Biopsychosocial Population Health Policy Proposal

Develop a 2–4-page proposal for a policy that should help to improve health care and outcomes for your target population.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Cost and access to care continue to be main concerns for patients and providers. As technology improves our ability to care for and improve outcomes in patients with chronic and complex illnesses, questions of cost and access become increasingly important. As a master’s-prepared nurse, you must be able to develop policies that will ensure the delivery of care that is effective and can be provided in an ethical and equitable manner.

SHOW LESS

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes.
Propose a policy and guidelines that will lead to improved outcomes and quality of care for a specific issue in a target population.
Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes.
Analyze the potential for an interprofessional approach to implementing a proposed policy to increase the efficiency or effectiveness of the care setting to achieve high quality outcomes.
Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy.
Advocate the need for a proposed policy in the context of current outcomes and quality of care for a specific issue in a target population.
Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
Communicate proposal in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
CONTEXT:

As a master’s-prepared nurse, you have a valuable viewpoint and voice with which to advocate for policy developments. As a nurse leader and health care practitioner, often on the front lines of helping individuals and populations, you are able to articulate and advocate for the patient more than any other professional group in health care. This is especially true of populations that may be underserved, underrepresented, or are otherwise lacking a voice. By advocating for and developing policies, you are able to help drive improvements in outcomes for specific populations. The policies you advocate for could be internal ones (just within a specific department or health care setting) that ensure quality care and compliance. Or they could be external policies (local, state, or federal) that may have more wide-ranging effects on best practices and regulations.

 

Questions to Consider:

 

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

SHOW LESS

Assessment 2 will build on the health issue, vulnerable population, and position that you started to develop in the first assessment. For Assessment 2, you will develop a proposal for a policy and a set of guidelines that could be implemented to ensure improvements in care and outcomes.

What are the relevant best practices from a population health standpoint (cultural competence, disease prevention, and interventions) for your chosen health issue and vulnerable population?
How are these best practices relevant to your chosen health issue and vulnerable population?
Do the best practices make any reference to standards of care or benchmarks that should be achieved?
How could these best practices be leveraged to help inform or develop a policy and guidelines to improve care and outcomes for the vulnerable population you are working with?
How could technology be used to identify health concerns or collect data that could help health care practitioners determine which health care issues to focus on in a population?
What are the relevant laws, regulations, or policies for employing any of the technology you might find useful?
What type of policy and guidelines would be most likely to ensure improvements in care and outcomes related to your chosen health issue and vulnerable population?
Are there any policies in existence that could help inform your own policy development?
How might your proposed policy and guidelines influence the way in which care is accessed?
How might your proposed policy and guidelines influence the amount of access that is available?

Scenario
The analysis of position papers that your interprofessional team presented to the committee has convinced them that it would be worth the time and effort to develop a new policy to address your specific issue in the target population. To that end, your interprofessional team has been asked to submit a policy proposal that outlines a specific approach to improving the outcomes for your target population. This proposal should be supported by evidence and best practices that illustrate why the specific approaches are likely to be successful. Additionally, you have been asked to address the ways in which applying your policy to interprofessional teams could lead to efficiency or effectiveness gains.

Instructions
For this assessment you will develop a policy proposal that seeks to improve the outcomes for the health care issue and target population you addressed in Assessment 1. If for some reason you wish to change your specific issue and/or target population, contact your FlexPath faculty.

The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your submission addresses all of them. You may also want to read the Biopsychosocial Population Health Policy Proposal Scoring Guide and Guiding Questions: Biopsychosocial Population Health Policy Proposal to better understand how each grading criterion will be assessed.

Propose a policy and guidelines that will lead to improved outcomes and quality of care for a specific issue in a target population.
Advocate the need for a proposed policy in the context of current outcomes and quality of care for a specific issue in a target population.
Analyze the potential for an interprofessional approach to implementing a proposed policy to increase the efficiency or effectiveness of the care setting to achieve high-quality outcomes.
Communicate proposal in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Additional Requirements
Length of proposal: 2–4 double-spaced, typed pages, not including title page or reference list. Your proposal should be succinct yet substantive.
Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports the relevance of or need for your policy, as well as interprofessional considerations. Resources should be no more than five years old.
APA formatting: Use the APA Style Paper Template linked in the Resources. An APA Style Paper Tutorial is also provided to help you in writing and formatting your analysis.
Grading Rubric:

1- Propose a policy and guidelines that will lead to improved outcomes and quality of care for a specific issue in a target population.

