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NURS FPX 4060 Assessment 4 Health Promotion Plan

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    NURS FPX 4060 Assessment 4 Health Promotion Plan

    Student Name

    Capella University

    NURS FPX 4060 Practicing in the Community to Improve Population Health

    Prof. Name

    Date

    Health Promotion Plan

    Hello students, how are you all? My name is Alex and I am a community nurse at Vila Health community center. I would like to welcome you all to today’s session, please be seated and remain silent throughout the presentation. We will have our Q&A session at the end, so please park your questions with you. Thank you! 

    So before I move towards the topic and purpose of the presentation, I would like all of you to introduce yourself using these five questions/criteria that are presented here. So you need to tell us your name, your age, which class you study in, what are your activities other than school, and whom you live with. Okay, let us start! 

    “After a brief introduction from the participants”

    As you all signed up for this health promotion plan, I would like to give you a brief that today’s session is the first of the series, there are a total of three sessions that will be conducted throughout the month and lastly, there will be an evaluation that will take place in the form of a survey. Now let us jump on to the topic of this presentation which is tobacco cessation.

    Health Promotion Plan – Cessation of Use of Tobacco

    Tobacco use is a very common activity in today’s world, especially adolescents and young adults are getting involved in these activities. Most of you here are also involved in one or more of such behaviors, thus this health promotion plan is specifically designed for you to understand the health consequences of tobacco use, analyze the individualized factors which are influencing this behavior, and set goals to achieve positive outcomes related to quitting the use of tobacco. One of the significant causes of death in adolescents and young adults is the use of tobacco and related products. The research identified that approximately 1600 youngsters of ages between 12 to 17 years old smoke a cigarette per day. They also predicted that about 5.6 million children who use tobacco will die due to various chronic diseases in the later stages of their lives (Owens et al., 2020).

    According to the Centers for Disease Control and Prevention (CDC)’s statistics, 9 out of 10 people who smoke begin this activity by the age of 18 (Centers for Disease Control and Prevention, 2022). There is no specific gender that is involved in these activities however, a study showed that almost 23.29% of young smokers are males and 15.35% are females (Nazir et al., 2019). While cigarette smoking is considered one of the acts of tobacco use, hookah, e-cigarettes, chewing tobacco, and nicotine pouches are also included in this substance abuse. CDC’s statistics revealed that in high school children, it is 14.1% common to use e-cigarettes. Moreover, the use of hookah and nicotine pouches is found to be claimed at 1.5% and 1.4% respectively (Centers for Disease Control and Prevention, 2022). 

    Health Consequences from Tobacco Use

    As you are aware now of the prevalence of tobacco use among adolescents and young adults, you need to recognize some of the poor health consequences that are the result of tobacco use. This is important for you to develop an insight to quit this behavior for your health and quality of life. The use of tobacco imposes various health problems, for example, the nicotine present in cigarettes is harmful to the development of the brain. Impaired cognitive function and decreased mental capacity are also observed as a result, in young adults (Nazir et al., 2019).

    Additionally, vaping e-cigarettes can lead to several respiratory problems like asthma, bronchitis, tuberculosis, and lung diseases. It may also cause lung cancers. Moreover, some heart problems such as coronary artery disease, heart attack, and heart failure can be the results too (Aghdam et al., 2021; Oriakhi, 2020). Some people also end up with oral problems like and gingivitis, gums bleeding, oral mucosal lesions, teeth disorders which can complicate into mouth cancers (Nazir et al., 2019). Males may also observe erectile dysfunction due to excessive use of tobacco. Although active users are at risk of developing these diseases, smoking is also harmful to people around them. This is called passive smoking and CDC claims it to be more dangerous than active smoking. 

    Evidence-based Plan on Specific Health Needs 

    I hope everything is clear up till now. Please park your questions for the end. To successfully understand something, there is always an action plan which is required. It helps the audience to know what they are supposed to do and assists presenters to evaluate participants’ change of behavior. There are various interventions suggested by the researchers to quit the use of tobacco. Some studies also provided suggestions for governmental organizations under the criteria of Healthy People 2030 which we will discuss later in the presentation. So for you all as young adults, it is important to seek help from your parents or guardians. Research identifies that parents play an important role in the character-building of their children.

