healthcare program implementation?How does this role vary between design and implantation 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 you think this?
 
 
 
40 to >35.0 pts
Excellent
Response provides a clear, accurate, and complete explanation of the role of the nurse in healthcare program implementation. …Response provides an accurate and detailed explanation of how the role of the nurse is different between design and implementation of healthcare programs, including specific examples. …Response provides an accurate and detailed description of the members of a healthcare team needed to implement the program selected.
 
35 to >31.0 pts
Good
Response provides an accurate explanation of the role of the nurse in healthcare program implementation. …Response provides an accurate explanation of how the role of the nurse is different between design and implementation of healthcare programs and may include some specific examples. …Response provides and accurate description of the members of a healthcare team needed to implement the program selected.
 
31 to >27.0 pts
Fair
Explanation of the role of the nurse in healthcare program implementation is vague, inaccurate, and/or incomplete. …Explanation of how the role of the nurse is different between design and implementation of healthcare programs is vague or inaccurate and/or does not include specific examples. …Description of the members of a healthcare team needed to implement the program selected is inaccurate or incomplete.
 
27 to >0 pts
Poor
Explanation of the role of the nurse in healthcare program implementation is vague and inaccurate or is missing. …Explanation of how the role of the nurse is different between design and implementation of healthcare programs is vague and inaccurate or is missing. …Description of the members of a healthcare team needed to implement the program selected is vague and inaccurate, incomplete, or is missing.
40 pts
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, low logically, and demonstrate continuity of ideas.Sentences are carefully focused– neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
 
 
 
5 to >4.0 pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. …A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
 
4 to >3.0 pts
Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. …Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
 
3 to >2.0 pts
Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. …Purpose, introduction, and conclusion of the assignment is vague or off topic.
 
2 to >0 pts
Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. …Purpose, introduction, and conclusion of the assignment is incomplete or missing.
5 pts
Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation
 
 
 
5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
 
4 to >3.0 pts
Good
Contains a few (1-2) grammar, spelling, and punctuation errors.
 
3 to >2.0 pts
Fair
Contains several (3-4) grammar, spelling, and punctuation errors.
 
2 to >0 pts
Poor
Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
Written Expression and Formatting:The paper follows correct APA format for title page, font, spacing, margins, indentations, parenthetical/in-text citations, and reference list (if sources are cited).
 
 
 
5 to >4.0 pts
Excellent
Uses correct APA format with no errors.
 
4 to >3.0 pts
Good
Contains a few (1-2) APA format errors.
 
3 to >2.0 pts
Fair
Contains several (3-4) APA format errors.
 
2 to >0 pts
Poor
Contains many (≥5) APA format errors.
5 pts
Total Points: 100

Advocating for the Nursing Role in Program Design and Implementation 

Program design is a repetitive process that entails research, consultation, initial design, testing, and redesign in developing a program. Program implementation entails all the steps required to put the program’s strategies and interventions into place and make them available to the target population. This assignment outlines an interview transcript with responses to questions about a healthcare program in my practice. 

Interviewer: Tell us about a healthcare program within your practice.  

Me: The Youth HIV prevention program is one of the healthcare programs in my organization. The program was established to reduce HIV infection rates among youths. Strategies implemented to achieve this goal include HIV counseling and testing, condom distribution, pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), social media, and social marketing campaigns. These strategies seek to support healthy youth development.  

The program connects youth at risk for HIV to testing, medical, and social services. Furthermore, we implement evidence-based interventions for various at-risk populations to reduce HIV infection rates. For instance, we implement community-and group-level interventions such as Defend Yourself! Black homosexual men; Community PROMISE that uses role model stories and peer advocates; Many Men, Many Voices for Black homosexual men; Mpowerment for young gay and bisexual men to reduce sexual risk-taking; and Project AIM for middle school youth.  

Interviewer: What are the costs and projected outcomes of this program? 

Me: The Youth HIV prevention program was established at a total cost of $ 950,000. The cost included medical equipment, PrEP and PEP drugs, condoms, diagnostic materials, stationery, health education materials, and recruiting HIV peer counselors. It has an annual operational cost of $ 550,000. The program’s projected outcomes include reducing HIV infection rates among the youth, promoting healthy sexual behaviors, increasing the population of youths who are aware of their HIV status, and reducing HIV stigma in society. 

