Running head: DISCUSSION ON TELEHEALTHCARE AS A COST-EFFECTIVE GREAT OPTION FOR NURSING HOMES

1

Running head: DISCUSSION ON TELEHEALTHCARE AS A COST-EFFECTIVE GREAT OPTION FOR NURSING HOMES

3

DISCUSSION ON TELEHEALTHCARE AS A COST-EFFECTIVE GREAT OPTION FOR NURSING HOMES

Discussion on Telehealthcare as a Cost-effective Great Option for Nursing Homes

Name of the Student

Name of the Affiliate University

Discussion on Telehealthcare as a Cost-effective Great Option for Nursing Homes

Question 1: Reminder

I would like to remind all of you (my classmates) that I chose the topic regarding whether Telehealthcare could be a great option and cost-effective for nursing homes. This topic is important since Telehealth is conquering the healthcare sector and nursing homes should be in the frontline to incorporate Telehealth services in their daily provision of healthcare to the community.

Question 2: Types of background Information to include in the paper

I will include different types of background information in my paper in order to help my audience realize and fully understand the underlying problem.

Description and Purpose

The first part of background information will involve a short but precise description of my research topic. This part will also state the purpose of the research topic. The purpose aims to draw the attention of the audience.

Relationship between Telehealth and Nursing Homes

The second part of background information will include establishing a relationship between Telehealth and nursing homes. Telehealthcare is accompanied with various advantages and benefits to the healthcare sector. The paper will describe some advantages of Telehealth that may also apply to nursing homes once Telehealth services is incorporated in the homes’ healthcare provision. Some of the advantages and benefits that will be included in this part are reduction of costs, reduction of mortality rates in nursing homes, overcoming healthcare provision challenges, and improving wellness and quality of healthcare to patients served by nursing homes (Edmondson, 2017).

Question 3: Types of audiences interested in the topic

Some other background information will be a discussion of the different types of audiences that would be interested in the research topic. Three types of audiences that will be discussed are nursing homes, physicians, and residents of communities where Telehealth is to be introduced.

This part of background information will consider nursing homes since the research topic regards Telehealth and if it should be a great and great and cost-effective option for nursing homes. Therefore, it is a necessity to discuss some information concerning nursing homes.

The second type of audience that the paper will discuss includes physicians and nurses who operate in nursing homes or facilities. The main reason why the paper will discuss physician and nurses of nursing homes because they are expected to be the final executers of Telehealth in nursing homes. Physicians and nurses offer healthcare services to patients and cannot be exempted from the research paper (Wicklund, 2018).

Lastly, the paper will discuss information concerning residents of communities where nursing homes are located. These individuals are the ones who obtain healthcare services from the nursing facilities and it is important to include them in the research paper.

Question 4: Importance of educating my audience on my topic

One importance for educating my audiences is to familiarize them with benefits that Telehealth can add to healthcare provision in nursing homes. It is also important for them to understand the topic in order to understand the different approaches that will be used while introducing the program to nursing homes. It is also very important for them to understand the differences that will occur once nursing homes accept the option of Terlehealth as a way of providing healthcare to their patients. Lastly, residents receiving healthcare from nursing homes might have little or no information concerning Telehealth and telemedicine as well as how it might improve their health conditions.

References

Edmondson, T. (2017). Telehealth — An Untapped Opportunity for Nursing Facilities. Today’s Geriatric Medicine10(No. 3), 28. Retrieved from http://www.todaysgeriatricmedicine.com/archive/MJ17p28.shtml

Wicklund, E. (2018). Telemedicine Helps SNFs Improve Patient Care, Curb Hospitalizations. Retrieved July 10, 2018, from https://mhealthintelligence.com/news/telemedicine-helps-snfs-improve-patient-care-curb-hospitalizations

The post Running head: DISCUSSION ON TELEHEALTHCARE AS A COST-EFFECTIVE GREAT OPTION FOR NURSING HOMES appeared first on Infinite Essays.

