The Interrelationships of Socio-Cultural Influences in Healthcare Within this activity, you will explore how determinants of health such as poverty, behavior, education, and income are related. One common element underlies poor health: poverty. Money is required to purchase the essentials of health such as food, clothing, shelter, clean water, education, and access to preventative health services. Each day in nursing, you are faced with persons from varying economic, social, and cultural backgrounds. In addition to varying backgrounds, you will also experience differing patient values and preferences related to their individual health and behavior. Caring for the vulnerable, at-risk, and aging populations is an essential competency for nursing. Therefore, we need to explore the interrelationships of socio-cultural influences, behavioral influences, as well as economic and non-economic barriers to healthcare to improve our knowledge. In doing so, we will be able to plan specific interventions designed to help achieve healthier outcomes. You will have the opportunity to examine poverty, behavior, and other determinants of health in Sentinel City®. As providers of care, BSN nurses need to understand how these are related and impact the health of our patients. Activity Instructions: Review course textbook and other resources. Review World Health Organization (2017). The determinants of health. Retrieved from http://www.who.int/hia/evidence/doh/en/ Review Healthy People 2020 (Jan 25, 2017). Health Determinants. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health Review Sentinel City® demographics and neighborhood demographics. Meet with Mayor Hill who can provide some information about Sentinel City® economics. Enter Sentinel City® and begin the bus tour. After touring Sentinel City, select a specific vulnerable or minority population group and identify one of the most common diseases, chronic condition, injury, or health concern that impacts your population group. Then list a total of 3 determinants of health from the Healthy People website. During your tour of the city, describe 1 observation related to the 3 selected determinants of health. (a total of 3 observations must be described). Note indicators of high or low employment. Consider education levels, number of female head of households, and median household incomes for example. Finally, describe a total of 3 strategies or evidence-based recommendations to help reduce or eliminate the selected observations noted during your Sentinel City® tour. Additional Instructions: All submissions should have a title page and reference page. Utilize a minimum of two scholarly resources. Adhere to grammar, spelling and punctuation criteria. Adhere to APA compliance guidelines. Adhere to the chosen Submission Option for Delivery of Activity guidelines. Submission Options: Choose One: Instructions: Paper 2 to 3-page paper. Include title and reference pages. Microsoft PowerPoint Presentation 4 to 8 slides. Add title and reference slides. Follow Rules of 7. Other media (Prezi, etc.) presentation 4 to 8 slides with speaker notes. Add title and reference slides. Follow Rules of 7. Video Presentation 5 to 6-minute video presentation. Attach reference page or include in video. Professional appearance and background. Video submissions must include a script in Word format, submitted through Turnitin for an Originality Report. Table Table with appropriate columns and headers. Include title and reference pages. Graphs or other illustrations Graphs or illustrations with appropriate labels. Include title and reference pages. Poster Poster utilizing any applicable poster template. Include visual graphics/images/other formats for visual appeal. Include appropriate title and references on poster. Note: Title and reference pages/slides do not count towards the count requirements.

• Develop a population health improvement plan, based on your evaluation of the best available demographic, environmental, and epidemiological data, that focuses on your diagnosis of a widespread population health issue.
  Part of effectively engaging in evidence-based practice is the ability to synthesize raw health data with research studies and other relevant information in the literature. This will enable you to develop sound interventions, initiatives, and outcomes to address health concerns that you find in data during the course of your practice.
• evaluate community demographic, environmental, and epidemiological data to diagnose a widespread population health issue, which will be the focus of a health improvement plan that you develop.
  Apply evidence-based practice to design interventions to improve population health.
  • Evaluate community demographic, epidemiological, and environmental data to diagnose widespread population health issues.
  • Develop an ethical health improvement plan to address a population health issue within a community.
• Evaluate outcomes of evidence-based interventions.
  • Propose criteria for evaluating population health improvement plan outcomes.
• Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
  • Justify the value and relevance of evidence used as the basis of a population health improvement plan.
• Synthesize evidence-based practice and academic research to communicate effective solutions.
  • Develop a strategy for communicating with colleagues and members of the community in an ethical, culturally sensitive, and inclusive way.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    Recall an experience you have had working with a population, or as part of a community health improvement initiative, or a time in your care setting that you observed this type of work within your organization or community.
• How were data and information about the community incorporated into the work?
  • Was the diversity of culture and beliefs in the community taken into account?
  • Were other, secondary, health concerns of the community also taken into account?
  • Were the economic and daily environmental realities of the community taken into account?
• What, if any, ethical issues were considered in working with specific groups and stakeholders in the community?
• What suggestions might you offer for doing things differently, if you could revisit that work?
  • Would you set different goals?
• What evidence would you present to support your recommendations?

