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Assignment 3: Developing an Intervention and Determining the Impact

NURS 8310 Assignment 3: Developing an Intervention and Determining the Impact


Sections 3 and 4 of Major Assessment 7: Using an Epidemiological Approach to Critically Analyze a Population Health Problem

Measures of effect are especially important for quantifying health problems. As a DNP-prepared nurse engaged in advanced practice, understanding how to interpret the statistical data in research studies enables you to better present your own findings as well as to determine appropriate interventions based on the data.

This week, you will begin Assignment 3, Sections 3 and 4 of the Major Assessment 7 paper. For Section 3, you will outline an intervention for your population to address the health problem based on the research literature. As you review the literature, it is essential to critically evaluate each study, including the statistical analysis and outcomes. To further enhance your analysis, select a causal model that applies to your selected population health problem, and consider it in terms of measurement of effect. Utilize this model as you continue to evaluate the literature that supports your proposed intervention (Section 3 of your paper).

Review the Major Assessment Overview. Then, begin developing Section 3 and Section 4, which are due by Day 7 of Week 8:

Section 3: The Intervention An outline of an intervention you would implement to address the population health problem with your selected population based on the results of the study in Section 2 (Note: If you selected a descriptive study design, you are still required to outline an intervention that might be developed based on future research.) A review of the literature that supports this intervention

Section 4: The Impact An explanation of the health outcome you would be seeking and the social impact of solving this issue

You do not need to submit anything this week. Assignment 3 is due by Day 7 of Week 8.



RE: Discussion – Week 8




Week 8: Screening for Disease

Summarize the recommendation for screening Tuberculosis (TB) in Immigrants

     The suggestions are extensive in the article dealing with the immigration medical screening process for tuberculosis (TB) in

migrants. The screening process used in migrations-associated TB screening varies between countries (Alvarez et al., 2011). For

example, Canada uses a referral to evaluate and treat migrants with inactive or latent TB post-arrival. At the same time, there is no

unified TB screening process among the 13 out of 26 European countries studied (Alvarez et al., 2011).

Justification for TB screening for migrants

     The most significant reasons for screening for diseases are early detection and decreasing the risk of spreading diseases into the

community. The intent of diagnosing, treating, and reducing the spread of active TB in individuals traveling from other countries

(Alvarez et al., 2011) is understandable. In the beginning phases of a screening program, social, scientific, and ethical criteria must be

considered (Friis & Sellers, 2020). The screening process described in the article met all the requirements.

Population-based or High-risk based Screening

     TB in migrants traveling to other countries is a population-based screening issue. The basis of population health is to understand

the population-based patterns to effectively manage strategies to reduce problems and develop approaches to prevent reoccurrence

in the future (Nash et al., 2019).

Data to Move Policy Forward

     The countries that screened migrants for TB had a significantly lower number of cases than those that did not. In countries with a

screening program, 7.0/100,000 cases compared to 15.9/100,000 in countries with no screening program (Alvarez et al., 2011). Using

the finding in the study could lay a foundation for the appropriateness of a national TB screening program to prevent the spread of

the disease. To achieve a substantial decrease in TB incidences on immigration screening, a global collaboration approach between

countries of origin and receiving countries must benefit (Alvarez et al., 2011).

References

Alvarez, G. G., Gushulak, B., Rumman, K., Altpeter, E., Chemtob, D., Douglas, P., Erkens, C., Helbling, P., Hamilton, I., Jones, J., Matteelli, A., Paty, M.-C., Posey, D. L., Sagebiel, D., Slump, E., Tegnell, A., Valín, E., Winje, B., & Ellis, E. (2011). A comparative examination of tuberculosis immigration medical screening programs from selected countries with high immigration and low tuberculosis incidence rates. BMC Infectious Diseases, 11(1). https://doi.org/10.1186/1471-2334-11-3

Friis, R. H., & Sellers, T. (2020). Epidemiology for public health practice (6th ed.). Jones & Bartlett Learning. https://online.vitalsource.com/reader/books/9781284221718/epubcfi/6/98[%3Bvnd.vst.idref%3Dxhtml_13_chapter05_06]!/4/2[ch5-6]/12/6/1:460[s%20m%2Cay%20]

Nash, D. B., Skoufalos, A., Fabius, R. J., & Oglesby, W. H. (2019). Population health: Creating a culture of wellness (3rd ed.). Jones & Bartlett Learning. https://online.vitalsource.com/#/books/9781284205367/cfi/6/2!


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