04 Feb Organizational Evaluation

BSN-FP4010 – Health Promotion and Disease Prevention in Vulnerable and Diverse Populations Assessment 1 Preparation Over the past few years, leadership for the health care organization for which you work has noticed a distinct change in the population served by the organization. Leadership wants to make sure they are addressing the needs of this population. You have been asked to participate on an interdisciplinary team that is charged with learning how the population has changed and what needs to be done within the organization to develop a wellness education program that will target the needs and concerns of the population. Your first step in this process is to conduct a windshield survey and report your findings back to your team. A windshield survey is an inexpensive, time-efficient way to assess and better understand a community and the people who live within that community. Understanding the demographics of a community will help you determine the health-related issues that are likely to exist so you can plan the most appropriate types of wellness programs, health education, and disease prevention programs. Windshield surveys are done by making visual observations of a neighborhood or community while driving; hence the name. This type of survey lets you observe the housing conditions, use of open spaces, shopping, schools, types of transportation, human services, protective services, and other aspects of the overall daily life of a community. Before you start, you need to identify the boundaries of the neighborhood or community you plan to observe. For the purposes of this course, you should keep the size of the area to no more than 2–3 square miles. The area should be large enough for you to gather relevant information, but small enough that your observation does not take you more than 1–2 hours. With this size, it is not necessary to use a car to complete the survey; you can also walk or bike. Whichever method you use, be mindful of your personal safety. It may be helpful to map out the route you will take ahead of time. It can also be helpful (and safer) to have another person do the driving while you observe and make notes. Once you are on the route, start making observations right away. Stop frequently to write down notes. A template is provided in the Required Resources to help you document your observations. The timing of your observation can be important in helping you focus on specific items. If possible, consider conducting your survey more than once at different times of the day. For example, if you make your observations too early in the morning, you may miss things that take place later in the day that provide a different perspective of the neighborhood. It is also important to be as objective as possible when making your observations. Requirements Conduct the windshield survey, using the template located in the Required Resources for this assessment. Use the template as a guide to write a report for your team. If possible, look at other written documents used within your organization. How are they formatted? Follow that format as closely as possible, making sure you still use APA guidelines for your in-text references, citations, and reference page. Based on your observations and notes from your survey experience, write a report that includes the following: Describe, briefly, the neighborhood or community you observed (overall condition, types of spaces and businesses, evidence of services, and so forth). Describe a vulnerable or diverse population you observed living within the neighborhood or community. Now you will need to do some research on the population you described: Explain how the demographics for the population have changed over the past 5–10 years. Note: This information should be readily available through the United States Census Bureau, similar state Web sites, the Bureau of Labor Statistics, or other professional sites. Be sure your information is current. Describe the most prevalent health risks for the population. For example, if your population is senior citizens, then the health risks might be diabetes and loss of mobility. Include statistics on the health risks, such as frequency of occurrence in the population and number of deaths per year in the population. Identify the health disparities and social determinants of health that can affect the population. In other words, what will you need to overcome to develop a successful health promotion and disease prevention program for the population? Your completed assessment should be 3–5 pages in length, not including the title page and reference page. Support your information with references to at least three professional, scholarly, or government resources, and follow current APA guidelines for your in-text citations and references. BSN-FP4010 – Health Promotion and Disease Prevention in Vulnerable and Diverse Populations Assessment 2 Preparation Now that your team has a better understanding of the population served by the organization, you need to evaluate how able the organization is to serve the specific health care needs of the population identified in the Windshield Survey assessment. Use the Internet and the Capella library to locate at least three academic or professional resources to use in this assessment. Follow the same formatting instructions that you used in the Windshield Survey assessment. Your assessment should be done as a report for your team, using APA formatting for in-text citations and references. Requirements In your organizational evaluation, complete the following: Describe the primary health concern for a vulnerable or diverse population. Explain how the organization currently serves this health care concern. Be sure you include information on how the organization communicates to the population. Identify gaps in the health care service provided to the population. Explain evidence-based strategies to bridge the gaps in health care service provided to the population. Identify any possible barriers to implementing your strategies. BSN-FP4010 – Health Promotion and Disease Prevention in Vulnerable and Diverse Populations Assessment 3 Preparation Your team has presented its preliminary findings to the executive leadership in your organization, but leadership has some doubts about some of the information they received. Each member of the team has been charged with doing a critical examination of recent research around each member’s area of expertise. As the team’s nursing representative, you need to look specifically at the health care concerns identified in the Windshield Survey assessment. The first step in preparing to write a review of the research is to define your topic. For this assessment, your review will provide a comprehensive overview of the