20 Jan 1. “Analyze epidemiological,

NR704 Concepts in Population Health Outcomes

Week 1 Discussion

DQ1 DNP Role in Population-Focused Interventions

How do population interventions differ from individually focused interventions? Give an example of a holistic/biopsychosociospiritual (BPSS) intervention focused on an individual and then revise the intervention to focus on a similar population.

DQ2 Assessing Populations

Investigate the top four health issues for the population in your state or region. Compare these issues to Healthy People 2020. Are the issues in your area similar to or different from the national issues? If they are not congruent, what is your supposition regarding the difference. NOTE: One of these health issues will serve as the basis for your Evidence-Based Health Promotion Project.

NR704 Concepts in Population Health Outcomes

Week 2 Discussion

DQ1 Identifying and Defining Population Outcomes

The National Database of Nursing Quality Indicators (NDNQI) has identified nurse-sensitive indicators from a variety of settings, including community-based setting. Identify two of these community-based indicators and determine appropriate outcomes

DQ2 Models and Frameworks for Studying the Vulnerability

Identify two models for studying vulnerability and compare and contrast differences when applied to the same population.

NR704 Concepts in Population Health Outcomes

Week 3 Discussion

DQ1 Appropriate Application of Epidemiological Terms in Determining Risk

Relative Risk of Breast Cancer: The National Cancer Institute estimates that women have an average lifetime risk of 13.2% (one in eight) of being diagnosed with breast cancer at some time in their lives. The chance that a woman will never develop breast cancer is 86.8% (seven in eight). Having one first-degree relative with breast cancer approximately doubles a woman’s risk of developing cancer (compared to women having no first-degree relatives with breast cancer). Having two first-degree relatives with breast cancer increases risk fivefold. What is the probability or risk of developing breast cancer in both of the scenarios? What is the relative risk? What is the attributable risk? Discuss the importance (or lack of) of these terms in describing a patient’s risk of breast cancer.

DQ2 Applying Epidemiological or Biostatistical Terminology

Which epidemiological or biostatistical terminology best supports the magnitude of the problem for your proposed evidence-based promotion class project.

NR704 Concepts in Population Health Outcomes

Week 4 Discussion

DQ1 Frameworks for Assessing High Risk Factors in Populations

Discuss the outcomes that are measured to support the effectiveness of the Head Start Program.

DQ2 Professional Accountability

What professional and ethical accountability does the nurse assume in all phases of the screening process from planning to follow-up?

NR704 Concepts in Population Health Outcomes

Week 5 Discussion

DQ1 Frameworks for Assessing Population High-risk Factors

Choose a condition and/or disease. Utilize the Web of Causation or the Epidemiological Triangle framework to describe the contributing factors for host, agent, and environment, and so forth.

DQ2 Health Disparities and Health Equity

What are the differences between health disparities and health equity? Give examples of the different approaches and philosophies when utilizing these terms.

NR704 Concepts in Population Health Outcomes

Week 6 Discussion

DQ1 Evidence-Based Interventions for Populations

Identify two valid and reliable sources for evidence-based interventions for populations.

DQ2 Evaluating Evidence-Based Interventions for Populations

Discuss the importance of a structured evaluation process to a successful evidence-based interventional program.

NR704 Concepts in Population Health Outcomes

Week 7 Discussion

DQ1 Frameworks for Evaluating Outcomes

Share with the class the outcomes you measured to evaluate your class project.

DQ2 Dissemination and Intra-/Interprofessional Collaboration

If you carried out this plan, how would you disseminate your findings? What venues would be appropriate? How might you engage intra-/interprofessional collaboration?

NR704 Concepts in Population Health Outcomes

Week 8 Discussion

Stakeholders

If you had the opportunity to share your DNP project with stakeholders, how would you modify your systematic review to make your project more appealing?

NR704 Concepts in Population Health Outcomes

Week 3 Assignment

PURPOSE

The purpose of this assignment is to help you to begin to understand and apply the important counts, ratios, and statistics presented in healthcare and epidemiological research. Remember to use the list of formulas presented prior to the problems and to carefully consider the purpose of each calculation and how it is interpreted. Also, do not forget the importance of the proper denominator such as per 100, per 1,000, per 10,000 etc.

COURSE OUTCOMES

This assignment provides documentation of students’ ability to meet the following course outcomes:

(CO #1) Distinguish the roles and relationships between epidemiology and biostatistics in the prevention of disease and the improvement of health. (PO#1)

(CO #2) Assimilate principles of epidemiology with scientific data necessary for epidemiologic intervention and draw appropriate inferences from epidemiologic data. (PO#1)

(CO #4) Utilize appropriate public health terminology and definitions of epidemiology necessary for intra-/interprofessional collaboration in advanced nursing practice.

