Promoting Population Health Essay

Every Woman Matters is a curriculum with the Nebraska Department of health which is pronounce run and federally funded. This course foc affairs on decreasing barriers to continueive summit and cervical sterncer screenings in low-income women. They so this by raising public aw atomic number 18ness and pull these screenings more accessable and affordable to eligible women (Backer, Geske, McIlvain, Dodendorf, & Minier, 2005). Reduced cost or no cost clinical breast exams, mammograms, and Pap smear test are fork upd through this programme.The EWM program has attempted to provide their services to physician practices to assistant in the go badment of the program. The practices are expected to follow the GAPS model to weapon this change. This includes goal setting, assessing alert routines, planning the modification of routines, and providing support for these amelioratements (Backer et al., 2005, p402). In tell for this to be successful, they need to alter physician and practice behaviors. The practices resources, willingness to change, and the ability of round to fully cooperate or land as a team should have been evaluated before the attempt to implement EWM program into each practice.It seems the practices elect to implement the Every Woman Matters program already had its own issues or barrier for implementation to be fully possible. Some of the problems that were faced were unrivalled and only(a) practice was only focused on generating income, some were hospital owned which added barriers to approval, enthusiasm was non shared by all provide, staff was dissatisfy or overextended, limited resources, resistance from staff, no active leader, prevention non universe priority, and the loss of interest or elimination of goals after the premier(prenominal) few months (Backer et al., 2005). Each practiceinvolved had at least one of these issues present resulting in the Every Woman Matters program not being in force(p) in meeting its goals. Prevention architectural plansTwo prevention programs that aid for early screening are The trades union Carolina Breast Cancer screen Program (NC-BCSP) and the Esperanza y vida wellness culture program. Both of these programs are focused on womens health screenings and treatment and they go about it the analogous way, influencing and supporting(a) through social networks and offering culturally tailored interventions. The North Carolina Breast Cancer Screening Program focuses on African American women over 50 years old. They use a social ecologic theory which targets several levels of the residential area from respective(prenominal)s and social networks to institutions and policymakers. They believe that providing linkages will develop communities that will endure after the research project ends (Altpeter, Earp, & Schopler, 1998). Social workers and others are used as coaches or teachers to develop the community participants skills. They help fancy up local efforts and pr ovide technical assistance or training. Social workers as well identify and integrate the needs of underserved constituents into service planning to aim to improve service delivery.Three interventions are used in developing the program, Outreach, InReach, and Access. Outreach targets individual women and community nerworks to which they belong, building on the capacity of local leadership to inspire and promote breast crabby person screening. This includes having agency-based community outreach specialists, county-based community advisory groups and a network of volunteers that span the projects 5-county region. The focus is to enhance awareness, generate community support, and come before put Health Advisors that run focus groups. InReach enhances service delivery by restructuring clinic policies and procedures to adjoin efficiency of previous services that are delivered, provider education on breast cancer topics, help agencies implement community outreach efforts customized to senior African American women. Key players of InReach are health forethought providers including close practice physicians, radioscopy centers, county health departments and federally funded rural health centers (Altpeter et al, 1998).Program Champions will advocate with the medical community and agencies for community wide screening,referral, and work through plans. Access promotes accessible, equitable care by overcoming institutional barriers (cost, transportation, mammogram quality assurance) that prevent low income African American women from getting screenings. Key players are state and local agencies that are responsible for financing or delivering needed services. radiology centers improve units or increase the quality of mammograms, the development of linkages, ebb in prices with creative use of federal or state financing with innovative plans such as free weeks. Promotion of ongoing availability in local health agencies of breast cancer screening activities. The NC-BCSP focuses on institutionalizing health promotion programs by establishing relationships with local health departments, rural health clinics, radiology centers, and physicians to ensure the program meshed with the current systems already in built in bed in local organizations.This is important in fitting a respite within an organization to ensure longevity and uncover existing grassroot linkages that can fimly establish a comprehensive system of accessible, available, and affordable breast cancer screening and treatment options. Institutionalization depends on infra social structure development, community linkages at three-fold levels and monitoring and providing feedback. What I find most importand in the NC-BCSP is the way they use community members to make this program work. Program Champions who have influence at the policy level and Project Coordinators who are older black women from the community. Lay Health Advisors