DNP PROJECT : Project Vision, Mission and Objectives, PICOT Question (Population, Intervention, Comparison, Outcome, and Timeframe), Feasibility, Sample and Setting
Project Vision, Mission, and Objectives
Vision:
A future where minority communities disproportionately affected by hypertension have equitable access to culturally tailored, evidence-based self-management education and support, empowering them to achieve optimal blood pressure control and improved quality of life.
Mission:
To develop and implement a nurse-driven, culturally sensitive hypertension self-management education program that addresses the unique needs and challenges faced by minority populations, promoting health equity and reducing disparities in hypertension management.
Short-term objectives:
Conduct a comprehensive literature review to identify evidence-based best practices for culturally tailored hypertension self-management education programs.
Collaborate with community stakeholders and minority health organizations to understand the specific sociocultural determinants, barriers, and facilitators influencing hypertension management in the target populations.
Design and develop a culturally relevant, linguistically appropriate, and user-friendly hypertension self-management education curriculum, incorporating interactive multimedia resources and community-based learning activities.
Recruit and train a diverse team of bilingual and culturally competent nurses and community health workers to facilitate the education program.
Pilot the hypertension self-management education program within selected minority communities, evaluating its feasibility, acceptability, and preliminary efficacy in improving blood pressure control and health-related quality of life.
Long-term Objectives:
Refine and optimize the hypertension self-management education program based on the findings from the pilot study and stakeholder feedback.
Establish sustainable partnerships and collaborations with community organizations, healthcare providers, and policymakers to support the large-scale implementation and dissemination of the program across the United States and globally.
Conduct a multi-site, randomized controlled trial to rigorously evaluate the effectiveness of the culturally tailored hypertension self-management education program in improving blood pressure control, health-related quality of life, and reducing health disparities among minority populations.
Develop evidence-based guidelines and recommendations for advanced practice nurse-led interventions aimed at improving hypertension management and addressing health disparities in minority populations.
Contribute to the broader understanding of the sociocultural determinants influencing hypertension and its management, informing future research, policies, and practices in this area.
Congruence with Organizational Mission and Vision:
The proposed project closely aligns with the mission and vision of this initiative by addressing a critical public health issue that disproportionately affects minority communities and promotes health equity through culturally sensitive, nurse-driven interventions. The projects overarching focus on empowering individuals to take an active role in managing their health and improving overall quality of life resonates with the organizations commitment to patient-centered care and holistic well-being. In addition, the projects emphasis on community engagement, collaboration, and evidence-based practice mirrors the organizations values of partnership, innovation, and excellence.
PICOT Question
In order to achieve the initiatives above-stated short- and long-term objectives, the following PICOT question will serve as the basis for the proposed DNP project:
Population.
The target population for this project will be adults aged 18 years and older from minority communities (e.g., African American, Hispanic/Latino, Native American, and Asian American) residing in the city of Tulsa, Oklahoma, who have been diagnosed with hypertension. Current statistics indicate that the prevalence of hypertension in this city has increased in recent years (Analysis of hypertension, 2024). The project aims to recruit approximately 300-400 participants from various community centers, places of worship, and healthcare facilities within the city and its surrounding conurbation of about one million people.
Recruitment Process and Informed Consent:
Participants will be recruited through collaborations with community-based organizations, faith-based institutions, and healthcare providers serving minority populations in Chicago. Informational sessions will be conducted to raise awareness about the project, and interested individuals will be screened for eligibility. All potential participants will be provided with detailed information about the study, including its purpose, procedures, risks, and benefits. Informed consent will be obtained from those who...
…longer the Oil Capital but its legacy is a diverse and vibrant metropolitan area, home to a significant population of racial and ethnic minorities, including African Americans, Hispanic/Latinos, Asian Americans, and Native Americans (Ibarra, 2021). The intervention will target adult individuals aged 18 years and older who self-identify as members of these minority groups and have been diagnosed with hypertension. A typical participant in the hypertension self-management education program would be an individual residing in one of Chicago's minority neighborhoods, potentially facing socioeconomic challenges, limited access to healthcare resources, and cultural barriers that impact their ability to effectively manage their hypertension.To ensure a representative sample and successful implementation, the project will collaborate with various community-based organizations, faith-based institutions, and healthcare facilities that serve these minority populations. These partnerships will be critical in reaching out to potential participants, building trust within the communities, and leveraging existing resources and infrastructure. Some potential partners for this purpose include the Be Well Community Development Corporation Tulsas Health Department with the collaborative vision to team up to help combat inequities and identify barriers preventing health equity in minority groups (Ivey, 2024, para. 3).
The organizational culture at both of these community partners emphasizes diversity, inclusion, and community engagement, making it an ideal setting for implementing a culturally tailored intervention. With a decentralized structure and a strong emphasis on community outreach, these partners and their network of clinics and community-based programs can serve as valuable resources for participant recruitment, educational session venues, and ongoing support for the hypertension self-management program. In sum, leveraging the strengths and resources of community partners and fostering a collaborative approach that respects and empowers the target communities, the proposed DNP project aims to create a sustainable and impactful intervention that addresses the unique challenges faced by minority populations in managing hypertension in the…
References
Analysis of hypertension. (2024). Oklahoma Health Care Authority. Retrieved from https://oklahoma.gov/content/dam/ok/en/okhca/docs/research/chronic-condition-executive-summaries/2022/Chronic%20Conditions%20-%20Hypertension%20-%20SFY2020.pdf.
Branscum, P. (2017, January/March). Using the Integrative Behavioral Model to Predict Monitoring of Fruit and Vegetable Consumption Among Hispanic Mothers. Families and Community Health, 40(1), 32-38.
Esubalew, H., Belachew, A., Seid, Y., Wondmagegn, H., Temesgen, K., & Ayele, T. (2024). Health-Related Quality of Life Among Type 2 Diabetes Mellitus Patients Using the 36-Item Short Form Health Survey (SF-36) in Central Ethiopia: A Multicenter Study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 17, 1039–1049.
Ibarra, D. (2021, September 30). Tulsa becomes majority-minority city. NBC News. Retrieved from https://ktul.com/news/local/tulsa-becomes-majority-minority-city.
Ivey, R. (2024, April 3). Tulsa Health Agencies Team Up to Improve Health Equity in Oklahoma. ABC News. Retrieved from https://www.newson6.com/story/ 660d2f08ff5c120657b0016e/tulsa-health-agencies-team-up-to-improve-health-equity-in-oklahoma.
Kim, B., Sullivan, J. L., Brown, M. E., Connolly, S. L., Spitzer, E. G., Bailey, H. M., Sippel, L. M., Weaver, K., & Miller, C. J. (2024). Sustaining the collaborative chronic care model in outpatient mental health: a matrixed multiple case study. Implementation Science, 19(1), 1–15.
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