Passing Grade: Proposes a policy and guidelines that will lead to improved outcomes and quality of care for a specific issue in a target population. Acknowledges potential difficulties and discusses how those challenges will be met.

2- Advocate the need for a proposed policy in the context of current outcomes and quality of care for a specific issue in a target population.

Passing Grade: Advocates the need for a proposed policy in the context of current outcomes and quality of care for a specific issue in a target population. Impartially considers contrary data and opposing viewpoints.

3- Analyze the potential for an interprofessional approach to implementing a proposed policy to increase the efficiency or effectiveness of the care setting to achieve high-quality outcomes.

Passing Grade: Analyzes the potential for an interprofessional approach to implementing a proposed policy to increase the efficiency or effectiveness of the care setting to achieve high-quality outcomes. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis).

4- Communicate proposal in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.

Passing Grade: Communicates proposal in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling. Identifies specific strategies or approaches used to ensure clear communication.

5- Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style

Passing Grade: Integrates relevant sources to support assertions, correctly formatting citations and references using current APA style. Citations are free from all errors.

Running head: ANALYSIS OF PAPER POSITION 1

ANALYSIS OF PAPER POSITION 2

Analysis of Paper Position

Capella University

Alexander Ruche

April, 2021

The elderly people are the most affected population in this country. Aging-related problems such as, Diabetes, arthritis, mental health and different types of cancer are some of the health issues facing the elderly when it comes to living a longer life. Living longer comes with its troubles, not only to the families and society but to the older people as well. Staying for additional years is a chance to pursue activities with good opportunities including the advancement of technology (Wang, et al, 2020). However, aging is associated with cellular and molecular damage leading to a decrease in capacity on physical and mental states. According to the Department of Elderly People (2020), the health risk vulnerability of the elderly is high at this stage. Diabetes will be discussed as there is high prevalence amongst the elderly population. Diabetes is a result of long-term effects from resistance to insulin and impaired functioning of the pancreases. The elderly tends to experience some complex health problems as they are usually connected with other issues and are hardly singled out. These can be delirium, falls, and incontinence of urinary and associative ulcers. Comment by Dr. Loftus: Punctuation (Wang, et al., 2020) Comment by Dr. Loftus: (year) is missing Comment by Dr. Loftus: Alexander – at this point I can see that the specific health issue is diabetes and the vulnerable population is the elderly – GREAT!

Various factors are resulting in elderly diseases; some are related to genetics, and in some areas the results of the social and physical environment. Maintaining health behaviors has a great impact on the environment. Not eating a balanced diet could be a result if some diseases because an inadequate intake of nutrients required by the body will lower immunity (Martin, A., & Manley, K., 2018). Diabetes is a result of long-term effects from the resistance of insulin and impaired functioning of the pancreas. In this context, we are going to discuss the health outcomes for a specific issue in a target population, the role of the inter-professional team for improvements for this issue, and evaluating evidence and positions that would support a team approach in improving this issue. Comment by Dr. Loftus: Good information! But this needs to be cited or supported by evidence.

Position for Elderly with Diabetes

Elderly people with diabetes are very common in the U.S. rural areas. Thanks to the advance of technology and treatments, solutions have been found that allow them to live their normal lives. This of course will affect their mental health and general physical fitness. According to this problem, my position is that the elderly people suffering from diabetes should stick to the insulin medication which might be the best for treatment and care of the diabetic patient. Comment by Dr. Loftus: Ok. Great!

The role of inter-professional team in facilitating outcome improvements

The inter-professional team is looking forward to providing efficient, quality, and improved care for elderly health. For the elderly population, a team approach is important (Martinet al, 2018). Corporations of the medical administration and the professional’s affiliates will work towards the success of quality health service to treating diabetes in the elderly population. The research has shown a health improvement on the elderly when the inter-professional team is involved. However, the elderly might not be willing to participate in health engagement because of the increased rate of dementia as the age advances. An inter-professional team needs to be effective so that the patient will not hesitate to undergo the process. Administering services in healthcare needs frequent focus, as well as medication adherence to the prescribed treatments. Paying attention to the prescription given by the physicians will be essential to manage the patient’s personal condition. This responsibility should be delegated to the family and caregiver of an elderly person with diabetes. The inter-professional team is needed to be able to follow up with him so that prescribed medications are strictly followed, and frequent mental health therapies are performed appropriately. Home testing kits will be given by the physician so that he can prescribe his patients, and their blood glucose can be monitored.