who will gain professional association and skills have existing ties within the community and social networks will initiate behavioral change. congenital helpers from within targeted communities are registered and trained women who others turned to for advice, support, and assistance in the past.The Esperanza y vida is a peer-led health education program addressing the decreased rate of breast and cervical cancer screening and treatments in the Latina community. Sudarsan (2011 p 194) states Individuals can not be considered separately from their social environment and background., which they prove by influencing and supporting Latina individuals through social networks and neighborhoods and communities. This programs interventions reflect the communitys priorities and culture. Culturally abstract information and resources are provided to increase patient knowledge for self care and to decrease obstacles to health care. By offering culturally tailoredinterventions, they increase the rates of screening. In their program, they use three different locations to account for geographic, ethnic, and community diversity. Along with education regarding breast and cervical cancer screenings and treatment, the Esperanza y Vida program addresses fears, concerns, and perceptions that negatively impact understandings.They also evaluate pre and post-program knowledge, testing attendance to change magnitude screening adherence. Using ARS, an audience response system which uses Power catamenia questions and responses are recorded anonymously using a wireless keypad, change magnitude the probability of participants answering honestly. The program found differences between locations indicating varying familiarity with applied science and literacy, resulting in low comfort levels. Esperanza y Vida accommodates Hispanic perspectives on family, religion, sexual activity roles, and provides navigation into screening. The group settings are community-based locations, faith-based locations, or in womensprivate homes. These pr oficient locations are more appealing to undocumented Latinas, increasing the rate of company. cultivation by reflecting on access to various local agencies, and community structure variations. Trained peer volunteers are utilized, these are breast or cervical cancer survivors who share their personal stories and stress the importance of early detective work and regular screenings.Men are also encoursaged to attend because in Latino families the men tend to have more control over resources and termination making, promoting the health of female family members. Program state of affairss are obtained by program coordinators who work with fraternity Advisory Boards, volunteers, and local community and faith-based organizations. Outreach includes providing potential sites with program expound including program content, time and space needed to conduct the educational program. every(prenominal) participants of Esperanza y vida complete questioneers which include demographics, years in the US, current participation in screenings, pre-intervention knowledge surveys (evaluating baseline knowledge and attitudes) and post-intervention survey with the same questions (to respect any changes and success of the program) (Sudarsan, Jandorf, Erwin, 2011). The staff also tracks site setting, lecture the program is taught in, the type of program.The language the programs are taught in relate to the host and participants requests which reflects language preference in that specific region. Implementing Esperanza y Vida in diverse locations withgeographic considerations and variations and ethnic variables will assist in expanding the program across the US. translation of the same intervention at different geographic sites will provide information to diverse populations. Cultural competence of the program has potential to decrease health disparities in Latinas (and soon other groups) in the US. The ability to recruit and educate diverse subgroups of the Latino population w ith success in enhancing knowledge about breast and cervical cancer screening and treatments. This program is manipulable to different community needs which makes it stand out among others with similar focus.StrategiesIf I was the nurse leader in charge of developing a reappraisal to the Every Woman Matters program, the strategies I would propose for creating a more effective prevention program would include first, choosing practices that were financially stable, who worked well together, and where all staff was in agreement to promote change.ReferencesAltpeter, M., Earp, J., & Schopler, J. (1998). Promoting breast cancer screening in rural, African American communities the science and art of community health promotion. Health & Social Work, 23(2), 104-115. Retrieved from http//ezp.waldenulibrary.org/login?url=http//search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=1998053486&scope=site Backer, E. L., Geske, J. A., McIlvain, H. E., Dodendorf, D. M., & Minier, W. C. (2005). Imp roving female preventive health care delivery through practice change An Every Woman Matters study.Journal of the American Board of Family Practice, 18(5), 401408. Retrieved from the Walden library databases. Carroll, J. K., Humiston, S. G., Meldrum, S. C., Salamone, C. M., Jean-Pierre, P., Epstein, R. M., and Fiscella, K. (2009). Patients experiences with navigation for cancer care. Patient Education and Counseling 80, 241-247. inside10.1016/j.pec.2009.10.024 Leeman, J., Moore, A., Teal, R., Barrett, N., Leighton, A., & Steckler, A. (2013). Promoting Community Practitioners Use of Evidence-Based Approaches to Increase Breast Cancer Screening. Public Health Nursing, 30(4), 323-331. doi10.1111/phn.12021 Retrieved from http//ezp.waldenulibrary.org/login?url=http//search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2012167333&site=ehost-live Meredith, S. M. (2013).