needs of the population you identified in the Windshield Survey assessment in terms of health promotion and disease prevention, the factors that contribute to health disparities for the population, and the need for the organization to improve health care delivery to the population. In the Capella library, search for current scholarly or peer-reviewed professional research articles that: Examine the health care risks and needs of your population. Analyze the need to improve health care delivery to the population. Evaluate, critically, the factors that affect health promotion and disease prevention for the population. Examine strategies to reduce health disparities for your population. Locate at least 5–7 resources so that you can eliminate 2–3 if necessary. You may discover, for example, as you read each article more in-depth, that they may not all have the focus you need for your review. Requirements For this assessment, you need to develop several points around which to apply the research from the articles you located. Specifically, you need to: Compare statistics for the primary health concern of your population to the rest of the general population in the United States. This would include frequency of occurrence, age groups most at risk, frequency of fatality, and so on. Describe the epidemiological concepts, data analysis methods, tools, and databases used in the research studies you located. Address any flaws or biases you believe are present. Explain the factors that affect health promotion and disease prevention for the population. (Hint: These may be things such as language barriers, cultural values, generational differences, social fear, and access to services.) Describe the types of health care initiatives that have been tried by other organizations specifically for the primary health care concern or the population. Recommend one health care initiative for your population, based on your research, These should be the ideas, or points, that your review is based on. For each point, present all of the evidence you located. For this assessment, that should be at least four current research articles, although not all of the articles will typically offer evidence on all of your points. Be sure your assessment includes: An introduction that presents the points you will cover. The body that presents the research on the points. A conclusion that restates the points in your introduction. Your assessment should be 4–5 pages in length, not including the title page and reference page. Be sure you follow APA guidelines for style and format. BSN-FP4010 – Health Promotion and Disease Prevention in Vulnerable and Diverse Populations Assessment 4 Preparation Your organization has seen an increase in the number of individuals using complimentary alternative medicine (CAM), traditional medicine, holistic health, and spirituality. In addition to your work on the interdisciplinary team, you have been asked by your organization to prepare and deliver an educational session on CAM, traditional medicine, holistic health, and spirituality that can be used by all health care teams. How will you complete this task? You should focus on these concepts as they pertain to your population (from the Windshield Survey assessment), but also in a broader sense. Use the Capella library and the Internet to look for recent research articles or information on these topics to use as supporting resources in your assessment. Requirements For this assessment, prepare a PowerPoint presentation in which you: Identify the topics you will cover in your educational plan. Provide a list of resources your audience can use to further their understanding of complimentary alternative medicine (CAM). Explain why it is important for nurses and members of other health care teams to develop an understanding of CAM, traditional medicine, holistic health, and spirituality. Examine any ethical, legal, and economic principles related to CAM, traditional medicine, holistic health, and spirituality. Describe how these forms of health care can affect a plan of action for individuals and populations. Your presentation should include a slide with the title of your educational session, a slide with the topics that will be covered (your agenda), and a reference slide at the end. Use the notes section of each slide to provide additional information on each topic, along with supporting references. References and in-text citations must adhere to APA guidelines. BSN-FP4010 – Health Promotion and Disease Prevention in Vulnerable and Diverse Populations Assessment 5 Preparation Your team has succeeded in demonstrating the need for a health promotion and disease prevention initiative for the population identified by your Windshield Survey assessment. Now you need to develop a proposal for a wellness education program that will help bridge the gaps in health care service delivery. Use the Capella library and the Internet to find scholarly and professional resources that will help you propose a wellness education program for the health concern of your population. Find at least four resources to use in this assessment. You may also want to review the previous assessments you completed in this course. Requirements Based on your Windshield Survey and Organizational Evaluation assessments, complete the following: Design an evidence-based wellness program to address the primary health concern of the population that integrates: Cultural considerations: Will you need to consult with someone from the population on how to approach the delivery of your program? CAM, traditional medicine, holistic health, and spirituality considerations. Linguistic considerations: Will you need interpreters or translators for either written or oral presentations? Educational considerations: What will be the best way to educate the population? Describe how you will market or advertise the wellness program. What are the benefits the program offers the population? Will you need incentives to ensure participation and completion of the program? Explain the ethical, legal, and economic factors that impact the health and wellness of the population. For example: The ethical considerations (such as justice, non-malfeasance, and duty) that can affect preventative care and health promotion. Local laws, federal laws, and the Affordable Health Care Act that can affect preventative care and health promotion. The potential economic impact of clinical prevention and health promotion related to health disparities of your population. The format for this assessment should be a professional proposal. If possible, ask about the format used for proposals in your organization and follow that. Follow APA formatting for your in-text citations and references.

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