Advocacy to Impact Population Health Through Oral Testimony Essay

Advocacy to Impact Population Health Through Oral Testimony Essay

Advocacy to Impact Population Health Through Oral Testimony Essay

Testimony in favor of H.R.2178-The Minority Diabetes Initiative Act

Identify

Dear Representative Foster, I would like to thank you for the opportunity to speak to you. My name is _______, an RN, BSCN, and currently pursuing my DNP studies at_______. I wish to express my support for H.R.2178- The Minority Diabetes Initiative Act. During my five-year tenure at Merit Health Central, I have observed a growing concern regarding the limited access to essential diabetes care services among specific minority communities in Jackson. The primary reasons cited for the inaccessibility of these services are the high diabetes care costs and lack of medical insurance coverage.

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Situation

According to the Centers for Disease Control and Prevention (CDC, n.d.), diabetes is the most expensive chronic disease nationally. 25% of the healthcare cost is spent on diabetes care, without mentioning lost productivity and the indirect expenses required for the patient to maintain a healthy lifestyle. More so, minority populations like the African American community have a higher prevalence of diabetes and its complications. Being from socioeconomically disadvantaged backgrounds, most of them cannot afford diabetes care. H.R.2178-The Minority Diabetes Initiative Act was presented by representative Maxine Waters. The policy calls for grants for diabetes care services in minority communities to reduce diabetes care disparities. One of the consequences of not enacting the policy is an increased rate of diabetes complications. Recent diabetes reports show that racial and minority populations suffer the highest rate of diabetes complications in our nation (Haw et al., 2021)

Background

I acknowledge your dedicated representation of Jackson’s residents and your genuine concern for the well-being of the people in your district, particularly the African American population, who face higher rates of diabetes complications due to insufficient access to care. With a nursing background, experience, and expertise in endocrinology, I am aware of the profound impact these complications have on diabetic patients’ lives, including poor life quality and an increased risk of other related health conditions. Diabetes increases the risk of stroke, kidney failure, and cardiovascular diseases (Alam et al., 2021). Addressing the diabetes issue begins with making diabetes care accessible and affordable for minority populations.

Assessment

As a professional, I appreciate the role of such policies in reducing health disparities and enhancing health equity. Your support in pushing to enact the policy will be instrumental in addressing the issue in our district, considering the African American population forms the highest community and high diabetes prevalence. Additionally, other stakeholders in the issue, including care providers, will be able to deliver better care quality due to the adequacy of financial resources. Research shows that with the availability of grants, community health organizations can develop programs and interventions for diabetes prevention and management (Campbell et al., 2020). Additional support and collaboration from the American Diabetes Association would be crucial in addressing the issue.

Recommendation

I would like to urge you to support the Minority Diabetes Initiative Act as a positive step towards addressing the issue in our nation, and especially our district, which is considerably affected. I also recommend identifying not-for-profit healthcare institutions and organizations interested in diabetes care, especially diabetes management, for further support in addressing the issue. Once again, I appreciate your time and attention to listen to me. I am available for further development of minority community interventions to promote proper diabetes management, thus reducing complication cases. If you have any questions or for further collaboration on the issue, kindly contact me using (phone and email).

Yours Sincerely,

Name, Title

Credentials

Contact Information.

References

Alam, S., Hasan, M. K., Neaz, S., Hussain, N., Hossain, M. F., & Rahman, T. (2021). Diabetes Mellitus: insights from epidemiology, biochemistry, risk factors, diagnosis, complications, and comprehensive management. Diabetology, 2(2), 36-50. https://doi.org/10.3390/diabetology2020004

Campbell, D. J., Campbell, R. B., Booth, G. L., Hwang, S. W., & McBrien, K. A. (2020). Innovations in providing diabetes care for individuals experiencing homelessness: an environmental scan. Canadian Journal of Diabetes, 44(7), 643–650. https://doi.org/10.1016/j.jcjd.2020.01.011

Centers for Disease Control and Prevention. (n.d.). Health and Economic Benefits of Diabetes Interventions. Accessed 5^th August 2023 from https://www.cdc.gov/chronicdisease/programs-impact/pop/diabetes.htm

