Discuss Population-Based Nursing
Please engage in an interactive discussion by addressing all of the following:
1) Discuss population-based nursing; the role of the DNP in caring for a diverse aging population; your population of interest and why you are interested in this population.
2) What is ageism? Discuss how ageism in an diverse aging population in the United States and globally (choose a country of interest to discuss ageism) can impact the health of individuals; give examples of ageism and how you as an advanced practice nurse can or could be an advocate for older adults by becoming and being aware of ageism; discuss strategies to reduce ageism.
3) Aging begins when the mother is pregnant and continues throughout the lifespan, discuss what this means in population-based nursing; what health promotion and disease prevention strategies could be implemented to reduce mortality and morbidity in your population of interest as they age; discuss the life course approach to aging.
4) Personal reflection is important as you focus on being competent, becoming compassionate, and demonstrating comportment while growing in knowledge through the advanced practice and the doctor of nursing practice roles; discuss how reflective practice can guide your caring responses to older adults within a diverse aging population.
Remember: It is required that you have references for your responses (scholarly discourse expected) and that you respond thoroughly (also in a scholarly manner) to at least two of your peers. Remain attentive to APA style guidelines (7th edition).
The key purpose of population-based nursing is providing evidence-based care to the targeted groups of individuals with same needs to improve outcomes. Population-based nursing uses a clear population as an organizing care unit. It is essential since it keeps the problems from occuring in the first place, encourages resiliency, and reduces vulnerability and contact to the risk factors (Curley.,2019). Doctor of Nursing Practice (DNP) is a clinical doctorate that usually prepares the graduates for the advanced nursing roles encompassing clinical-based practice and leadership. DNPs are set well to meet the Institute of Medicine’s directive for nurses to increase their unique perspective on interprofessional efforts to improve healthcare. In caring for a diverse aging population, DNP significantly affects efficiencies, quality, and effectiveness of the healthcare systems meant to care for this population. This is completed via their help in the clinical practice, advocacy in health policy, application, and assessment of evidence-based practice.
My population of interest involves geriatrics (elderly individuals). I am interested in this particular population due to their increasing rate. For instance, individuals aged 65 and above in the U.S represented 16% of the population in the recent studies. By 2040, that rate is likely to be 21.6%. As individuals get old, they are affected by various healthcare conditions. Thus, it will be my pleasure to care for this population seeing their care problems solved.
Ageism are stereotypes on how individuals think, prejudice on how they feel, and discrimination on how they act towards themselves or others based on age (World Health Organization 2021). Ageism affects everyone, i.e., children as young as four years old become alert of their culture’s stereotypes regarding age. In diverse aging populations both in U.S and Canada, ageism can impact the individual’s health by making individual patients less likely to seek healthcare, likely to be undertreated, and less likely to involve in preventive behaviors such as consistent exams, exercising, and healthy eating. Examples of ageism may include healthcare providers dismissing treatable pathology as a feature of old age, staff members sharing ageist jokes, or having implicit ageist behaviors and thoughts towards geriatrics without conscious awareness and besides providers treating the natural impact of aging as an illness.
As an advanced practice nurse, I can advocate for older adults by becoming and being aware of ageism. This can be impacted by focusing on supporting the wellness of the entire individual, enlightening the elderly patients on the importance of accepting preventive habits, and helping these elderly individuals establish and consider their priorities. One important strategy that can help reduce ageism is recognizing it. This can involve identifying ageist stereotypes the healthcare providers have and working to overcome them through treating each person as an individual. Another strategy can be education and training on identifying and stopping ageist attitudes. Practices here are incorporated in the diversity programs in the workplace for staff. Besides, media can help reduce ageism. More positive images of aging in media can reduce ageism by featuring active, productive, healthy, and successful older individuals in movies, television shows, and commercial advertising. This can counteract negative perceptions many individuals have of aging.
The point that aging begins when the mother is pregnant and continues throughout the lifespan involves understanding human development across the lifespan. It is essential to note that population-based nursing purposes at providing evidence-based care to the targeted groups of people with equal needs (Bone et al., 2018). This orientation aims to improve outcomes because concerns are handled better when categorized. Therefore, individuals are grouped with respect to certain structural factors such as environmental impact.
One strategy that can be implemented to lower morbidity and mortality in a population as it ages is creating supportive environments. The environment influences population’s behavior and motivation to act. Therefore, it is easy to integrate healthy habits into populations surrounded by healthy environments. Introducing regular health screenings is another practical strategy towards lowering mortality and morbidity rates. They facilitate early detection of disease and enable people to increase control over and improve their health (Bone et al., 2018). Besides, administrative bodies can strengthen community action to cumulatively lower death and morbidity rates.
The emphasis on the current studies on aging impacts later life. Yet, there’s a significant unexplained difference in age‐based disease between individuals of the same age. So predictive possible markers of aging that might be related to early life processes can be supportive. The life-course approach towards aging recommends that failure rate in function for a specific organ or system isn’t only reliant on modern impacts. It is as well reliant on the level of peak function achieved earlier in life. Here, peak function relies partly on developing processes and earlier environmental impacts. The approach acknowledges that all stages of an individual’s life are intertwined with each other. It takes a societal and temporal perspective on the health of populations and generations. Thus, Aged phenotype results from extrinsic and intrinsic exposures across the life course and consistent maintenance, renewal, and repair response. This life path concept helps in explaining the vast difference in aging rates between the individuals in the population at all times.
Reflective practice involves actively examining an individual’s practices and actions to help themselves improve and grow. The practice thus can enable a care provider to learn from experiences and integrate that learning into refining patient care outcomes. For instance, when individuals explore an experience, they have had to find what happened and their role in this particular experience – counting their thinking and behavior and related reactions. This allows them to see changes to their approach for future events. Generally, reflective practice can help in guiding my caring responses towards the older adults within a diverse aging population.
For one, it will help develop my skill in self-directed learning (Hovey et al., 2018). Subsequently, this acquaintance directly impacts motivation, which boosts my capacity and willingness to improve the quality of care I can provide. Secondly, reflective practice will guide me through permitting involvement of the whole person in my roles, other than separating acceptable and non-acceptable feelings. This will help me engage with my work thoroughly and increase my attention and motivation, improving the care of these geriatric individuals. Besides, reflective practice will help guide my caring responses in the older adults through support to continuously improve how I work or the quality of care I provide to my patients. This will help in enhancing excellent outcomes attaining wellness. In general, reflective practice will help check and regulate my responses to older adults with a diverse aging population since it supports learning and adapting through experiences.
Bone, A. E., Gomes, B., Etkind, S. N., Verne, J., Murtagh, F. E., Evans, C. J., & Higginson, I. J. (2018). What is the impact of population aging on the future provision of end-of-life care? Population-based projections of the place of death. Palliative medicine, 32(2), 329-336. https://doi.org/10.1177/0269216317734435
Curley, A. L. (2019). Population-based nursing: Concepts and competencies for advanced practice. Springer Publishing Company.
Hovey, R., Jordan, S., Bedos, C., Rodriguez, C., & Apelian, N. (2018). Reflective practice and the role of transformational learning in healthcare. The International Journal of Whole Person Care, 5(1).
World Health Organization. (2021). Aging: Ageism. WHO | World Health Organization. Retrieved from https://www.who.int/news-room/questions-and-answers/item/ageing-ageism#