NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population
Walden University NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population
Whether one passes or fails an academic assignment such as the Walden University NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population
The introduction for the Walden University NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population
After the introduction, move into the main part of the NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NURS 8310 Week 11 Practical Application of Epidemiological Interventions in Settings and Population
Epidemiological approaches are key in analyzing population health problems. Population health problems have been one of the factors that increase disparities in healthcare provision in the U.S. across all ages. Such problems adversely affect various people, leading to the need to develop more effective and robust interventions that can duly address them (Hossain et al., 2020). A notable success has been found in this regard through the use of research evidence. Therefore, the aim of this assignment is to develop a write-up detailing a selected problem, including the environment and a summary of the selected population health problem in terms of person, place, and time. Besides, this paper will further explore the research methods that can be used in assessing and addressing the population health problem, the intervention that can be implemented, the impact of the health outcome, and the evaluation plan based on the health outcome.
The Chosen Problem
The chosen population health problem of public concern is prescription drug overdose, specifically the opioid crisis. The drug overdose epidemic has claimed over 750,000 lives since 1999. The U.S. DHHS (2021) asserts that two out of three drug overdose death involve the use of an opioid. The problem began in the 1990s when pharmaceutical firms reassured the country that individuals would not be addicted to opioid pain killers leading to healthcare providers beginning to prescribe these drugs at higher rates (Nam et al., 2018). The rise in opioid prescription led to widespread misuse of the drugs and non-prescription ones. Studies would later reveal that opioids could be highly addictive (Nam et al., 2018). The Health and Human Services Department declared the issue a public health emergency. Recent figures show that over 70,000 people died from a drug overdose in 2019.
In the year 2019, over 70,000 deaths occurred due to drug overdose, with the rates increasing by over 4% from the previous year. As earlier indicated, opioid overdose leads to most deaths among mortalities caused by drug overdose, with up to 73% of opioid overdose deaths caused by synthetic opioids. Again up to 70% of the drug overdose deaths were attributed to opioid overdose. As of the year 2019, the mortality rates due to opioids were majorly among the White, non-Hispanic (72%) while Black non-Hispanic was 15%. It is also worth noting that opioid overdose and mortality rates due to opioid overdose have sharply risen in the U.S. in recent years (Monico et al., 2020)
The problem affects individuals who use pain killers as non-prescription drugs as a source of drug addiction. Experts opine that since the start of the COVID-19 pandemic, there has been a rise in substance abuse and drug overdose. The restrictive measures to contain the spread of COVID-19 led to increased boredom, which in turn increased the risk of substance abuse, including the use of opioids. The National Institute on Drug Abuse (2021) asserts that misuse of and addiction to opioids, heroin, and synthetic drugs like fentanyl is a critical national issue that impacts public health and social as well as economic welfare of the affected individuals. The Centers for Disease Control and Prevention (CDC) projects that the opioid crisis costs the country over $78 billion each year. These include the cost of healthcare, productivity losses, treatment for addiction, and involvement of individuals with the criminal justice system.
According to the American Medical Association (AMA) (2021), the drug-associated overdose and death epidemic is worsening despite efforts to address the prescription drug overdose problem. According to Healthy People 2020 (2021), substance abuse that entails the use of drugs, alcohol, or both leads to a host of destructive social aspects that increase health disparities. These include disruptions in families, financial difficulties, and lost productivity. The problem is significant because it causes failure in school, a surge in crime, domestic violence as well as child abuse.
The opioid crisis implies that more individuals become addicts leading to mental health challenges and the need for treatment interventions. These individuals also become more susceptible to sexually transmitted infections, including HIV, and a rise in suicide and homicide cases (Liang &Shi, 2019). Efforts by the CDC (2021) through programs like “Prevention for States” focus on providing sufficient resources and support to states to advance interventions aimed at preventing overdose of prescription drugs. Overdose of these drugs causes deaths increases susceptibility to harm and injuries from a host of areas, including road safety issues.
Preliminary Research Hypothesis/Question
The preliminary research question based on the selected issue is “what is the efficacy of a psychosocial counseling program in reducing the prevalence of opioid overdose among youths and young adults?”