Evaluating evidence of others that could support team approach

Research shows that the effect of diabetes is mostly common in the elderly population and this tells us that the condition should be dealt with accordingly when it comes to the older generation. Therefore according to the research, there should be a campaign of the creation of awareness of the existence of the condition known as diabetes which has no cure. This awareness campaign will really impact the knowledge of the people and it will help them in knowing how to stay safe from diabetes (Lewin et al 2018). We shall come up with good educational materials for exercise, healthy food types and much more precautionary measures to resist diabetes. Secondly, the awareness team will consist of some healthcare professionals on matters to do with diabetes that will be delivering presentations on how to live with the condition without any complication and on how to avoid the condition from attacking people further. The second evidence can be used by the interprofessional team. These healthcare providers can also come up together to fight against diabetes and this is possible by providing necessary materials for the patients suffering from the condition. Other than that, they can ensure that all patients at certain age should be screened regularly so that any diabetic content that might be looming in the body be dealt with before its maturity stage. Lastly, the advocacy of the campaign will also assist those living with the condition, teaching them precautionary measures and how to adhere to treatment.

Evaluate the evidence and positions of others that are contrary

On the other hand of the opposing studies, some evidences show that it is by high chance that when the parents or the diabetes problem is in the genetic lineage of a person, the probability of the person having the condition is very high (Taylor et al., 2010). However, with proper education and maintenance of basic health concerning diabetes precautions, one can escape the issue of diabetes even though it might be in the family genetic lineage. There are opposing treatments to diabetes besides the ability to inject insulin. There are many nutritional experts that manage their patient’s diabetes through proper diet choices and lifestyle changes. A diabetes diet simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that’s naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. In fact, a diabetes diet is the best eating plan for most everyone (Mayo Clinic, 2020). Comment by Dr. Loftus: yes. But this is not opposing evidence to your position of adhering a medication regime. What might be some other approaches to this? This can be aspects such as diabetic counseling or nutritional therapy – anything different from adhering to medication. Also, your paper needs a conclusion section to summarize key concepts. Comment by Ruche, Alexander:

In conclusion, diabetes is a dangerous condition as seen with our case example and if not taken care of well, it can also lead to some other complications like depression, stigma and many other problems. Although the diabetes diagnosis is similar in every individual, it can be treated differently depending on the severity of the case. Patients that decide to take a more holistic approach have the opportunity to change their eating habits and exercise with a nutritionists or doctor’s plan. For others, they have the option of sticking to a stringent glucose monitoring system. Also, for some patients both of the above treatments will be used simultaneously to achieve safe glucose levels allowing prevention of disease processes. No matter what the above treatment choice is, it is a detriment to your health if diabetes is not taken seriously.

References

Lewin, S., Booth, A., Glenton, C., Munthe-Kaas, H., Rashidian, A., Wainwright, M. … & Noyes, J. (2018). Applying GRADE-CERQual to qualitative evidence synthesis findings: introduction to the series

Martin, A., & Manley, K. (2018). Developing standards for an integrated approach to workplace facilitation for interprofessional teams in health and social care contexts: a Delphi study. Journal of interprofessional care, 32(1), 41-51.

.Taylor, C., Munro, A. J., Glynne-Jones, R., Griffith, C., Trevatt, P., Richards, M., & Ramirez, A. J. (2010). Multidisciplinary team working in cancer: what is the evidence?. BMJ, 340.

Wang, L., He, W., Yu, X., Hu, D., Bao, M., Liu, H., … & Jiang, H. (2020). Coronavirus disease 2019 in elderly patients: characteristics and prognostic factors based on 4-week follow-up. Journal of Infection, 80(6), 639-645

Diabetes diet: Create your healthy-eating plan – Mayo Clinic,

(2020)www.mayoclinic.org/diseases-conditions/diabetes/in-dept.com.

Running head: ANALYSIS OF PAPER POSITION

1

Analysis of

Paper

P

osition

Capella University

Alexander Ruche

April

,

2021

Running head: ANALYSIS OF PAPER POSITION

1

Analysis of Paper Position

Capella University

Alexander Ruche

April, 2021

Caring For Transcultural Patient