NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Name

Capella University

NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Prof. Name

Date

Evidence-Based Population Health Improvement Plan

Hello, my name is Travisha. Today, we address Type 2 diabetes within Riverside. Our assessment integrates comprehensive local, national, and global data to craft a targeted health improvement plan. We examined Riverside’s 12% prevalence of diabetes, highlighting significant challenges such as limited healthcare access, high poverty rates, and insufficient physical activity opportunities. Our plan proposes establishing community health clinics, enhancing physical activity options, and creating culturally tailored diabetes education programs. By engaging key stakeholders and employing a culturally sensitive communication strategy, we aim to address these challenges and improve diabetes management and outcomes in the Riverside community.

Evaluating Environmental and Epidemiological Data

To evaluate the environmental and epidemiological data related to Type 2 diabetes within the community of Riverside, a comprehensive analysis of relevant data and environmental factors is essential. According to the latest report from the Riverside Health Department, approximately 12% of adults in Riverside are identified with Type 2 diabetes, indicating a significant public health concern (Riverside Healthcare, 2024). This finding is supported by supplementary data from the CDC, which reveals that in the U.S., approximately 38 million people have diabetes, with 1 in 5 unaware of their condition, and 98 million adults, more than 1 in 3, have prediabetes, with over 80% undiagnosed. Diabetes incurs a staggering $413 billion in medical costs and lost productivity annually, with individuals at higher risk of serious complications such as blindness, kidney failure, and heart disease (CDC, 2024).

The International Diabetes Federation (IDF) reports that diabetes impacted 463 million persons and resulted in 4.2 million deaths; by 2045, the figure is predicted to rise to 700 million. The disease incurred health expenditures of 720 billion USD, and with 1 in 3 cases underdiagnosed, the actual burden is likely much higher (Garcia et al., 2021). The majority of those affected are between 40 and 59 years old, underscoring the urgent need for improved detection and management strategies. The American Diabetes Association estimates that 38.4 million Americans, or 11.6% of the total population, had diabetes in 2021 (ADA, 2023). Of them, 2 million, roughly 304,000 children and adolescents have type 1 diabetes.

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Environmental factors play a crucial role in influencing the prevalence and management of Type 2 diabetes in Riverside. Limited access to healthcare services is a significant factor, as it can lead to delays in diagnosis and hinder effective disease management. The high poverty rate in Riverside, with 20% of residents living below the poverty line, exacerbates these challenges by restricting access to essential healthcare resources, including diabetes screenings, medications, and regular check-ups (Bekele et al., 2020). Economic constraints further limit residents’ ability to afford necessary health services.

Additionally, there needs to be more opportunities for physical activity, which is another crucial environmental factor. With only three exercise facilities available per 100,000 residents, the community faces substantial barriers to being involved in regular physical activity, which is vital for reducing the risk of Type 2 diabetes and managing blood sugar levels (Mohan & Pradeepa, 2021). Another crucial factor is the limited availability of community resources that support diabetes prevention and management, such as diabetes education programs and support groups. These resources can result in adequate disease management and higher awareness about preventive measures.

The data sources used for this evaluation include both primary and secondary sources. Primary data from the Riverside Health Department provides direct and current insights into local health conditions and resource availability, which is crucial for understanding specific challenges related to Type 2 diabetes. The validity of this data depends on the collection methodologies, including sampling techniques and data accuracy. Secondary data from the CDC, IDF, and ADA offers a broader context and supports the interpretation of trends and contributing factors. These sources are generally reliable due to their rigorous data collection processes and comprehensive analysis, although they may need to capture specific local details more effectively as primary data.

Ethical Health Improvement Plan

To tackle Type 2 diabetes in Riverside, an ethical health improvement plan must address environmental realities and cultural barriers through targeted interventions tailored to the community’s diverse needs. The plan recognizes several environmental challenges impacting diabetes in Riverside. To overcome these challenges, the plan proposes establishing community health clinics offering free or low-cost diabetes screenings and management. Additionally, deploying mobile health units to underserved areas will enhance access to necessary care for individuals with limited transportation options (Fritz et al., 2023). Increasing physical activity opportunities is also crucial. Developing and improving local recreational facilities, creating safe spaces for exercise, and implementing community fitness programs will promote healthier lifestyles (Park et al., 2020). Collaborations with local businesses and organizations to provide affordable fitness classes and wellness workshops can further support these efforts.

Another crucial factor in addressing Type 2 diabetes in Riverside is the absence of sufficient diabetes education programs and support groups. To address this, the plan includes the establishment of diabetes education centers within community health clinics and partnerships with local organizations to create support groups (Powers et al., 2020). These centers will offer workshops on diabetes management, lifestyle changes, and self-care, bridging the gap in available resources and enhancing community support. Cultural barriers are a significant consideration in this plan, as Riverside’s diverse population includes various beliefs and practices affecting health behaviors. To address these barriers, the plan emphasizes culturally tailored educational materials and programs. Engaging community leaders and representatives from different cultural groups will ensure interventions are culturally appropriate and sensitive (Goff et al., 2021). Additionally, providing culturally competent education on diabetes screenings, medication use, and lifestyle changes will be essential.

