NURS FPX 5003 Assessment 4 Executive Summary:Community Health Assessment

Name

Capella University

NURS-FPX 5003 Health Assessment and Promotion for Disease Prevention in Population-Focused Health

Prof. Name

Date

Executive Summary: Community Health Assessment

A community health assessment is a detailed process that entails extensive data collection and analysis aimed at identifying key health concerns and needs within a community. It provides organizations with crucial insights into the community’s health status and requirements, allowing for the development of strategies to improve public health outcomes. This assessment focuses on the demographics associated with diabetes in West Virginia, analyzing previous health initiatives and insights obtained from interviews with healthcare professionals. Additionally, the report highlights significant elements of the intervention plan and outlines strategies for fostering cross-cultural collaboration in healthcare.

Demographics Addressing Diabetes in West Virginia

In West Virginia, approximately 250,000 individuals are estimated to have diabetes, with another 65,300 remaining undiagnosed. In 2010, the prevalence rate of diabetes was 12% for males and 11.5% for females. West Virginia’s population comprises diverse racial and ethnic groups, including White, Asian, Hispanic, African American, and others. Education is a significant social determinant of health, and analyzing the disparities in diabetes prevalence between individuals with varying education levels offers valuable insights. Over the past decade, individuals without a high school diploma exhibited a higher prevalence of diabetes compared to their more educated counterparts (Health Statistics Centre, n.d.). These statistics emphasize the need for accessible, evidence-based programs to reduce the risk of diabetes (Centers for Disease Control and Prevention, 2019).

Summary of West Virginia’s Diabetes-Related Demographics

West Virginia’s diabetes prevalence varies across different racial and ethnic groups. An estimated 17% of Black individuals, 16% of White individuals, 9% of Asian Americans, 7% of non-Hispanic Whites, and 11% of multiracial individuals live with diabetes (America’s Health Ranking, n.d.). Each year, diabetes affects approximately 12,400 West Virginians, accounting for around 16% of the adult population. Medical costs for diabetic patients are nearly 2.5 times higher than for non-diabetic individuals, resulting in approximately $2 billion in direct medical expenses related to diabetes diagnosis in West Virginia in 2017. Furthermore, diabetes-related productivity losses amounted to an additional $640 million in indirect costs (American Diabetes Association, 2018).

Analysis of Findings from Healthcare Interview

Engaging in discussions with healthcare professionals provides valuable insights into healthcare issues, prevention strategies, and population needs, as well as culturally competent care. Culturally and linguistically appropriate services (CLAS) are essential for ensuring equitable healthcare access for all individuals, regardless of race, gender, or ethnicity. Integrating these standards into intervention strategies and evaluating the success based on organizational achievements and staff efficiency is critical (Think Cultural Health, n.d.).

Implementing the National CLAS Standards requires overcoming specific challenges, such as securing additional resources and guidance on interpreting and applying these standards. At West Virginia University Hospital, procedures like employing skilled interpreters, training employees, and collecting critical patient information related to ethnicity and language help ensure equitable care. Addressing these challenges will enable diabetic patients to receive high-quality, equitable healthcare, thus reducing healthcare disparities (Think Cultural Health, n.d.).

Key Components of Intervention and Health Promotion Plan

Effective public health programs require clear communication of accurate information to the healthcare community, stakeholders, and the public. This information dissemination is key to driving behavior change. Essential components of an intervention plan include well-defined objectives, clear strategies, and regular monitoring of progress (Fernandez et al., 2019). These elements contribute to improved healthcare quality, leading to enhanced clinical outcomes and stronger healthcare systems within communities. Training healthcare workers effectively is central to providing diabetes care.

Key components of the intervention plan include:

• Patient Awareness: Raising awareness through cultural competency campaigns can help transform patients’ lifestyles and contribute to the plan’s success (Kumela Goro et al., 2019).

• Staff Awareness: Ensuring staff members are informed and aligned with the team’s goals is essential, alongside providing adequate training on intervention implementation.

• Stakeholder Feedback and Support: Engaging and securing support from patients, policymakers, and payers is critical to the successful execution of the intervention plan (Vanaken & Masand, 2019).

