There are 3 parts to this Assignment- All parts must be submitted as a whole by the due date.
Part A: Healthy People 2030
1. Go to the Healthy People 2030 website and identify one health issue of interest related to community health (i.e. an issue that affects a population)
(https://www.healthypeople.gov/)
2. Conduct a library search for a peer-reviewed article addressing evidence-based nursing or healthcare practices related to the topic.
3. Write a brief summary (1-2 paragraphs) of why you selected this topic, what aspects the research addressed and why you chose this article.
4. Submit your summary along with a copy of the peer-reviewed articles.
Part B: Immunizations
1. Conduct a library search for 1 peer-reviewed article addressing evidence-based nursing or healthcare practices related to immunizations.
2. Write a brief summary (1-2 paragraphs) of which immunization issue the research addressed and why you chose this article.
3. Submit your brief summary and a copy of the peer-reviewed article.
Part C: Vulnerable Populations
1. Refer to Stanhope and Lancaster Part VI Vulnerability: Predisposing Factors and select a vulnerable population.
2. Conduct a library search for 1 peer-reviewed article addressing evidence-based nursing or healthcare practices related to the vulnerable populations.
3. Write a brief summary (1-2 paragraphs) of why you selected this vulnerable population, what the research addressed and why you selected this article.
4. Submit your brief summary and a copy of the peer-reviewed articles.
Submit your assignment as a whole including a correctly formatted APA cover page and reference page.
Use first Level headings labeled Part A, B, or C to distinguish each requirement.
Use the attached rubric below to guide your outline.
Upload your chosen peer review articles as separate attachments within the dropbox.
Submit your summary and then each of your articles.
4 total.
Summary and Topic A ,B, C peer-reviewed article(s)
Evidence-Based Practice Assignment
Student’s Name
Institutional Affiliations
Evidence-Based Practice Assignment
Part A: Healthy People 2030
Heart disease are stroke are associated with poor health outcomes among different populations in the community. The reason for choosing this topic is that in the United States, heart disease and stroke are the leading and the fifth causes of death respectively. One of the goals of Healthy People 2030 is to “Improve cardiovascular health and reduce deaths from heart disease and stroke (Office of Disease Prevention and Health Promotion, 2022.” A specific objective aligned with this goal is to “Increase the proportion of adult stroke survivors who participate in rehabilitation services-HDS‑D05 (Office of Disease Prevention and Health Promotion, 2022).” Heart disease and stroke are high-priority public health issues with sufficient evidence-based interventions to manage them.
Community health workers and healthcare providers should recommend rehabilitation services for adults with heart disease and stroke because there is adequate research that supports the effectiveness of those interventions in improving health outcomes. For example, the aspects of research addressed by Tong et al. (2019) concern the impacts of early high-intensity rehabilitation interventions initiated between 24- and 48-hours post-stroke on the health outcomes of patients with mild to moderate ischemic stroke. This was a pilot single-center randomized controlled trial involving 248 patients hospitalized due to ischemic stroke complications between 2015 and 2017 in the stroke unit of the Department of Neurology, Beijing Luhe Hospital, Capital Medical University, China. The researchers divided study participants into three groups namely, Early Routine Mobilization group (received intervention at 24-48 hours after the onset of stroke; an aintensity of < 1.5 h/d); Early Intensive Mobilization group (received intervention at 24-48 hours after the onset of stroke; an intensity of ≥3 h/d); and Very Early Intensive Mobilization group (received intervention within 24 hours of stroke onset; an intensity of ≥3 h/d). The groups with the most and least favorable outcomes were the Early Intensive Mobilization group and the Very Early Intensive Mobilization group respectively. The reason for choosing this article is that it provides evidence regarding the most appropriate initiation time and intensity of rehabilitation interventions that will yield the best health outcomes for patients with ischemic stroke. From the article, readers learn that high-intensity rehabilitation interventions initiated between 24- and 48-hours post-stroke lead to more favorable outcomes in patients with ischemic stroke when compared to mild and low-intensity interventions initiated within 24 hours of stroke development (Tong et al., 2019). The article provides evidence that can be applied to achieve Healthy People 2030 objective related to heart disease and stroke.
Part B: Immunizations
Although governments have distributed vaccines across hospitals to be given to children in order to protect them against vaccine-preventable diseases, vaccine coverage is still low in most communities due to the lack of awareness regarding the importance of herd immunity among parents. The level of knowledge about the benefits of vaccines influences parents’ decisions regarding whether their children should receive vaccines or not (Griffith et al., 2020). Healthcare professionals usually look for evidence that supports the effectiveness of educational interventions in influencing parents to have their children vaccinated before applying those interventions in the community in order to increase vaccine coverage.
