NURS FPX 4060 Assessment 4
Phillip September 17, 2023 No Comments

NURS FPX 4060 Assessment 4 – Health Promotion Plan 

NURS FPX 4060 Assessment 4 – Health Promotion Plan (Script)

Student Name

Capella University

NURS-FPX 4060 Practicing in the Community to Improve Population Health

Prof.

Date

Health Promotion Plan

Dear members of the Detroit community, I am honored to address you today on a matter of utmost importance – immunization. Our health promotion plan centers around this vital issue, recognizing its crucial role in safeguarding our collective well-being, particularly that of our children. This targeted approach has been carefully crafted to cater to the specific needs of low-income and minority families in Detroit, Michigan. We fully understand the challenges that limited resources pose to accessing healthcare for your children and yourselves. 

Health Promotion Plan- Immunization Enhancement Initiative

Immunizations are not just for children; they are a lifelong, life-protecting service. Safe and effective vaccines are available to prevent and control many diseases. Our health promotion plan focuses on our primary goals: Work schedules and transportation issues often deter parents from ensuring their children are regularly and correctly vaccinated. We aim to equip you with techniques and strategies to mitigate these issues. Solutions may include scheduling vaccinations during non-working hours, carpooling with other parents, or using public transport services. Misinformation is a detrimental obstacle in the quest for full immunization. We want to educate you about the common misconceptions about vaccines prevalent in our society and provide you with valid, evidence-based responses that can dispel these misconceptions.

As part of our plan, we want to equip you with knowledge about your local healthcare resources. We all know that healthcare can be costly, but there are many affordable options for immunizations available in our community that you might need to be made aware of. Adhering to an immunization schedule can be challenging without proper planning. Through this initiative, we will guide you in creating a personalized immunization plan, helping you understand when, where, and how you and your family can get vaccinated. This plan acknowledges that knowledge is power. By empowering you with the right information and tools, you will be more confident in making decisions about your and your family’s health. Remember, vaccines are our first line of defense against many diseases. Through immunization, let us protect ourselves and our community.

Risk Factors of Lack of Immunization 

Several factors may contribute to less uptake of immunization. Due to geographical locations, transportation, or financial constraints, individuals with limited access to healthcare services are less likely to be immunized.  Lower-income families often have less access to healthcare or cannot afford vaccines. A lack of knowledge or misinformation about vaccines can discourage people from vaccinating. Beliefs and attitudes towards vaccines can affect immunization rates and are usually linked to personal, cultural, or religious beliefs. Concerns regarding vaccine safety or side effects can lead to immunization hesitancy. Inefficient healthcare systems or scarcity of vaccines can also contribute to lower immunization rates (CDC, 2021).

Misconceptions Related to Immunization 

Misconceptions about immunization can play a significant role in vaccine hesitancy. Some common misconceptions include: while vaccines can cause mild symptoms similar to the diseases they protect against, they do not push the actual condition. While natural immunity can indeed be strong, it often comes with risks of severe illness or complications that vaccines can prevent. Vaccines have to undergo rigorous testing and review by several regulatory bodies, like the FDA, before being approved for public use. Side effects are generally mild and temporary. This is a consequence of successful vaccination programs. If vaccination rates drop, those diseases can quickly return. The immune system is capable of handling thousands of antigens at once. The number of vaccines is a fraction of what we encounter daily. Numerous studies have debunked this claim, showing no link between vaccines and autism. Vaccines not only protect the individual but also help protect the community through herd immunity, especially for those who cannot be vaccinated  (Hogeling et al., 2019).

Solutions to Address These Immunization Concerns

Effective strategies to increase immunization rates include establishing mobile vaccination clinics or extending immunization service hours to accommodate varying work schedules. Launching public awareness campaigns addressing common misconceptions about vaccines—using social platforms to spread scientifically accurate information. Provision of vaccines at little-to-no cost to the recipients by utilizing government funding or nonprofit aid, moreover, building partnerships with community organizations to increase outreach and trustworthiness, particularly in communities with vaccination hesitancy. Use electronic records to send personalized immunization reminders. Increase the efficiency of healthcare delivery and logistics to minimize vaccine scarcity or delivery delays. Implement policies that endorse vaccination, such as school entry mandates (Pronk et al., 2020).