Strategies to Foster Cross-Cultural Collaboration

Cross-cultural competency is critical in healthcare, ensuring effective communication and care delivery to individuals from diverse backgrounds. Conferences focused on diversity can offer valuable insights into making healthcare more inclusive and beneficial for marginalized communities. Staff education initiatives can also promote an understanding of the diverse traditions and cultural backgrounds of both colleagues and patients (Ladha et al., 2018). Success in fostering cross-cultural collaboration can be measured by improvements in healthcare quality and equity.

Strategies to promote cross-cultural collaboration include:

• Spreading Awareness: Promoting equal healthcare services and the value of diversity within the community.

• Regular Staff Meetings: Encouraging meetings between staff from different departments to emphasize the importance of equal healthcare access and the benefits of population diversity.

• Acknowledgment Campaigns: Highlighting the diverse experiences and backgrounds within the community to foster collaboration among different groups.

Conclusion

In conclusion, an effective intervention strategy can significantly enhance community health programs. By adhering to the National CLAS Standards, healthcare systems can promote equality, and epidemiological tools can aid in understanding the community’s unique needs. Clear, professional communication is essential for achieving quality healthcare outcomes. Success in healthcare interventions depends on implementing these strategies and fostering cross-cultural collaboration to meet the needs of diverse populations.

References

American Diabetes Association. (2018). The burden of diabetes in West Virginia. https://diabetes.org/sites/default/files/2021-11/ADV_2021_State_Fact_sheets_West%20Virginia_rev.pdf

America’s Health Ranking. (n.d.). America’s Health Rankings | AHR. America’s health rankings. Retrieved January 18, 2023, from https://www.americashealthrankings.org/explore/annual/measure/Diabetes/population/Diabetes_White_C/state/WV

Arnold, E. C., & Boggs, K. U. (2019). Professional communication skills for nurses. Elsevier Health Sciences.

Byrne, M. (2019). Increasing the impact of behavior change intervention research: Is there a role for stakeholder engagement? Health Psychology, 38(4), 290–296. https://doi.org/10.1037/hea0000723

Centers for Disease Control and Prevention. (2019). National Diabetes Prevention Program. Centers for disease control and prevention. https://www.cdc.gov/diabetes/prevention/index.html

Clarke, G. M., Conti, S., Wolters, A. T., & Steventon, A. (2019). Evaluating the impact of healthcare interventions using routine data. BMJ, 365, l2239. https://doi.org/10.1136/bmj.l2239

Fernandez, M. E., Ruiter, R. A. C., Markham, C. M., & Kok, G. (2019). Intervention mapping: theory- and evidence-based health promotion program planning: perspective and examples. Frontiers in Public Health, 7(209). https://doi.org/10.3389/fpubh.2019.00209

NURS FPX 5003 Assessment 4 Executive Summary:Community Health Assessment

Health Statistics Centre. (n.d.). HSC Statistical Brief No. 28 Diabetes and Health Equity in West Virginia: A Review. http://www.wvdhhr.org/bph/hsc/pubs/briefs/028/brief28_20121220_health_eq_stat.pdf

Kumela Goro, K., Desalegn Wolide, A., Kerga Dibaba, F., Gashe Fufa, F., Wakjira Garedow, A., Edilu Tufa, B., & Mulisa Bobasa, E. (2019, May 12). Patient awareness, prevalence, and risk factors of chronic kidney disease among diabetes mellitus and hypertensive patients at Jimma University Medical Center, Ethiopia. BioMed Research International. https://www.hindawi.com/journals/bmri/2019/2383508/

Ladha, T., Zubairi, M., Hunter, A., Audcent, T., & Johnstone, J. (2018). Cross-cultural communication: Tools for working with families and children. Paediatrics & Child Health, 23(1), 66–69. https://doi.org/10.1093/pch/pxx126

Think Cultural Health. (n.d.). Culturally and linguistically appropriate services. https://thinkculturalhealth.hhs.gov/clas

Vanaken, H., & Masand, S. N. (2019). Awareness and collaboration across stakeholder groups important for eConsent achieving value-driven adoption. Therapeutic Innovation & Regulatory Science, 53(6), 724–735. https://doi.org/10.1177/2168479019861924

