Intervention and Health Promotion Plan for Diverse Population

One fundamental assumption is that health promotion strategies that are successful in the general population are also likely to be successful in ethnic minority populations if adapted appropriately. Therefore, the first step of this study will be to look for recommendations based on evidence for successful health promotion strategies in the general population. Health intervention planning that is informed by evidence and involves key stakeholders, patients, and community members in the planning process leads to more successful interventions. In West Virginia, many ethnic minority groups, such as Black or African Americans, experience disparities in diabetes-related mortality. Therefore, it is generally acknowledged that participation in health promotion interventions is a crucial component of strategies aimed at reducing health disparities based on race and ethnicity.

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

Major Components of an Intervention and Health Promotion Plan 

Innovation is necessary to develop the evidence-based care needed to establish and refine the technical components of successful program implementation and for all aspects of the development of public health strategies and programs. Therefore, I will embrace innovation because it will enhance program management to maintain diabetes interventions with high impact. I will include members from diverse populations on the team because doing so may lead to novel concepts and creative ideas that could be used in the intervention process (O’Cathain et al., 2019). A combination of interventions like patient self-management and staff awareness sessions will assist in achieving the desired outcomes of enhanced patient care for diabetic individuals. Positive outcomes will be achieved due to our team’s increased effectiveness in preventing the disease among a diverse population in an atmosphere of harmony. (O’Cathain et al., 2019).

Most people generally care about maintaining their lives’ quality, despite clinicians typically focusing on diagnosing and treating disease. My team will acknowledge that the patient’s cultural background influences our healthcare team’s perspectives. In addition, teaching our healthcare team to respect patients and one another and how to reduce healthcare disparities will aid in this endeavor. Because the patients are from a diverse population, the healthcare team must be taught to keep this in mind (Mannell & Davis, 2019). 

Essential components include the development of beneficial policies, the presentation of solutions, and the proper planning of an intervention plan for a diverse population. By establishing a straightforward path to the plan’s success and ensuring process consistency, the healthcare team will gain knowledge of these components and contribute to improvement. By providing high-quality healthcare, this plan will benefit neglected communities and minority groups. (Anderson, 2021).

Criteria to Evaluate the Success of the Plan

An evaluation is a crucial component in determining the impact of interventions and assisting in forming future improvement decisions. The ability of healthcare teams to learn and improve services because of evaluating the impact of health interventions can help inform policy in the future. The impact of interventions to improve care could be evaluated using various administrative and clinically generated healthcare data routinely collected. The positive outcomes of the intervention plan, such as the number of patients who receive successful treatment, equal access to healthcare for all patients, data transparency, and care effectiveness determine the plan’s success (Clarke et al., 2019).

Cultural, ethnic, and traditional competence provide a path and framework for improving all patients’ health. CLAS, or culturally and linguistically appropriate services, are tailored to each patient’s preferences and requirements (Golden et al., 2021). Additionally, they aid in reducing health disparities and improving health outcomes across diverse populations. Socioeconomic policies, a lack of awareness, and health access issues that white people are less likely to encounter as compared to Hispanic or black people are the root causes of the disparities.

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

Diabetes-related complications are more common in people of colour and ethnic minorities. Numerous epidemiologic studies have been conducted better to define these racial/ethnic disparities in diabetes patients and to offer interventions to reduce them as it is recommended to use combination strategies (Northwestern Medicine, 2022). To address the current and anticipated rise in new diabetes cases among the population, the intervention plan should concentrate on components such as primary prevention from the disease.

 In West Virginia, diabetes is a leading cause of death, primarily affecting members of racial and ethnic minority groups. Diabetes is diagnosed 60% more frequently in Black adults in the United States than in white adults. Sadly, Black and Brown communities face significant barriers to care access and the inability to afford high-quality medical care and prescription medications. Because of this, conditions like diabetes are not properly managed, which leads to worse outcomes. By adapting interventions like regular exercise and check-ups, diabetes can be prevented or delayed in Black people (Northwestern Medicine, 2022).

