NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

Name

Capella University

NURS-FPX 6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

Prof. Name

Date

Biopsychosocial Population Health Policy Proposal

The policy proposed for pediatric asthma management in Maplewood adopts a multifaceted approach, integrating education, adherence to guidelines, and improved access to care. The policy aims to reduce asthma exacerbations and hospitalizations by fostering interprofessional collaboration among healthcare providers. Environmental interventions, such as the “Healthy Homes” program and school-based asthma management initiatives, complement clinical strategies, addressing both medical and environmental determinants of asthma outcomes. Advocacy efforts emphasize the importance of evidence-based interventions while acknowledging the need for comprehensive approaches to pediatric asthma care.

Policy Proposal and Guidelines

A comprehensive policy is proposed to address the pressing need for improved outcomes and quality of care for pediatric asthma patients in Maplewood, focusing on integrating asthma management programs within community health centers. This entails robust education for patients and caregivers, strict adherence to the National Asthma Education and Prevention Program (NAEPP) guidelines, and enhanced access to primary and specialty asthma care (Kapri, 2021). By fostering interprofessional collaboration among various healthcare providers, including pediatricians, asthma specialists, nurses, respiratory therapists, pharmacists, educators, and social workers, the policy aims to reduce asthma exacerbations significantly, emergency department visits, and hospitalizations.  The goal is to enhance the well-being and academic success of children under 18 in the Maplewood community (Kapri, 2021).

Guidelines have been proposed to facilitate the implementation of this policy. These include comprehensive education and training programs for patients, caregivers, and healthcare providers. Patient education will be conducted through initiatives like the CDC’s “Asthma Control Program,” focusing on asthma triggers, proper inhaler techniques, and medication adherence. Additionally, continuous training sessions will be provided to healthcare providers to ensure adherence to the latest NAEPP guidelines and best practices in asthma management (Rehman et al., 2020).

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

In terms of clinical management, personalized asthma action plans will be developed and regularly updated for each pediatric patient based on individual symptom severity and medical history. Pharmacological treatments are tailored according to NAEPP recommendations, with adjustments made as necessary based on ongoing assessments and patient response. Access to care will be enhanced by expanding primary and specialty asthma care services at community health centers and implementing telehealth consultations to address potential barriers like transportation issues (Nanda et al., 2023).

Environmental interventions are also integral to the proposed policy. Initiatives like the “Healthy Homes” program will reduce indoor asthma triggers, while school-based asthma management programs will educate students and staff on asthma triggers and emergency response procedures (Everhart et al., 2020). Challenges such as resource allocation, guideline adherence, and community engagement are recognized and addressed through various strategies, including seeking grants, implementing regular audits, and leveraging local media and community leaders for advocacy and support (Martin et al., 2022). This policy and accompanying guidelines are designed to be accurate and influential within the Maplewood community, ensuring sustained improvements in pediatric asthma care and outcomes.

Advocacy for Policy Implementation

The current state of pediatric asthma management in Maplewood presents significant challenges, with a notable strain on the healthcare system due to frequent emergency department visits and hospitalizations. Despite efforts to enhance care, asthma exacerbations persist, leading to increased school absenteeism and adverse impacts on academic performance and overall well-being. There are also significant areas for improvement in the quality of care provided to children with asthma in Maplewood, such as poor medication adherence rates and restricted access to specialized treatment. These findings underline the need for comprehensive policy initiatives aimed at improving access to care and promoting medication adherence among affected children, as consistent adherence to evidence-based guidelines is crucial to optimizing clinical outcomes and minimizing healthcare utilization (González et al., 2022).

Improving outcomes and quality of care for pediatric asthma patients is imperative to alleviate the burden on families and the healthcare system and enhance affected children’s overall well-being and academic success. A comprehensive policy integrating education, adherence to guidelines, and enhanced access to care can significantly improve asthma control and reduce healthcare utilization. This policy will empower families to manage asthma effectively at home and access timely medical care when needed. Additionally, fostering interprofessional collaboration among healthcare providers and addressing environmental factors through initiatives like the “Healthy Homes” program will contribute to sustained improvements in pediatric asthma outcomes in the Maplewood community (Everhart et al., 2020).

Ethical consideration of contradictory evidence and opposing perspectives is essential when defending this policy. While some may question the effectiveness of intensive education programs or prioritize medical management over environmental interventions, it’s essential to recognize the multifaceted nature of asthma management and the need for a comprehensive approach. Support for the proposed policy can be gained by carefully considering opposing views and offering evidence-based arguments grounded in local data and context (Shipp et al., 2022). Addressing current shortcomings in outcomes and quality of care through targeted policy interventions can lead to significant improvements in pediatric asthma management in Maplewood.

Interprofessional Approach to Policy Implementation

In implementing the proposed policy for pediatric asthma management in Maplewood, leveraging interprofessional collaboration among pediatricians, nurses, asthma specialists, respiratory therapists, educators, pharmacists, and social workers is paramount for achieving high-quality outcomes efficiently and effectively. These professionals bring specific expertise, allowing for a comprehensive assessment of each pediatric asthma patient’s needs. Specialists provide insights into complex cases and treatment optimization, while pediatricians oversee primary care and asthma management plans.

In addition to monitoring asthma control and ensuring treatment plans are followed, nurses and respiratory therapists are essential in educating patients (Ruiz et al., 2022). Pharmacists manage medications, assess drug connections, and address adherence worries. Social workers and educators focus on addressing psychosocial factors that impact asthma outcomes. This collaborative approach ensures a tailored and holistic understanding of each patient’s unique challenges and needs (Dreisbach et al., 2022).