Haw, J. S., Shah, M., Turbow, S., Egeolu, M., & Umpierrez, G. (2021). Diabetes Complications in Racial and Ethnic Minority Populations in the USA. Current Diabetes Reports, 21(1), 2. https://doi.org/10.1007/s11892-020-01369-x

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Week 7 Advocacy to Impact Population Health Through Oral Testimony

Assignment

Purpose

The purpose of this assignment is to demonstrate advocacy skills in health policy related to the selected population and practice problem. This week, you discovered that the DNP-prepared nurse needs to develop an advocacy plan to impact healthcare policy with an emphasis on population health. In this assignment, you will create an oral testimony presentation that can be used to advocate for change to improve the health outcomes for your selected population, National Practice Problem, and policy. Formulation of the testimony supports professional formation, communication, and dissemination skills relevant to the DNP-prepared nurse.

Instructions

Review the lesson and readings about advocacy, especially the Jurns (2019) article on ISBAR.

Using the population, National Practice Problem, and policy from previous weeks, prepare testimony advocating for policy change or implementation, using the ISBAR format presented by Jurns (2019).

Use the same testimony that was created for the Week 7 Discussion. Incorporate feedback provided in the discussion post.

You may address any policymaker from the local to national level but please identify your audience.

Create the oral testimony using Kaltura or voice-over PowerPoint. Click on the following link for instructions on how to use Kaltura:

Link (webpage): Kaltura TutorialsLinks to an external site.

Link (webpage): PowerPoint Voice-Over TutorialLinks to an external site.

Testimony Content and Organization

Your assignment will be graded on the content, accuracy, and quality of the testimony. Include each of the following components in your testimony:

(I) Identify

Address the person to whom you are speaking.

Introduce self and provide credentials.

Present expertise/experience and interest in issue.

(S) Situation

Describe the issue.

Identify the policy and provide the bill name and number if applicable.

Using data, present the consequences if the policy is not enacted.

(B) Background

Acknowledge the decisionmaker’s interests.

Restate your expertise and ability to comment on the issue.

Share a personal note of interest or brief story.

(A) Assessment

Give your expert professional assessment of the situation.

Provide evidence supporting how the policy positively affects stakeholders.

Identify support from stakeholders, special interest groups, and/or coalitions.

(R) Recommendation/Request

Offer your recommendation for a course of action.

Thank the policymaker for their time/attention.

Offer your assistance and expertise.

Salutation

Your name and title

Credentials

Contact information

Testimony Accuracy

Provide sufficient information and detail.

Explain content correctly to the policymaker being addressed.

Identify a direct relationship between the policy intervention and the proposal.

Testimony Quality

Demonstrate time management: Presentation is 3 minutes or less.

Follow the ISBAR format.

Adhere to Standard English usage and mechanics.

Provide clear and understandable audio.

Program Competencies

This assignment enables the student to meet the following program competencies:

Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)

Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)

Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (PO 1)

Course Outcomes

This assignment enables the student to meet the following course outcomes:

Critically analyze the history, formation, and implementation of local, state and national health policies from the perspectives of stakeholders and the profession of nursing. (PC 5; PO 2)

Synthesize ethical and legal principles to advocate for value-based, equitable, and ethical health policies at the micro, meso, and macrosystem levels. (PC 5; PO 9)

Assimilate epidemiology principles and interventions to impact the social determinants of health, Global Burden of Disease, and population health outcomes. (PCs 7, 8; PO 1)

Formulate strategies for providing culturally relevant and high-quality healthcare to vulnerable and high-risk populations to address social injustice and health inequities. (PCs 7, 8; PO 1)

Demonstrate collaborative interprofessional leadership and political competency to develop and implement healthcare policy to improve healthcare delivery and population health outcomes. (PC 5; PO 2)

Due Date

By 11:59 p.m. MT on Sunday

Late Assignment Policy applies

Rubric

W7 Assignment Grading Rubric

W7 Assignment Grading Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIdentify

Requirements:

1. Address the person to whom you are speaking.

2. Introduce self and provide credentials. 3. Present expertise/experience and interest in issue.

10 pts

Includes all requirements and provides an excellent identify section.