    Parents who have quit smoking will help their children to prevent these behaviors. They are the best role models and should be asked for help in case of substance abuse (Caldwell et al., 2018; Dai et al., 2021). Another important action is to get involved in educational sessions or counseling sessions which may be 1:1 or in the form of a group (like this one). These sessions are designed to address individual/group needs so that effective measures can be taken to quit these behaviors (Centers for Disease Control and Prevention, 2021; Selph et al., 2020). Staying away from colleagues/friends who use tobacco and force you to do the same is the best effective method to quit this behavior. Moreover, taking support from rehabilitation centers will help to quit and will also assist in fighting withdrawal symptoms.

    Goals Setting – SMART goals 

    For effective implementation of these interventions and cessation of tobacco use, you all must develop SMART goals for yourselves. Research identifies that to achieve desired outcomes and bring a change in human behavior, it is essential to develop goals that are effective, relevant, and easy to organize (Sundel & Sundel, 2018). SMART is an acronym for 

    • S which means the goals must be specific and clear without any ambiguity, 
    • M means measurable in which we can measure the outcomes, 
    • A means achievable,
    • R means relevant or realistic, and 
    • T is for time-boundness. 

    There is a group activity where I will let you all form a group of 4 people (of your choice) to make some SMART goals for you all which must be specific, measurable, attainable, realistic, and time-bounded. 

    Agreed- Upon SMART goals with Participants 

    Some of the SMART goals which were developed by collaborating with the participants are

    • Goal # 1: At the conclusion of the activity (T), students (S) will be qualified to name 3 individual triggers for using tobacco-related products (A) as well as 2 fundamental realistic solutions for preventing this behavior (R and M). 
    • Goal # 2: Students will be able to identify 5 barriers that stop them from quitting tobacco use (S and M) and pinpoint 3 steps to remove these barriers (R and A) before the next educational session which is planned two days later (T). 
    • Goal # 3: Students who participated in the session (S) will seek parents’ guidance within the week (T) and ask them to provide 2 methods (R and M) of tobacco cessation. These parents will also attend other counseling sessions (R and A) so that they can support their children. 

    Evaluation Based on Developed Goals

    After the educational session was over, the goals which were developed during the session were evaluated. Students were asked to respond within the presentation on goal number one. Out of 25 students, 40% were able to identify three causes that lead them toward tobacco use, 25% were able to find at least two causes and the remaining students did not attempt to find any risk factor for their tobacco use. Most of the causes identified were a peer-pressure and parental influence, and some of them responded that they imitate their celebrity ideals. The other two goals will be evaluated in the next educational session. 

    Future Changes in Educational Sessions 

    The changes that should be considered for future sessions are that individual counseling sessions should be taken along with group sessions to make participants identify themselves more efficiently. Additionally, the involvement of teachers and the head of the school should be encouraged. One of the causes identified in the evaluation of this session is peer pressure. Teachers play an important role in this matter to help students prevent these behaviors by decreasing the culture of peer-pressuring on school premises. Students spent half of their days at school.

    Capacity building of teachers will help in the successful implementation of tobacco-free school initiatives (Bhutia et al., 2021). Parents, teachers, and students together attending these educational sessions will enable them to collaboratively intervene and develop effective strategies for students to quit tobacco use. Moreover, school administrators should be taught about integrating tobacco prevention and cessation courses into the school curriculum (Nwobi et al., 2018). 

    Evaluation Based on Healthy People 2030 Indicators

    Healthy People 2030 is a framework developed by the CDC which has many objectives related to healthcare provision, accessibility, improving health disparities, quality healthcare, and eradication of various poor health behaviors and outcomes. One of the categories is tobacco control in adolescents. Some of the targets are; reducing current cigarette smoking in adolescents, reducing the current use of smokeless tobacco products, reducing cigar use, eliminating cigarette smoking initiation, reducing the use of e-cigarettes, reducing the exposure to tobacco marketing, reducing current tobacco use and flavored tobacco use, and reduce secondhand smoke (passive smoking) risks (U.S. Department of Health and Human Services., 2020).

    Out of all these indicators, the first session was based to educate adolescents related to tobacco use and its poor consequences. The purpose of the session was integrated with the indicators of the Healthy People 2030 framework thus after the series of sessions, in evaluation the number of students who implemented the quit tobacco interventions and quit tobacco use will be measured. 