(PO#8)

POINTS

This assignment is worth 50 points.

DUE DATE

Submit your completed worksheet to the Dropbox by Sunday 11:59 p.m. MT of Week 3 as directed.

REQUIREMENTS

1. Complete the Risk Calculation Worksheet located in Doc Sharing.

2. For each question, identify the correct answer.

3. Submit the worksheet to the Dropbox by 11:59 p.m. MT Sunday of Week 3.

PREPARING THE WORKSHEET

The following are best practices for preparing this assignment:

1. Prior to completing this worksheet, review the lessons, reading and course text up to this point. Also review the tables of calculations.

2. Each question is worth 5 points.

3. There is only one right answer for each of the 10 problems.

4. You will upload the completed worksheet.

Epidemiological Formulas and Statistics

Parameter

Definition

Formula

Incidence (exposed)

Incidence of new cases of disease in persons who were exposed

number (exposed with disease)/total number of exposed

Incidence (unexposed)

Incidence of new cases of disease in persons who were not exposed

number (unexposed with disease)/total number of unexposed

Incidence of Disease

Measure of risk: Total number in a population with a disease divided by the total number of the population

Number with the disease/ total population number

Relative Risk

Risk of disease in one group versus another: Risk of developing a disease after exposure. If this number is 1, it means there is no risk. R(exposed)/Risk (unexposed)

(# exposed with disease[divided by]/total of all exposed)

(# of unexposed with disease/[divided by]total of all
unexposed)

Odds Ratio

A measure of exposure and disease outcome commonly used in case control studies

R(exposed)/ R (unexposed)

1- R(exposed) 1-R(unexposed)

Prevalence

The number of cases of a disease in a given time regardless of when it began (new and old cases)

(Persons with the disease/ Total population) X 1000

Attributable Risk

The difference in disease in those exposed and unexposed and is calculated from prospective data; directly attributed to exposure (if exposure is gone, disease would be gone)

R(exposed)-R(unexposed)/R(exposed) X 100

Crude Birth Rate

The number of live births per 1,000 people in the population

(# of births/estimated midyear population) X 1000

Crude Death Rate

The number of deaths per 1,000 people in the population

(# of deaths/estimated midyear population) X 1000

Fetal Death Rate

The number of fetal deaths (20 weeks or more gestation) per 1,000 live births

(# of fetal deaths/ # of live births + fetal deaths) X 1000

Annual Mortality Rate

Usually an expression of a specific disease or can be all causes per 1,000 people for a year

(# of deaths of all causes (or a specific disease)/midyear population) X 1000

Cause Specific Mortality Rate

Usually an expression of a specific disease per 1,000 people for a year

(# of deaths per a specific disease)/midyear population) X 1000

Case Fatality Rate

The parentage of individuals who have a specific disease and die within a specific time after diagnosis

(# of persons dying from a disease after diagnosis or set period/ # of persons with the disease) X 100

Answer the following questions. Remember that there is only one right answer for each item.

1. The population in the city of Springfield, Missouri, in March, 2014, was 200,000.

The number of new cases of HIV was 28 between January 1 and June 30, 2014.

The number of current HIV cases was 130 between January 1 and June 30, 2014.

The incidence rate of HIV cases for this 6-month period was

A. 7 per 100,000 of the population.

B. 14 per 100,000 of the population.

C. 28 per 100,000 of the population.

D. 85 per 100,000 of the population.

2. The prevalence rate of HIV cases in Springfield, Missouri, as of June 30, 2014, was

A. 14 per 100,000 of the population.

B. 28 per 100,000 of the population.

C. 79 per 100,000 of the population.

D. 130 per 100,000 of the population.

3. In a North African country with a population of 5 million people, 50,000 deaths occurred during 2014. These deaths included 5,000 people from malaria out of 10,000 persons who had malaria.

What was the total annual mortality rate for 2014 for this country? (Please show your work.)

4. What was the cause-specific mortality rate from malaria? (Please show your work.)

5. What was the case-fatality percentage from malaria?

6. Fill in and total the 4 X 4 table for the following disease parameters:

• Total number of people with lung cancer in a given population = 120

• Total number of people with lung cancer who smoked = 90

• Total number of people with lung cancer who did not smoke = 30

• Total number of people who smoked = 150

• Total number of people in the population = 350

Fill in the missing parameters based on the above information.