The Research Methods
One of the major focuses of healthcare professionals over the years is population health which refers to the health outcomes distribution within a particular population, determinants of health that impact the distribution, and the interventions and policies that affect the determinants (Bor et al., 2017). Therefore, population health study is important since it ensures that there is better healthcare delivery and patient health. Among the strategies that can be applied in studying and critically analyzing a population, the health problem is the epidemiological approach that includes exploration of various aspects such as the role of environment and culture in health issues and how personality impacts health outcomes.
The Epidemiologic Study Design to Be Used
Epidemiologic study designs form an integral part of epidemiologic studies of selected healthcare problems. However, the choice of study design to be applied in epidemiology heavily hinges on various factors. Some of the factors include the hypotheses and research question, the available time and resources, ethics, the type of exposure of interest, and the type of outcome of interest. Therefore, the epidemiologic study design chosen for this potential study is a cross-sectional study. Such a study design is known to be good for the generation of hypotheses, and depending on the question, the strategy is relatively inexpensive, quick, and easy (LoBiondo-Wood& Haber, 2021). In addition, by using the method, a researcher can examine multiple outcomes or exposures and estimate the prevalence of exposures and diseases.
Assessment Strategies
The use of cross-sectional study design to help answer the research questions requires that two groups of participants are used; the control group and the intervention group. The cross-sectional study will take the form of a Pre-test/post-test. From the research question, an intervention suggested is the use of psychosocial counseling. Since the individuals engaged in opioid overdose will be divided into two groups, a suitable sampling will be done before randomization (Nieswiadomy& Bailey, 2018). Non-probability sampling strategy especially snowballing will be used as a sampling strategy.
This method is appropriate as it allows access to the potential participants through other people who can access such individuals. This method is also convenient for the researcher. Randomization will be key in addressing various limitations or problems connected to sampling. The process of randomization can be difficult if a researcher does not understand the statistical aspects of randomization. Therefore, even though it can be convenient to use in such a study, it may be necessary to consult a professional statistician who can help in the whole process. The study is intended to go for a period of one and a half months.
A Summary of Data Collection Activities
Data collection is an integral part of the research process. It gives an investigator the necessary data that can be used in answering the research questions upon an appropriate analysis. During data collection, various activities or strategies can be used to accomplish the targeted end. One of the activities that can be used to obtain the raw data is a survey; surveys can either be conducted online or done using hardcopy means. As such, the targeted survey will be used to determine the rate of opioid overdose among participants. However, it is important for the researcher to be careful with data obtained from the survey as some people can lie, leading to biased data and information (Boswell& Cannon, 2018). In making such data more valid, the researcher can back it up with the data obtained from a patient’s electronic health record. Due to the covid-19 pandemic, conducting online surveys can be the best route to follow so as to obey the health directive efforts on various issues such as social distancing.
Surveys enable the researcher to apply a wide range of questions designed to get the most responses from the respondents. Another data collection strategy that can be applied is the use of electronic health records containing patient data. Electronic health records are a reliable data source as they contain every aspect of a patient’s treatment and hospitalization data (Boswell& Cannon, 2018). A specially trained nurse informaticist will be responsible for obtaining data from the electronic health records to ensure that complete data is retrieved. Therefore, the data obtained from these records can be key in determining how effective the proposed intervention has been in lowering the incidences of opioid overdose among the selected population.
Questionnaires will also be key during the implementation of the intervention. This group of patients will be approached and vital information retrieved from them. It is important to assure the participants that the information they will be giving remains confidential and protected. The questionnaire will contain various questions focusing on information such as the participant’s social and family history, history of opioid use and overdose, some of the factors that make it difficult for them to stop opioid overdose, among other questions. Therefore, questionnaires will form a central part of the tools to be used in the project.
The Intervention
Interventions are key in addressing various clinical and public health problems. The opioid use disorder (OUD) or the opioid use epidemic is a serious public health issue that continues to increase costs on the healthcare system, lead to morbidity and mortality, and exert pressure on limited healthcare resources, especially personnel. While initially aimed at helping patients with chronic and terminal illnesses relieve pain, these drugs have become a public health concern because of their addictive nature, leading to their abuse by nonelderly and those without terminal conditions. Effective interventions are essential to helping the health care system deal with this problem. Such interventions must be supported by research evidence based on the kind of studies conducted from existing literature (Fischer et al., 2021).
