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PES Discussion Week 7

Instruction:

Discussion posts must be a minimum of 350 words initial, references must be cited in APA format 7th Edition, and must include a minimum of 2 scholarly resources published within the past 3 years.

Questions:

  • Analyze Black maternal, child, and infant morbidity and mortality in the United States highlighting the root causes of poor outcomes.
  • Explain the political social, economic, environmental, health risk behaviors that influence outcomes for Black mothers, Black birthing people, and children resulting in the social determinants of life.

    Health Promotion Proposal Part 2

    For this assignment develop criteria 5-8 as detailed below: 

    • 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which includes resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (3 paragraphs- you may use bullets if appropriate). 
    • 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. The SMART goal statement should be no more than one sentence (1 paragraph). 
    • 7. Provide a detailed plan for the evaluation of each outcome. (2 paragraphs). 
    • 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (2+ paragraphs). 
    • Finish the with a conclusion paragraph (2 paragraphs) without typing the word "conclusion" before the paragraph. 

    2

    Health Promotion Program Proposal: Part 1

    Anyeli Ciriaco

    Prof. Nora Hernandez-Pupo

    Florida National University

    July 25, 2025

    Health Promotion Program Proposal: Part 1

    The burden of health disparities remains an engaging issue in the field of care, highly impacting vulnerable groups. Among the most acute health issues that these populations have to deal with are chronic diseases, including obesity, diabetes, hypertension, and cancer. To give only one example, in the U.S., an obesity prevalence of 49.6 percent is present in non-Hispanic Black adults, which is significantly higher as compared to non-Hispanic White adults (Lipshutz et al., 2022). Also, racial minorities, especially Black women, are more prone to death because of breast cancer than White ones (Lipshutz et al., 2022). These differences are worsened by the economic and social conditions among the individuals, such as lack of access to healthcare and education and even capacity to manage health. Considering these, the proposed health promotion program is devised to solve the problem of the rising prevalence of chronic illnesses among the minority groups in Miami, trying to prevent diabetes and manage high blood pressure.

    Vulnerable Population

    Miami, Florida the Hispanic population is the population that this health promotion program will target. This population group has many risk factors that increase its susceptibility. Among these risk factors, the socioeconomic disadvantages, lack of access to the healthcare services, and language problems, which fail to provide effective acquaintance with the resources offered by the healthcare, should be mentioned. Moreover, this group has a greater prevalence of such chronic conditions as diabetes and hypertension than non-Hispanic Whites in the region (Srour, 2021). These risk factors predispose the Hispanic population to the diseases that are potentially avoidable, therefore resulting in an unequal burden of disease as well as quality of life. To overcome such disparities, a specialized health promotion program should be created, including cultural sensitivity factors and widely available healthcare interventions.

    Literature Review of Evidence-Based Interventions

    The first article of the review is an article that dwells on the possibility of resolving the health disparity issues with the help of strategic health communication. In his article, Kreps (2023) emphasizes the role of strategic health communication in encouraging the use of health behaviors, especially by vulnerable groups of the population. The research concludes that communication strategies that are accessible and culturally acceptable are required because such strategies are established to enhance health outcomes. The capability to cover a wide range of audiences is one of the strengths of this approach, even to the audiences who might be opposed to health recommendations. Nevertheless, a drawback of this model is that it involves large amounts of resources and time-consistent effort to modify health behaviors (Kreps, 2023).

    The second paper by Quilling et al. (2020) is the discussion of the approaches to target the vulnerable population using municipal health promotion. As this study shows, such intervention on vulnerable groups needs to be community-based and needs to interact with the persons on the local level. Such interventions as community health education or provision of screening services and cooperation with local organizations were found to enhance health outcomes within such communities. The positive side of these interventions is that they allow building trust and capturing attention in the community. Nonetheless, another issue that can be outlined by the research is the problem of maintaining the long-term involvement and finances related to such programs (Hogeling et al., 2022).