9 pts
Includes all requirements and provides a very good identify section.

8 pts
Includes fewer than all requirements and/or provides a basic identify section.

0 pts
Includes fewer than all requirements and/or provides a poor identify section.

10 pts

This criterion is linked to a Learning OutcomeSituation
Requirements:

1. Describe the issue.

2. Identify the policy and provide the bill name and number if applicable.

3. Using data, present the consequences if policy is not enacted.

30 pts
Includes all requirements and provides an excellent description of the situation.

27 pts
Includes all requirements and provides a very good description of the situation.

24 pts
Includes fewer than all requirements and/or provides a basic description of the situation.

0 pts
Includes fewer than all requirements and/or provides a poor description of the situation.

30 pts

This criterion is linked to a Learning OutcomeBackground

Requirements:

1. Acknowledge decisionmaker’s interests.

2. Restate your expertise and ability to comment on the issue.

3. Share a personal note of interest or brief story.

20 pts

Includes all requirements and provides an excellent description of the background.

18 pts

Includes all requirements and provides a very good description of the background.

16 pts

Includes fewer than all requirements and/or and provides a basic description of the background.

0 pts

Includes fewer than all requirements and/or provides a poor description of the background.

20 pts

This criterion is linked to a Learning OutcomeAssessment

Requirements:

1. Give your expert professional assessment of the situation.

2. Provide evidence supporting on how the policy positively affects stakeholders.

3, Identify support from stakeholders, special interest groups, and/or coalitions.

20 pts
Includes all requirements and provides an excellent assessment.

18 pts
Includes all requirements and provides a very good assessment.

16 pts
Includes fewer than all requirements and/or provides a basic assessment.

0 pts

Includes fewer than all requirements and/or provides a poor assessment.

20 pts

This criterion is linked to a Learning OutcomeRecommendation/Request

Requirements:

1. Offer your recommendation for a course of action.

2. Thank the policymaker for their time/attention.

3. Offer your assistance and expertise.

20 pts
Includes all requirements and provides an excellent discussion of the recommendation/request.

18 pts
Includes all requirements and provides a very good discussion of the recommendation/request.

16 pts
Includes fewer than all requirements and/or provides a basic discussion of the recommendation/request.

0 pts

Includes fewer than all requirements and/or provides a poor discussion of the recommendation/request.

20 pts

This criterion is linked to a Learning OutcomeSalutation Requirements: 1. Your name and title 2. Credentials 3. Contact information

Requirements:

1. Your name and title

2. Credentials

3. Contact information

10 pts

Includes all requirements and provides an excellent salutation.

9 pts

Includes all requirements and provides a very good salutation.

8 pts

Includes fewer than all requirements and/or provides a basic salutation.

0 pts

Includes fewer than all requirements and/or provides a poor salutation.

10 pts

This criterion is linked to a Learning OutcomeTestimony Accuracy

Requirements:

1. Provide sufficient information and detail.

2. Explain content correctly to the policymaker being addressed.

3. Identify a direct relationship between intervention and the proposal.

20 pts

Includes all requirements and provides excellent testimony accuracy.

18 pts

Includes all requirements and provides very good testimony accuracy.

16 pts

Includes fewer than all requirements and/or provides basic testimony accuracy.

0 pts

Includes fewer than all requirements and/or provides poor testimony accuracy.

20 pts

This criterion is linked to a Learning OutcomeTestimony Quality

Requirements:

1. Demonstrate time management: Presentation is 3 minutes or less.

2. Follow the ISBAR format.

3. Adhere to Standard English usage and mechanics .

4. Provide clear and understandable audio.

20 pts

Includes all requirements and provides excellent testimony quality.

18 pts

Includes all requirements and provides very good testimony quality.

16 pts

Includes fewer than all requirements and/or provides basic testimony quality.

0 pts

Includes fewer than all requirements and/or provides poor testimony quality.

20 pts

Total Points: 150