To evaluate the health improvement plan’s success, specific criteria include increasing diabetes screening rates by 20% in the first year, improving physical activity by 15% through community fitness program participation, and enhancing resource availability by establishing two new diabetes education centers and three support groups with 30% active participation. Additionally, evaluating culturally tailored educational materials through community feedback aims for at least 80% satisfaction regarding relevance and accessibility. These criteria effectively address Riverside’s needs by focusing on healthcare access, physical activity, resource availability, and cultural competency, ensuring interventions target Type 2 diabetes and the community’s diverse needs.

Plan for Collaboration with Community Organization

A multifaceted, ethical, and culturally sensitive communication strategy is essential for engaging Riverside’s community in the Type 2 diabetes improvement plan. Key community stakeholders relevant to this initiative include local health departments, community health organizations, healthcare providers, local government officials, educational institutions, and representatives from cultural and community groups. Engaging these stakeholders from the outset is crucial for gaining their support and integrating their insights into the plan’s development and execution. The communication strategy will prioritize culturally sensitive engagement by tailoring messages to reflect the diverse cultural backgrounds of Riverside’s population. This involves creating materials in multiple languages and using culturally appropriate visuals and language to resonate with different communities (Nguyen et al., 2022). Additionally, involving community leaders and representatives from various cultural groups in the planning process will ensure that the communication approach respects cultural norms and preferences.

Maintaining ethical standards of data privacy is central to the communication strategy. All communications will adhere to privacy regulations, such as HIPAA, to protect individual health information. Information will be aggregated to prevent the disclosure of personal data, and community members will be informed transparently about how their data is used and safeguarded. This approach ensures trust and compliance with privacy standards (Thapa & Camtepe, 2021). To address the challenge of making complex medical terms and concepts understandable, the strategy will employ plain language and visual aids, such as infographics and diagrams. Health literacy workshops will be conducted to educate community members about diabetes in an accessible way. Materials will be provided in various formats, including braille and large print, to accommodate individuals with disabilities (Campbell et al., 2020). Interactive forums and educational sessions will facilitate understanding through direct engagement and discussion.

Inclusive communication channels will be utilized to reach a broad audience about type 2 diabetes. These channels include community meetings, social media platforms, local radio and TV stations, and printed materials distributed through community centers, schools, and places of worship (Richard & Mr, 2020). To ensure that feedback is collected and acted upon, mechanisms such as surveys and suggestion boxes will be implemented, allowing community members to voice their concerns and contribute to the plan’s ongoing refinement. 

Value and Relevance of Resources

The value and relevance of resources in the Type 2 diabetes improvement plan for Riverside are pivotal for creating an effective, evidence-based strategy tailored to the community’s needs. Local data from the Riverside Health Department shows a 12% prevalence of Type 2 diabetes, providing direct insight into the community’s health challenges. This data is critical for tailoring interventions to the specific needs of Riverside residents (Riverside Healthcare, 2024). National data from the CDC highlights that approximately 38 million Americans have diabetes, with significant associated costs ($413 billion annually), and underscores the broader context within which local strategies should be developed (CDC, 2024). This national perspective informs local planning and aligns community efforts with broader health priorities.

Global data from the IDF reports 4.2 million deaths and 463 million adults affected by diabetes, with future projections indicating a substantial increase (Garcia et al., 2021). This global burden supports the necessity for localized strategies and integrates Riverside’s efforts into a worldwide context of diabetes management. Riverside’s problem is framed within a national framework by the ADA’s data on 38.4 million Americans with type 2 diabetes, including 2 million with type 1 (ADA, 2023). This helps highlight the significant prevalence and the need for comprehensive care programs locally.

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Environmental factors in Riverside, such as limited access to healthcare services and a high poverty rate (20% of residents living below the poverty line), exacerbate the challenges of managing diabetes (Bekele et al., 2020). These economic constraints limit access to essential healthcare resources, which is crucial for understanding the obstacle to effective diabetes management. The scarcity of exercise facilities, with only three available per 100,000 residents, further complicates the capability to engage in regular physical activity, which is essential for diabetes management (Mohan & Pradeepa, 2021).