African Americans and Hispanics, among other Black and Brown communities, stand to gain from this promotional strategy. The staff will pay more attention to minorities after they are aware of the disparity and inequity, which will lead to positive outcomes. In addition, the respect factor in healthcare staff—for oneself and others—can benefit minorities if it is involved. To eliminate disparities, the plan that has been proposed will direct improvements in the quality of care provided to minorities like African Americans and Hispanics through the provision of equitable care.

Epidemiological Evidence and Best Practices

In adults who are prediabetic, dietary changes and increased physical activity reduce the risk of developing diabetes, according to epidemiological evidence. Diabetes is estimated to affect 12,377 people in West Virginia each year.  The intervention plan used for Diabetic patients in West Virginia University Hospital includes patients’ social support, medication adherence, and awareness raising that can result in a decrease in this number. It has been demonstrated that receiving social support from healthcare workers can lessen the psychological and physiological effects of disease stress and may increase trust in the organization. Community health workers should present services and program content in one-on-one interactions or group sessions (American Diabetes Association, 2018). Better health outcomes are seen in patients taking the prescribed medication regularly. However, these advantages may also be due to healthy behaviors, for which adherence is a marker. When a patient has a chronic condition that requires prolonged medical attention, adhesion and compliance are crucial to ensuring an improved health outcome. According to contradictory evidence, the plan can be failed due to advancing age, income level, and a lack of physician support or visits (Mirzaei et al., 2020).

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

Conflicting Evidence

Culturally and linguistically diverse patients have less access to healthcare services and face various obstacles. African Americans, Hispanics, and Latinos are among the racial and ethnic groups most at risk for diabetes (Hendricks et al., 2021). A patient’s quality of care is enhanced, and biases are eliminated by implementing a culturally competent intervention plan. According to Handtke et al. (2019), cultural competence also aids in the removal of stigma and the improvement of understanding of ethnic minority groups. According to Caballero (2018), many diabetes patients from culturally diverse populations present a challenge for healthcare providers worldwide. In every clinical encounter, clinicians and patients must efficiently select the issues and contributing factors to be discussed and addressed.

Evidence and Best Practices for Working in Diverse Population

Diversity has been shown to benefit not only an organization’s bottom line but also the health and progress of society and individuals. Healthcare workers can play a significant role by adopting best practices for working with a diverse population in the United States. For instance, a hospital in West Virginia launched a separate investigation into patient care disparities to identify biases that hinder treatment. Similarly, Brooklyn Medical Center developed a comprehensive in-house cultural training program for its employees that covers topics such as language, cultural philosophy, and patient religious practices (Firew et al., 2020).

Staff Education Activities

Dissatisfaction among patients and racial/ethnic disparities in care result when sociocultural differences between patients and providers are not discussed during the medical encounter. The objective of staff education activities is to increase their awareness of the sociocultural influences that affect health beliefs and behavior. These activities also provide them with the skills necessary to comprehend and manage these factors during a medical encounter (Haraldseid-Driftland et al., 2022). The tendency for individuals to interpret their thoughts and experiences through the lens of their own culture is one of the biggest potential obstacles to cross-cultural communication’s implementation. During the learning process, this can cause misunderstandings and miscommunication (Shepherd et al., 2019).

To get a sense of the other person’s beliefs and expectations, healthcare providers should learn about their patients’ and colleagues’ cultural traditions and pose open-ended questions. Various staff activities, such as group meetings, awareness campaigns on cultural competency, and daily staff huddles, can be carried out to achieve the desired outcomes. In order to explain the process of the implication of the intervention plan to the members, healthcare management can arrange a meeting with them either online or in person. Daily staff huddles could be organized to teach them to treat patients regardless of their religion, gender, or race and learn more about respecting different ethnic groups. Minority staff recruitment can also be beneficial in this regard.

