Stakeholder Involvement

 For a program to be effective, it is essential for members of the target population to be involved in developing the mission, goals, and objectives.
 

Who would you reach out to for developing your program? Are there other community organizations or business partners that you would like to connect with during this process? How would you facilitate the involvement of various stakeholders? What challenges do you think you might encounter?
 

In this Discussion, you and your colleagues address the myriad issues related to stakeholder involvement during the creation of a program’s mission, goals, and objectives.
 

To prepare:

• Review      the information presented in this week’s Learning Resources and conduct      additional research of your own to learn about programs that have      successfully involved various stakeholders in the target population.
  
   

By tomorrow Wednesday 12/26/18 2 pm, write a minimum of 550 words essay in APA format with at least 3 references from the list of required readings below (Please also refer to previous attached paper). Include all headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Why is it important for representatives from the target population (breast cancer in African American women in the USA) to be involved in developing the goals and objectives for the program?

2) How could you involve the representatives from the target population in designing the program?

3) What strategies could be used to navigate disagreements or lack of interest?

Required Readings

Hodges, B. C., & Videto, D. M. (2011). Assessment and planning in health programs (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.

· Chapter 7, “Identifying and Writing Mission Statements, Goals, and Objectives”

The authors provide guidance for developing a mission statement, program goals, and objectives in this chapter.

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

· Chapter 6, “Selecting the Appropriate Intervention Strategy”

· Chapter 7, “Setting Goals and Objectives”

Chapter 6 introduces the notion of developing the program hypothesis as a critical feature of program design and a precursor to setting goals and objectives, which is addressed in Chapter 7. Both of these topics serve as a critical link between the earlier phases of problem analysis and needs assessment and the forthcoming design of services and program evaluation.

De-Regil, L.M., Pena-Rosasa, J.P., Flores-Ayala, R., & Jefferds, M.E. (2013). Development and use of the generic WHO/CDC logic model for vitamin and mineral interventions in public health programmes. Public Health Nutrition, 17(3), 634–639 doi:10.1017/S1368980013000554

Gervais, C., de Montigny, F., Lacharite, C., & Debeau, D. (2015). The father friendly initiative within families: Using a logic model to develop program theory for a father support program. Evaluation and Program Planning, 52, 133–141 doi.org/10.1016/j.evalprogplan.2015.04.006 0149-7189/Crown 

Huye, H. F., Connell, C.L., Crook, L.B., Yadrick, K., & Zoellner, J. (2014). Using the RE-AIM framework in formative evaluation and program planning for a nutrition intervention in the lower Mississippi delta. Journal of Nutrition Education and Behavior 46(1), 34–42 doi.org/10.1016/j.jneb.2013.09.006

Fawcett, J., & Ellenbecker, C. H. (2015, JUNE). A proposed conceptual model of nursing and population health. Nursing Outlook, 63(3), 288–298. http://dx.doi.org/10.1016/j.outlook.2015.01.009.

Optional Resources

National Institute of Mental Health. (2007). The National Institute of Mental Health strategic plan. Retrieved from http://www.nimh.nih.gov/about/strategic-planning-reports/index.shtml

The National Institute of Mental Health conducts research to help work toward the treatment and prevention of mental illnesses. Its strategic plan offers an example of the importance and intricacies of vision, mission, goals, and objectives

Write a 3–5 page safety score improvement plan for mitigating concerns, addressing a specific patient-safety goal that is relevant to quality patient care. Determine what a best evidence-based practice is and design a plan for resolving issues resulting from not maintaining patient safety.

Quality improvement and patient safety are health care industry imperatives (Institute of Medicine’s Committee on Quality of Health Care in America, 2001). Effective quality improvement results in system and organizational change. This ultimately contributes to the creation of a patient safety culture.

