NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health
The chosen health problem: heart disease
Heart disease encompasses a spectrum of conditions impacting the structure and function of the heart, giving rise to various cardiovascular challenges. It poses a substantial health threat in the United States and globally, encompassing ailments like heart attacks, heart failure, irregular heartbeats, and faulty heart valves. Symptoms may include chest discomfort, shortness of breath, dizziness, and irregular heartbeat. Significant contributors to cardiovascular disease development include high blood pressure, high cholesterol, smoking, obesity, diabetes, and physical inactivity. Additionally, factors such as age, gender, and family history can influence an individual’s susceptibility to heart disease.
In highly developed societies, the impact of the natural environment is tempered by the physical attributes of the social environment, including the built environment, pollution, socioeconomic status, and social networks (Bhatnagar, 2017; Bhatnagar et al., 2016).
Coronary heart disease (CHD) stands as the leading cause of mortality in the United States, claiming the lives of approximately 697,000 Americans annually. Specifically, CHD, responsible for around 382,820 deaths each year, is the most prevalent form of heart disease. Additionally, about 805,000 Americans experience heart attacks annually, with 605,000 being their initial occurrence, and 200,000 occurring in individuals with a history of heart attacks.
Environmental and epidemiological determinants significantly influence the prevalence of heart diseases in the U.S. population. Environmental factors, such as air and water quality, pollution, and other environmental changes, play a crucial role in determining the risk and prevalence of heart diseases. Likewise, epidemiological factors such as age, gender, and socioeconomic status contribute significantly to the increasing prevalence of heart diseases (Glovaci et al., 2019).
Ethical Health Improvement Plan Objective: Promote Healthy Lifestyles (Sarrafzadegan & Mohammadifard, 2019) The goal is to raise awareness and encourage the adoption of healthy lifestyle choices.
- Increase levels of physical activity while reducing smoking rates in the community.
- Promote the consumption of healthy diets and decrease excessive alcohol consumption.
- Implement community-wide educational campaigns on physical activity, healthy eating, and smoking cessation.
- Collaborate with local institutions to provide opportunities for physical activity and promote healthy eating.
- Offer smoking cessation programs and collaborate with businesses and restaurants to increase access to healthy food options.
Objective: Create Supportive Environments Foster environments that encourage heart-healthy behaviors.
- Increase the availability of healthy food options.
- Expand safe and accessible community spaces for physical activity.
- Significantly reduce exposure to secondhand smoke in public areas.
- Collaborate with local businesses to increase the availability of fresh, healthy food options.
- Work with local government and urban planning departments to design and maintain heart-healthy environments.
Objective: Enhance Health Education and Awareness Increase knowledge and awareness of heart disease risk factors, prevention, and management.
- Percentage increase in heart disease awareness.
- Percentage increase in the proportion of individuals aware of their blood pressure and cholesterol levels.
- Percentage increase in the utilization of educational resources related to heart health.
- Develop and distribute educational materials on heart disease prevention and management.
- Organize community workshops, seminars, and health fairs to provide information and resources.
- Utilize digital platforms and community networks to disseminate heart health information.
Regular monitoring and evaluation of the outcomes will assess the plan’s effectiveness, allowing adjustments for further intervention. Community engagement is crucial throughout the planning and implementation process to ensure inclusivity and maximize impact.
- Understand the community, its culture, linguistic diversity, beliefs, and traditions.
- Develop culturally sensitive communications using simple language, visual aids, and input from locals and cultural experts.
- Foster two-way communication among stakeholders to ensure everyone feels heard and valued.
- Promote inclusivity and involve stakeholders from all cultures in the improvement plan to enhance awareness.
The evidence-based health improvement plan aims to enhance the quality of life and address heart diseases in a culturally and ethnically appropriate manner for better health outcomes. It emphasizes proactive disease management supported by recent scholarly articles reflecting positive trends in heart disease management. Effective communication, using culturally appropriate language, is key to encouraging patients to adopt healthy lifestyles.