Health Promotion and Disease Prevention: 

Health Promotion and Disease Prevention:

Like your first assignment, this assignment also has two distinct parts. For Part 1, you will create an educational program, event, or piece of literature (such as a like a pamphlet) targeted at a diverse population that incorporates best health promotion and disease prevention practice. If the population you used for the health assessment and communication assessment is diverse, you can use that population and the health concerns you identified.In this component, you will demonstrate your proficiency in Program Outcomes 7, 8, and 10:Program Outcome 7: Health Promotion and Disease Prevention: Apply and incorporate a basic understanding of the concepts of health promotion and disease as a means of improving health at the individual, population, and community levels.Program Outcome 8: Diversity: Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.Program Outcome 10: Global Accountability and Public Service: Integrate a holistic approach to local, regional, national, and global dynamics in nursing healthcare system delivery.To prepare for this part of the assignment:Review the literature or use health assessments to determine healthcare needs of a diverse population in your community.Explore things that could influence success, such as cultural attitudes towards alternative forms of healing, religious beliefs, or other individuals.Examine the impact of current health promotion and wellness initiatives on health outcomes and health disparities.Review the literature to identify best practices.

For the second part of the assignment, you will explain how you developed your educational program, event, or piece of literature, and address any barriers to disease prevention and health promotion for the population.Part 1: Once you have identified a diverse population, develop an educational program, event, or piece of literature that promotes wellness and disease prevention. If you choose an educational program or event, be sure that you outline the basic content of the program or event, and how you would structure it. If you choose a piece of literature, be deliberate in the points you highlight. Be sure that your choice is appropriate for the population. For an educational program or event, you will prepare and submit an outline of the content and structure. For a brochure or pamphlet, you will prepare and submit the brochure or pamphlet.

Part IIIn this section of the assignment:Explain the reason you choose the educational strategy you did. Why is it an effective strategy for the population?Describe cultural barriers to disease prevention and health promotion in the population. This might include things such as CAM, language, religious beliefs and so on.Explain how your educational strategy can help overcome some of the barriers you described.Evaluate how well health promotion and wellness strategies positively impact health outcomes and health disparities at the local, national, and global levels. Can you find evidence that health promotion and wellness strategies have had a positive effect on health outcomes and health disparities at the local, national, and global levels?Support your work with valid scholarly resources.

The post Health Promotion and Disease Prevention:  appeared first on Infinite Essays.

Explain the importance of theory to health education/promotion

Theories and Planning Models

Chapter 4

Copyright © 2018 Pearson Education, Inc.

 

1

Chapter Objectives – 1

Define and explain the difference among theory, concept, construct, variable, and model

 

Explain the importance of theory to health education/promotion

 

Explain what is meant by behavior change theories and planning models

 

Describe how the concept of socio-ecological approach applies to using theories

 

Copyright © 2018 Pearson Education, Inc.

Chapter Objectives – 2

Explain the difference between continuum theories and stage theories

 

Identify and briefly explain the behavior change theories, and their components, used in health education/promotion:

Health Belief Model

Theory of Planned Behavior

Elaboration Likelihood Model of Persuasion

Information-Motivation-Behavioral Skills Model

Transtheoretical Model of Change

 

 

Precaution Adoption Process Model

Social Cognitive Theory

Social Network Theory

Social Capital Theory

Diffusion Theory

Community Readiness Model

Copyright © 2018 Pearson Education, Inc.

Chapter Objectives – 3

Identify and briefly explain the planning models, and their components, used in health education/promotion:

PRECEDE-PROCEED

Multilevel Approach to Community Health (MATCH)

Intervention Mapping

CDCynergy

Social Marketing Assessment and Response Tool (SMART)

Mobilizing for Action through Planning and Partnerships (MAPP)

Generalized Model (GM)

Copyright © 2018 Pearson Education, Inc.

Definitions

theory – “a set of interrelated concepts, definitions, and propositions that present a systematic view of events or situations by specifying relations among variables in order to explain and predict the events of the situations” (Glanz et al., 2008, p. 26)

concept – primary elements of theories (Glanz et al., 2008)

construct – a concept developed, created, or adopted for use with a specific theory (Kerlinger, 1986)

variable – the operational (practical use) form of a construct; (Rimer & Glanz, 2005, p. 4); how a construct will be measured (Glanz et al., 2008)

model – is a composite, a mixture of ideas or concepts taken from any number of theories and used together (Hayden, 2009, p. 1)

 

Copyright © 2018 Pearson Education, Inc.