NURS FPX 5003 Assessment 3 Intervention And Health Promotion Plan For Diverse Population

Name

Capella University

NURS-FPX 5003 Health Assessment and Promotion for Disease Prevention in Population-Focused Health

Prof. Name

Date

Intervention and Health Promotion Plan for Diverse Populations

One of the primary assumptions in public health is that strategies proven effective in the general population can similarly be successful when tailored to ethnic minority populations. As a result, the first phase of this research involves identifying evidence-based strategies for health promotion that have been effective in the general population. Engaging key stakeholders, including patients and community members, during the planning phase is critical for designing interventions that can address health disparities. In West Virginia, certain ethnic minority groups, such as African Americans, experience significant disparities in diabetes-related mortality, emphasizing the importance of including these populations in health promotion programs aimed at reducing racial and ethnic health disparities.

Major Components of an Intervention and Health Promotion Plan

Innovation plays a vital role in developing evidence-based interventions that enhance both the technical aspects of program implementation and the broader development of public health strategies. By fostering creativity within a diverse team, health promotion programs can benefit from fresh perspectives that improve outcomes (O’Cathain et al., 2019). Integrating multiple approaches, such as patient self-management education and staff awareness training, has been shown to improve outcomes for diabetic patients. Effective team collaboration, especially when addressing diabetes prevention in diverse populations, has been linked to positive health outcomes (O’Cathain et al., 2019).

NURS FPX 5003 Assessment 3: Intervention and Health Promotion Plan for Diverse Populations

Clinicians often prioritize diagnosing and treating diseases, while many patients are more focused on maintaining their quality of life. It is crucial to understand how cultural backgrounds shape patients’ perspectives on healthcare. Equally important is fostering mutual respect among healthcare professionals and between providers and patients to mitigate disparities (Mannell & Davis, 2019). Key components of an effective intervention strategy for diverse populations include developing inclusive policies, offering targeted solutions, and creating a well-structured plan. Clear goals and consistent processes enable healthcare teams to deepen their knowledge and better serve minority groups (Anderson, 2021).

Criteria to Evaluate the Success of the Plan

Evaluation is essential for determining the effectiveness of interventions and identifying areas for future improvement. Healthcare teams can use both administrative and clinical data to assess the impact of health interventions, which can inform future policies. Successful plans are defined by measurable positive outcomes, such as the number of patients receiving successful treatment, equitable access to care, and improvements in overall care quality (Clarke et al., 2019). Addressing disparities in healthcare through culturally competent services—such as those that are linguistically appropriate and sensitive to individual preferences—can also contribute to better outcomes for diverse populations (Golden et al., 2021).

Major Components of an Intervention and Health Promotion Plan for a Diverse Group

Racial and ethnic disparities in diabetes outcomes are more common among minority groups. Epidemiological studies suggest that a combination of strategies, including primary prevention efforts, can help reduce these disparities (Northwestern Medicine, 2022). In West Virginia, where diabetes is a leading cause of death, minority groups such as African Americans face disproportionately high rates of diabetes-related complications. Access barriers and financial constraints hinder diabetes management in these communities. However, interventions such as promoting regular physical activity and preventive check-ups can effectively reduce the incidence of diabetes (Northwestern Medicine, 2022).

NURS FPX 5003 Assessment 3: Intervention and Health Promotion Plan for Diverse Populations

African American, Hispanic, and other minority communities stand to benefit significantly from the proposed intervention strategy. Raising awareness among healthcare staff about these disparities is essential to improving outcomes. Respect for patients and healthcare staff, particularly in diverse populations, is key to eliminating disparities. The plan aims to improve care quality for minority groups and reduce disparities through equitable access to healthcare.

Epidemiological Evidence and Best Practices

Epidemiological research supports the notion that dietary changes and increased physical activity can help prevent diabetes in prediabetic adults. In West Virginia, an intervention implemented at West Virginia University Hospital focuses on promoting social support, medication adherence, and awareness campaigns to reduce diabetes prevalence. Community health workers play a crucial role in delivering these services, particularly through one-on-one interactions or group sessions (American Diabetes Association, 2018). Adherence to prescribed medications is critical for improving health outcomes, especially in chronic disease management (Mirzaei et al., 2020).

