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23_Weisbrot_D_Wk5Assessment_AreaofInterest.pptxLIFESTYLE CHANGES: INCREASING PHYSICAL ACTIVITY IN TEENAGERS
DANA WEISBROT
CHAMBERLAIN COLLEGE OF NURSING
NR500: Foundational Concepts and Applications
OCTOBER 2018
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Evidence Based Projects
Conceptual model
Area of interest
Issue or concern/recommendation
Factors influencing change
Internal
External
Aacn msn essentials
conclusion
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Introduction
SECTIONS
This presentation is about life style changes: Increasing physical activity in teenagers and how the master’s prepared nurse can utilize the Evidence-based practice approach and PET model to improve patient outcomes in this topic. After that, comes an explanation of the area of interest for the Family Nurse Practitioner (FNP) which is primary prevention focused on the increase of physical activity in teenagers in particular, followed by an analysis of how the FNP will address the issue and concern of not increasing physical activity in teenagers, recommendations and a description of internal and external factors that influence this project. Next, there will be an identification of two of the American Associations of Colleges of Nursing Master’s Essentials that support the topic followed by a conclusion.
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Importance of master’s-prepared nurses conducting evidence-based projects related to nursing practice and profession.
Nurses are Key to improving nursing care
develop new knowledge to improve practice
dissemination of knowledge at the community level
Inspire other nurses to continue to learn
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Evidence Based Projects
Nurses play a key role in the improvement of nursing care. Most master-level nurses count with expertise at the bedside which put them in a key position in generating questions about patient care and safety (Dearholt and Dang, 2018). Evidence-based Practice (EBP) projects help develop new knowledge to improve the nursing practice. As Conrad (2014) points out, there are many graduate and doctoral programs designed to prepare nurses in the profession so they can contribute to improving the care of their patients. Masters level nurses conducting research studies that are intended to develop new knowledge in a specific topic, such prevention of falls in the elderly, the scholar’s responsibility does not end with dissemination or service, but with critically reviewing the study and teaching others about the topic (Conrad, 2014). The inspired nurse educators enable nurse students to be more inquisitive, keeping the flames of scholarship alive (Conrad, 2014).
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Conceptual model
John Hopkins Evidence-Based Practice (EBP) PET model (Dang & Dearholt, 2018)
The John Hopkins Evidence-Based Practice (EBP) PET model describes a process which starts with a practice question, then evidence and at last is translation. The question arises in the day to day practice of clinicians and there six steps to be utilized in order to formulate it properly. Evidence needs to collected from evidence-based sources. A good resource is Translation Literature which refers to evidence-based research findings that had been translated into guidelines in a clinical setting. Finally, Translation is the phase that covers practice decision, implementation and dissemination (Dearholt and Dang, 2018). In other words, it is the phase in which the new practice is implemented. This model helps explain the importance of master’s-prepared nurses conducting evidence-based projects. The contribution of the PET model is invaluable to the nursing practice and profession because it ensures that the best practices are used as well as the most recent innovations which will ultimately add to the improvement of nursing practice.
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Family nurse practitioner
Life style changes: increasing activity in teenagers
Key to good health: Primary prevention
Increasing activity in teenagers
Prevention of obesity
Prevention of chronic disease
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Area of interest
I find the Family Nurse Practitioner (FNP) track of special interest to me due to the front-line role that FNP’s play in prevention of disease in the community. I feel passionate about knowledge and disseminating knowledge to the people in my community. For this reason, my area of interest is to promote health by educating the community on the importance early life style changes. An important topic nowadays is increasing activity in teenagers to prevent obesity which can lead to chronic disease. According to Centers for Disease Control (CDC) (2017) physical activity declines dramatically during adolescence. Nearly half of young people between 12 and 21 do not regularly engage in vigorous physical activity which puts them at risk for developing obesity which leads to heart disease and stroke.