 

Importance of Using Theory in Health Education/Promotion

Theories provide direction and organizes knowledge

 

Theories can help in planning, implementing, and evaluating programs

Indicates reasons why people are not behaving in healthy ways

Identifies information needed for intervention development

Provides a conceptual framework

Gives insight for delivery

Identifies measurements needed for evaluation

Help provide focus and infuses ethics and social justice into practice

 

Programs based upon sound theory more likely to succeed

Copyright © 2018 Pearson Education, Inc.

 

Behavior Change Theories

Multiple theories to design interventions

 

Levels of influence are key parts of socio-ecological approach

 

 

 

 

 

 

 

 

 

 

Socio-ecological approach helps to recognize importance of the larger social system of behaviors and social influences

Copyright © 2018 Pearson Education, Inc.

Figure 4.1 The socio-ecological model

 

Source: Simons-Morton, B. G., McLeroy, K. R., & Wendel, M. L. (2012). Behavior theory in health promotion practice and research. Burlington, MA: Jones & Bartlett Learning. p. 45.

Focus on factors within individuals (e.g. knowledge, attitudes, beliefs, self-concept, developmental history, past experiences, motivation, skills, and behaviors)

 

Health Belief Model (HBM), Theory of Planned Behavior (TPB), Elaboration Likelihood Model of Persuasion (ELM), Information-Motivation-Behavior Skills Model (IMB), Transtheoretical Model of Change (TMC), Precaution Adoption, Process Model (PAPM)

 

Continuum theories identify variables that influence action and combine them in a prediction equation

Intrapersonal (Individual) Theories – 1

Copyright © 2018 Pearson Education, Inc.

 

Intrapersonal (Individual) Theories – 2

Stage Theory

Comprised of ordered set of categories into which people can be classified

Identifies factors that could induce movement from one stage to another

Four principle elements

Category system to define stages

Ordering of stages

Barriers to change that are common among people in same stage

Different barriers to change, facing people in different stages

Copyright © 2018 Pearson Education, Inc.

 

Intrapersonal (Individual) Theories – 3

Health Belief Model (Rosenstock)

Explains the likelihood of an individual to take action to prevent a disease or injury based upon:

Sufficient motivation to make the issue relevant (perceived susceptibility and perceived seriousness)

The perceived threat of the health issue

The perceived benefits of a given action

The perceived barriers to taking the necessary action

Cues to actions may also impact on the individual’s likelihood of taking action

Self-efficacy – to feel competent to overcome perceived barriers to take action

Copyright © 2018 Pearson Education, Inc.

 

Intrapersonal (Individual) Theories – 4

Copyright © 2018 Pearson Education, Inc.

Figure 4.2 Health Belief Model as a predictor of preventive health behavior

 

Source: Becker, M. H., et al., from “A new approach to explaining sick-role behavior in low income populations,” American Journal of Public Health 64, March 1974: 205–216, Fig 1. Used by permission of Sheridan Press.

Intrapersonal (Individual) Theories – 5

Theory of Planned Behavior (Fishbein & Ajzen, 1975)

Individuals’ intention to perform a given behavior is a function of their attitude toward the behavior, their belief of what others think they should do, and their perception of level of ease or difficulty of the behavior in which they are considering action

Attitude toward the behavior

Subjective norm

Perceived behavioral control

Actual behavioral control

Copyright © 2018 Pearson Education, Inc.

 

Intrapersonal (Individual) Theories – 6

Copyright © 2018 Pearson Education, Inc.

Figure 4.3 Theory of Planned Behavior (TPB)

 

Source: “Theory of Planned Behavior Diagram” (TPB Diagram) by Dr. Icek Ajzen, http://www.people.umass.edu/aizen/tpb.diag.html. Reprinted by permission.

Intrapersonal (Individual) Theories – 7

Elaboration Likelihood Model of Persuasion

Developed to explain inconsistencies in research results from the study of attitudes (Petty, Barden, & Wheeler, 2009)

Attitudes form via two routes

The two routes usually leads to attitudes with different consequences

The model specifies how variables have an impact on persuasion

elaboration – refers to the amount of cognitive processing (i.e., thought) that a person puts into receiving messages

 

Copyright © 2018 Pearson Education, Inc.