Interviewer: Who is your target population? 

Me: Our target population is youths aged 15-24 years. We also target young homosexuals since they are at a high risk of HIV infection. 

Interviewer: What is the role of the nurse in providing input for the design of this healthcare program?  

Me: The nurse’s role in providing input for the program’s design includes providing professional advice on evidence-based interventions that can be implemented to reduce HIV infection rates.  A nurse is well-versed with behaviors that put the youth at risk of HIV infection and youth populations with a high risk of contracting HIV (Dumitru et al., 2017). The nurse also has vast knowledge on HIV prevention strategies and thus provides professional input on services that should be included in the program to achieve its goals (Dumitru et al., 2017). For instance,  I advise the organization’s management on the strategies that should be implemented to reach the target population.  

Interviewer: What is your role as an advocate for your target population for this healthcare program?  

Me: My role as a youth advocate in the HIV prevention program is to ensure that the services provided meet the youths’ needs. I ensure that all youths receive high-quality services and there is no discrimination due to sex, race, religion, or sexual preferences (Gerber, 2018). Besides, I advocate for youths who test positive for HIV to be provided appropriate counseling and initiated on treatment immediately to promote better health outcomes. Furthermore, I evaluate the services to ensure that they do not pose a risk of harm to the youth, including psychological harm, limiting them from accessing the services.   

Interviewer: Do you have input into design decisions? How else do you impact design? 

Me: I have significant input in the program’s design based on my knowledge and experience caring for HIV-infected patients.  I advise the program’s committee on evidence-based interventions that effectively increase HIV testing rates and promote health-seeking behaviors among youths (Rouleau et al., 2019). Furthermore, I provide professional input on conducting community outreach programs, including services that should be provided to increase HIV screening and reduce infection rates. 

Interviewer: What is the role of the nurse in healthcare program implementation? Me: Me: The nurses’ role in the implementation of a healthcare program is ensuring that the team delivers high quality and ethical care that meets patients’ needs (Gerber, 2018). The nurse also ensures that patient safety is upheld when implementing the interventions and that culturally appropriate care is provided. Besides, the nurse is tasked with executing the interventions by adhering to the organization’s standards and policy. 

How does this role vary between the design and implementation of healthcare programs?  

Me: The nurse’s role in designing and implementing a program differ since, in design, the nurse offers ideas on how the program should be developed to meet goals. Conversely, in implementation, the nurse executes the interventions and evaluates their impact (Rouleau et al., 2019). For instance,  in design, the nurse proposes strategies to reduce HIV infections among youth, such as distributing condoms. In the implementation, the nurse distributes the condoms and educates the youth on how to use them. 

Interviewer: Who are the members of a healthcare team that you believe are most needed to implement a program? 

Me: All members of the healthcare team are equally important in implementing the HIV prevention program. Each member has an important role to play, either in screening, treatment, health education, or community outreach. Besides, each member has unique knowledge, skills, and experience that support the team in implementing the program.  

 

References 

Dumitru, G., Irwin, K., & Tailor, A. (2017). Updated Federal Recommendations for HIV Prevention With Adults and Adolescents With HIV in The United States: The Pivotal Role of Nurses. The Journal of the Association of Nurses in AIDS Care: JANAC, 28(1), 8–18. https://doi.org/10.1016/j.jana.2016.09.011 

Gerber, L. (2018). Understanding the nurse’s role as a patient advocate. Nursing2020, 48(4), 55-58. https://doi.org/10.1097/01.NURSE.0000531007.02224.65 

Rouleau, G., Richard, L., Côté, J., Gagnon, M. P., & Pelletier, J. (2019). Nursing Practice to Support People Living With HIV With Antiretroviral Therapy Adherence: A Qualitative Study. The Journal of the Association of Nurses in AIDS Care: JANAC, 30(4), e20–e37. https://doi.org/10.1097/JNC.0000000000000103