hypothetical health promotion plan

Effective Interpersonal Communications

· SCENARIO

· ACTIVITY

Scenario

Nancy Smith is a community nurse who has been assigned to the community where Vila Heath is located. She decides to conduct a community assessment survey and speak to some of the people who live in the community to gain insight into its health and safety needs. She realizes that first impressions mean everything when working with people. She remembers that professional dress is important, so she makes sure that her scrubs are clean and wrinkle free. She combs her hair and sprays her favorite cologne. She gives herself just one more look in the mirror before she leaves her home for the day. Nancy wants her breath to be minty fresh, so starts to chew some spearmint gum and keeps doing so throughout the community assessment.

As you walk through the neighborhood, you encounter the following people who are having a conversation:

· Abe Horowitz, an eighty year old African American male, widower

· Mable Green, a 60 year old Caucasian female, widowed

Nancy approaches them to introduce herself...

Nancy Smith: "Good morning, everyone. I'm Nancy Smith, the new community nurse. I'd like to ask you a few questions."

Abe & Mable look at one another and wonder what she wants to ask them but agree to speak with her.

Nancy Smith:  She turns to Abe, the older gentleman and says: "Pops, do you feel safe living here? I heard that there were gangs in the area."

Abe replied: "I'm Abe, please call me this. Why do you want to know? I never saw any. I've lived in the Vila borough for over 60 years with my wife. She passed away last month. While the community is not what it used to be, I plan on staying here for the rest of my life. So I do not want to cause any trouble."

Mable:  Chimes in "Me too! I..."

Nancy Smith:  Cuts Mable off in mid-sentence and tells her- "I was speaking to Abe".  Nancy rolls her eyes in disbelief.

Mable walks away

Nancy Smith:  She continues her conversation with Abe. She listens attentively to Abe’s responses to each of the following open-ended questions: "Please tell me more about how the community has changed." "What do you see as issues that need to be addressed." "How may I help you?"

At the end of the conversation...

Nancy Smith: "Thank you Abe for taking time to share this with me. Here is my business card with my contact number on it if you want to share anything else. I work at the Vila Health system community nurse center."  She shakes his hand and says "good bye."

Activity:

Please complete the activity below to identify the strengths and pitfalls to avoid during an interview.

QUESTION1of4

What were the strengths of the interview?

Enter your response

QUESTION2of4

What factors may have impeded the interview?

Enter your response

QUESTION3of4

What are 4 key skills that a nurse needs for effective interviewing?

Enter your response

QUESTION4of4

What have you learned from this activity that will improve your interviewing skills?

Enter your response

Develop a hypothetical health promotion plan, 3-4 pages in length, addressing a specific health concern for an individual or a group living in the community.

Introduction

The first step in any effective project or clinical patient encounter is planning. This assessment provides an opportunity for you to plan a hypothetical clinical learning experience focused on health promotion associated with a specific community health concern or health need. Such a plan defines the critical elements of who, what, when, where, and why that establish the foundation for an effective clinical learning experience for the participants. Completing this assessment will strengthen your understanding of how to plan and negotiate individual or group participation. This assessment is the foundation for the implementation of your health promotion educational plan (Assessment 4).

Note: Assessment 1 must be completed first before you are able to submit Assessment 4. Complete the assessments in this course in the order in which they are presented.

Professional Context

Historically, nurses have made significant contributions to community and public health with regard to health promotion, disease prevention, and environmental and public safety. They have also been instrumental in shaping public health policy. Today, community and public health nurses have a key role in identifying and developing plans of care to address local, national, and international health issues. The goal of community and public health nursing is to optimize the health of individuals and families, taking into consideration cultural, racial, ethnic groups, communities, and populations. Caring for a population involves identifying the factors that place the population's health at risk and developing specific interventions to address those factors. The community/public health nurse uses epidemiology as a tool to customize disease prevention and health promotion strategies disseminated to a specific population. Epidemiology is the branch of medicine that investigates causes of various diseases in a specific population (CDC, 2012; Healthy People 2030, n.d.).

As an advocate and educator, the community/public health nurse is instrumental in providing individuals, groups, and aggregates with the tools that are essential for health promotion and disease prevention. There is a connection between one's quality of life and their health literacy. Health literacy is related to the knowledge, comprehension, and understanding of one's condition along with the ability to find resources that will treat, prevent, maintain, or cure their condition. Health literacy is impacted by the individual's learning style, reading level, and the ability understand and retain the information being provided. The individual's technology aptitude and proficiency in navigating available resources is an essential component to making informed decisions and to the teaching learning process (CDC, 2012; Healthy People 2030, n.d.).

It is essential to develop trust and rapport with community members to accurately identify health needs and help them adopt health promotion, health maintenance, and disease prevention strategies. Cultural, socio-economical, and educational biases need to be taken into consideration when communicating and developing an individualized treatment and educational plan. Social, economic, cultural, and lifestyle behaviors can have an impact on an individual's health and the health of a community. These behaviors may pose health risks, which may be mitigated through lifestyle/behaviorally-based education. The environment, housing conditions, employment factors, diet, cultural beliefs, and family/support system structure play a role in a person's levels of risk and resulting health. Assessment, evaluation, and inclusion of these factors provide a basis for the development of an individualized plan. The health professional may use a genogram or sociogram in this process.