Interprofessional collaboration supports an increase in efficiency by optimizing care delivery processes. Tasks are delegated based on each professional’s strengths and expertise, minimizing duplication of efforts and ensuring a coordinated approach to patient care. A study by Jaladanki et al. (2021) shows that while pediatricians oversee overall asthma management plans, nurses and respiratory therapists can take the lead in patient education and monitoring, allowing pediatricians to focus on clinical assessments and treatment adjustments. Pharmacists provide valuable input on medication management, ensuring optimal therapeutic outcomes while addressing any concerns or barriers to adherence (Jaladanki et al.,2021). 

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

In terms of effectiveness, interprofessional collaboration fosters a multidimensional approach to care. Asthma management involves various medical, environmental, and social determinants. The policy can comprehensively address these factors by engaging professionals from diverse disciplines, leading to more effective interventions and improved outcomes. For instance, educators and social workers can collaborate to implement school-based asthma education programs such as the CDC’s “Asthma Control Program,” addressing both environmental triggers and psychosocial factors impacting asthma outcomes among students and families (Rehman et al., 2020).

This integrated approach ensures that all aspects of asthma management are addressed, resulting in better outcomes for pediatric asthma patients in Maplewood. Despite the potential benefits of interprofessional collaboration, there are knowledge gaps and uncertainties regarding the long-term effectiveness and scalability of such involvements in suburban communities like Maplewood. Additional research is required to evaluate these aspects, ensure informed decision-making, and sustain improvements in pediatric asthma management.

Conclusion

The proposed policy offers a comprehensive solution to improve pediatric asthma management in Maplewood. Integrating education, adherence to guidelines, and enhanced access to care supported by interprofessional collaboration. It addresses both medical and environmental determinants of asthma outcomes. Advocacy for evidence-based interventions and recognition of the multifaceted nature of asthma management underscore the necessity for a holistic approach to achieve sustained improvements in pediatric asthma care.

References

Dreisbach, N., Wang, H., Campbell, S., Correa, H., Dickson, T., Dudley, L. B., Escoffery, D., Evtimova, T., Fonseca, A., Myers, C., Plasencia, S., & Manyindo, N. (2022). Improving childhood asthma outcomes in East Harlem: The East Harlem asthma center of excellence’s asthma counselor program. The Journal of Asthma: Official Journal of the Association for the Care of Asthma, 1–9. https://doi.org/10.1080/02770903.2022.2051543 

Everhart, R. S., Mazzeo, S. E., Corona, R., Holder, R. L., Thacker, L. R., & Schechter, M. S. (2020). A community-based asthma program: Study design and methods of RVA Breathes. Contemporary Clinical Trials, 97, 106121. https://doi.org/10.1016/j.cct.2020.106121 

González, S. P., Baños, M. del C. Z., Picado, Á. A., & Palomo, J. J. (2022). Psychological and sociocultural determinants in childhood asthma disease: Impact on quality of life. International Journal of Environmental Research and Public Health, 19(5), 2652. https://doi.org/10.3390/ijerph19052652 

Jaladanki, S., Schechter, S. B., Genies, M. C., Cabana, M. D., Rehm, R. S., Howell, E., & Kaiser, S. V. (2021). Strategies for sustaining high‐quality pediatric asthma care in community hospitals. Health Services Research. https://doi.org/10.1111/1475-6773.13870 

Kapri, S. P. (2021). Providers’ adherence to evidence-based asthma guidelines in pediatric primary care. Journal of Pediatric Nursing, 57, 18–24. https://doi.org/10.1016/j.pedn.2020.09.020 

Martin, L. J., Hill, V., Maples, C., Baker, T., Elshaer, S., & Kovacic, M. B. (2022). Shared purpose: Leveraging a community-academic partnership to increase local environmental health awareness via community science. Journal of Participatory Research Methods, 3(3). https://doi.org/10.35844/001c.38475 

NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

Nanda, A., Siles, R., Park, H., Louisias, M., Ariue, B., Castillo, M., Anand, M. P., Nguyen, A. P., Jean, T., Lopez, M., Altisheh, R., & Pappalardo, A. A. (2023). Ensuring equitable access to guideline-based asthma care across the lifespan: Tips and future directions to the successful implementation of the new NAEPP 2020 guidelines, a work group report of the AAAAI asthma, cough, diagnosis, and treatment committee. Journal of Allergy and Clinical Immunology, 151(4), 869–880. https://doi.org/10.1016/j.jaci.2023.01.017 

Rehman, N., Almeida, M. M., & Wu, A. C. (2020). Asthma across childhood: Improving adherence to asthma management from early childhood to adolescence. The Journal of Allergy and Clinical Immunology: In Practice, 8(6), 1802-1807.e1. https://doi.org/10.1016/j.jaip.2020.02.011 

Ruiz, E. B., Recio, R. S., Lorente, R. A., Iguacel, I., Corral, M. P., Vicente, C. L. M. de , Olmos, A. J., & Gallén, Á. G. (2022). The nurse’s role in educating pediatric patients on correct inhaler technique: An interventional study. International Journal of Environmental Research and Public Health, 19(7), 4405. https://doi.org/10.3390/ijerph19074405 

Shipp, C. L., Gergen, P. J., Gern, J. E., Matsui, E. C., & Guilbert, T. W. (2022). Asthma management in children. The Journal of Allergy and Clinical Immunology: In Practice. https://doi.org/10.1016/j.jaip.2022.10.031