Evidence-Based Practice and Evaluation of the Project Through Measurable Goals

Dr. Marcia Stanhope (2020) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems, and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the information.

Practicum Discussion: This week, your assignment will be to incorporate all of the information you have gathered from the community—including the population itself, health data, interviews/conversations with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measurable interventions. Measurable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2020). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and to then determine whether your interventions might be effective.

Please discuss the following points in your Practicum Discussion:

Identify one evidence-based behavior change that would promote health in your selected population.
Suggest one specific culturally sensitive, evidence-based, measurable intervention to address the health problem for your selected population.
Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.

By Day 4

Post your response to this Discussion.

Support your response with references from the professional nursing literature.

By Day 7

Read two or more of your colleagues’ postings from the Discussion question. As a community of practice, help each other refine and clarify the health problem remembering that this project focuses on primary prevention strategies at the community and system level of care.

Respond to at least two colleagues. Your responses should be substantial and should contribute ideas, tools, alternate points of view, resources, and information related to identified health problems.

For all posts, be sure to use evidence from the readings and include in-text citations. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

Hypertension is a public health problem for most developing countries, due to poor socioeconomic level and it is frequently associated with low levels of awareness, treatment, and control, Fuentes, Ilmaniemi, Laurikainen, Tuomilehto, & Nissinen, (2010). My targeted population age group is from age bracket 35 male and above in the California department of corrections and rehabilitation (CDCR) located in El Centro in Imperial County, with a population of 3,500. 71. 4% is Hispanic, 14.3% is white, 8.6% is black and another race is 5.7%. The total number of Hypertensive patients is 500 which includes all races. 40% Hispanics, 14% white, 20% black, 10% Native America, 10% Asian and other race is 6% which are currently on medication and doctor’s visit for follow up. The was collected from the medical record department with permission. The stress of a long stay in the correctional center has contributed to an increase in blood pressure resulting in hypertension. From their history, most of them developed it from the center, while some have it already before coming to the center. Health screening upon arrival to the institution is the best way of capturing the patient status. Once health issues are identified, the doctor and the public health nurse will follow up with the patient.

Hypertension as cited by Boynton-Jarret, Rich-Edwards, Malspeis, Missmer, & Wright, (2015) affects reproductive health due to its association with uterine leiomyomata (fibroids) in females and decreased fertility in male as a result of low libido from anti-hypertensive medication side effects. As a public health nurse, patient education is important on the prevention of hypertension, such as strict diet compliance, exercise, change of lifestyle, medication compliance, and a follow-up visit with the doctor. The useful health data I got from public health is from CDPH Hypertension and Health Equality issue brief 2017 from cdph.ca.gov/programs. In America, 77percent of patients with high blood pressure report taking medication for the condition, 54 percent of hypertensive patients have their blood pressure under control.

The problem that is affecting the prevention and management is a denial of the disease processes. Patients not reporting to their scheduled appointment. Poverty, poor educational level on the causes of hypertension, quality of life, and access to healthcare, health insurance, and healthcare providers affect the practicum for my selected population.

Reference

Hypertension& Health Equity issue brief 2017, https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CDCB/CDPH%20Document%20Library/142711-CDPH-Hypertension-Brief-2017-ADA-v1-ADA.pdf

Boynton-Jarret, R., Rich-Edwards, R., Malspeis, S., Missmer, S. A., & Wright, R. (2015). A Prospective Study of Hypertension and Risk of Uterine Leiomyomata. American Journal of Epidemiology. Vol 161, Issue 7, pp 628-638

Fuentes, R., Ilmaniemi, N., Laurikainen, E., Tuomilehto, J., Nissinen, A. (2000). Hypertension in Developing Economies; A review of population-based studies carried out from 1980 to 1998. Journal of Hypertension, Vol 18, Issue 5, pp 521 – 529.

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