What is a genogram? A genogram, similar to a family tree, is used to gather detailed information about the quality of relationships and interactions between family members over generations as opposed to lineage. Gender, family relationships, emotional relationships, lifespan, and genetic predisposition to certain health conditions are components of a genogram. A genogram, for instance, may identify a pattern of martial issues perhaps rooted in anger or explain why a person has green eyes.

What is a sociogram? A sociogram helps the health professional to develop a greater understanding of these factors by seeing inter-relationships, social links between people or other entities, as well as patterns to identify vulnerable populations and the flow of information within the community.

References

Centers for Disease Control and Prevention. (2012). Lesson 1: Introduction to epidemiology. In  Principles of Epidemiology in Public Health Practice (3rd ed.). https://www.cdc.gov/csels/dsepd/ss1978/lesson1/section1.html

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (n.d.).  Healthy People 2030. https://health.gov/healthypeople

Preparation

For this assessment, you will propose a hypothetical health promotion plan addressing a particular health concern or health need affecting a fictitious individual or group living in the community. The hypothetical individual or group of your choice must be living in the community; not in a hospital, assistant living, nursing home, or other facility.

To prepare for this assessment, first select a health concern or health need from the  Assessment 01 Supplement: Health Promotion Plan [PDF]  Download Assessment 01 Supplement: Health Promotion Plan [PDF]resource.

· Consider the populations potentially affected by that concern or health need, and hypothetical individuals or groups living in the community.

· Then investigate your chosen concern or need and best practices for health improvement, based on supporting evidence.

In addition, you are encouraged to:

· Complete the  Vila Health: Effective Interpersonal Communications  simulation. The information gained from completing this activity will help you succeed with the assessment. Completing activities is also a way to demonstrate engagement.

· Review the health promotion plan assessment and scoring guide to ensure that you understand the work you will be asked to complete.

· Review the MacLeod article, “ Making SMART Goals Smarter .”

Note: You will need to satisfactorily pass Assessment 1 (Health Promotion Plan) before working on your Assessment 4 (Health Promotion Plan Presentation). In Assessment 4, you will simulate a face-to-face presentation of this plan to the individual or group that you have identified.

Instructions

To complete your hypothetical health promotion plan, please use the following outline to guide your work:

Health Promotion Plan

· To begin, first select a health issue or need that will be the focus of your assessment from the  Assessment 01 Supplement: Health Promotion Plan [PDF]   Download Assessment 01 Supplement: Health Promotion Plan [PDF]resource.

· After you select a specific health concern or health need from the resource above, next investigate the concern or need and best practices for health improvement, based on supporting evidence.

· Create a scenario as if this project were being completed face-to-face.

· Identify the chosen population and include demographic data (location, lifestyle, age, race, ethnicity, gender, marital status, income, education, employment).

· Describe in detail the characteristics of your chosen hypothetical individual or group for this activity and how they are relevant to this targeted population.

· Discuss why your chosen population is predisposed to this health concern or health need and why they can benefit from a health promotion educational plan.

· Based on the health concern for your hypothetical individual or group, discuss what you would include in the development of a sociogram. Take into consideration possible social, economic, cultural, genetic, and/or lifestyle behaviors that may have an impact on health as you develop your educational plan in your first assessment. You will take this information into consideration when you develop your educational plan in your fourth assessment.

· Identify their potential learning needs. Collaborate with the individual or group on SMART goals that will be used to evaluate the educational session (Assessment 4).

· Identify the individual or group's current behaviors and outline clear expectations for this educational session and offer suggestions for how the individual or group needs can be met.

· Health promotion goals need to be clear, measurable, and appropriate for this activity. Consider goals that will foster behavior changes and lead to the desired outcomes.

Document Format and Length

Your health promotion plan should be 3–4 pages in length.

Supporting Evidence

Support your health promotion plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources published within the past five years, using APA format.

Graded Requirements

The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

· Analyze the health concern that is the focus of your health promotion plan.

· Consider underlying assumptions and points of uncertainty in your analysis.

· Explain why a health concern is important for health promotion within a specific population.

· Examine current population health data.

· Consider the factors that contribute to health, health disparities, and access to services.

· Explain the importance of establishing agreed-upon health goals in collaboration with hypothetical participants.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

· Write with a specific purpose and audience in mind.

· Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Before submitting your assessment for grading, proofread it to minimize errors that could distract readers and make it difficult for them to focus on the substance of your plan.

Note: As you revise your writing, check out the resources listed on the Writing Center's  Writing Support  page.

Competencies Measured

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

Competency 1: Analyze health risks and health care needs among distinct populations.

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· Analyze a community health concern or need that is the focus of a health promotion plan.

Competency 2: Propose health promotion strategies to improve the health of populations.

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· Explain why a health concern or need is important for health promotion within a specific population.

· Establish agreed-upon health goals in collaboration with hypothetical participants.

Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.

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· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.