To address these issues, the health improvement plan proposes several targeted interventions. Establishing community health clinics that offer free or low-cost diabetes screenings and deploying mobile health units to underserved areas will enhance access to care (Fritz et al., 2023). Increasing opportunities for physical activity through the development of local recreational facilities and community fitness programs is another key component (Park et al., 2020). Furthermore, establishing diabetes education centers and support groups within community health clinics, along with creating culturally tailored educational materials, will address the gap in diabetes management resources and improve community support. (Powers et al., 2020).  However, conflicting data and perspectives must be carefully considered. For instance, while local data provides specific insights into Riverside’s challenges, national and global data offer a broader context that may only partially capture unique local factors. Balancing these perspectives involves integrating local needs with national and global strategies while addressing any discrepancies in data. For example, the high prevalence of diabetes locally compared to broader trends may reflect specific community challenges that require targeted interventions beyond general national recommendations.

Conclusion

Our assessment reveals a critical need to address Type 2 diabetes in Riverside, where 12% of adults are affected amidst significant barriers such as limited healthcare access and high poverty rates. By implementing targeted interventions like community health clinics, increased physical activity opportunities, and fostering culturally tailored education programs, we aim to tackle these issues. Supported by national and global data, our approach seeks to improve management and outcomes, ultimately enhancing the overall health of the Riverside community. This comprehensive strategy aligns with broader health goals and ensures a more effective response to the diabetes epidemic.

References

ADA. (2023). Statistics about diabetes. Diabetes.org; American Diabetes Association. https://diabetes.org/about-diabetes/statistics/about-diabetes 

Bekele, H., Asefa, A., Getachew, B., & Belete, A. M. (2020). Barriers and strategies to lifestyle and dietary pattern interventions for prevention and management of TYPE-2 diabetes in Africa, systematic review. Journal of Diabetes Research, 2020(1), 1–14. https://doi.org/10.1155/2020/7948712 

Campbell, J. A., Yan, A., & Egede, L. E. (2020). Community-based participatory research interventions to improve diabetes outcomes: A systematic review. The Diabetes Educator, 46(6), 014572172096296. https://doi.org/10.1177/0145721720962969 

CDC. (2024). A Report Card: Diabetes in the United States. Diabetes. https://www.cdc.gov/diabetes/communication-resources/diabetes-statistics.html 

Fritz, C. K., Khan, J., Kontoyiannis, P. D., Cao, E. M., Lawrence, A., & Love, L. A. (2023). Analysis of a community health screening program and the factors affecting access to care. Cureus, 15(7). https://doi.org/10.7759/cureus.41907 

Garcia, U. G., Vicente, A. B., Jebari, S., Sebal, A. L., Siddiqi, H., Uribe, K. B., Ostolaza, H., & Martin, C. (2020). Pathophysiology of type 2 diabetes mellitus. International Journal of Molecular Sciences, 21(17), 1–34. https://doi.org/10.3390/ijms21176275 

Goff, L. M., Moore, A. P., Harding, S., & Rivas, C. (2021). Development of Healthy Eating and Active Lifestyles for Diabetes (HEAL‐D), a culturally‐tailored diabetes self‐management education and support programme for black‐British adults: A participatory research approach. Diabetic Medicine, 38(11). https://doi.org/10.1111/dme.14594 

Mohan, V., & Pradeepa, R. (2021). Epidemiology of type 2 diabetes in India. Indian Journal of Ophthalmology, 69(11), 2932. https://doi.org/10.4103/ijo.ijo_1627_21 

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Nguyen, A. T., Jones, E. J., O’Neal, K. S., Netter, M. K., & Dwyer, K. A. (2022). An academic-community engagement: A roadmap for developing a culturally relevant diabetes self-management program among Vietnamese Americans. Collaborations: A Journal of Community-Based Research and Practice, 5(1). https://doi.org/10.33596/coll.104 

Park, S., Zachary, W. W., Gittelsohn, J., Quinn, C. C., & Surkan, P. J. (2020). Neighborhood influences on physical activity among low-income African American adults with type 2 diabetes mellitus. The Diabetes Educator, 46(2), 181–190. https://doi.org/10.1177/0145721720906082 

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Fischl, A. H., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: A consensus report of the American diabetes association, the association of diabetes care & education specialists, the academy of nutrition and dietetics, the American academy of family physicians, the American academy of PAS, the American association of nurse practitioners, and the American pharmacists association. Journal of the American Pharmacists Association, 60(6), 1–18. https://doi.org/10.1016/j.japh.2020.04.018 

Richard, T., & Mr, I. (2020). Assessment of utilization of health information resources by assessment of utilization of health information resources by diabetic patients in Benue state Nigeria diabetic patients in Benue State Nigeria. https://core.ac.uk/download/pdf/345182848.pdf 

Riverside Healthcare. (2024). Diabetes wellness center kankakee & Bourbonnais, Illinois (il), riverside healthcare. Riverside Healthcare. https://www.riversidehealthcare.org/services/diabetes-and-endocrinology/diabetes-wellness-center 

Thapa, C., & Camtepe, S. (2021). Precision health data: Requirements, challenges and existing techniques for data security and privacy. Computers in Biology and Medicine, 129(1). https://doi.org/10.1016/j.compbiomed.2020.104130