SMART Goals Making 

Each participant must establish SMART goals to ensure our efforts align with Healthy People 2030 objectives. SMART goals provide a structured approach to achieving desired outcomes and positively changing health behaviors. SMART stands for Specific, Measurable, Achievable, Relevant, and Time-Bound. Customized to our immunization campaign, SMART goals offer a clear pathway to success and guide our actions effectively (Bailey, 2019). 

Agreed-Upon SMART Goals with Participants

SMART goals collaboratively developed with participants to address immunization challenges are as follows:

  1. By the session’s conclusion, participants will grasp how their busy work schedules and limited transportation options impact their children’s immunization rates (Specific). They will identify at least three strategies (Measurable) to coordinate immunization appointments effectively around work schedules and overcome transportation barriers (Achievable and Realistic), all within the context of their unique challenges (Time-Bound).
  2. Throughout the session, participants will outline three common vaccine misconceptions (Measurable) that might contribute to hesitancy in their community (Specific). They will devise concise responses (Achievable and Realistic) to counter these myths when discussing immunizations with peers and family members, adapting their messages to different educational levels (Time-Bound).
  3. By the session’s end. Attendees will identify two local healthcare resources (Measurable) offering affordable immunization options for their children (Specific). They will draft a practical plan (Achievable and Realistic) to utilize these resources, considering financial constraints and scheduling challenges to ensure timely vaccinations (Time-Bound).
  4. By the session’s conclusion, participants will create a personalized immunization calendar (Specific) for their children, including reminders and addressing specific hurdles (Measurable). They will establish a support network (Achievable and Realistic), leveraging community connections to overcome logistical barriers and ensure timely vaccinations for all children (Time-Bound)

Assessing Session Outcomes 

After the immunization educational session, evaluations were conducted on the goals developed. For the first goal, participants were asked to reflect on how their work schedules and transportation issues affected their children’s vaccination rates. Of the 30 participants, 45% identified three strategies that could help them schedule vaccinations effectively despite these challenges. About 30% could identify at least two strategies, but the rest did not suggest one. The most common strategies were scheduling appointments during off-peak work hours, carpooling, and using public transportation. For the second goal, addressing vaccine hesitancy, participants were asked to outline common misconceptions in their community. Approximately 40% could list three misconceptions and devise responses. Interestingly, 35% could identify at least two misconceptions but struggled in formulating responses. The rest needed to have identified misconceptions.

The main identified misconceptions were that vaccines cause autism and are unnecessary for preventable diseases. Regarding the third goal, participants were tasked to identify two local healthcare resources with affordable immunization options. About 50% achieved the goal; 35% knew of one resource, but the rest did not suggest any resources. The participants mainly identified local clinics and nonprofit organizations as resources. Lastly, regarding the personalized immunization calendar, 60% were able to create one and establish a support network. The rest crafted a calendar but needed help with the support network aspect. Many turned to their families and community members for support. Further sessions will address gaps and reinforce knowledge of these goals. 

Refining Future Strategies Based on Session Outcomes 

Future modifications to the session may include: as 25% of participants struggled to formulate strategies for scheduling despite work and transportation issues, future sessions should include a specific segment on time management strategies, plausible community support systems, and flexible vaccination centers in terms of operation hours. Considering the difficulty in formulating responses to vaccine misconceptions, future sessions should focus more on common misconceptions and factual counterarguments. Visual aids or handouts with myth vs. fact could be beneficial for retention.  As many participants were unaware of local resources, more emphasis has to be placed on introducing affordable local healthcare resources, charity organizations, and governmental support that provide vaccinations. This should also aim towards improving connectivity between these resources and residents.

A larger segment could be dedicated to building a robust support network, which could involve inviting participants’ family members or community figures, thus helping to build a system to ensure immunization continuity. To achieve 90%-100% goal attainment, the inclusion of ‘Question & Answer’ rounds, revision of previous sessions, reinforcement of learning with practical demonstrations and real-world examples, and timely follow-ups after the community session could be beneficial. Future sessions should be dynamically adjusted based on participant feedback and comprehension levels, with goals being re-evaluated and readjusted based on session outcomes (Kris-Etherton et al., 2021).

