D025: Essentials of Advanced Nursing Roles & Interpersonal Practice

 
 A. Advocating as an advanced professional nurseTwo Differences in how the advanced professional advocates for an at-risk population in the community versus how an advanced professional nurse advocates for an individual patient in the clinical practice setting are community and hospital settings. The community setting is to connect patients to resources such as policy changes. By proclaiming policy changes to legislation throughout different available nursing associations across the country. While some policy changes may remain facility-based, to fit the patient population, others may be enforced in the standard of practice. Another way the professional nurse can advocate for improving social determinants of health such as main health issues affecting the identified at-risk population is through community education and improvement in the community available healthcare system.   In the hospital setting the advances, the professional nurse can use expression and advocating to aid in assistance for the at-risk population. Medical staff, nurses in particular can claim policy changes to the proper leadership personnel as they are working closest with patients and can voice their needs. By advocating for an explanation of patient education levels for all procedures and diagnoses, patients will then have a better understanding of risk, benefits, prevention, and aftercare. This may additionally include drawings, handouts, and physical explanations to assist in fully understanding the plan of care and interventions as well as monitoring the patient's safety at the bedside.  B. Interprofessional Collaboration waiting for Advocacy Action TeamTwo evidenced-based strategies to promote proper and effective collaboration are effective communication and conflict management. Effective communication is active listening and open/welcoming body language with no interruptions. By properly participating during communication times, the speaking and listening parties are acknowledged and feel welcomed. Conflict management is how issues are handled as they arise in the workplace.

County demographics 2022). It is assumed that those numbers will continue to increase as there are fewer opportunities within Douglas County as the community expands to a more residential area. With an income level ($63,835 for two-parent households vs $49,410 for single-parent households), stress, social support, and transportation time (31.1 average minutes to the city where most of the county is career employed). Financial instability among adults generally is more likely to be affected by obesity as the lack of spring income limits access to healthier food choices and healthcare. All of which are linked insome aspects of everyday lives. The predisposure of financial instability in a combination of lack of physical activity simply further impedes adults and the affected children to obesity.  To add, there may be a risk of lack of access to healthcare as a result as there is at least 15% of the population without coverage (Georgia 2021).Douglas County is located outside of Atlanta, GA, and the culture of traffic is widely known to be difficult at all times of the day. When considering this factor on the return home, in conjunction with the hours of operation for available physical activity centers, it further proves difficulty in the ability to successfully participate in physical activities.  Obesity among adults generally is more likely to be affectedby financial instability.  In addition, this at-risk population could be inherited by the children of those households as habits are usually learned through environmental exposure.   Obesity increases the risk of further health complications and conditions such as diabetes, hypertension, hyperlipidemia, and stroke.  All of which happen to be part of the list of concerns for health for Douglas County residents. E. How SDOH predisposes the at-risk populationSocial determinants of health in Douglas County are access to physical activity options within thesurrounding neighborhoods.  The reason for this is a problem is an environment surrounding our parks and recreation centers not being conducive to the everyday lives of working adults and parents. There are limited sidewalks, parks are flooded when it rains, there is no track surrounding fields, walking trails are covered with debris and rubble from unkept grounds in the environment, the playgrounds do not 
have working equipment consistently, gyms close at the end of the business day and are mostly utilized by a stay at home/unemployed and of age students out of school. This problem can be corrected by revisiting budgeting for the Health Impact plan to put in place routine maintenance to support these needs in the community. Budgeting was previously cut and as a result, the community is suffering. Routine maintenance would be grounds keeping further than trash pick up. It would include trimming and treating the fields and surrounding shrubs, maintaining proper lighting or safety, paving a track to walk, placing stone or pavement on walking trails, paving sidewalks along the streets, equipment maintenance when there is an issue at the playground, allowing gyms to stay open and open up an additional hour to accommodate those traveling from outside of Douglas County for work.F. Is the current policy insufficient to address SDOHThe current policy is the Health Impact in 5 years plan. This policy states that interventions that address the conditions in the places where we live, learn, work, and play have the greatest potential impact on our health. The current policies for childcare and activity facilities such as costs of use, operation hours for business, and location of business are not only problematic for the population of concern but also could pose a risk of loss of participation. The loss of participation then leads to a lack in the use of a business.This is supported by the Health Impact Assessment which reports community-wide improvement or worsening every 5 years as well as whether or not it is cost-effective or not based on interventions applied.  Although these interventions are ideal, they are insufficient without the funding that has been cut for the program designed to support it. The Health Impact in 5yrs is insufficient mainly because it Is non-clinical. The approach is evidence reporting and cost-saving with the hope of positive results within 5 years of implementation. This does not address obesity properly as there is no clear plan to address obesity directly.   G. Policy propo



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