 

Intrapersonal (Individual) Theories – 8

Copyright © 2018 Pearson Education, Inc.

Figure 4.5 The Elaboration Likelihood Model of Persuasion (ELM)

 

Source: From Petty, R. E., Barden J., & Wheeler, S. C., “The Elaboration Likelihood Model of Persuasion: Developing health promotions for sustained behavioural change” in Emerging theories in health promotion practice and research, 2nd ed.; DiClemente, R. J., Crosby, R. A., & Kegler, M. (Eds.), p. 196. Copyright © 2009 John Wiley & Sons, Inc. Reproduced with permission of John Wiley & Sons, Inc.

Intrapersonal (Individual) Theories – 9

Information-Motivation-Behavioral Skills Model

Created to address the critical need for a strong theoretical basis for HIV/AIDS prevention efforts

Information

Motivation

Behavioral skills

Preventive behaviors

 

Copyright © 2018 Pearson Education, Inc.

Figure 4.6 The Information-Motivation-Behavioral Skills Model of HIV Prevention Health Behavior

 

Source: From Fisher, J. D., & Fisher, W. A., “Changing AIDS risk behavior,” Psychological Bulletin 111 (3), 455–474, 1992. Published by American Psychological Association (APA). Reprinted by permission.

Intrapersonal (Individual) Theories – 10

Transtheoretical Model of Change (TMC) (Prochaska, 1979)

People make behavior change through a series of different stages related to the behavior

Stages of change

Precontemplation—stage people are in before they are ready to change and are not intending to change

Contemplation—stage when individuals are considering making a behavior change within the next 6 months

Preparation—stage where the individual is actively planning change

Action—the effort to make the change in behavior

Maintenance—sustaining the change and resisting relapse

Termination

 

Copyright © 2018 Pearson Education, Inc.

 

Intrapersonal (Individual) Theories – 11

Precaution Adoption Process Model (PAPM) (Weinstein & Sandman, 2002)

Explains how a person comes to the decision to take action, and how the decision is translated into action

 

 

 

Copyright © 2018 Pearson Education, Inc.

Figure 4.7 Stages of the Precaution Adoption Process Model (PAPM)

 

Source: From Weinstein, N. D., Sandman, P. M., & Blalock, S. J., “The Precaution Adoption Process Model” in Health behavior and health education: Theory, research, and practice, 4th ed., K. Glanz, B. K. Rimer, and K. Viswanath, (Eds.), p. 127. Copyright © 2008 John Wiley & Sons, Inc. Reproduced with permission of John Wiley & Sons, Inc.

Interpersonal Theories – 1

Theories that “assume individuals exist within, and are influenced by, a social environment. The opinions, thoughts, behavior, advice, and support of people surrounding an individual influence his or her feelings and behavior, and the individual has a reciprocal effect on those people” (Rimer & Glanz, 2005, p. 19)

 

These theories help to explain

Social norms

Social learning

Social power

Social integration

Social networks

Social support

Social capital

Interpersonal communication

Copyright © 2018 Pearson Education, Inc.

 

Interpersonal Theories – 2

Social Cognitive Theory (Bandura, 1986)

Learning is a reciprocal interaction between the individual’s environment, cognitive process, and behavior

Behavioral capability

Expectations

Expectancies

Locus of control

Reciprocal determinism

Observational learning

Reinforcement

Self-control

Self-efficacy

Emotional coping response

Copyright © 2018 Pearson Education, Inc.

 

Interpersonal Theories – 3

Social Network Theory

Explains the web of social relationships that surround people

Key component – relationship between and among individuals and how those relationships influences beliefs and behaviors

When assessing a network’s role, considers –

Centrality vs. Marginality

Reciprocity of relationships

Complexity or intensity of relationships in the network

Homogeneity or diversity of people in the network

Subgroups, cliques, and linkages

Communication patterns in the network

Copyright © 2018 Pearson Education, Inc.

 

Interpersonal Theories – 4

Social Capital Theory

Does not provide theories of change

Does not guarantee empirical outcomes

Does have an impact on health

Type of network resources

Bonding

Bridging

Linking

Trust and reciprocity

Norms and expectations

Copyright © 2018 Pearson Education, Inc.

