Research presentation

1. Provide an evidence-based explanation of why it is necessary to complete a scholarly project and what benefit will be gained (health promotion, fiscal, and efficiency)

1. Data and background needed for the project

1. The problem or population of interest aligns with the community's larger interest in health care.

2. Context of importance

1. Gained from your project.

2. Expected outcomes of a project to practice within your population and setting of interest

3. Relate the outcomes to evidence-based guidelines and outcomes.

4. Project influences on other populations or settings.

Abstract

As demonstrated by the recent trends of increased obesity and morbidity with mortality among the general population with the prevalence of chronic conditions such as cardiovascular, and diabetes, the numbers and statistical data are alarming to the public health and global arena. The chronic conditions that currently are on the rise and the age of developing them also is lower, as is manifested with pediatric and young adults suffering from metabolic syndrome and developing life-threatening conditions prematurely. Therefore, medical professionals have a responsibility to implement modalities that will improve the health and well-being of the general population. Especially the at-risk individuals with chronic conditions, the ones that are currently living with cardiovascular conditions, diabetes, and other major health conditions, to prevent further complications and increase life expectancy, by practicing preventive medicine, and interventions needed to lower chronic disease prevalence.

PICO Question

In vulnerable populations living in poverty or people who lack health insurance with no resources for health management, intervention with assistance and resource provision by healthcare providers and policy improvement, will lower the risk of chronic conditions in comparison to no assistance.

I. The purpose and rationale for the scholarly project

A physical and/or mental condition that leads to functional limitations, in results creating the need for frequent treatments with monitoring under medical providers. In addition, an individual with medication needs and management of the conditions for their alignment of those circumstances are categorized as a chronic disease. Therefore, chronic diseases are the most prevalent health conditions in the United States. Costing billions of dollars of health system resources, and creating an economic burden. Approximately half at 45 percent, which is 133 million Americans, suffer from at least one chronic condition, and unfortunately, the numbers are rising. Chronic diseases include but are not limited to diabetes Miletus (DM), hypertension, heart disease, obesity, arthritis, cancer, respiratory conditions, and stroke. Those conditions create circumstances that frequently end up with hospitalizations. Also, often chronic diseases lead to long-term disability. Which in results diminishes the quality of life and causes premature death. Underlining the problems is that chronic conditions are the nation’s leading cause of death, and disability among US citizens (Raghupathi & Raghupathi, 2018).

As evidenced by data and statistics, there is a need for collaborative interventions, across the board. To address inequalities and vulnerability. Furthermore, creating a strategy and methods throughout community-based programs, by providing stable housing and comprehensive social support, and by implementing integrated care models. To address the chronic conditions, by health promotion. Hence, improving public health on the local and global scale with the incorporation of preventive measures to create healthier communities across the board.

II. Background of the problem with population of interest

Vulnerable populations are affected by chronic conditions, with the top prevalence of cardiovascular disease (CVD), diabetes, hypertension, obesity, etc. Data shows that cardiovascular disease is distributed throughout the world. However, individuals living in poverty and underserved areas, and those without health insurance have higher morbidity and mortality rates associated with CVD (Khunti et al., 2023). These populations face significant barriers to accessing healthcare systems, that will fulfill their medical needs. In addition, social determinants of health (SDOH), which are not limited to socioeconomic status, neighborhood environment, and access to healthcare, play a significant role in the health outcomes of the individuals who are affected (Kim et al., 2023).

In one of the studies, data was collected from 2005 to 2018, as described by Kim et al., (2023) in order to gather the prevalence of diabetes, hypertension, and obesity in dispersion through the poverty population, who receives housing assistance from the government. It was assessed if there is an association between chronic disease processes, in adults who have housing assistance, meaning they live in poverty. There were approximately 28,000 participants, the prevalence of diabetes was 17.8 percent, hypertension at 48.1 percent, and obesity was also elevated at 42.1 percent. The number of participants in the study who did not receive assistance for housing meant they were in better financial status, their numbers were lower with the association of chronic conditions (Kim et al., 2023). This demonstrates that poverty members were more than twice as likely to have chronic conditions than those who were in a more stable financial state.

III. Significance of the problem to nursing and healthcare

Starting locally and improving the status of health implications with an approach towards vulnerable populations, will overall create a healthier population. As demonstrated in three randomized trials described by Vasan et al (2020) the data was pooled and collected over 5 years. The three randomized clinical trials were across multiple settings. Showed that a community health workers (CHW) intervention reduced the total hospital stays, and hospitalizations outside of primary health care. This was the largest analysis of randomized trials (RT) to promote reductions in hospitalization. This was achieved with the intervention of CHW together with healthcare system-based social intervention, which demonstrates that with intervention there are visible outcomes in healthcare and improvement in chronicity prevalence.

As described in the journal by Jayathilaka et al (2020), illnesses that are chronic such as CVD, DM, hypertension, and other diseases of serious comorbidities, lead to disabilities and impact population health. More conditions that are categorized as chronicity are mental health, cancers, and conditions affecting the lungs and respiratory system, impacting significantly countries around the world and causing more than two-thirds of deaths among the population. Therefore, the context is of major significance to create healthier people, through intervention and modalities that can align with lowering the mortality and morbidity rates.

IV. The benefit of the project to nursing practice

As mentioned in the previous sections and demonstrated by data the population that has the most prevalence of chronicity with illness and comorbidity with a high incidence of morbidity and mortality rate are people who live in poverty lack of appropriate support and lack of resources and guidance. Another aspect that is worth mentioning is health literacy which also impact drastically the performance of the individuals affected by the chronic disease process.

Among 18 studies with the implementation of health literacy, it showed a significant improvement in chronic conditions such as DM, hypertension, mental health, and other conditions. Effective teaching and modalities interventions improved the health of patients affected with chronic conditions (Shao et al., 2023).

Conclusion

With the integration of resources and collaboration of healthcare providers population health can be improved by various modalities of actions. It is transparent that obesity rates are on the rise which leads to a cascade of other conditions creating a plethora of chronic disease processes. Starting with the teamwork of healthcare professionals like nurses and other providers, that care and promote healthy choices with education and guidance. The collaboration, with basics such as nutritional and healthy lifestyle education, stresses the importance of how significant it is to achieve it and prevent the chronic conditions that are affecting millions of people across the world.