    Evaluation of Literature

    The interventions provided in the reviewed articles have their strong and weak sides. Communication strategies described by Kreps (2023) can be considered a comprehensive way of thinking about health promotion, and thus, they can be easily adjusted to many settings. They are, however, effective with efforts and resources extended over time and may be limiting to the underfunded communities. Quilling et al. (2020), on the other hand, place an emphasis on community-based interventions, which, in their turn, have the benefit of support of local ownership and trust. These programs are sometimes, however, hampered with issues relating to long-term sustainability, hence compromising any success they might have in establishing a lasting change in the health state. The two sources emphasize that when attempting to promote health among populations, it is important to take into account the specifics of the vulnerable populations in the context of their needs and resources.

    Health Promotion Framework

    The activities of the planned health promotion interaction will be directed with the help of the Social Ecological Model (SEM). This model comes in specific to the all-encompassing and multi-interventional factors leading to health disparities among the vulnerable populations. Ho et al. (2022) argue that the SEM focuses on the interaction among the factors related to individual, interpersonal, organizational, community, and societal dimensions, which indeed makes this model possible to advocate health in various populations. SEM helps in forming interventions that can be carried out at various levels of influence, which include the change of behavior of an individual to the change of policies. One of the major advantages of this model is that it is comprehensive and therefore aims not only to target individual behavior change but also to ensure that the treatment is also based on the social determinants of health. A drawback in applying this model, though, is the fact that teamwork in terms of reaching numerous sectors is required, which is not easy to organize.

    Conclusion

    Such health issues of the Hispanic population in Miami as the health disparities, in special connection with chronic diseases, such as diabetes and hypertension, demand specific health promotion strategies. Said disparities can be mitigated and health outcomes can be improved through intervention-based strategies: strategic health communication and community-based health promotion are the evidence-based interventions. This program will include all the components that lead to a healthy lifestyle by using the Social Ecological Model to deal with all subject matters that affect health and offer a long-term solution to the health of the vulnerable populations.

     

     

     

     

    References

    Ho, Y. C. L., Mahirah, D., Ho, C. Z. H., & Thumboo, J. (2022). The role of the family in health promotion: a scoping review of models and mechanisms. Health Promotion International, 37(6), daac119. https://academic.oup.com/heapro/article-abstract/37/6/daac119/6833053

    Hogeling, L., Lammers, C., Vaandrager, L., & Koelen, M. (2022). What works for vulnerable families? Interpretations of effective health promotion. Health Promotion International, 37(1), daab108. https://academic.oup.com/heapro/article-abstract/37/1/daab108/6321598

    Kreps, G. L. (2023). Addressing resistance to adopting relevant health promotion recommendations with strategic health communication. Information Services and Use, 43(2), 131-142. https://journals.sagepub.com/doi/abs/10.3233/ISU-230187

    Lipshutz, J. A., Hall, J. E., Penman-Aguilar, A., Skillen, E., Naoom, S., & Irune, I. (2022). Leveraging social and structural determinants of health at the centers for disease control and prevention: a systems-level opportunity to improve public health.  Journal of Public Health Management and Practice,  28(2), E380-E389. https://journals.lww.com/jphmp/fulltext/2022/03000/Leveraging_Social_and_Structural_Determinants_of.27.aspx

    Quilling, E., Kuchler, M., Leimann, J., Dieterich, S., & Plantz, C. (2020). Strategies for reaching vulnerable groups in municipal health promotion. European Journal of Public Health, 30(Supplement_5), ckaa165-1355. https://academic.oup.com/eurpub/article-pdf/doi/10.1093/eurpub/ckaa165.1355/33820055/ckaa165.1355.pdf

    Srour, M. L. (2021). Child health promotion for refugees and other vulnerable populations. In Child Refugee and Migrant Health: A Manual for Health Professionals (pp. 171-183). Cham: Springer International Publishing. https://link.springer.com/chapter/10.1007/978-3-030-74906-4_14

    Ip4

    Read the following article on theories and models on social media use by employees:

    Given the potential to encounter situations that are subject to diverse opinions and experiences, substantive research is necessary to utilize the tools and processes available to support organizational issue resolution. 