Figure 4.9 Social capital

 

Source: From Hayden, J., Introduction to Health Behavior Theory, 1st ed., Fig 9-3, p. 125. Copyright © 2009, Jones and Bartlett Publishers, Sudbury, MA. http://www.jblearning.com. Reprinted by permission.

Community Theories – 1

Group of theories includes three of the ecological perspective levels

Institutional (e.g., rules & regulations)

Community (e.g., social norms)

Public policy (e.g., legislation)

 

 

Copyright © 2018 Pearson Education, Inc.

 

Community Theories – 2

Diffusion Theory (Rogers, 1983)

Explains diffusion of innovations in a population

Categorizes individuals based upon when they adopt a new behavior, idea, or program

Innovators – first to adopt.

Early adopters – influential and open to trying innovations, but are more grounded than innovators

Early majority individuals – wary and watchful about their involvement in new ideas

Late majority – get involved through peers or mentors programs and more skeptical and adopt after most people

Laggards – last to be involved and interested in change

Health educators will need to modify marketing strategies to attract individuals from each of the different categories

 

 

Copyright © 2018 Pearson Education, Inc.

 

Community Theories – 3

Copyright © 2018 Pearson Education, Inc.

Figure 4.10 Bar chart depicting percentages of persons adopting an innovation over time

Community Theories – 4

Community Readiness Model (Edwards et al., 2000)

Stage model to explain the nine stages of community readiness to change

No awareness

Denial

Vague awareness

Preplanning

Preparation

Initiation

Stabilization

Confirmation/expansion

Professionalism

 

 

Copyright © 2018 Pearson Education, Inc.

 

Community Theories – 5

Copyright © 2018 Pearson Education, Inc.

Table 4.3 Community readiness stages and goals

Planning Models – 1

Sound health promotion programs are organized around a well-thought-out and well-conceived model

 

Models serve as frames from which to build; structure & organization for the planning process

 

Many models

 

Many have common elements but may have different labels

 

No perfect model

Copyright © 2018 Pearson Education, Inc.

 

Planning Models – 2

PRECEDE-PROCEED (Green & Kreuter, 1991)

Best known & often used model

Developers: Larry W. Green & Marshall W. Kreuter

PRECEDE—predisposing, reinforcing, and enabling constructs in educational / ecological diagnosis & evaluation

PROCEED—policy, regulatory, and organizational constructs in educational & environmental development

Copyright © 2018 Pearson Education, Inc.

 

Planning Models – 3

PRECEDE

Social assessment

Epidemiological assessment

Educational and ecological assessment

Intervention alignment and administrative and policy assessment

 

PROCEED

Implementation

Process evaluation

Impact evaluation

Outcome evaluation

 

Copyright © 2018 Pearson Education, Inc.

 

Planning Models – 4

Copyright © 2018 Pearson Education, Inc.

Figure 4.14 PREDEDE-PROCEED model for health program planning

 

Source: From Green, L. W., & Kreuter, M. W., Health program planning: An educational and ecological approach, 4th ed., p. 17, Fig 1.5. Copyright © 2005 The McGraw-Hill Companies, Inc. Reprinted by permission.

Planning Models – 5

Multilevel Approach to Community Health (MATCH) (Simons-Morton et al., 1995)

Ecological planning perspective

Recognizes that intervention activities should be aimed at a variety of objectives and individuals

Phases

Phase 1: health goal selection

Phase 2: intervention planning

Phase 3: program development

Phase 4: implementation

Phase 5: evaluation

 

Copyright © 2018 Pearson Education, Inc.

 

Planning Models – 6

Intervention Mapping (Bartholomew et al.,1998)

Based upon the importance of theory and evidence in the development of health promotion programs

Step 1: needs assessment

Step 2: matrices of change objectives

Step 3: theory-based methods and practical strategies

Step 4: program development

Step 5: adoption and implementation

Step 6: evaluation planning

 

Copyright © 2018 Pearson Education, Inc.

