Phillip January 9, 2024 No Comments

Capella 4060 Assessment 4

Capella 4060 Assessment 3: Health Promotion Plan Presentation 

Name

Capella university

NURS FPX 4060 Practicing in the Community to Improve Population Health

Prof. Name

Date

Health Promotion Plan 

Hello everyone, this is _____, a senior nurse at Valley Community Health Center. I am here to present to you all my topic on health promotion plan. I’m grateful to you all for your active participation in this session. Before starting my topic for today, I would request you all to keep your questions for the Q&A session till the end of our presentation to have a productive and healthy conversation about our topic. Now, let’s go ahead with our presentation.

Health Promotion Plan – Immunization

The focus of this health promotion plan is immunization. But first, we will study what immunization is actually and why we need it. Immunization which is also known as vaccination is a preventive measure for abstaining onset of infectious diseases. The immunization process is about injecting dead or weakened antigens in the body to make our body active against them and when the real infectious agent attacks our body, the already immunized body can fight with infectious agents without making our body sick. This has been an effective measure to prevent diseases caused by infectious agents like bacteria, viruses, etc. When it comes to immunization, one only thinks of childhood immunization.

But the fact is immunization plays a key role in promoting health in all age groups. Adults and older people are also vulnerable to various infections and need timely and adequate doses of vaccines. The vaccination coverage of a community shows the level of public health achieved through public health services (Arede et al., 2019). 

Health Consequences of Poor Immunization Status

Let’s discuss some major health consequences that occur due to not getting immunization done by healthcare systems. There are various health risks associated with incomplete or no immunization programs. All age groups are affected by remaining unvaccinated. For example, children in their growing age are susceptible to many infectious agents and require immunization to prevent diseases like smallpox, mumps, measles, flu, pertussis, diphtheria, etc. Without immunization, children will fall ill frequently with numerous viruses and bacteria and their health will deteriorate with each passing year. Similarly, adults and older people of all ages require a flu vaccine every year to prevent from influenza virus.

Remaining non-vaccinated may result in recurrent flu in adults destroying the health of adults every year. The notion of not getting immunization results in a weak immune system, an increased rate of contracting diseases, and decreased life expectancy due to poor quality of life (Amin & Saman, 2021). 

Immunization Statistics

 According to WHO, 3.5 to 5 million deaths can be prevented every year from diseases like tetanus, pertussis, AIDS, etc if adequately vaccinated. In a report by CDC in the year 2021, global immunization coverage for infants has declined to 81% which is that around 25 million children under the age of 1 year, did not receive vital routine immunization. The composite rate of adult vaccination was low in the range of 8.2% among adults aged 50-64 years to 27.6% among adults aged 19-49 years (CDC, 2022; WHO, 2020).

In the U.S. the rate of vaccinated children by the age of 24 months is 69.7% which protects them from seven childhood diseases (CDC, 2019).  In some communities, immunization is well established in health centers and people are actively participating in getting vaccinations. But in our community, we are lagging behind it and the rate of morbidities caused by infections is increasing as 80% of the population is unvaccinated. With this alarming situation, I am here to promote a health plan for immunization that can promote health in the Graham community so everyone can be safe from the vaccine preventable-diseases.

The Plan Based on Specific & Identified Health Needs

Now, I will discuss the health promotion plan which is based on the specific and identified health needs and goals of our community members. To be able to know the health needs and goals of you all, I have provided you all some survey forms that are individual to all of you and you all can fill in the information on the given questions such as how much do you know about immunization, what are your beliefs towards it, are you and your children vaccinated, what are some barriers you find in getting yourself and your children immunized, etc.

This questionnaire part is vital as it will enhance my knowledge about my audience in terms of their health needs towards immunization. Now, after getting your responses, I have created a health promotion plan in light of your specific and identified needs and goals. For this purpose, I have divided the plan into three practical interventions that suffice the health needs and goals and are also based on the research evidence in terms of effectiveness. The first intervention plan is to create awareness among community members as it is also promoted by WHO and half of the response forms interpreted that most of you are unaware of immunization and its role in protecting health and life.