Consider the hospital-acquired conditions that are not reimbursed for under Medicare/Medicaid. Among these conditions are specific safety issues such as infections, falls, medication errors, and other safety concerns that could have been prevented or alleviated with the use of evidence-based guidelines. Hospital Safety Score, an independent nonprofit organization, uses national performance measures to determine the safety score for hospitals in the United States. The Hospital Safety Score Web site and other online resources provide hospital safety scores to the public.
Read the scenario below:
Scenario
As the manager of a unit, you have been advised by the patient safety office of an alarming increase in the hospital safety score for your unit. This is a very serious public relations matter because patient safety data is public information. It is also a financial crisis because the organization stands to lose a significant amount of reimbursement money from Medicare and Medicaid unless the source of the problem can be identified and corrected. You are required to submit a safety score improvement plan to the organization’s leadership and the patient safety office.
Select a specific patient safety goal that has been identified by an organization, or one that is widely regarded in the nursing profession as relevant to quality patient care delivery, such as patient falls, infection rates, catheter-induced urinary infections, IV infections, et cetera.
Deliverable: Safety Score Improvement Plan
Develop a 3–5 page safety score improvement plan.

• Identify the health care setting and nursing unit of your choice in the title of the mitigation plan. For example, “Safety Score Improvement Plan for XYZ Rehabilitation Center.”
• You may choose to use information on a patient safety issue for the organization in which you currently work, or search for information from a setting you are familiar with, perhaps from your clinical work.
  • Demonstrate systems theory and systems thinking as you develop your recommendations.
• Organize your report with these headings:
  Study of Factors
  
• Identify a patient safety issue.
• Describe the influence of nursing leadership in driving the needed changes.
• Apply systems thinking to explain how current policies and procedures may affect a safety issue.
• Recommendations
  
• Recommend an evidence-based strategy to improve the safety issue.
• Explain a strategy to collect information about the safety concern.
  • How would you determine the sources of the problem?
• Explain a plan to implement a recommendation and monitor outcomes.
  • What quality indicators will you use?
  • How will you monitor outcomes?
  • Will policies or procedures need to be changed?
  • Will nursing staff need training?
  • What tools will you need to do this?
• Additional Requirements
  
• Written communication: Written communication should be free of errors that detract from the overall message.
• APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
• Length: The plan should be 3–5 pages.
• Font and font size: Times New Roman, 12 point, double-spaced.
• Number of resources: Use a minimum of three peer-reviewed resources.

 Example of well graded paper attached to use as a reference.

Scenario:

You work for the local public health department in the Immunization Registry and Vaccine for Children (VFC) division. Your job is to interface with local pediatricians and primary care physicians, making sure immunizations are being properly reported and the providers that participate in the VFC immunization program are properly documenting vaccine use and patient information.

You have been briefed by the chief epidemiologist who states that a growing public complacency about the need for childhood immunizations has resulted in record low levels of registry immunizations against preventable diseases. You must put together a plan to educate the physicians of this potentially serious risk to the community and make them aware of the growing population of unimmunized and under-immunized children and what they may do to help correct this concern.

Respond to the following:

• How will you approach the physician community and get their buy-in to increase immunization efforts with their patient populations?
• What benefits does an up-to-date immunization registry provide to (1) parents, (2) immunization providers, and (3) the public
• What educational materials, services, programs, or support can local, state, and federal public health agencies offer to the providers and the community for improving registry statistics?

Submission Details:

• Write your response in a minimum of 300–400 words, providing relevant references.
• Apply APA standards to citation of sources. Respond to at least two students’ postings.

Recall your early clinical nursing experiences—what guided your decisions? Did you practice nursing ‘by the book’? Now, consider how you make decisions today. How have your clinical experiences fostered a greater depth of knowledge and critical thinking?

This week’s Learning Resources explore skill development and levels of knowledge acquisition based on clinical experience. For example, Benner suggests that as a nurse gains more experience, knowledge and skill level increases. Nurses move from novices—making decisions based on rules—to experts who are able to see connections between actions and outcomes using critical thinking. This Discussion focuses on the role of critical thinking in nursing practice and the connection between critical thinking, clinical competence, and scholarship.

                                               To prepare:

Review the Learning Resources focusing on critical thinking and Benner’s interpretation of the Novice to Expert theory.

Reflect on how critical thinking is used in clinical practice. How does critical thinking relate to, or support, clinical competence?

What critical thinking strategies do you use to improve your clinical competence and thus move from novice to expert?

Consider the connection between critical thinking, nursing practice, and scholarship.

Post your observations on how critical thinking is used in clinical practice (provide examples); how you employ critical thinking strategies to improve clinical competence; and your thoughts on the connections between critical thinking, scholarship, and practice.

Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

CHECK THE DOCUMENTS ATTACHED BELLOW

USE REFERENCES