Assessment 1- NURS2018-Building Healthy communities through Impactful partnerships.
Assessment 1- NURS2018-Building Healthy communities through Impactful partnerships.
Word Count- 1017
Due date- 18th September 2023 Monday
Student Name-
Discussion
Target Population and Health Priority
Population Name: The Hilltop Elders
Location Rural
Culture and Religion Predominantly Christian
Health Literacy Level Medium
Age Elderly
Socio- Economic Most have minimal tertiary education.
Income is average, literacy is good and health resources remain scarce.
Health Priority: Promote awareness and prevention of conditions related to smoking.
Predominantly Christian with an average socio-economic background, this groups health literacy remains at medium level. With aging comes a series of health concerns, among which smoking stands out as a prevalent issue for Hilltop's elderly population. According to Gupta. Nethan & Mehrotra, (2021), tobacco is a leading cause of respiratory and cardiovascular diseases among seniors. For Hilltop Elders, many began smoking early, continuing this habit into their later years. Without intervention, they face rising medical costs, compromised quality of life, and increased mortality rates.
Most Hilltop Elders started smoking when the health implications were not widely understood or publicized (Grundy et al., 2020). Current research by (Blackwell et al., 2019) have indicated that persistent smoking habits, developed in younger years, can severely affect health outcomes in the elderly.
Furthermore, the rural setting of Hilltop intensifies the challenge. Limited health resources mean that many are unaware of the modern methods available for smoking cessation. Wonget al., (2020), have suggested that rural communities often lag in access to vital health campaigns and resources.
Therefore, addressing smoking in Hilltop is not merely about health; it also touches on equity in healthcare access. As highlighted by Henderson, Rivera & Basch, (2021), rural populations often grapple with systemic healthcare inequalities, underscoring the need for targeted interventions.
Principles of Partnerships
Effective health promotions, particularly in rural areas, hinge on strategic partnerships. For the Hilltop Elders' anti-smoking initiative, two vital partnerships are proposed:
1. Local Religious Institutions : Given Hilltop's predominantly Christian background, churches can play a significant role. Past research, such as that by Boek, Nowak & Blukacz,. (2020), has emphasized the role of religious institutions in influencing health behaviors.
2. Local Pharmacies : Pharmacists, being accessible health professionals in rural areas, are instrumental in health promotion. A study by (Foster et al., (2022), showed how pharmacies can be pivotal in community health interventions.
To ensure the success of these partnerships, two fundamental principles will be emphasized:
Mutual Trust and Respect: Building trust is paramount. Respect for each partner's expertise and domain will ensure seamless collaboration. As observed by Luger, Hamilton & True, (2020), trust enhances cooperation and fosters shared goals in community health programs.
Open and Transparent Communication: A transparent communication line ensures that all stakeholders remain informed and can provide feedback. This principle is supported by Herremans, Nazari & Mahmoudian, (2016), who found that clear communication directly correlates with the success of community health programs.
Incorporating these principles while leveraging local resources will ensure a comprehensive and culturally sensitive approach to address smoking among the Hilltop Elders.
Primary Health Care Principles
Primary Health Care (PHC) focuses on addressing the main health problems in a community by providing essential health services. For the Hilltop Elders' anti-smoking initiative, two PHC principles are crucial:
1. Equity : Ensuring that health services are accessible to all, irrespective of socioeconomic status. The Hilltop Elders, due to their rural setting, often lack equal access to health care compared to urban populations. According to (Morales, Barksdale & Beckel-Mitchener,. (2020), rural communities frequently experience health care disparities. By offering smoking cessation resources at community centers, churches, and pharmacies, we ensure that all members can access them.
2. Community Participation : Inviting and involving the community in health decisions. Given the unique cultural and religious backdrop of Hilltop, the initiative would benefit from including their insights. Damman et al., (2020) have highlighted the value of community input in tailoring health interventions. As such, organizing community sessions where Hilltop Elders can voice their opinions and concerns about smoking and its cessation would be integral.
Connecting these principles to the Hilltop Elders means grounding the anti-smoking campaign in the very essence of primary health care: community-focused, equitable, and participative.
Cultural Safety Principles
Cultural safety goes beyond cultural awareness. It ensures that health services do not diminish, demean, or disempower the cultural identity of the receiver (Harris, 2020). For the Hilltop Elders, whose community has deep Christian roots, this principle is vital. To uphold cultural safety, our health promotion will respect and integrate the community's religious beliefs. Instead of introducing foreign cessation methods, sessions will be held in local churches, interweaving scriptural teachings that promote health and well-being.
For example, drawing parallels between the Biblical teaching of the 'body as a temple' and the need to abstain from harmful practices such as smoking can be a potent approach. As highlighted by (Mollborn & Modile, (2022), intertwining health messages with familiar cultural narratives enhances their receptiveness. By ensuring that health promotion respects and draws from the community's religious backbone, we validate and honour the Hilltop Elders' culture, ensuring the initiative is not only effective but culturally safe.
Sustainable Development Goals (SDGs)
The health initiative for Hilltop Elders, focusing on smoking cessation, aligns strongly with SDG 3: Assure everyone's wellbeing and promote it at all ages. This goal emphasizes the reduction of non-communicable diseases, including those induced by tobacco use. As indicated by World Health Organization (2021), smoking remains a leading cause of preventable deaths, making its reduction vital for global health objectives. For Hilltop Elders, SDG 3 is particularly pertinent. The elderly is already vulnerable to health issues; the added risk from smoking exacerbates this vulnerability. According to Andraska et al., (2021), rural communities, often with limited healthcare resources, experience amplified effects of such health risks.