●     Resource

●     The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6011 – Evidence-Based Practice for Patient-Centered Care and Population Health Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.
Evidence-Based Practice

• Cabassa, L. J., Stefancic, A., O’Hara, K., El-Bassel, N., Lewis-Fernández, R., Luchsinger, J. A., . . . Palinkas, L. A. (2015). Peer-led healthy lifestyle program in supportive housing: Study protocol for a randomized controlled trial. Trials, 16, 388–401.
• Dombrowski, J. J., Snelling, A. M., & Kalicki, M. (2014). Health promotion overview: Evidence-based strategies for occupational health nursing practice. Workplace Health & Safety, 62(8), 342–9, 350.
• Evidence-Based Practice in Nursing & Health Sciences.
• Evidence-Based Practice in Nursing & Health Sciences: Review Levels of Evidence.
• The Joint Commission. (2016). Health care leaders meet, address health care disparity. Retrieved from www.jointcommission.org/health_care_leaders_meet_address_health_care_disparity_/

• SHOW LESS
• Triple Aim
  • American Hospital Association. (2015). Zeroing in on the Triple Aim [PDF]. Retrieved from www.aha.org/content/15/brief-3aim.pdf
  • Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The Triple Aim: Care, health, and cost. Health Affairs, 27(3), 759–769.
  • Institute for Healthcare Improvement. (2016). Triple Aim for populations. Retrieved from http://www.ihi.org/Topics/TripleAim/Pages/default.aspx
• Research Guides
  • Database Guide: Ovid Nursing Full Text PLUS.
  • Kaplan, L. (n.d.). Framework for how to read and critique a research study. Retrieved from https://www.nursingworld.org/~4afdfd/globalassets/practiceandpolicy/innovation–evidence/framework-for-how-to-read-and-critique-a-research-study.pdf
  • Nursing Masters (MSN) Research Guide.
• Assessment Instructions
  Preparation
  Your organization is undertaking a population health improvement initiative focused on one of the pervasive and chronic health concerns in the local community. Examples of health improvement initiatives include nationwide concerns, such as type 2 diabetes, HIV, obesity, and Zika. However, your organization has asked you to determine which widespread health concern should be addressed in a population health improvement plan for the community in which you practice and has entrusted you with gathering and evaluating the relevant data.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed.

Data Evaluation

Evaluate community demographic, epidemiological, and environmental data.

• Identify the relevant data.
• Describe the major community health concerns suggested by the data.
• Explain how environmental factors affect the health of community residents.

Health Improvement Plan

Develop an ethical health improvement plan that effectively addresses the population health concern that you identified in your evaluation of the relevant data.

• Base your plan on the best available evidence from a minimum of 3–5 current scholarly or professional sources.
  • Apply correct APA formatting to all in-text citations and references.
  • Attach a reference list to your plan.
• Ensure that your plan meets the cultural and environmental needs of your community and will likely lead to some improvement in the community’s health related to this concern.
  • Consider the environmental realities and challenges that exist in the community.
  • Address potential barriers or misunderstandings related to the various cultures prevalent in the community.
• Justify the value and relevance of the evidence you used as the basis of your plan.
  • Explain why the evidence is valuable and relevant to the community health concern you are addressing.
  • Explain why each piece of evidence is appropriate and informs the goal of improving the health of the community.
• Propose relevant and measurable criteria for evaluating the outcomes of your plan.
  • Explain why your proposed criteria are appropriate and useful measures of success.
• Explain how you will communicate with colleagues and members of the community, in an ethical, culturally sensitive, and inclusive way, with regard to the development and implementation of your plan.
  • Develop a clear communications strategy mindful of the cultural and ethical expectations of colleagues and community members regarding data privacy.
  • Ensure that your strategy enables you to make complex medical terms and concepts understandable to members of the community, regardless of language, disabilities, or level of education.