    Using your research and relevant experience, respond to the following questions: 

    • According to your research, describe how diversity, equity, and inclusion (DEI) can be used to resolve existing workplace conflict. Include relevant personal experiences in your response. 
    • What leadership styles are effective when working through workplace conflict? Include relevant personal leadership experiences in your response. 
    • How can leadership use DEI to help prevent conflict? Include relevant personal experiences in your response. 
    • How can technology be used by leaders and teams to effectively resolve conflict? 

    Include a minimum of 3 references and corresponding citations in your Individual Project each week.

      Db4

      Read the following article to better understand organizational conflict and how leadership and researched conflict resolution steps be used to mitigate or resolve conflict: What the Differences in Conflict Between Online and Face-to-Face Work Groups Mean for Hybrid Groups: A State of the Art Review

      Conflict can be present in an organization in many ways. There can be conflict with a task, a process, or with individuals. At its core, conflict centers on the perception (or reality) that the particular situation will negatively impact what the individual believes is the correct assertion or process. It is important to note that because opinions and experiences differ, that does not necessarily mean one party or the other is in error. However, the differences form the foundation of a conflict that must be identified and resolved.

      Anyone can argue that conflict is inevitable, but company leaders and employees must recognize conflict exists and work to resolve the issues and mitigate potential impacts.

      Based on your research and experience, discuss the following with your classmates:

      • What are the different types of conflict and social dilemmas that can be experienced in an organization? 
      • What conflict resolution models can be used to mitigate and reduce conflict in a company’s sociotechnical systems environment? 
      • How have social media applications increased or decreased conflict in the workplace?

        Diversity Class week 2

        Wk 2 Summative Assessment: Diversity Research Article Critique
        The lack of diversity in psychology research can cause many problems. Some can be seen in culturally biased aspects of the D



        Complete the Diversity Research Article Critique in which you will critique a research article from a cultural approach. You must use the article that you selected in your Week 1 assignment. Include a full citation for the chosen article.  In the worksheet, consider the following aspects of your selected research article:

        Cultural factors that are being studied in the article
        Research question(s)
        Research methods
        Research participants
        Research procedures and instrumentation
        Intervention processes
        Methods for improving the research article to be more culturally diverse, sensitive, and applicable to a broad range of cultures or individuals
        Implications of research that is not diverse
        Implications of making the research more diverse

          Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years.

          Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

          The Role of the Nurse Practitioner in Preventive Screening and Intervention to Improve the Health of Young Adults.

          The transition to young adulthood represents the most critical phase of human development. In these years, people gain independence, forge their own identities and develop social relationships that are quite different from those of life before college or marriage. But it's also an era fraught with unique health risks. For example, there is growing evidence that this is when young people start to take risk risks: substance abuse, unprotected sex and reckless driving become increasingly common. Counselling may be needed in some cases. While mental health problems and chronic illness are both on the rise among these age groups. – Advanced Practice Nurses (APNs), in particular Nurse Practitioners (NPs), are decisively placed to help mitigate these risks and improve health outcomes Through preventive screening and targeted interventions that are tailored to young adults' needs. Comprehensive Health Assessment and Screening

          One of the roles of APNs that has been most effective in dealing with the health problems of young adults is carrying out comprehensive health assessments. The most age-appropriate screenings should always follow. This includes providing regular evaluations for mental disorders such as depression, anxiety and substance abuse, all of which are common enough in this age group We can use screening tools like the PHQ-9 questionnaire on mother-to-best health status during pregnancy and GAD-7 (Generalized Anxiety Disorder Scale) A survey for generalized panic disorder. Second: For alcohol abuse, the APN should use a tool like the AUDIT-C. Drug abuse can be addressed through an interview, which, while private, is not secret. Questionnaires will also have to be given out at times as examples, urine is taken each time someone comes to an APN asking for help because he or she claims to be using drugs. In addition to mental health, preventive screenings need also to cover sexual and reproductive health. APNs must give education on safe sexual practices that screening services are available for STIs (sexually transmitted infections) and also advise about contraception to avoid unwanted pregnancies. For women patients, Pap smears and HPV testing whether or not they are sexually active these days should begin when appropriate; for all patients, regular testing for HIV and other STIs based on risk behavior is also advised.