Evaluation Based On Healthy People 2030 Indicators

Healthy People (HP) 2030 emphasizes increasing immunization rates and reducing vaccine-preventable diseases. There are a few aligned areas of these objectives with our session. Our session aligns with HP’s objective to remove obstacles to healthcare services. Participants identified strategies to manage work schedules and transportation for immunizations in the session. This corresponds with HP’s goal of increasing public knowledge about vaccines. The session outlines and addresses vaccine myths parallel to HP’s focus on making healthcare resources accessible. Participants identified and planned to use local, affordable immunization resources.

This aligns with HP’s objectives of increasing immunization adherence and fostering community collaborations for health. In contrast, a few areas need to be aligned with these objectives in our session. The session does not address HP 2030 objectives like developing new vaccines, enhancing surveillance for vaccine-preventable diseases, and researching vaccine safety and efficacy. It focuses more on practical strategies for individuals and communities than wider policy or research areas (Decouttere et al., 2021).

Revisions for Upcoming Sessions Based on Healthy People 2030 Objectives 

We can incorporate several strategies to align our future sessions more closely with the Healthy People 2030 objectives. Firstly, for developing new vaccines, we invite scientists or researchers to join the sessions and elucidate the vaccine development process. This will not only provide participants with firsthand information on the effort made to ensure the safety and efficacy of vaccines, but it may also dispel fears about their safety. Our sessions could educate community members on distinguishing and reporting symptoms of preventable diseases to enhance surveillance for vaccine-preventable diseases. We could also institute community-led surveillance activities, where observations can be shared anonymously, promoting a community role in monitoring health trends. Discussing vaccine safety and efficacy research can also play a vital role.

We can schedule segments where healthcare professionals explain how this research is conducted to participants. A clear understanding of the stringent regulations followed before any vaccine is approved adds to confidence in vaccination. The process of ongoing surveillance post-approval can be highlighted, too, emphasizing that safety remains a priority long after vaccines hit the market. Lastly, we could include discussions around local and national healthcare policies impacting vaccine access and acceptance, encouraging community members to understand and engage in policy-making. These adjustments will help our sessions resonate more with Healthy People 2030’s overall objectives, making them a forum for building practical strategies and a platform for broadening knowledge and perspective around vaccines and public health policy (Ochiai et al., 2021).

References 

Bailey, R. R. (2019). Goal setting and action planning for health behavior change. American Journal of Lifestyle Medicine, 13(6), 615–618. https://doi.org/10.1177/1559827617729634

CDC. (2021, November 22). Develop SMART Objectives. https://www.cdc.gov/publichealthgateway/phcommunities/resourcekit/evaluate/develop-smart-objectives.html

Decouttere, C., De Boeck, K., & Vandaele, N. (2021). Advancing sustainable development goals through immunization: A literature review. Globalization and Health, 17(1). https://doi.org/10.1186/s12992-021-00745-w

Hogeling, L., Vaandrager, L., & Koelen, M. (2019). Evaluating the healthy futures nearby program: Protocol for unraveling mechanisms in health-related behavior change and improving perceived health among socially vulnerable families in the Netherlands. JMIR Research Protocols, 8(4), e11305. https://doi.org/10.2196/11305

Kris-Etherton, P. M., Petersen, K. S., Després, J.-P., Anderson, C. A. M., Deedwania, P., Furie, K. L., Lear, S., Lichtenstein, A. H., Lobelo, F., Morris, P. B., Sacks, F. M., & Ma, J. (2021). Strategies for promoting a healthy lifestyle in clinical settings: pillars of ideal cardiovascular health: A science advisory from the American heart association. Circulation, 144(24). https://doi.org/10.1161/cir.0000000000001018

Ochiai, E., Kigenyi, T., Sondik, E., Pronk, N., Kleinman, D. V., Blakey, C., Fromknecht, C. Q., Heffernan, M., & Brewer, K. H. (2021). Healthy People 2030 leading health indicators and overall health and well-being measures: Opportunities to assess and improve the health and well-being of the nation. Journal of Public Health Management and Practice, 27(6), S235–S241. https://doi.org/10.1097/phh.0000000000001424

Pronk, N., Kleinman, D. V., Goekler, S. F., Ochiai, E., Blakey, C., & Brewer, K. H. (2020). Promoting health and well-being in healthy people 2030. Journal of Public Health Management and Practice, Publish Ahead of Print(1). https://doi.org/10.1097/phh.0000000000001254

NURS FPX 4060 Assessment 4 – Health Promotion Plan (Script)