    Revisions for Future Sessions

    Future sessions should be aligned with the indicators of the Healthy People 2030 framework in a way that all the stakeholders should be involved together as participants in the session. Stakeholders include youngsters who use tobacco, those who do not use them (it will help achieve the target of reducing the risks of initiation), parents, employers, teachers, school administrators, media, and governmental bodies. These stakeholders together will develop effective individual-level, group-level, school-level, and national-level interventions and policies to stop the use of tobacco and achieve the goals of the Healthy People 2030 framework. 

    References

    Aghdam, F. B., Alizadeh, N., Nadrian, H., Augner, C., & Mohammadpoorasl, A. (2021). Effects of a multi-level intervention on hookah smoking frequency and duration among Iranian adolescents and adults: An application of the socio-ecological model. BMC Public Health21(1). https://doi.org/10.1186/s12889-021-10219-8 

    Bhutia, T. D., Mehendale, A., Lad, N., & Vaishnav, P. (2021). Capacity building of teachers: A key to success of Tobacco Free School Campaign. Tobacco Induced Diseases19(1). https://doi.org/10.18332/tid/141119 

    Caldwell, A. L., Tingen, M. S., Nguyen, J. T., Andrews, J. O., Heath, J., Waller, J. L., & Treiber, F. A. (2018). Parental smoking cessation: Impacting children’s tobacco smoke exposure in the home. Pediatrics141. https://doi.org/10.1542/peds.2017-1026m 

    Centers for Disease Control and Prevention. (2022). Youth and tobacco use. Centers for Disease Control and Prevention. Retrieved April 8, 2023, from https://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/index.htm 

    Centers for Disease Control and Prevention. (2021). How To Quit. Retrieved April 10, 2023, from https://www.cdc.gov/tobacco/quit_smoking/how_to_quit/index.htm 

    Dai, S., Au, C. T., Chan, M. H., Kam, R. K., Li, A. M., & Chan, K. C.-C. (2021). Parental knowledge, attitude, and practice on tobacco use, smoking cessation, and children’s environmental tobacco smoke exposure. Frontiers in Public Health9. https://doi.org/10.3389/fpubh.2021.733667 

    NURS FPX 4060 Assessment 4 Health Promotion Plan

    Nazir, M. A., Al-Ansari, A., Abbasi, N., & Almas, K. (2019). The global prevalence of tobacco use in adolescents and its adverse oral health consequences. Open Access Macedonian Journal of Medical Sciences7(21), 3659–3666. https://doi.org/10.3889/oamjms.2019.542 

    Nwobi, A. U., Eseadi, C., Agboeze, M. U., Okoye, O. E., Iremeka, F. U., Mbagwu, F., Ohia, N. C., Nwaubani, O. O., Oboegbulem, A. I., & Akaneme, I. N. (2018). Potential roles of school administrators and community-residing adults in tobacco use prevention in Nigerian college students: A viewpoint. Journal of International Medical Research46(11), 4412–4417. https://doi.org/10.1177/0300060518798254 

    Owens, D. K., Davidson, K. W., Krist, A. H., Barry, M. J., Cabana, M., Caughey, A. B., Curry, S. J., Donahue, K., Doubeni, C. A., Epling, J. W., Kubik, M., Ogedegbe, G., Pbert, L., Silverstein, M., Simon, M. A., Tseng, C.-W., & Wong, J. B. (2020). Primary care interventions for prevention and cessation of tobacco use in children and adolescents. JAMA323(16), 1590. https://doi.org/10.1001/jama.2020.4679 

    Oriakhi, M. (2020). Vaping: An emerging health hazard. Cureus. https://doi.org/10.7759/cureus.7421 

    Selph, S., Patnode, C., Bailey, S. R., Pappas, M., Stoner, R., & Chou, R. (2020). Primary care–relevant interventions for tobacco and nicotine use prevention and cessation in children and adolescents. JAMA323(16), 1599. https://doi.org/10.1001/jama.2020.3332 

    Sundel, M., & Sundel, S. S. (2018). Goal setting, intervention planning, implementation, and evaluation. Behavior Change in the Human Services: Behavioral and Cognitive Principles and Applications, 259–289. https://doi.org/10.4135/9781506352671.n15 

    NURS FPX 4060 Assessment 4 Health Promotion Plan

    U.S. Department of Health and Human Services (2020). Tobacco use. Tobacco Use – Healthy People 2030. Retrieved April 11, 2023, from https://health.gov/healthypeople/objectives-and-data/browse-objectives/tobacco-use