Evaluates community demographic, epidemiological, and environmental data to diagnose widespread population health issues

• Develops an ethical health improvement plan to address a population health issue within a community.
• Justifies the value and relevance of evidence used as the basis of a population health improvement plan.
• Proposes criteria for evaluating population health improvement plan outcomes.
• Develops a strategy for communicating with colleagues and members of the community in an ethical, culturally sensitive, and inclusive way.
• Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style

COMPETENCIES
1. Pathophysiology
The graduate evaluates high volume, high impact disease processes, including associated pharmacological interventions and implications for advanced practice.
2. Evaluation of Pharmaceutical Impact
The graduate analyzes pharmaceutical impacts, including physiological, psychological, financial, and lifestyle factors on the selected disease processes.
3. Managing Care Transitions
The graduate evaluates salient pharmacological issues in managing patient care transitions.
4.Salience
The graduate distinguishes between general information and relevant assessment findings to manage and minimize pathologies and risk factors to promote optimal patient outcomes.
5.Care Management
The graduate integrates relevant patient and population data to develop pathopharmacological management strategies for populations.
INTRODUCTION
As an advanced practice nurse, it is important to diagnose, treat, and evaluate patients who have chronic disease. A nurse must understand how pathology, treatment, regimens, and psycho-social issues affect patients and the care they receive. Disease management is more than just monitoring a medication or treatment; it is evaluating the disease process from the micro to macro level. As a nurse with an advanced degree, you will be expected to assess patients and individual and population responses to chronic illness.
For this assessment, you will investigate pathopharmacological issues related to a specific disease process. You may choose to investigate hypertension. As part of this assessment, you will analyze the various impacts the disease process has on the patients, their families, and populations at a local, national, and international level.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.
Professional Communications is a required aspect to pass this task. Completion of a spell check and grammar check prior to submitting your final work is strongly recommended. 

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

1.  Investigate the following disease processe: hypertension
2.  Analyze the pathophysiology of the disease process you selected in part A.
3.  Discuss the standard of practice for the selected disease process.
4.  Discuss the evidence-based pharmacological treatments in your state and how they affect management of the selected disease in your community.
5.  Discuss clinical guidelines for assessment, diagnosis, and patient education for the selected disease process.
6.  Compare the standard practice for managing the disease within your community with state or national practices.
7.  Discuss characteristics of and resources for a patient who manages the selected disease well, including access to care, treatment options, life expectancy, and outcomes.
8.  Analyze disparities between management of the selected disease on a national and international level.
9.  Discuss three or four factors (e.g., financial resources, access to care, insured/uninsured, Medicare/Medicaid) that contribute to a patient being able to manage the selected disease.
10.  Explain how a lack of the factors discussed in part A4 leads to an unmanaged disease process.
11.  Describe characteristics of a patient with the selected disease that is unmanaged.
12.  Analyze how the selected disease process affects patients, families, and populations in your community.
13.  Discuss the financial costs associated with the selected disease process for patients, families, and populations from diagnosis to treatment.
14.  Discuss how you will promote best practices for managing the selected disease in your current healthcare organization.
15.  Discussthree strategies you could use to implement best practices for managing the selected disease in your current healthcare organization.
16.  Discuss an appropriate method to evaluate the implementation of each of the strategies from part C1.
17.  When you use sources, include all in-text citations and references in APA format.

Note: When using sources to support ideas and elements in an assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment.