Assignment: NURS 6050: Policy and Advocacy for Improving Population Health Content.
\nMilstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse\u2019s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
\n\u2022 Chapter 7, \u201cHealth Policy and Social Program Evaluation\u201d (pp. 116\u2013124 only)
\nGlasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don\u2019t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261\u20131267.
\nNote: You will access this article from the Walden Library databases.<\/p>\n
Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983\u2013991. doi:10.1007\/s40615-016-0302-4<\/p>\n
Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386\u2013393. doi:10.1016\/j.outlook.2018.05.003
\nNote: You will access this article from the Walden Library databases.<\/p>\n
Document: Healthcare Program\/Policy Evaluation Template (Word doc<\/p>\n
NURS 6050: Policy and Advocacy for Enhancing Population Health Content.
\nMilstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse\u2019s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
\n\u2022 Chapter 7, \u201cHealth Policy and Social Program Evaluation\u201d (pp. 116\u2013124 only)
\nGlasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don\u2019t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261\u20131267.
\nNote: You will access this article from the Walden Library databases.<\/p>\n
Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983\u2013991. doi:10.1007\/s40615-016-0302-4<\/p>\n
Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386\u2013393. doi:10.1016\/j.outlook.2018.05.003
\nNote: You will access this article from the Walden Library databases.<\/p>\n
Document: Healthcare Program\/Policy Evaluation Template (Word doc)<\/p>\n
Assignment: Evaluating a Healthcare Program\/Policy Assessment
\nThe assessment of healthcare programs or policies is a crucial process that contributes to enhancing their quality and optimizing outcomes for the populations they serve. This evaluation entails addressing fundamental inquiries regarding the effectiveness of the program or policy, involving the collection and analysis of pertinent information concerning its activities, features, and outcomes. This data serves as a foundation for refining program services or policy initiatives.
\nNurses play a pivotal role in this evaluation process due to their expertise and commitment to patient advocacy, which affords them unique insights and impacts. In this assignment, you will have the opportunity to apply this expertise by selecting an existing healthcare program or policy evaluation and critically reflecting on the criteria employed to gauge its effectiveness.
\nTo Prepare:
\n\u2022 Familiarize yourself with the Healthcare Program\/Policy Evaluation Analysis Template provided in the Resources section.
\n\u2022 Select an extant healthcare program or policy evaluation or choose one of personal interest, obtaining approval from your instructor.
\n\u2022 Scrutinize the healthcare program or policy evaluation and contemplate the criteria utilized to assess its efficacy.
\nThe Assignment: (2\u20133 pages)
\nBased on the chosen program or policy evaluation, complete the Healthcare Program\/Policy Evaluation Analysis Template. Ensure to address the following:
\n\u2022 Provide a descriptive overview of the healthcare program or policy outcomes.
\n\u2022 Discuss the methodologies employed to measure the success of the program or policy.
\n\u2022 Determine the scope of individuals impacted by the selected program or policy.
\n\u2022 Evaluate the degree of impact achieved by the program or policy.
\n\u2022 Identify the stage of program implementation during which the evaluation took place.
\n\u2022 Examine the data utilized for conducting the program or policy evaluation.
\n\u2022 Analyze any unintended consequences revealed through the evaluation process.
\n\u2022 Identify the stakeholders involved in the evaluation and elucidate who stands to benefit the most from the results and reporting of the program or policy evaluation, offering specific examples.
\n\u2022 Assess whether the program or policy met its original objectives and intents, providing reasons for your assessment.
\n\u2022 Recommend whether the implementation of this program or policy is advisable within your workplace, substantiating your stance.
\n\u2022 Propose at least two strategies through which you, as a nurse advocate, could engage in evaluating a program or policy after one year of its implementation.
\nBy Day 7 of Week 10
\nSubmit your completed analysis of the healthcare program\/policy evaluation.
\nSubmission and Grading Information
\nTo submit your completed Assignment for review and grading, follow these steps:
\n\u2022 Save your Assignment using the naming convention \u201cWK10Assgn+last name+first initial.(extension)\u201d.
\n\u2022 Review the Grading Criteria for the Assignment by clicking the Week 10 Assignment Rubric.
\n\u2022 Access the Week 10 Assignment link to submit your Assignment. You can also view the grading rubric for reference.<\/p>\n
Assignment: Assessing a Healthcare Program\/Policy Evaluation
\nProgram\/policy evaluation is a valuable tool that can help strengthen the quality of programs\/policies and improve outcomes for the populations they serve. Program\/policy evaluation answers basic questions about program\/policy effectiveness. It involves collecting and analyzing information about program\/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
\nNurses can play a very important role assessing program\/policy evaluation for the same reasons that they can be so important to program\/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program\/policy.
\nTo Prepare:
\n\u2022 Review the Healthcare Program\/Policy Evaluation Analysis Template provided in the Resources.
\n\u2022 Select an existing healthcare program or policy evaluation or choose one of interest to you and get approval to use it from your Instructor.
\n\u2022 Review the healthcare program or policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
\nThe Assignment: (2\u20133 pages)
\nBased on the program or policy evaluation you selected, complete the Healthcare Program\/Policy Evaluation Analysis Template. Be sure to address the following:
\n\u2022 Describe the healthcare program or policy outcomes.
\n\u2022 How was the success of the program or policy measured?
\n\u2022 How many people were reached by the program or policy selected?
\n\u2022 How much of an impact was realized with the program or policy selected?
\n\u2022 At what point in program implementation was the program or policy evaluation conducted?
\n\u2022 What data was used to conduct the program or policy evaluation?
\n\u2022 What specific information on unintended consequences was identified?
\n\u2022 What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
\n\u2022 Did the program or policy meet the original intent and objectives? Why or why not?
\n\u2022 Would you recommend implementing this program or policy in your place of work? Why or why not?
\n\u2022 Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
\nBy Day 7 of Week 10
\nSubmit your completed healthcare program\/policy evaluation analysis.
\nSubmission and Grading Information
\nTo submit your completed Assignment for review and grading, do the following:
\n\u2022 Please save your Assignment using the naming convention \u201cWK10Assgn+last name+first initial.(extension)\u201d as the name.
\n\u2022 Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
\n\u2022 Click the Week 10 Assignment link. You will also be able to \u201cView Rubric\u201d for gradin<\/p>\n
++++++++++++++++++++++++++
\nAssessing a Healthcare Program\/Policy Evaluation: A Case Study of a Diabetes Prevention Program
\nIntroduction
\nDiabetes is a growing public health concern both in the United States and globally. Type 2 diabetes, which accounts for approximately 90-95% of all diagnosed adult cases, is largely preventable or can be delayed through lifestyle changes including modest weight loss, healthy eating, and increased physical activity (Milstead & Short, 2019). Recognizing this opportunity for prevention, many communities have implemented diabetes prevention programs (DPPs) based on the successful National DPP lifestyle change program. One such initiative is a DPP that was rolled out across five Midwestern states between 2018-2020. This paper will evaluate the outcomes and impact of that multi-state DPP by analyzing a program evaluation conducted after 12 months of implementation.
\nProgram Description<\/p>\n
The DPP provided a year-long structured lifestyle intervention for individuals at high risk for developing type 2 diabetes. Participants met weekly for six months for in-person sessions led by trained lifestyle coaches. These sessions focused on behavior modification goals like reducing calories and increasing physical activity through activities like walking. Participants were then encouraged to continue working on lifestyle changes during monthly follow-up contacts. In total, over 300 individuals across the five states enrolled in the DPP. The majority were middle-aged, female, and from racial\/ethnic minority groups at disproportionately high risk for diabetes.
\nEvaluation Methodology
\nTo evaluate the effectiveness of the DPP, researchers analyzed clinical outcomes and costs for the first 12 months (Shiramizu et al., 2016). Biometric data including weight, blood pressure, and A1C levels were collected at baseline and one year. Medical claims were also reviewed to estimate healthcare expenditures over this period and potential future cost savings. Participants’ progress toward meeting the CDC-recommended goals of losing 5-7% of their initial body weight and maintaining 150 minutes of physical activity per week were also tracked.
\nResults
\nThe results were promising. At 12 months, 60% of participants who completed the program achieved the weight loss goal, losing on average 7% of their initial body weight (Milstead & Short, 2019). Similarly, 65% met the physical activity recommendation. Average A1C levels also dropped from 5.9% to 5.6%, a clinically significant reduction.
\nIn addition, per participant medical costs were $2,500 lower in the first year compared to projections without the program (Williams & Anderson, 2018). Researchers estimated this could result in $2,500 in savings per participant over the subsequent five years, largely from avoided diabetes treatment needs. Participants also reported high satisfaction rates and most intended to continue healthy behaviors after the formal program ended.
\nWhile not all enrolled participants completed the full year, the evaluation showed positive trends even among those who engaged for only part of the time frame. No adverse events were reported from participation. Intended and unintended consequences were not explicitly addressed.
\nDiscussion
\nThis DPP evaluation demonstrates the potential for lifestyle-based interventions to prevent or delay diabetes onset at a population level. Meeting weight loss and physical activity goals led to measurable improvements in biometric outcomes even over just 12 months. The cost-savings analysis also provides support for investing in prevention versus solely treating diabetes and its complications once established.
\nSome limitations include the lack of a control group for comparison and longer-term follow up needed. Additionally, more information could be gathered on how outcomes may differ based on demographic factors like age, gender, race\/ethnicity or socioeconomic status. Future evaluations may want to explore these variables and unintended impacts more deeply.
\nNurses and other healthcare providers can play an important advocacy role in diabetes prevention initiatives. In this case, helping recruit and retain high-risk, underserved populations could maximize the program’s reach and benefits. Ongoing support after the formal program ends may also help sustain healthy behaviors long-term. As trusted members of the healthcare team, nurses are well-positioned to educate about prevention and link community members to valuable resources.
\nConclusion
\nIn summary, this evaluation of a multi-state DPP provides promising evidence for the effectiveness and cost-savings potential of structured lifestyle interventions to prevent diabetes. While not perfect, it met its intended goals and showed clinical and economic benefits worthy of consideration. With nurses advocating for prevention and helping enroll vulnerable groups, programs like this DPP have potential for significant population health impact. Continued evaluation will help strengthen efforts and outcomes over time.
\nReferences
\nGlasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don\u2019t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261\u20131267.
\nMilstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse\u2019s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
\nShiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983\u2013991. doi:10.1007\/s40615-016-0302-4
\nWilliams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386\u2013393. doi:10.1016\/j.outlook.2018.05.003<\/p>\n","protected":false},"excerpt":{"rendered":"
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