The immunization issue addressed by Griffith et al. (2020) is limited knowledge among parents regarding the importance of herd immunity and local vaccination rates. Vaccination rates help stakeholders to establish whether herd immunity has been attained or not. Herd immunity is a concept that is used to refer to a situation whereby the community is fully protected from infection and it occurs when a sufficient percentage of the population has been vaccinated against a particular disease. Griffith et al. (2020) conducted an electronic survey to examine the impacts of an educational intervention about the local rates of vaccination and the benefits of attaining herd immunity on parents’ concerns about measles. The study involved 493 parents of children aged between 6 and 18 years from Minnesota. From the study, the researchers revealed that education increased parents’ awareness of the importance of herd immunity, local vaccination rates, and the coverage that is required for herd immunity to be achieved. Additionally, the educational intervention increased parents’ concern about measles. The reason for choosing this article is that it provides evidence regarding the effectiveness of an educational intervention about the local rates of vaccination and the benefits of attaining herd immunity in increasing parents’ concerns about measles (Griffith et al., 2020). The increased concern can influence parents to vaccinate their children against measles thereby increasing vaccination coverage and enhancing the attainment of herd immunity.
Part C: Vulnerable Populations
Community health nurses are charged with the responsibility of assessing populations to identify risk factors that might have negative impacts on their health. Stanhope and Lancaster (2021) define vulnerable populations as people in the community who are more likely to suffer negative health problems due to risk factors that are linked with adverse health outcomes. Some of the examples of vulnerable populations include pregnant adolescents, the poor, homeless persons, people with mental illnesses, people at risk of physical abuse, persons with sexually transmitted diseases, and people with communicable diseases. The vulnerable population that will be the focus of this assignment is a group of homeless persons with mental illnesses. The reason for choosing homeless persons with mental illnesses is that they are exposed to numerous health threats that have the potential of causing negative outcomes on their health (Gabrielian et al., 2021). Community health nurses coordinate care for homeless persons with mental illnesses to reduce health threats and ensure that they receive safe and quality health care (Stanhope & Lancaster, 2021). They must implement evidence-based interventions when working with these vulnerable populations.
Research by Gabrielian et al. (2021) assessed the effects of primary care teams on the care experiences of homeless persons with mental illnesses. According to the researchers, homeless persons who are also suffering from mental issues normally have poor primary care experiences which have adverse effects on their overall health. The researchers conducted a national survey with 1095 homeless patients with severe mental illnesses and 52 clinicians who formed the primary care team. Results from the study revealed that clinics with highly-integrated services tailored towards homeless persons with serious mental illnesses were associated with enhanced primary care experiences among the study participants. The reason for selecting this article is that it provides evidence regarding the effects of integrated primary care services on the experiences of homeless patients with severe mental illnesses (Gabrielian et al., 2021). Community health nurses can utilize this evidence to coordinate the creation of highly-integrated clinics tailored towards homeless persons with serious mental illnesses in order to enhance their primary care experiences.
References
Gabrielian, S., Jones, A. L., Hoge, A. E., deRussy, A. J., Kim, Y. I., Montgomery, A. E., Blosnich, J. R., Gordon, A. J., Gelberg, L., Austin, E. L., Pollio, D., Holmes, S. K., Varley, A. L., & Kertesz, S. G. (2021). Enhancing primary care experiences for homeless patients with serious mental illness: Results from a national survey. Journal of Primary Care & Community Health, 12, 2150132721993654. https://doi.org/10.1177/2150132721993654
Griffith, B. C., Ulrich, A. K., Becker, A. B., Nederhoff, D., Koch, B., Awan, F. A., & Basta, N. E. (2020). Does education about local vaccination rates and the importance of herd immunity change United States parents’ concern about measles? Vaccine, 38(50):8040-8048. doi:10.1016/j.vaccine.2020.09.076. Epub 2020 Nov 4. PMID: 33158593; PMCID: PMC7740073.
Office of Disease Prevention and Health Promotion. (ODPHP). (2022). Heart disease and stroke. https://health.gov/healthypeople/objectives-and-data/browse-objectives/heart-disease-and-stroke
Stanhope, M. & Lancaster, J. (2021). Foundations for population health in community/public health nursing – e-book. 6th ed. Elsevier Health Sciences
Tong, Y., Cheng, Z., Rajah, G. B., Duan, H., Cai, L., Zhang, N., Du, H., Geng, X. & Ding, Y. (2019). High intensity physical rehabilitation later than 24 h post stroke is beneficial in patients: A pilot randomized controlled trial (RCT) study in mild to moderate ischemic stroke. Frontiers in Neurology, 10, 113. doi: 10.3389/fneur.2019.00113