YES LUNG CANCER

NO LUNG CANCER

TOTALS

YES SMOKING

NO SMOKING

TOTALS

7. From Question 6, what is the total number of people with no lung cancer?

8. From question 6, what is the total number of people who smoked but did not have lung cancer?

9. Set up the problem for relative risk based on the table in #6.

10. Calculate the relative risk.

NR704 Concepts in Population Health Outcomes

Week 4 Assignment

PURPOSE

The purpose of this project is to identify a high-risk population derived from the students’ practice area identifying the applicable system level. After identification of the population, the student (based on the literature) will ascertain the adverse health outcomes associated with this population, using the appropriate epidemiological principles and terminology. This information will serve as the basis for the development of interventions in the second part of the project.

COURSE OUTCOMES

This assignment provides documentation of student ability to meet the following course outcomes:

1. Distinguish the roles and relationships between epidemiology and biostatistics in the prevention of disease and the improvement of health. (PO 1)

2. Assimilate principles of epidemiology with scientific data necessary for epidemiologic intervention and draw appropriate inferences from epidemiologic data. (PO 1)

3. Synthesize ethical and legal principles regarding the collection, maintenance, utilization, and dissemination of epidemiologic data. (PO 1)

4. Utilize appropriate public health terminology and definitions of epidemiology necessary for intra-/interprofessional collaboration in advanced nursing practice. (PO 8)

5. Analyze the role of the advanced practice nurse to overcoming access barriers by providing culturally-relevant and high-quality healthcare for vulnerable and high-risk populations.(PO 1)

6. Differentiate biopsychosociopolitical and economic/environmental conditions impacting epidemiologic perspectives that inform scientific, ethical, economic, and political discussion of public health issues. (PO 1)

7. Articulate the driving and restraining forces of public health screening programs. (PO 1)

8. Examine selected strategies for increasing interprofessional collaboration in intra-/interventional health education programs across healthcare settings. (PO 8)

9. Formulate an interventional public health program in response to an identified epidemiologic problem. (PO 1)

10. Integrate intra-/interprofessional collaboration in the design, implementation, and outcomes evaluation elements of a selected interventional public health program for improving health. (PO 8)

POINTS

The assignment is worth a total of 200 points.

DUE DATE

Submit your completed assignment by Sunday 11:59 p.m. MT of Week 4 as directed.

REQUIREMENTS

1. Part 1 of the project is worth 200 points and will be graded on quality of self-assessment, use of citations, use of standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria and rubric.

2. Create your assignment using Microsoft Word (a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as an MS Word document because the file name will end in .docx.

3. Follow the directions and grading criteria closely. Any questions may be posted in the weekly Q & A Forum.

4. The length of the paper is to be no more than 8 pages, excluding the title page and reference pages.

5. APA format is required with both a title page and a reference page. Use the required components of the review as Level 1 headings (upper and lower case, centered, boldface):

Note: Introduction—Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. Identification of high-risk population

b. Adverse health outcomes

c. Utilization of epidemiological principles and terminology

NR704 Concepts in Population Health Outcomes

Week 5 Assignment

PURPOSE

The purpose of this assignment is to help you to begin to understand and apply the important counts, ratios, and statistics presented in healthcare and epidemiological research. Remember to use the list of formulas presented prior to the problems and to carefully consider the purpose of each calculation and how it is interpreted. COURSE OUTCOMES

This assignment provides documentation of students’ ability to meet the following course outcomes:

• (CO 3) Synthesize ethical and legal principles regarding the collection, maintenance, utilization, and dissemination of epidemiologic data. (PO 1)

• (CO 4) Utilize appropriate public health terminology and definitions of epidemiology necessary for intra-/interprofessional collaboration in advanced nursing practice. (PO 8)

• (CO 6) Differentiate biopsychosociopolitical and economic/environmental conditions impacting epidemiologic perspectives that inform scientific, ethical, economic, and political discussion of public health issues. (PO 1)

POINTS

The assignment is worth a total of 50 points.

DUE DATE

Submit your completed assignment by Sunday 11:59 p.m. MT of Week 5 as directed.

REQUIREMENTS

1. Complete the risk calculation worksheet located at the end of this document.

2. For each question, identify the correct answer.

3. Submit the worksheet to the Dropbox by 11:59 p.m. MT on Sunday of Week 5.

NR704 Concepts in Population Health Outcomes

Week 6 Assignment

PURPOSE

The purpose of this project is to complete the interventional health promotion program. Part 1 of the assignment was the identification of a high-risk population and possible adverse health outcomes. In this assignment, the student will develop evidence-based interventions to address the adverse health outcomes associated with the high-risk factors. An integral part of intervention development is the creation of measurable outcomes to evaluate the program. The consequences of this process in light of the DNP role will be discussed.