Capella 4060 Assessment 3

The second intervention is the development of policies in the community health systems to promote health equity in immunization and ensure that every member of the community be it a child or adult is immunized against potential diseases as it is supported by CDC (CDC, 2023). The final plan of promoting immunization in the community is by running immunization camps where health professionals such as nurses will be available to immunize potential candidates such as young infants, children, adults, and older age groups to prevent them from getting ailments due to dangerous pathogens and further educational sessions will be performed in this plan for consecutive 3 months, one session per month with duration of three hours. (Qamar et al., 2020).

Enabling SMART Goals Strategy to Promote Immunization    

Now coming to setting our SMART goals to promote immunization in our community but before setting SMART goals, I’ll brief you all about what SMART goals are. There are times when communities set goals that are ideal but not practical to achieve and sometimes the goals are not specific to the required needs. SMART Goal is a methodology that creates goals that are Specific, Measurable, Attainable, Realistic, and Time-bound.

SMART Goals strategy ensures that goals that are being set are specific to the demand and need, measurable in terms of number, attainable and realistic considering the resources, conditions, and ability of individuals or community, and lastly, time-bound means they should be achieved by a certain time (Aghera et al., 2018). Now, as you all know what SMART goal strategy is, we would make SMART goals with you all by making three groups one for mothers of children, one for adults, and one for older people. Each group will make SMART goals according to their health needs and goals. 

Agreed-upon Goals, Their Attainment & Educational Outcomes

The agreed-upon SMART goals developed by groups are as follows:

  1. Find two major causes (measurable) that promote vaccine hesitancy (Specific) among people of Graham’s community and provide two practical methods (realistic and attainable) of promoting immunization by the time educational and awareness session ends (time-bound). 
  2. By the end of the session (time-bound), participants will find three health risks (measurable)  in case of no immunization and three convincing reasons (attainable and realistic) for promoting immunization (specific).
  3. Finding one or two methods (measurable) to promote immunization (specific) and how these can be brought into practice (realistic and attainable) by the end of our session (time-bound).

After the goals were set, the participants were requested to submit their response forms to the health community heads for the evaluation of this educational session on immunization. The results were compared to the one prior to this educational session when the health needs and goals were assessed. The results showed that 80% of the total participants were willing to continue and complete the immunization of their children and themselves. This clearly showed that the educational session was highly beneficial for the members of the Graham community.

Now coming to the attainment of agreed-upon goals, all the goals were accomplished by the end of the session. The accomplished goal was finding two major causes for vaccine hesitancy and obtaining two methods of promoting immunization. The community groups found that their two major causes for vaccine hesitancy were the lack of knowledge of vaccine awareness and distrust of the safety of vaccines. They were also able to find three health risks pertaining to not practicing immunization such as low immunity, frequent illnesses, and disabilities. They found one method of promoting immunization by raising awareness of the benefits of immunization. 

Need for Revisions to Future Educational Sessions

To promote immunization, there is always a need for revisions to future educational sessions. For this purpose, pamphlets and billboards can be generated for future goals to increase awareness about them and enhance the knowledge of participants. Another way to promote the accomplishment of the remaining goals is to increase the inclusivity of healthcare systems in collaboration with the individuals of the community and be socially just and empathetic so that the health disparities in immunization are reduced (Habersaat & Jackson, 2019). Mass marketing or campaigning of immunization and social marketing can be the future revisions to take place so that vaccine hesitancy is prevented and immunization is promoted. Besides, improvement in the patient-clinician relationship can also promote immunization as the community members will feel valued and heard and they can liberate their mistrust of healthcare professionals and overcome the barrier to immunization (Nour, 2019).

Comparison of Educational Session Outcomes with Healthy People 2030 Objectives

Now, we will see if our educational outcomes are concordant with the immunization objectives of Healthy People 2030. For that, we will need to know what Healthy People 2030 objectives are. Healthy People 2030 initiative is a future-oriented methodology for the promotion of health and prevention of diseases and acts as a framework for priority areas of intervention. It contains 355 objectives and provides sources of awareness on deficiencies between actual and optimal health conditions. It has provided various immunization objectives, some of which are general and others specific:

  • Increasing immunization rates to prevent diseases for all age groups, infants, children and adolescents, adults, and older adults. 
  • Maintain the vaccination coverage level of children’s vaccines 
  • Increasing the proportion of people of all age groups to get the yearly flu vaccine 
  • Increasing the proportion of people with vaccination records in an information system (OASH, n.d.) 