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Area of interest
Family nurse practitioner
Life style changes: increasing activity in teenagers
Key to good health: Primary prevention
Increasing activity in teenagers
Prevention of obesity
Prevention of chronic disease
It is known that good eating and exercise habits are better formed during childhood can reduce the chances of obesity which in turn will decrease the incidence of diabetes, high cholesterol, certain types of cancer and building strong bones. As we age, physical activity tends to decrease. Statistics show that 69% of children at age 13 are physically active, but only 38% of 18 year olds engage in physical exercise (CDC, 2017).
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Concern
Teenagers: excessive time spent on electronics
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Issue or Concern/ Recommendation for Change
One of the top contributing factors that is preventing teenagers from being more physically active is the excessive time they spend sitting at home playing video games and computer. It is proved that playing video games has some benefits in certain clinical settings, however, vast evidence is stressing the more negative facets of play, mostly on children and adolescents. These negative aspects include the risk of video game addiction which leads to increased number of hours of physical inactivity on a daily basis (National Institutes of Health, 2018).
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Recommendation
Teenagers to increase time spent on physical activities
Issue or Concern/ Recommendation for Change
I will use my influence as a FNP to bring awareness to parents about the importance of controlling the amount of time their teenagers spent playing video games and on the computer. Not just by prohibiting them to play, but by presenting other options to their children such as sports, social activities, or simply going for walks, creating chores for them to do such as painting a fence or walking the dog routine. Regular physical activity has been proven to bring beneficial health effects in adolescents on musculoskeletal health and adiposity as well as mental and cardiovascular health. In addition, Participation in regular exercise in childhood and adolescence has also been reported to positively influence physical activity levels as adults (Foster, Payne and Townsend, 2013)
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Factors Influencing Change
Internal factors
Find enjoyment in physical activities
Discuss options/ideas
Change of life style as a family
Do as I say AND as I do
As a FNP I can help in guiding parents and teenagers into modifying the internal factors that influence increased physical activity. First, having the teenagers feel enjoyment for physical activities is essential to making them engaged and committed to find one that they enjoy. The CDC (2017) explains that clinicians need to talk about physical activity with teenagers and their families during annual wellness visits and investigative to find out what the teenagers’ preference is. For example, one may enjoy joining a basketball team, while another one may prefer to take a bicycle ride every day to school instead of the school bus. The life style choices of each family have an impact the amount of physical activities that the teenagers have today. Families have to engage into a new life style change as a whole when it comes to physical activity since this will create a habit that their children will naturally follow. Adults need to engage in frequent exercise as well. In fact, the Physical Activity Guidelines for Americans recommend that adults get moderate-intensity aerobic physical activity for at least150 minutes or vigorous-intensity physical activity for 75 minutes, or an equivalent combination each week (CDC, 2018).
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Factors Influencing Change
External factors
Government/state educational efforts
Community outreach-Exercise programs
Physical Inactivity in Broward County and the State of Florida are at 24%, and this is slowly trending upwards. Children living in poverty in Broward County is 18% compared to 21% in Florida (County Health Rankings and Roadmaps, 2018). As explained above, physical inactivity and obesity affects poor families disproportionally, this is why it is important to provide nutrition and physical activity education that can be delivered at low cost or no charge to the most needed sectors of the population. Another external factor that plays an important role in increasing teenager physical activity is the availability of local low cost exercise programs designed for adolescents that can be at the local community level. State programs such as WIC and SNAP provide education about different kinds of physical activity and the guidelines for the amount needed each day (National Collaborative on Childhood Obesity Research, 2018).
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Essential VIII: Clinical Prevention and Population Health for Improving Health
Key competencies
Synthesize broad ecological, global and social determinants of health
Deliver evidence-based, culturally relevant clinical prevention interventions and strategies
Evaluate the effectiveness of clinical prevention interventions
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AACN MSN Essentials
The Essential VIII supports positive life style changes of increasing physical activity in teenagers because it is mainly concerned with prevention strategies targeted to the specific population that is being affected. The master’s level prepared nurse recognizes the problem within its social determinants, applies evidence-based methods to deliver cultural and social relevant patient centered interventions such as educating the teenagers and their families, so they can gain a deep understanding of what the physical inactivity consequences will be in the long run for the teenager and the family as a whole. For example, this can be done during annual wellness visits in which the FNP can assess and discusse with the teenager and family member, makes educates, makes recommendations, comes up with a plan that tailored in a patient centered manner. In addition to this, the masters’ prepared nurse can utilize methods to evaluate the result of those interventions during follow ups, assess physical results of the increased physical activity and make suggestions as needed. (American Association of Colleges of Nursing [AACN], 2011)
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Essential VI: Health Policy and Advocacy
Key competencies
Advocate for policies that improve the health of the public and the profession of nursing
Examine the effect of legal and regulatory processes on nursing practice, healthcare delivery, and outcomes.
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AACN MSN Essentials
The Essential VI Health policy and advocacy is strongly related to the primary prevention in increasing physical activity in teenagers because it is concerned with government policy that is needed in order to implement exercise programs in the community available for teenagers. The master’s prepared nurse advocates for the community members trying to obtain government dollars and modify policy for education of the community in regard to long term effects of lacking physical activity. When the master’s level nurse advocates it means that she or he becomes the voice of the patient and their family empowering them at the federal or state policy level. The master’s prepared nurse should also examine the effects of the outcomes of such interventions to find out if they are actually improving the physical activity in teenagers, or it may be modified to reach the desired outcomes (American Association of Colleges of Nursing [AACN], 2011).
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increasing physical activity in teenagers
Complex issue
It Can be Achieved by:
Fnp
Pet process
Recommendations/concerns
Addressing influencing factors
Utilizing AACN MSN Essentials
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Conclusion
The life style change of increasing physical activity in teenagers is a complex issue that affects our society. In order to resolve or improve this topic it needs to be approached from a master’s prepared nurse level such as a FNP to be further analyzed and follow the evidence-based practice system to maximized the possibility of reaching a positive outcome. Master’s prepared nurses have power to generate relevant questions, they have the tools to research and utilize the best evidence-based practices to improve patient’s health needs as individuals as well as a community. Supporting competencies described in the AACN MSN Essentials will help the FNP achieve those goals. Primary prevention is key to preventing several chronic diseases that can otherwise prevail and contribute to negative patient outcomes.
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REFERENCES
American Associations of Colleges of Nursing. (2011). The essentials of master’s education in nursing. Retrieved from http://www.aacnnursing.org/Portals/42/Publications/MastersEssentials11. pdf
Centers for Disease Control and Prevention. (2017). Physical Inactivity. Retrieved from https://www.cdc.gov/healthcommunication/toolstemplates/entertainment ed/tips/P hysicalInactivity.html
Centers for Disease Control and Prevention. (2018). Walking. Retrieved fromhttps://www.cdc.gov/physicalactivity/walking/index.htm
Conard, P. L., & Pape, T. (2014). Roles and responsibilities of the nursing scholar. Pediatric Nursing, 40(2), 87–90.
County Health Rankings and Roadmaps (2018). Florida. Retrieved from http://www.countyhealthrankings.org/app/florida/2018/rankings/broward /county/outcomes/overall/snapshot
10/7/2018
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REFERENCES
10/7/2018
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Dang, D. & Dearholt, S. (2018). Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines. Retrieved October 7, 2018 from https://www- r2library.com.chamberlainuniversity.idm.oclc.org/Resource/Title/1940446 97X
Foster, C., Payne, S., & Townsend, N. (2013) International Journal of Behavioral Nutrition and Physical Activity2013 10:136. Retrieved from https://doi- org.chamberlainuniversity.idm.oclc.org/10.1186/1479-5868-10-136
National Collaborative on Childhood Obesity Research (2018) Accelerating Progress to Reduce Childhood Obesity. Retrieved from https://www.nccor.org
National Institutes of Health (2018). Video Games and Health. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC558687/