 

Planning Models – 7

CDCynergy (CDC, 1998)

Developed for public health professionals at the Centers for Disease Control and Prevention

Used by professionals who have responsibilities for health communication

Six phases

Phase 1: describe problem

Phase 2: analyze problem

Phase 3: plan intervention

Phase 4: develop intervention

Phase 5: plan evaluation

Phase 6: implement plan

Content specific editions of the software are available

 

Copyright © 2018 Pearson Education, Inc.

 

Planning Models – 8

Social Marketing Assessment and Response Tool (SMART) (Neiger, 1998)

Central focus is the consumer

Composed of seven phases:

Phase 1: preliminary planning

Phase 2: consumer analysis

Phase 3: market analysis

Phase 4: channel analysis

Phase 5: develop intervention, materials, and pretest

Phase 6: implementation

Phase 7: evaluation

 

Copyright © 2018 Pearson Education, Inc.

 

Planning Models – 9

Mobilizing for Action through Planning and Partnerships (MAPP) (NACCHO, 2001)

Blends the strengths of other planning models

Six phases

Phase 1: organizing for success and partnership development

Phase 2: visioning

Phase 3: conducting the four MAPP assessments

Phase 4: identify strategic issues

Phase 5: formulate goals and strategies

Phase 6: the action cycle

 

Copyright © 2018 Pearson Education, Inc.

 

Planning Models – 10

Copyright © 2018 Pearson Education, Inc.

Figure 4.13 Mobilizing for Action through Planning and Partnerships (MAPP) model

 

Source: National Association of Country and City Health Officials, “Mobilizing for Action through Planning and Partnerships (MAPP) Model” from http://www.naccho. org/topics/infrastructure/mapp/upload/ MAPP_Handbook_fnl.pdf. Reprinted by permission.

Planning Models – 11

Generalized Model for Program Planning (GMPP) (McKenzie et al., 2009).

Five tasks:

Assessing needs

Setting goals and objectives

Developing interventions

Implementing interventions

Evaluating results

 

Copyright © 2018 Pearson Education, Inc.

 

Planning Models – 12

Copyright © 2018 Pearson Education, Inc.

Figure 4.14 Generalized model

 

Source: From McKenzie, J. F., Neiger, B. L., & Thackery, R., Planning, implementing and evaluating health promotion programs: A primer, 6th ed., p. 45, Fig. 3.1. Copyright © 2013. Reproduced by permission of Pearson, Boston, MA.

Summary

Health education/promotion is a multidisciplinary profession & has evolved from the theory & practice of other disciplines

Many of the theories & models used in health education/promotion also have evolved from these other disciplines

Key terms: theory, concept, construct, variable, & model

There are many behavior change theories that can be categorized using the five levels (intrapersonal, interpersonal, institutional, community, & public policy) of the socio-ecological approach

There is a distinction between continuum theories & stage theories

Planning models provide a framework on which to build programs

Copyright © 2018 Pearson Education, Inc.

Theories and Planning Models

Chapter 4: The End

Copyright © 2018 Pearson Education, Inc.

The post Explain the importance of theory to health education/promotion appeared first on Infinite Essays.

LIfe of John Calvin

In a perfect world, there wouldnt need to be a minimum word count for these journals. But in order to obviate confusion, no Reflection Assignment should be submitted in less than 1,200 words (averaging 400 across the three questions).

However, there is no maximum word countso write as much as you think is needed to cover the question well so that you can add to your learning. You should integrate course readings and additional research (as relevant) into your answers. These assignments are reflectional in nature, but they should also be viewed as a way to demonstrate mastery of course material.

Questions to answer in Reflection assignment:

1. Leaders in History: Identify a leader in history that you would like to know more about. This could be a business leader, political leader, religious leader, military leader, or someone from another vein of leadership. After identifying this leader review some biographies and resources on their life and explain what you think makes them a leader worth following. (Note: if you are in a chaplaincy program, focus on identifying and reviewing the life and leadership of a chaplain with a ministry similar to your own.)

2. Theology of Leadership: How did the theology of Luther, Calvin, Edwards, and Bonhoeffer influence and impact their leadership? Be specific about what aspects of their theology encouraged them to lead. How does theology provide the foundation for biblical leadership?

2. Theological Assessment: What aspects of your understanding (or practice) of theology are weakest, and what can you do about it in the next twelve months?