COURSE OUTCOMES

This assignment provides documentation of students’ ability to meet the following course outcomes:

1. Distinguish the roles and relationships between epidemiology and biostatistics in the prevention of disease and the improvement of health. (PO 1)

2. Assimilate principles of epidemiology with scientific data necessary for epidemiologic intervention and draw appropriate inferences from epidemiologic data. (PO 1)

3. Synthesize ethical and legal principles regarding the collection, maintenance, utilization and dissemination of epidemiologic data. (PO 1)

4. Utilize appropriate public health terminology and definitions of epidemiology necessary for intra-/interprofessional collaboration in advanced nursing practice. (PO 8)

5. Analyze the role of the advanced practice nurse to overcoming access barriers by providing culturally-relevant and high-quality healthcare for vulnerable and high-risk populations. (PO 1)

6. Differentiate biopsychosociopolitical and economic/environmental conditions impacting epidemiologic perspectives that inform scientific, ethical, economic, and political discussion of public health issues. (PO 1)

7. Articulate the driving and restraining forces of public health screening programs. (PO 1)

8. Examine selected strategies for increasing intra-/interprofessional collaboration in interventional health education programs across healthcare settings. (PO 8)

9. Formulate an interventional public health program in response to an identified epidemiologic problem. (PO 1)

10. Integrate intra-/interprofessional collaboration in the design, implementation, and outcomes evaluation elements of a selected interventional public health program for improving health. (PO 8)

POINTS

The assignment is worth a total of 225 points.

DUE DATE

Submit your completed application under the Dropbox tab by Sunday 11:59 p.m. MT of Week 6 as directed.

REQUIREMENTS

1. The Evidenced-Based Promotion Project, Part 2 is worth 225 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria and rubric.

2. Create your assignment using Microsoft Word (a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as an MS Word document because the file name will end in .docx.

3. Follow the directions and grading criteria closely. Any questions about your assignment may be posted in the weekly Q & A Forum.

4. The length of the reflection is to be no more than five pages, excluding title page and reference pages.

5. APA format is required with both a title page and a reference page. Use the required components of the review as Level 1 headings (upper and lower case, centered, boldface)

Note: Introduction—Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication Manual of the American Psychological Association (2010, p. 63).

NR704 Concepts in Population Health Outcomes

Week 8 Assignment

PURPOSE

The purpose of this application is to provide the student an opportunity to reflect on selected DNP competencies acquired through the NR704 course.

COURSE OUTCOMES

This assignment provides documentation of student ability to meet the following course outcomes:

CO2: Assimilate principles of epidemiology with scientific data necessary for epidemiologic intervention and draw appropriate inferences from epidemiologic data (PO #1).

CO5: Analyze the role of the nurse in advanced nursing practice nurse to overcoming access barriers by providing culturally-relevant and high-quality healthcare for vulnerable and high-risk populations (PO #1).

CO10: Integrate intra-/interprofessional collaboration in the design, implementation, and outcomes evaluation elements of a selected interventional public health program for improving health (PO #8).

POINTS

This assignment is worth a total of 100 points.

DUE DATE

Submit your completed application under the Dropbox tab by Wednesday 11:59 p.m. MT of Week 8 as directed.

REQUIREMENTS

1. The You Decide Reflection is worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Create your essay using Microsoft Word (a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word document because it will end in “.docx”

3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum.

4. The length of the reflection is to be within three to six pages excluding title page and reference pages.

5. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. You Decide Reflection

b. Conclusion

PREPARING YOUR REFLECTION

The DNP Essentials (AACN, 2006) outline a number of population health competencies for the DNP-prepared nurse. Reflect on the NR704 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Analyze epidemiological, biostatistical, environmental, and other appropriate scientific data related to individual, aggregate, and population health.

2. Synthesize concepts, including psychosocial dimensions and cultural diversity, related to clinical prevention and population health in developing, implementing, and evaluating interventions to address health promotion/disease prevention efforts, improve health status/access patterns, and/or address gaps in care of individuals, aggregates, or populations.

3. Evaluate care delivery models and/or strategies using concepts related to community, environmental and occupational health, and cultural and socioeconomic dimensions of health” (AACN, 2006, p. 16).

Reference:

American Association of Colleges of Nursing [AACN]. (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author.