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Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review

In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550.

Section A: Organizational Culture and Readiness Assessment Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

  1. Develop an analysis of 250 words from the results of the survey, addressing your organization’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization’s weaker areas. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion
  2. Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization.
  3. Submit a summary of your results. The actual survey results do not need to be included.

Section B: Proposal/Problem Statement and Literature Review

In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following:

  1. Refine your PICOT into a proposal or problem statement.
  2. Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations.

General Guidelines:

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

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Benchmark – Part A: Population Health Research and PICOT

Grand Canyon University : NUR-550

Benchmark – Part A: Population Health Research and PICOT

Over the years, the racial disparity in hypertension and its related outcomes has been significantly linked with the African Americans who have a higher risk than their counterparts. According to a study conducted by Waldron et al. (2019), the prevalence of hypertensive crisis and emergencies was predominantly high among African American urban populations, five times the United States average. The differences are usually contributed by the inequality in access, quality of care, and healthcare coverage among the minority groups.

Population Description

Hypertension is a common health issue in the United States, affecting millions of individuals. According to the CDC (2020), nearly half of adult Americans have the condition or are on medication. In 2018, about half a million deaths in the country included high blood pressure as one of the primary causes. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Besides, it has been considered one of the common health issues among non-Hispanic black adults (54%) than the white adults, Asian adults, or Hispanic adults at 46%, 39%, and 36%, respectively (CDC, 2020). Furthermore, evidence suggests that the use of recommended blood pressure medication to promote control is lower in African Americans, which increases their risk of developing complications. Also, more men are affected than women. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Health disparities are a major health concern among African Americans. Studies indicate that they are three times more likely to die due to preventable heart condition and stroke than the whites (Ferdinand et al., 2017). One of the major contributing factors to the racial disparity is the non-adherence to medications, which has been linked to social determinants of health. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

It is the leading cause of the inadequate control of hypertension, leading to chronic kidney disease, stroke, and other cardiovascular diseases. Therefore, hypertension is a health issue that needs to be addressed in the African American population to reduce complications and promote their well-being. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Management of the Population Health

The adequate management of the population health requires incorporating various elements, including the nursing science, health determinants, epidemiology, genetic and genomic characteristics. In nursing science, the primary aim is to promote patient recovery and deliver high-quality, safe, and effective services (Grady, 2017). Therefore, the interventions that address health disparities in African Americans with hypertension need to be focused on social determinants.

Besides, nursing science promotes proper management of health issues and the provision of patient-centered care, which is likely to help in addressing issues of non-adherence. According to Grady (2017), nursing science plays a significant role in bringing together health determinants and developing strategies that will promote the health of the population. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

The major health determinants among African Americans are social, economic, and educational factors. This includes the social class, gender, and geographic location of the individual. Social determinants of health have been linked significantly to conditions such as heart diseases and diabetes (Grady, 2017). Besides, social determinants impact access to healthcare services, limiting the health-seeking behavior of African Americans because a significant number still live below the poverty line. Other issues that have an impact on the health outcome of individuals include their beliefs, fear and stigma, poor perception of the health threat, and the patient attitude towards available interventions

Apart from that, epidemiology has played a significant role in characterizing a population’s health status and threat variables that may require interventions. Studies indicate that the prevalence of hypertension worldwide has significantly increased despite the wide distribution and use of antihypertensive medication (Waldron et al., Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion 2019).

Therefore, epidemiology will help identify individuals at risk of developing high blood pressure, help in monitoring the progress of the disease, specify areas that need health care attention and evaluate the impact of the condition on the population. These affect how the services are offered to the population, including the urgency, the involvement of effective interventions and the development of programs to address the health issue. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Also, the genomic and genetic studies have provided more data that will help improve the understanding of the pathogenesis of hypertension. Besides, the complexity of blood pressure regulation has limited the number of known pharmacological pathways that can be utilized to target hypertension control (Burrello et al., Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion 2017).

However, there is a possibility that technological advancement could help in defining the genetic architecture of hypertension, which will then lead to the development of effective interventions. Apart from that, it will help predict individuals who are likely to develop hypertension and possible therapies that will respond well. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Potential Solution

Effective management of hypertension among African Americans requires a collaborative to help in addressing most of their challenges. This includes health education provision concerning the risk of high blood pressure, its complication, strategies that can be used to control it, and the importance of medication adherence. It is also important to carry out promotional activities and awareness campaigns to sensitize the public on the dangers and their need to initiate control strategies. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Apart from that, the development of patient-centered approaches will help improve self-management, which is likely to promote improved adherence to available interventions. The intended PICOT statement will be; the risk for hypertension complications and emergencies among African Americans has been increasing. How does the adherence to available interventions serve to reduce the risk within one year?

Incorporation of Solutions in Health Policies and Goals

The provision of health education and carrying out promotional and awareness campaigns helps in promoting public health equity. Besides, it enhances the knowledge of individuals concerning the condition, enabling them to utilize some of the available strategies utilized in its management. It also promotes access and ensures proper funding of programs to facilitate the proper delivery of patient-centered services to the African American population and other citizens in general. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

Conclusion

Conclusively, hypertension is a common health issue affecting millions of individuals around the world. However, African Americans are significantly affected in the United States due to various health disparities caused by non-adherence to available interventions and other health determinants. Some of the available and potential solutions are increasing educational programs to sensitize individuals about the condition and dangers of non-adherence to available interventions. Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

References Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion

  • Waldron, F. A., Benenson, I., Jones-Dillon, S. A., Zinzuwadia, S. N., Adeboye, A. M., Eris, E., … & Over, A. (2019). Prevalence and risk factors for hypertensive crisis in a predominantly African American inner-city community. Blood pressure, 28(2), 114-123.
  • Grady P.A. (2017). Investigating the determinants of health: The role of nursing science. Official Journal of the American Academy of Nursing. Nursing Outlook. Official Journal of the council for the Advancement of Nursing Science. Vol. 65 (5) , pp. 489-491.
  • Burrello, J., Monticone, S., Buffolo, F., Tetti, M., Veglio, F., Williams, T. A., & Mulatero, P. (2017). Is there a role for genomics in the management of hypertension?. International journal of molecular sciences, 18(6), 1131.
  • Ferdinand, K. C., Yadav, K., Nasser, S. A., Clayton‐Jeter, H. D., Lewin, J., Cryer, D. R., & Senatore, F. F. (2017). Disparities in hypertension and cardiovascular disease in blacks: the critical role of medication adherence. The Journal of Clinical Hypertension, 19(10), 1015-1024.
  • CDC (2020). Facts About Hypertension. Retrieved 2 November 2020, from https://www.cdc.gov/bloodpressure/facts.htm#:~:text=Nearly%20half%20of%20adults%20in,are%20taking%20medication%20for%20hypertension.&text=Only%20about%201%20in%204,have%20their%20condition%20under%20control.

Grand Canyon University NUR 590 Health Acquisition Quality Services Discussion