Conflicting Evidence

Culturally and linguistically diverse populations often face significant barriers to accessing healthcare. African Americans, Hispanics, and Latinos are at higher risk for diabetes (Hendricks et al., 2021). Cultural competence is essential for healthcare providers to offer high-quality care while addressing the biases that contribute to health disparities (Handtke et al., 2019). However, cultural differences also present unique challenges, requiring healthcare professionals to carefully consider the factors that may influence treatment outcomes for diverse populations (Caballero, 2018).

Evidence and Best Practices for Working in Diverse Populations

Diversity benefits healthcare organizations by enhancing their ability to address health disparities. Healthcare providers play a critical role by adopting best practices for serving diverse populations, such as addressing patient care disparities and implementing cultural training programs (Firew et al., 2020).

Staff Education Activities

Educational initiatives that increase awareness of sociocultural influences on health can significantly improve patient care outcomes. These activities help healthcare providers develop the skills needed to understand and manage cultural factors during clinical encounters (Haraldseid-Driftland et al., 2022). Effective communication across cultural divides can be challenging but is necessary for delivering high-quality care (Shepherd et al., 2019).

Professional Communication of Plan

Effective communication is vital for the successful implementation of the intervention plan. Collaboration and teamwork among healthcare professionals and patients can foster better health outcomes. Disseminating the plan to all stakeholders, including healthcare staff and patients, is essential for ensuring that everyone is informed and involved in the intervention process (Buljac-Samardzic et al., 2020). Respectful communication within healthcare teams and with patients contributes to the development of a successful intervention strategy (Fahner et al., 2019).

Communication Interventions

Communication strategies play a key role in promoting healthy behaviors and guiding patients toward informed decisions. Planned and purposeful communication enables programs to consistently deliver health messages to the right audiences at the right times.

Conclusion

In conclusion, developing an effective intervention plan requires careful planning and communication. Increasing staff awareness of disparities and improving communication strategies are essential to achieving positive health outcomes. Healthcare professionals are responsible for ensuring that the intervention plan is effectively implemented and communicated to all stakeholders.

References

Anderson, H. (2021). APA PsycNet. Psycnet.apa.org.

Buljac-Samardzic, M., Doekhie, K. D., & van Wijngaarden, J. D. H. (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade. Human Resources for Health, 18(1).

Caballero, A. E. (2018). The “A to Z” of Managing Type 2 Diabetes in culturally diverse populations. Frontiers in Endocrinology, 9.

Clarke, G. M., Conti, S., Wolters, A. T., & Steventon, A. (2019). Evaluating the impact of healthcare interventions using routine data. BMJ, 365(365), l2239.

Fahner, J. C., Beunders, A. J. M., van der Heide, A., Rietjens, J. A. C., Vanderschuren, M. M., van Delden, J. J. M., & Kars, M. C. (2019). Interventions guiding advance care planning conversations: A systematic review. Journal of the American Medical Directors Association, 20(3), 227–248.

Firew, T., Sano, E. D., Lee, J. W., Flores, S., Lang, K., Salman, K., Greene, M. C., & Chang, B. P. (2020). Protecting the front line: A cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA. BMJ Open, 10(10), e042752.

Golden, S. H., Joseph, J. J., & Hill-Briggs, F. (2021). Casting a health equity lens on endocrinology and diabetes. The Journal of Clinical Endocrinology & Metabolism, 106(4), e1909–e1916.

NURS FPX 5003 Assessment 3 Intervention And Health Promotion Plan For Diverse Population

Handtke, O., Schilgen, B., & Mösko, M. (2019). Culturally competent healthcare – A scoping review of strategies implemented in healthcare organizations and a model of culturally competent healthcare provision. PLOS ONE, 14(7).