          Health Promotion and Risk Reduction, Counseling

          Health education and risk reduction counseling is an essential tool for APNs.

          Through a nonjudgmental, culturally sensitive approach, APNs can engage young adults in discussions about their lifestyle choices and future goals.

          It can help when someone says they're trying to decide what to do and they aren't sure how to go about it.  Using Motivational Interviewing, Which provides a way for patients to explore ambivalence about behavior change in an effective strategy.

          By opening the channels of communication, APNs are able to address behavior such as tobacco use, excessive alcohol consumption, recreational drug abuse and what's called "bad eating habits" – all of which have long-term effects on overall health. Injury prevention is another focus that cannot be neglected. As motor vehicle accidents are a leading cause of death in this age group, APNs can advise youth to wear seatbelts and not to drive while distracted or under the influence.

          For those living in areas at high risk, conflict resolution and violence prevention must also be the topic of conversation. Chronic disease prevention and management

          Beginning in young adulthood, chronic diseases are already beginning to take root. APNs can counsel young adults how to avoid and manage diseases like obesity, hypertension, and type 2 diabetes through routine screenings, lifestyle modification counseling and care coordination. Educating young adults on eating right, being physically active, getting enough sleep and managing the inevitable stress develops a basis for lifelong health. Facilitating Access and Continuity of Care, It is often hard for young adults to get health care. They may not have insurance, be able with limited knowledge about putting in claims or understanding insurance policies, know how to set up an appointment with a provider at any given time when they need one and so forth. There are a number of barriers that have a cascading effect, leading back from past experiences to early adulthood and on into middle age. APNs can help bridge these gaps in care by creating staying power for individuals over time and space, assisting them to find their way through the medical system and by advocating for policies that permit better access. When young adults have established a relationship with their healthcare provider, they can be encouraged to seek regular treatment and to return for follow-up care.

          A crucial role in the health of young adults – they provide early detection for risk factors and preventative services to stop them developing, and offer ongoing education. Integrating evidence-based screening tools and intervention strategies – all within a patient-centered environment – can substantially improve an ill person's quality of life; this is especially important in helping lone young people through life crises later on.

          References 

          About the Authors Veronica D. Feeg. (n.d.). Ethical dilemmas for nursing students and faculty: In their  : Nursing education perspectives. LWW. https://journals.lww.com/neponline/abstract/2021/01000/ethical_dilemmas_for_nursing_students_and_faculty_.7.aspx

          Alyafei, A., & Easton-Carr, R. (May 19, 2024). The health belief model of behavior change: Treatment and Management: Point of Care. StatPearls. https://www.statpearls.com/point-of-care/161679

          Yongu, W. T. (n.d.). A critical review of the level of disease development and prevention in epidemiology. International Journal of Kinesiology, Health and Education. https://journals.aphriapub.com/index.php/IJoHKHE/article/view/1490

            Create a Discussion using APA 7 format, and scholarly references no older than 5 years.

            Please ensure that the Discussion includes more than 500 words with scholarly articles(at least 2), and the plagiarism level must remain below 20%.

            Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.

            Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.

            Support your answers with the literature and provide citations and references in APA, 7th ed. format.

              steven johnson syndrome-Powerpoint

              Create a PowerPoint in APA format with objectives on Stevens-Johnson syndrome. I will be presenting this in front of a group of people, and add presenter notes that I can read word-for-word while presenting. Make the PowerPoint create and use pictures. Add a reference page at the end with all sources used. 

              • Title & Introduction
              • Definition & Classification
              • Epidemiology
              • Etiology & Triggers
              • Pathophysiology
              • Clinical Presentation
              • Diagnosis
              • Severity Assessment
              • Management & Treatment
              • Complications
              • Prognosis
              • Prevention
              • Case Example
              • Relevance to Your Practice
              • Summary / Key Takeaways
              • References. 
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