The National Institute on Drug Abuse (2021) asserts that the opioid overdose crisis claimed over 50,000 individuals in the U.S. in 2019. The institute observes that this crisis impacts public health and the social and economic welfare of the individuals, families, communities, and the nation because of the increased cost burden estimated to be over $78 billion each year. Every day, at least 90 Americans die prematurely from an overdose that involves an opioid, leaving families and friends bereft. The implication is that using a proven intervention program will help avail resources to state and local governments to develop strategies aimed at easing access to medication and other measures to reduce addiction and associated problems.
The proposed intervention is the use of psychosocial counseling. The plan is to offer psychosocial counseling eight hours per week for the whole study duration; this implies that the sessions will run for two hours for four days per week. A special counseling staff with expertise in drug use, drug overuse, and addiction will conduct the counseling sessions. Outcomes in opioid overuse depend on various factors that need to be addressed to enhance better outcomes. Therefore, during the counseling sessions, the counselors will cover a range of issues such as health promotion, prevention of HIV, medication education, prevention of relapse, and substance abuse education. The counseling team will also delve into some of the useful strategies for lowering opioid overdose.
The intervention is critical as it can be instrumental for healthcare facilities and other stakeholders involved in the fight against opioid overdose to improve their potential of management. Effective management of health problems impacting a population requires scientific and proven ways (Strain et al., 2018). This is evident through using policies and protocols that align every effort to achieve a common goal and offer long-term impact for the affected population. Population health management requires the development of policy interventions that mandate wide acceptance and reforms to enhance access to critical resources by affected individuals and families.
The intervention is supported by various research efforts present in the literature. For example, Coffin et al. (2017) conducted a randomized controlled trial study to determine the efficacy of using a behavioral intervention to lower the rates of opioid overdose among individuals who depend on opioids. The researchers used counseling as the major tool and found out that those who attended counseling sessions were far less likely to experience an opioid overdose.
Recently, Buono et al. (2021) conducted a study to determine the impact of opioid-specific counseling on post-discharge opioid use among patients recovering from reconstructive pelvic surgery. The researchers used a multicenter randomized-controlled trial with one group randomized into opioid-specific counseling or standard generalized counseling. The opioid-specific counseling was conducted at the preoperative and fourteen days postoperative visits. During the counseling, the patients were provided with educational handouts regarding the opioid risks and other opioid-related issues, such as the recommended strategies of disposal and storage.
Upon the analysis of the data, the analysis showed no significant difference in the reduction of opioid use after discharge (Buono et al., 2021). Even though opioid-specific counseling did have a better impact on the consumption of opioids, both counseling methods led to a substantial reduction of opioid misuse and overdose. The implication of this research is that the use of counseling can be key in reducing the rates of opioid overdose.
Section 4: The Impact
An epidemiological approach to the prevalence of opioid use disorder would offer substantial positive effects for the healthy population and systems at both federal and state levels of government (Friis & Sellers, 2021). The use of “Prevention of States” challenges all states to develop a raft of programs to address the opioid crisis as a public health emergency despite the effects of the Coronavirus disease of 2019 (COVID-19) pandemic on the healthcare system. In their study, Lee et al. (2021) evaluate the effects of state policy interventions focused on the Opioid crisis for over 10 years, from 2007 to 2018. The study’s findings indicate that existing state policies have reduced the known indicators of prescription opioid misuse.
These policies have also been effective in reducing opioid overdose-associated mortalities. The authors are also categorical these policies have enhanced the diagnosis of OUD, overdose, and drug overdose mortality from illicit substances. The implication is that states can leverage the CDC’s program as a systems approach to tackling the opioid crisis within their jurisdictions (Strain et al., 2018). The intervention will use a systems approach that entails having different strategies and partners who collaborate at institutional and organizational levels to address the opioid use disorder (OUD).
The Health Resources and Services Administration (HRSA) (2021) asserts that a wide approach that entails using many interventions through one program is essential as it ensures that the affected individuals with different resultant conditions and effects can benefit from available resources. The HRSA asserts that access to resources, technical assistance, and training ensure that providers can integrate behavioral health care services into their practice settings to enhance interventions to address the effects of prescription drug overdose and misuse among the different health populations, especially those targeted (Haley & Saitz, 2020). The “Prevention for States” through its funding component demonstrates the role that inter-agency and inter-governmental collaboration and partnerships play in addressing opioid use disorder by increasing interventions like screening and data collection to inform new and effective policies.