Haraldseid-Driftland, C., Billett, S., Guise, V., Schibevaag, L., Alsvik, J. G., Fagerdal, B., Lyng, H. B., & Wiig, S. (2022). The role of collaborative learning in resilience in healthcare—a thematic qualitative meta-synthesis of resilience narratives. BMC Health Services Research, 22(1).

Hendricks, B., Paul, R., Smith, C., Wen, S., Kimble, W., Amjad, A., Atkins, A., & Hodder, S. (2021). Coronavirus testing disparities associated with community level deprivation, racial inequalities, and food insecurity in West Virginia. Annals of Epidemiology, 59, 44–49.

Mannell, J., & Davis, K. (2019). Evaluating complex health interventions with randomized controlled trials: How do we improve the use of qualitative methods? Qualitative Health Research, 29(5), 623–631.

Mirzaei, M

., Rahmaninan, M., Mirzaei, M., & Nadjarzadeh, A. (2020). Epidemiology of diabetes mellitus, pre-diabetes, undiagnosed and uncontrolled diabetes in Central Iran: Results from Yazd Health Study. BMC Public Health, 20(1).

NURS FPX 5003 Assessment 3 Intervention And Health Promotion Plan For Diverse Population

Northwestern Medicine. (2022). Race and diabetes. Northwestern Medicine. Retrieved from https://www.nm.org/conditions-and-care-areas/endocrinology/diabetes/race-and-diabetes.

O’Cathain, A., Croot, L., Duncan, E., Rousseau, N., Sworn, K., Turner, K. M., Yardley, L., Hoddinott, P., Lewin, S., & Donovan, J. L. (2019). Guidance on how to develop complex interventions to improve health and healthcare. BMJ Open, 9(8).

Shepherd, S., Willis, L., & Hodson, G. (2019). Evidence that a brief multi-component socio-cognitive intervention reduces ethnic prejudice. Group Processes & Intergroup Relations, 23(2), 242–258.

NURS FPX 5003 Assessment 2 Interview Of Health Care Professional

Name

Capella University

NURS-FPX 5003 Health Assessment and Promotion for Disease Prevention in Population-Focused Health

Prof. Name

Date

Interview with a Healthcare Professional

Conducting interviews with healthcare professionals offers valuable insights into the healthcare needs of diverse populations served by healthcare organizations. By integrating healthcare data with the lived experiences of healthcare professionals, organizations can develop more effective strategies and plans. It is essential to understand how healthcare professionals communicate with patients, particularly those from racially and ethnically diverse backgrounds. This knowledge is critical in providing patients with sufficient health information to make informed decisions about their care.

Furthermore, healthcare professionals can contribute to the development of best practices by observing industry leaders. Implementing these practices ensures compliance with relevant healthcare standards and guidelines. In this review, Dr. Mud Swamp, who oversees West Virginia College’s schools of dentistry, medicine, nursing, pharmacy, public health, and various affiliated health programs across the state, was interviewed. Dr. Swamp earned a Bachelor of Science degree and a medical degree from West Virginia College (West Virginia College, n.d.).

Strategies for Addressing Identified Healthcare Needs

Multiple strategies can be used to identify healthcare needs, such as interviews with healthcare professionals, community leaders, stakeholder meetings, surveys, and demographic data analysis. According to Aron (2019), the Plan-Do-Study-Act (PDSA) cycle is a powerful tool for driving organizational improvements. In clinical settings, the PDSA cycle assesses care quality and determines if improvements or changes are necessary. An external evaluator can assist organizations in planning and assessing these changes.

Healthcare disparities continue to persist in the U.S., especially for sexual, ethnic, and gender minorities and individuals with low health literacy (NHS England and NHS Improvement, 2021). The Cultural and Linguistically Appropriate Services (CLAS) standards, introduced in 2000, aimed to address these disparities. The enhanced National CLAS standards introduced in 2013 help ensure health equity, particularly for minority groups with low health literacy. Implementing CLAS requires cultural humility and competence at the provider level (Minority Health, n.d.).