Considering some of these objectives of immunization by Healthy People 2030, our educational outcomes were almost similar to the immunization goals of Healthy People 2030. The educational outcome of increased awareness will lead to the fulfillment of objectives related to increased immunization rates and the mothers of young children were enthusiastic about safeguarding their infants and children from the diseases like hepatitis, pertussis, measles, and mumps which are easily preventable by vaccines. The last objective mentioned above needed to be fulfilled in the future as the vaccination record in an information system such as a computer is not met yet. For this purpose, there is a need for revisions to better align future sessions with Healthy People 2030 objective of increasing the proportion of vaccination records in information systems such as incorporating information systems such as computers and websites to procure vaccination records.

Conclusion

We have reached the conclusion of our presentation on the health promotion plan. The points we covered included the need for health promotion in the Graham community to promote immunization. The rates of non-vaccinated people including infants, young adults, and older age groups were increasing to a dangerous level causing serious and recurrent diseases. Therefore, we created a health promotion plan for the community groups which consisted of mothers of young children, adults, and older people. We created an evidence-based plan based on specific, identified health needs through SMART goals. Then, we evaluated the educational session outcomes in the light of SMART goals developed and Healthy People 2030 and found that out of 4 objectives, three were in congruence with the immunization objectives by Healthy People 2030. Lastly, we specified the revisions for future educational sessions to promote health through immunization. This is the end of our presentation, Thank you.

References

Aghera, A., Emery, M., Bounds, R., Bush, C., Stansfield, B., Gillett, B., & Santen, S. (2018). A randomized trial of SMART goal enhanced debriefing after simulation to promote educational actions. Western Journal of Emergency Medicine, 19(1), 112–120. NCBI. https://doi.org/10.5811/westjem.2017.11.36524 

Amin, M. R., & Saman, S. (2021, June). 7 consequences and risks of not getting your child routinely vaccinated. https://www.unicef.org/indonesia/stories/7-consequences-and-risks-not-getting-your-child-routinely-vaccinated 

Arede, M., Bravo-Araya, M., Bouchard, É., Singh Gill, G., Plajer, V., Shehraj, A., & Adam Shuaib, Y. (2019). Combating vaccine hesitancy: Teaching the next generation to navigate through the post truth era. Frontiers in Public Health, 6. https://doi.org/10.3389/fpubh.2018.00381 

Capella 4060 Assessment 3

CDC. (2019). FastStats – immunization. https://www.cdc.gov/nchs/fastats/immunize.htm 

CDC. (2022, September). Fast facts on global immunization. https://www.cdc.gov/globalhealth/immunization/data/fast-facts.html 

CDC. (2022, September). Vaccination coverage among adults in the united states, national health interview survey, 2019–2020 . https://www.cdc.gov/vaccines/imz-managers/coverage/adultvaxview/pubs-resources/vaccination-coverage-adults-2019-2020.html#:~:text=Adult%20Vaccination%20Composite%20Measure 

CDC. (2023, May). Guides and resources: Health equity in immunization . https://www.cdc.gov/vaccines/health-equity/resources.html 

Habersaat, K. B., & Jackson, C. (2019). Understanding vaccine acceptance and demand—and ways to increase them. Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz, 63(1), 32–39. https://doi.org/10.1007/s00103-019-03063-0 

Mager, N. D., & Moore, T. S. (2020). Healthy people 2030: Roadmap for public health for the next decade. American Journal of Pharmaceutical Education, 84(11), 8462. https://doi.org/10.5688/ajpe8462 

Nour, R. (2019). A systematic review of methods to improve attitudes towards childhood vaccinations. Cureus, 11(7). https://doi.org/10.7759/cureus.5067 

OASH. (n.d.). Vaccination – healthy people 2030. https://health.gov/healthypeople/objectives-and-data/browse-objectives/vaccination#:~:text=Goal%3A%20Increase%20vaccination%20rates

Qamar, F. N., Batool, R., Qureshi, S., Ali, M., Sadaf, T., Mehmood, J., Iqbal, K., Sultan, A., Duff, N., & Yousafzai, M. T. (2020). Strategies to improve coverage of typhoid conjugate vaccine (TCV) immunization campaign in karachi, pakistan. Vaccines, 8(4), 697. https://doi.org/10.3390/vaccines8040697 

WHO. (n.d.). Raising awareness of immunization. https://www.who.int/westernpacific/activities/raising-awareness-of-immunization

Capella 4060 Assessment 3