Professional Communication of Plan

For the quality of the intervention plan, a primary point of vulnerability is frequently identified as a lack of teamwork. People with diabetes want health professionals to support them and talk to them about intervention plans and managing the disease. When it comes to making it possible for people with diabetes to discuss their intervention plan with healthcare professionals, a communication style that is open and empathic is crucial. A strategy that can make it possible to distribute an intervention plan to all members of the healthcare team, as well as the patient and his family, is to use various communication channels. Patient outcomes can be improved by effectively communicating complex health information to various patient populations (Buljac-Samardzic et al., 2020).

Respect for oneself and others in the healthcare staff, as well as with the patients, is precious in this context because it can enhance the quality of healthcare and produce desired outcomes. Meeting the needs of patients and developing an efficient intervention strategy are made possible by utilizing the distinctive perspective that each team member brings to the table (Fahner et al., 2019).

Communication interventions help individuals and communities make decisions about healthy behaviors. Through communication planning, programs can effectively and consistently convey health messages to the appropriate audiences at the appropriate times. Planning for effective communication is timely and purposeful.

Conclusion

In conclusion, developing an effective intervention plan necessitates careful planning. It is of more excellent value to raise staff awareness of how to effectively communicate about intervention while focusing on reducing disparities. For positive outcomes, healthcare professionals are responsible for developing an efficient plan and communicating it effectively.

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

References

Anderson, H. (2021). APA PsycNet. Psycnet.apa.org. https://psycnet.apa.org/record/2021-26586-011 

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). https://doi.org/10.1186/s12960-019-0411-3 

Caballero, A. E. (2018). The “A to Z” of Managing Type 2 Diabetes in culturally diverse populations. Frontiers in Endocrinology, 9. https://doi.org/10.3389/fendo.2018.00479

Clarke, G. M., Conti, S., Wolters, A. T., & Steventon, A. (2019). Evaluating the impact of healthcare interventions using routine data. BMJ, 365(365), l2239. https://doi.org/10.1136/bmj.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. https://doi.org/10.1016/j.jamda.2018.09.014 

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. https://doi.org/10.1136/bmjopen-2020-042752 

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. https://doi.org/10.1210/clinem/dgaa938 

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). https://doi.org/10.1371/journal.pone.0219971 

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). https://doi.org/10.1186/s12913-022-08451-y 

Mirzaei, M., Rahmaninan, M., Mirzaei, M., Nadjarzadeh, A., & Dehghani tafti, A. 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). https://doi.org/10.1186/s12889-020-8267-y 

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. https://doi.org/10.1016/j.annepidem.2021.03.009 

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. https://doi.org/10.1177/1049732319831032 

 Medicine, N. (2022, July). Diabetes in Black Communities. Northwestern Medicine.      https://www.nm.org/healthbeat/healthy-tips/nutrition/diabetes-in-the-black-community 

O’Cathain, A., Croot, L., Duncan, E., Rousseau, N., Sworn, K., Turner, K. M., Yardley, L., & Hoddinott, P. (2019). Guidance on how to develop complex interventions to improve health and healthcare. BMJ Open, 9(8), e029954. https://doi.org/10.1136/bmjopen-2019-029954 

O’Cathain, A., Croot, L., Duncan, E., Rousseau, N., Sworn, K., Turner, K. M., Yardley, L., & Hoddinott, P. (2019b). Guidance on how to develop complex interventions to improve health and healthcare. BMJ Open, 9(8), e029954. https://doi.org/10.1136/bmjopen-2019-029954 

Shepherd, S. M., Willis-Esqueda, C., Newton, D., Sivasubramaniam, D., & Paradies, Y. (2019). The challenge of cultural competence in the workplace: Perspectives of healthcare providers. BMC Health Services Research, 19(1), 1–11. Springer. https://doi.org/10.1186/s12913-019-3959-7 

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