Criteria for Evaluating the Strategies

When evaluating strategies, program organizers should ask questions like “What achievements has the organization made during this period?” and “How many diabetic patients were served?” Dineen-Griffin et al. (2019) suggest that organizations either hire an external evaluator or designate an internal staff member to evaluate system efficiency for future decision-making. The Organization for Economic Co-operation and Development (OECD) DAC outlines six evaluation criteria: relevance, soundness, effectiveness, efficiency, impact, and sustainability (Alcayna & O’Donnell, 2022).

The interview revealed that West Virginia College hospitals implement various methods to provide Culturally and Linguistically Appropriate Services (CLAS) to diabetic patients. The organization employs patient-centered communication and addresses cultural barriers, ensuring effective interactions between proactive care teams and informed, engaged patients, consistent with elements of the Chronic Care Model (Timpel et al., 2020).

NURS FPX 5003 Assessment 2: Interview of a Healthcare Professional

Healthcare professionals influence and engage healthcare teams, patients, and communities through various communication methods, such as group meetings, face-to-face interactions, campaigns, and surveys (Gehlert et al., 2019). Patient outcomes can improve by effectively communicating complex health information to diverse populations. For example, diabetic patients benefit more from understanding that maintaining a specific blood glucose level is crucial to reducing future complications than simply being told to maintain a specific level. Understanding populations with low health literacy helps healthcare providers create frameworks to enhance health education.

Benefits of Adhering to National CLAS Standards

The National CLAS Standards offer a framework for delivering culturally and linguistically appropriate services, enhancing healthcare professionals’ ability to communicate effectively in multicultural settings. These standards contribute to reducing healthcare disparities and achieving health equity by enabling healthcare providers to connect with patients from various cultural backgrounds (Annalee A., 2022).

Epidemiological principles are foundational for disease surveillance and analysis. Public health professionals use these principles to identify public health problems, track diseases, and predict their impact on populations (Harvard Medical School, 2022).

Organization’s Strengths in Addressing National CLAS Standards

West Virginia College hospital has demonstrated a strong commitment to implementing the National CLAS Standards. These efforts have resulted in addressing healthcare disparities and meeting the needs of vulnerable populations, including the African American community. Successful implementation of the National CLAS Standards depends on organizational commitment, which helps eliminate healthcare disparities (U.S. Department of Health & Human Services, 2022).

Challenges of the Organization in Addressing National CLAS Standards

Challenges in implementing the National CLAS Standards often include resource limitations and a lack of guidance on applying the standards. Failure to properly implement the standards can lead to adverse patient outcomes and financial burdens. Isoherranen et al. (2019) noted that communication issues within healthcare organizations are barriers to effectively implementing the CLAS standards.

Recruiting skilled professionals and training staff can be costly for organizations, particularly those located in rural areas, further hindering the implementation of CLAS standards (Think Cultural Health, n.d.).

Organization’s Strategies, Strengths, and Weaknesses

Effective communication is essential in healthcare settings, and West Virginia College hospital excels in empowering staff to voice concerns and adapt strategies to meet CLAS standards. By encouraging staff to listen to patients and understand their cultural needs, the hospital provides high-quality care to its diverse patient population (Rangachari & Woods, 2020).

However, retooling staff can be a challenge, as new employees often require additional training to use existing healthcare tools and equipment effectively. Despite the costs, WVU Hospital capitalizes on opportunities to train healthcare workers on cutting-edge medical technology to improve care delivery.

Conclusion

Identifying healthcare needs allows healthcare organizations to prioritize needs, allocate resources, and improve healthcare outcomes. It fosters collaboration and creativity while addressing healthcare disparities.

References

Alcayna, T., & O’Donnell, D. (2022). How much global climate adaptation finance is targeting the health sector? European Journal of Public Health, 32(Supplement_3). https://doi.org/10.1093/eurpub/ckac129.146

Annalee A., M. (2022). A culturally competent patient care: A review of the CLAS standards. International Archives of Public Health and Community Medicine, 6(2). https://doi.org/10.23937/2643-4512/1710077

Aron, D. C. (2019). The complexity of context. Complex systems in medicine, 101–114. https://doi.org/10.1007/978-3-030-24593-1_9

Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PLOS ONE, 14(8). https://doi.org/10.1371/journal.pone.0220116