The use of innovative prevention approaches and response to new and emerging crises and opportunities is a component of the intervention by CDC and states. Through this approach, states and their partnering organizations can leverage innovative technology like telehealth to enhance access to substance use disorder treatment in rural, frontier, and underserved urban communities. Using virtual sessions, providers can interact with individuals at risk of relapsing from treatment and explore different approaches to enhance adherence to treatment protocols (HRSA et al., 2021). The essence is that state-level interventional programs can reach more patients and health communities compared to federal strategies and policy frameworks. These interventions will help tackle the crisis by collecting sufficient and appropriate data for stakeholders to make better decisions and choices regarding the OUD.
Stakeholders need opioid-related resources and access to best practices to help tackle the problem. Provision of resources on emerging public health issues like opioids is essential for providers and stakeholders to train, disseminate and inform patients, their families, and communities about the crisis and how to navigate it for a better quality of life (Fischer et al., 2021). Rural populations are at an increased risk of suffering from the opioid crisis because they may have limited access to essential resources, especially information. Therefore, the intervention to empower states ensures that they will have sufficient resources to distribute to different areas and communities within their jurisdictions to encounter the opioid crisis.
The Evaluation Plan
The opioid use disorder (OUD) is a national public health issue that needs effective mitigation and efforts to tackle it from various sectors and stakeholders. The opioid epidemic has led to increased cost of health services and burden on the system, leads to mortality and morbidity, and exerts strain on limited healthcare resources (HRSA, 2021). Evaluation of such interventions and their effects is critical as it offers an opportunity to assess their effectiveness to the target population, particularly those affected by the opioid crisis. Evaluation approaches like outcome evaluation assess the effectiveness of health promotion programs in producing the positive change to reduce the severity of the opioid crisis (Haley & Saitz, 2020). Therefore, this section proposes an evaluation plan for the proposed intervention.
Evaluation offers valuable information concerning the effectiveness of the intervention in achieving its goals. In addition, evaluation can also assess the effectiveness of the methods that were used during the intervention to achieve the set objectives (Linsely et al., 2019). The central focus of the intervention is to reduce the incidences of opioid overdose among youths and young adults who are dependent on opioid use. Therefore, as indicated earlier, the study will take a pre-test post-test cross-sectional design format. As such, data will be collected before the intervention and after the interventions. Such data will be vital in the evaluation process.
Questionnaires are one of the tools that will be used in collecting data for evaluation. These questionnaires will be self-administered to help in determining the rate of opioid use and dependence among the selected population. Questionnaires are more attractive for research as they are easy to administer, and they lead to accurate data collection and ease in the analysis of the collected data (Linsely et al., 2019). Questionnaires have also been shown to have enhanced reliability levels and can effectively measure consistency
As earlier indicated, this project has been planned to go for one and half months. Therefore, the evaluation will take place right at the end of the project. So the outcome to be evaluated is the reduced levels of opioid overdose among the selected population. Various professionals will be involved in the evaluation phase. The leading nurse investigator will be responsible for collecting the evaluation data. The implication is that data will be collected at baseline and after the implementation of the intervention (Linsely et al., 2019).
A statistician will be hired to help in data analysis to reveal trends and the difference between the rates of an opioid overdose before and after the intervention. An independent investigator will also be brought in to help in confirming the accuracy of the collected data and eliminate any inconsistency and data errors that can lead to bias in data analysis and result interpretation. The evaluation will focus on the assessment of behavioral change among users and abusers, initiation of legal frameworks to control prescription of different schedules of drugs, and ethical conduct among providers at different professional levels.
Conclusion
Population health is a major focus of the healthcare sector, and therefore, healthcare experts employ various strategies to identify various health problems that can negatively impact population health and implement research methods to come up with a remedy. The opioid crisis emanating from prescription drug overdose is a national public health issue that requires effective interventions. Stakeholders like nurses need to conduct more research to provide evidence-based solutions to the problem.
Opioid use disorder (OUD) is a public health issue with significant negative effects on individuals, families, and communities. Interventional efforts and activities should focus on enhancing capacity at different levels, from federal to state and local and organizational levels, to deal with the issue and reduce its effects. State programs are essential for stakeholders to encounter the issue because they embrace a systems approach. Existing studies and evidence suggests that these interventions are a critical part of enhancing access to information and treatment while also helping organizations to collect data to make better decisions. Therefore, this write-up has explored the use of psychosocial counseling as an intervention to reduce opioid overdose or opioid use disorder.
References
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