Hence, aligning with SDG 3 not only aids the global health agenda but also addresses an urgent, localized health concern. It underscores the commitment to safeguarding the well-being of Hilltop Elders, ensuring they lead healthier, more fulfilling lives. While focusing on smoking cessation, the broader aim is to enhance overall well-being and quality of life for this vulnerable population. Success in Hilltop can serve as an exemplar, demonstrating that with informed planning and community collaboration, significant health improvements are achievable, even in resource-limited settings.
References :
Andraska, E. A., Alabi, O., Dorsey, C., Erben, Y., Velazquez, G., Franco-Mesa, C., & Sachdev, U. (2021, September). Health care disparities during the COVID-19 pandemic. InSeminars in vascular surgery(Vol. 34, No. 3, pp. 82-88). WB Saunders. https://doi.org/10.1053/j.semvascsurg.2021.08.002Blackwell, J., Saxena, S., Alexakis, C., Bottle, A., Cecil, E., Majeed, A., & Pollok, R. C. (2019). The impact of smoking and smoking cessation on disease outcomes in ulcerative colitis: a nationwide populationbased study.Alimentary pharmacology & therapeutics,50(5), 556-567. https://doi.org/10.1111/apt.15390Boek, A., Nowak, P. F., & Blukacz, M. (2020). The relationship between spirituality, health-related behavior, and psychological well-being.Frontiers in Psychology,11, 1997. https://www.frontiersin.org/articles/10.3389/fpsyg.2020.01997/fullDamman, O. C., Jani, A., de Jong, B. A., Becker, A., Metz, M. J., de Bruijne, M. C., ... & van El, C. (2020). The use of PROMs and shared decisionmaking in medical encounters with patients: an opportunity to deliver valuebased health care to patients.Journal of evaluation in clinical practice,26(2), 524-540. https://onlinelibrary.wiley.com/doi/full/10.1111/jep.13321Foster, A. A., Daly, C. J., Logan, T., Logan Jr, R., Jarvis, H., Croce, J., ... & Jacobs, D. M. (2022). Implementation and evaluation of social determinants of health practice models within community pharmacy.Journal of the American Pharmacists Association,62(4), 1407-1416. https://www.sciencedirect.com/science/article/abs/pii/S1544319122000589Grundy, E. J., Suddek, T., Filippidis, F. T., Majeed, A., & Coronini-Cronberg, S. (2020). Smoking, SARS-CoV-2 and COVID-19: A review of reviews considering implications for public health policy and practice.Tobacco induced diseases,18. https://doi.org/10.18332%2Ftid%2F124788Gupta, A. K., Nethan, S. T., & Mehrotra, R. (2021). Tobacco use as a well-recognized cause of severe COVID-19 manifestations.Respiratory Medicine,176, 106233. https://doi.org/10.1016/j.rmed.2020.106233Harris, M. (2020). Normalised pain and severe health care delay among people who inject drugs in London: Adapting cultural safety principles to promote care.Social Science & Medicine,260, 113183. https://www.sciencedirect.com/science/article/pii/S0277953620304020Henderson, L. M., Rivera, M. P., & Basch, E. (2021). Broadened eligibility for lung cancer screening: challenges and uncertainty for implementation and equity.JAMA,325(10), 939-941. https://jamanetwork.com/journals/jama/article-abstract/2777223Herremans, I. M., Nazari, J. A., & Mahmoudian, F. (2016). Stakeholder relationships, engagement, and sustainability reporting.Journal of business ethics,138, 417-435. https://link.springer.com/article/10.1007/s10551-015-2634-0Luger, T. M., Hamilton, A. B., & True, G. (2020). Measuring communityengaged research contexts, processes, and outcomes: a mapping review.The Milbank Quarterly,98(2), 493-553. https://onlinelibrary.wiley.com/doi/full/10.1111/1468-0009.12458Mollborn, S., & Modile, A. (2022). Dedicated to being healthy: Young adults deployments of health-focused cultural capital.Social Science & Medicine,293, 114648. https://www.sciencedirect.com/science/article/pii/S0277953621009801Morales, D. A., Barksdale, C. L., & Beckel-Mitchener, A. C. (2020). A call to action to address rural mental health disparities.Journal of clinical and translational science,4(5), 463-467. https://www.cambridge.org/core/journals/journal-of-clinical-and-translational-science/article/call-to-action-to-address-rural-mental-health-disparities/FF7E3D53F66B2BA0DE572BC2B30B10CEWong, J., An, D., Urman, R. D., Warner, D. O., Tnnesen, H., Raveendran, R., ... & Chung, F. (2020). Society for perioperative assessment and quality improvement (SPAQI) consensus statement on perioperative smoking cessation.Anesthesia & Analgesia,131(3), 955-968. https://www.ingentaconnect.com/content/wk/ane/2019/00000131/00000003/art00072World Health Organization. (2021).WHO report on the global tobacco epidemic, 2021: addressing new and emerging products. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/343287/9789240032095-eng.pdf