NURS FPX 5003 Assessment 2 Interview Of Health Care Professional

Gehlert, S., Choi, S. K., & Friedman, D. B. (2019). Communication in health care. Handbook of health social work, 249–277. https://doi.org/10.1002/9781119420743.ch12

Isoherranen, K., O’Brien, J. J., Barker, J., Dissemond, J., Hafner, J., Jemec, G. B. E., Kamarachev, J., Läuchli, S., Montero, E. C., Nobbe, S., Sunderkötter, C., & Velasco, M. L. (2019). Atypical wounds: Best clinical practice and challenges. Journal of Wound Care, 28(Sup6), S1–S92. https://doi.org/10.12968/jowc.2019.28.sup6.s1

Harvard Medical School (2022). Using epidemiological tools to evaluate human disease. Postgraduateeducation.hms.harvard.edu. https://postgraduateeducation.hms.harvard.edu/trends-medicine/using-epidemiological-tools-evaluate-human-disease

Minority Health (n.d.). CLAS, cultural competency, and cultural humility. Office of Minority Health. https://www.minorityhealth.hhs.gov/

NURS FPX 5003 Assessment 1 Identifying Community Health Needs

Name

Capella University

NURS-FPX 5003 Health Assessment and Promotion for Disease Prevention in Population-Focused Health

Prof. Name

Date

Identifying Community Health Needs

Assessing the health status of a state or community requires a detailed process involving healthcare organizations to pinpoint and analyze healthcare needs, particularly regarding specific diseases and their impact on particular regions. This assessment allows healthcare professionals to prioritize health needs and formulate strategies to address the unmet demands of the community. In this study, the focus is on the prevalence of diabetes in West Virginia, identifying healthcare needs among patients, and understanding the communities most affected by the disease. Data for this research has been gathered from sources such as the State Department of Health, the American Diabetes Association, County Health Data, and the American Journal of Diabetes.

Demographic Characteristics for a State

Demographic characteristics include factors such as population composition, race, ethnicity, disease prevalence, religious affiliation, educational attainment, and mental health diagnoses. These demographic elements often inform behavioral patterns, with age being a particularly important factor influencing individual experiences in society. Additionally, demographic data covers community traits like income levels, employment status, gender distribution, educational attainment, and commuting habits. Racial categories, such as Asian, White, Black, and African American, often contain diverse ethnicities and cultural backgrounds (Minc et al., 2020).

Specific patient information, including birthdates and insurance details, constitutes part of illness demographics, facilitating medical billing, improving healthcare quality, and promoting cultural competence. According to the 2018 United States Census Bureau estimates, West Virginia’s total population was 1,775,156, with 93.1% of residents identifying as White, 3.7% as Black, 0.3% as Asian, and 1.9% as Latino.

NURS FPX 5003 Assessment 1: Identifying Community Health Needs

Approximately 14.1% of the state’s population under 65 lives with a disability. From 2017 to 2021, around 88.1% of the population completed high school. Many residents suffer from multiple chronic conditions, including diabetes, cancer, kidney and lung diseases, arthritis, and risk factors like obesity and hypertension.

Disease prevention and health promotion share several common objectives and functions. The population-based approach to prevention suggests that interventions should target entire populations to effectively alter the distribution of disease risk factors (Minc et al., 2020). Initiatives in population health promotion and prevention primarily focus on fostering environmental resilience and promoting equity in human healthcare services.

Trends Regarding Population in Demographic Reports

Between 2010 and 2021, West Virginia’s population showed growth during two of the eleven years. The largest decline, at 0.8%, occurred between 2016 and 2017. Approximately 16.2% of adults in West Virginia, or about 232,336 individuals, have diabetes. Demographic reports reveal that this prevalence is on the rise, particularly among American Indians and non-Hispanic Blacks (American Diabetes Association, 2022).

Much like clinical medicine’s focus on the development and expression of disease in individuals, epidemiology can be considered the study of disease progression in communities. Public health officials are increasingly concerned with the persistent, and in some cases growing, significance of diseases. Epidemiology relies on critical concepts, including population analysis and comparison. Public health epidemiologists are tasked with researching diseases, assessing health trends, and developing policies (ADA, 2022). Key epidemiological tools include data review, program data analysis, and prompt assessment. These tools may provide varying types of information but often cover the same health outcomes or indicators.

