Evaluation Processes in Population Health Discussion

Purpose

The purpose of this discussion is to evaluate strategies to address your selected population health practice problem to reduce health disparities.

Instructions

1.            Compose a brief statement introducing the selected practice problem (to remind readers of your selected topic).

2.            Summarize a related Healthy People 2030 Goal that applies to your selected population and health issue.

o          Healthy People 2030

3.            Propose one evidence-based intervention to address the Healthy People 2030 goal. You may use the same study from Week 3 if it aligns with the selected Healthy People 2030 goal, or you may select another evidence-based intervention after reviewing the literature.

4.            Describe how you would determine if your evidence-based intervention was efficient, effective, and efficacious. Each of the 3 s must be addressed.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

DNP Discussion Guidelines

Program Competencies

This discussion enables the student to meet the following program competencies:

5.            Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)

7.            Translates a synthesis of research and population data to support preventative care and improve the nations health. (PO 1)

8.            Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (PO 1)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

2.            Synthesize ethical and legal principles to advocate for value-based, equitable, and ethical health policies at the micro, meso, and macrosystem levels. (PC 5; PO 9)

5.            Formulate strategies for providing culturally relevant and high-quality healthcare to vulnerable and high-risk populations to address social injustice and health inequities. (PCs 7, 8; PO 1)

Evaluation Processes in Population Health Discussion Essay Sample

The Selected Practice Problem

            The selected health issue is diabetes, which is a chronic health condition where the ability of a person’s body to produce insulin is impaired, or the body fails to effectively utilize the produced insulin hormone. Diabetes is a complex chronic disease since it usually has comorbidities that may lead to complications that reduce the patient’s quality of life. Research shows a high prevalence of chronic diseases among Somali Americans, especially diabetes (Mohamed et al., 2022). Diabetes is a highly prevalent chronic illness in Somali Americans in Minnesota hence a major health concern in the population.

A Related Healthy People 2030 Goal that applies to the Selected Population and Health Issue

            Diabetes-related Health People 2030 goal is to reduce the burden of diabetes disease and improve the quality of life for diabetic patients or those at risk for diabetes (Office of Disease Prevention and Health Promotion, n.d). Health people, 2030 aims to reduce diabetes cases reported in the country, complications, and death. Diabetes-related complications are due to uncontrolled or untreated diabetes and include vision loss, foot amputations, and kidney damage. Racial and ethnic minorities are recognized as vulnerable since they are more likely to develop diabetes. Objectives that must be achieved to realize the goal include reducing mortality rates from any cause in diabetic patients, increasing the proportion of individuals who receive formal education about diabetes, increasing the number of adult diabetic patients who seek early exam care, and reducing the number of diabetes cases every year.

One Evidence-Based Intervention to Address the Healthy People 2030 Goal

            One evidence-based intervention that can be used to address the Healthy People 2030 goal is group patient education at the community level. The findings of a randomized controlled trial indicate that group education significantly improves disease awareness and glycemic and blood pressure control (Thanh & Tien, 2021). Individuals with more knowledge about diabetes are more likely to seek medical services and implement self-management practices to improve their outcomes, including reducing the risk of complications. For example, glycemic control reduces the risk of complications resulting in optimal outcomes. The intervention can therefore address Healthy People 2030. Group patient education improves the ability of a diabetic patient to adhere to treatment and manage their condition successfully through lifestyle intervention improving their quality of life while reducing the patient’s quality of life. The intervention also fulfills the objective of increasing the number of patients who receive formal diabetes education, which is part of the Healthy People 2030 goal.

How to Determine if the Evidence-based Intervention was Efficient, Effective, and Efficacious

            Efficacy usually refers to how a health intervention performs in ideal or under controlled conditions, whereas effectiveness can be described as how an intervention performs in a more real-world setting. I would determine the effectiveness of the group patient education by measuring a change in knowledge levels about diabetes at the end of the education program. This can be measured by asking questions. I would measure the efficacy of the intervention by analyzing how the knowledge gained by patients influenced their healthy behavior and change in health outcomes. For example, a change in blood glucose level or glycemic control. Efficiency refers to doing things in an economical way. Efficiency would be measured through a costs-benefit analysis by determining the cost of implementing the educational program and the benefits of the program. The intervention will be considered efficient if the benefits outweigh the cost of implementing the intervention.

References

Mohamed, A. A., Lantz, K., Ahmed, Y. A., Osman, A., Nur, M. A., Nur, O., … & Wieland, M. L. (2022). An Assessment of Health Priorities Among a Community Sample of Somali Adults. Journal of Immigrant and Minority Health, 1–6. https://link.springer.com/article/10.1007/s10903-021-01166-y

Office of Disease Prevention and Health Promotion. (n.d). Health People 2030: Diabetes. https://health.gov/healthypeople/objectives-and-data/browse-objectives/diabetes#:~:text=Healthy%20People%202030%20focuses%20on,vision%20loss%2C%20and%20kidney%20damage.

Thanh, H. T. K., & Tien, T. M. (2021). Effect of group patient education on glycemic control among people living with type 2 diabetes in Vietnam: A randomized controlled single-center trial. Diabetes Therapy12, 1503-1521. https://link.springer.com/article/10.1007/s13300-021-0105

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