NURS FPX 5003 Assessment 1: Identifying Community Health Needs

The Diabetes in West Virginia report from 2021 collected information on participants’ age, gender, and ethnicity. Questions in the report focused on knowledge of type 2 diabetes, risk factors, symptoms, diagnosis, treatment, and prevention.

Impact of Diabetes on Specific Groups in West Virginia

Diabetes affects 16% of West Virginia’s population, with the prevalence being 17% among the Black community, 16% among the White population, and 10% among multiracial individuals (Division of Health Promotion and Chronic Diseases, 2021). American Indians, a racial group identified in the U.S. Census, face a significantly higher risk of diabetes, more than twice that of White individuals, who have an 8% prevalence of adult diabetes. Economic well-being, healthcare quality, and overall quality of life shape population health. These multiple factors make it challenging to quantify a population’s health status.

In 2018, the Centers for Disease Control and Prevention (CDC) reported that over 34 million Americans were living with diabetes. Medical expenses for diabetes patients are approximately double those for people with other diseases. In that same year, the CDC’s Division of Diabetes Translation allocated $926,068 for diabetes education and prevention initiatives in West Virginia (American Diabetes Association, 2018). Diabetes can lead to severe complications, including heart disorders, blindness, and death.

Communication of Demographic Data and Health Needs

Research by Hermann et al. (2019) indicates that patient characteristics and demographics play a significant role in shaping patients’ perceptions of communication in healthcare settings. Positive behaviors exhibited by healthcare providers, such as respectful treatment, contribute to patients’ perceptions of care quality. In fast-paced healthcare environments, individualized care and clear communication are essential to ensuring patients’ understanding of their care. Health authorities can improve communication with affected communities by promoting health literacy, allowing for more effective health improvement strategies.

Respect and dignity are paramount values in patient care. These values are closely tied to actions that support healthcare teams in delivering exceptional care and assistance. Patient satisfaction improves when nurses incorporate practices such as informing patients about care delays, safeguarding data privacy, and responding appropriately. Health promotion and well-being are shaped by individual characteristics, behaviors, and social and economic environments (Hwang & Oh, 2020).

Conclusion

In conclusion, identifying and addressing community health needs requires comprehensive strategies and interventions. Understanding the demographic characteristics of a state is crucial for healthcare professionals to implement preventive measures and promote public health. Epidemiology plays a vital role in managing program data analysis and ensuring timely evaluation.

References

American Diabetes Association. (2022, July 28). Statistics about Diabetes | ADA. Diabetes.org. https://diabetes.org/about-us/statistics/about-diabetes

American Diabetes Association. (2018). The burden of diabetes in West Virginia. https://diabetes.org/sites/default/files/202111/ADV_2021_State_Fact_sheets_West%20Virginia_rev.pdf

Division of Health Promotion and Chronic Diseases. (2021). Diabetes in West Virginia. Wv.gov. https://dhhr.wv.gov/hpcd/FocusAreas/wvdiabetes/Pages/DiabetesinWestVirginia.aspx

Hermann, R. M., Long, E., & Trotta, R. L. (2019). Improving patients’ experiences communicating with nurses and providers in the emergency department. Journal of Emergency Nursing, 45(5), 523–530. https://doi.org/10.1016/j.jen.2018.12.001

NURS FPX 5003 Assessment 1 Identifying Community Health Needs

Hwang, Y., & Oh, J. (2020). Factors affecting health-promoting behaviors among nursing students. International Journal of Environmental Research and Public Health, 17(17), 6291. https://doi.org/10.3390/ijerph17176291

Minc, S. D., Hendricks, B., Misra, R., Ren, Y., Thibault, D., Marone, L., & Smith, G. (2020). Geographic variation in amputation rates among patients with diabetes and/or peripheral arterial disease in the rural state of West Virginia identifies areas for improved care. Journal of Vascular Surgery, 71(5), 1708-1717.e5. https://doi.org/10.1016/j.jvs.2019.06.215

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