PHN 690-Topic 6 DQ 1-Classmate Response (1): Application Of The Nursing Process And Conceptual Framework

Topic 6 DQ 1

Compare two conceptual frameworks that can be used in public health nursing. Select a conceptual framework and apply it to an issue in public health nursing. Apply the nursing process at the micro-level, meso-level, and macro-level for the public health issue you selected.

CLASSMATE (Diane’s) Essay Response to Question

Two conceptual frameworks that can be used in public health nursing are Bloom’s Taxonomy of Learning Framework and Interactive Systems Framework for Dissemination and Implementation. Bloom’s framework is well suited for educating people. The framework helps the educator identify the processes the learner must go through in order to effectively grasp new material (Lewis, 2019). An example would be teaching a group of people, newly diagnosed with pre-diabetes. I will add that many people with this diagnosis that I’ve encountered never make it past the remembering stage. This troubles me, as I’ve seen the toll, diabetes takes on the body. This framework can be used both internally and externally for education purposes.

The second, The Framework for Lifelong Learning for Health Professionals in Understanding and Addressing the Social Determinants of Health, looks at how integrating the information received through education, community, and organizations reinforces the beliefs, behaviors, and understanding of health professionals. Thus, the health professionals become part of a workforce partnership that can address the social determinants of health (The National Academies of Sciences, Engineering, and Medicine (NASEM), 2016). Consequently, the end goal is to impact health equity and increase the well-being of target populations (NASEM, 2016). This type of framework is targeted at the education of health professionals, with the intention of impacting the health of the public.

Bloom’s Taxonomy can be applied to increasing the awareness and knowledge of tuberculosis, in the community, by public health nurses. This can be done by employing the nursing process.

For example, at the macro-level nursing and public health organizations must raise awareness of the increase and impact TB has on the safety and welfare of our country. Influential presence through politics, public pressure, and advocacy by the CDC, APHA, and the ANA would be important. Incorporating Bloom’s taxonomy in contacts with congressional leaders and disseminating information via media are also significant actions. These organizations must continue to have expert knowledge such as create, evaluation, and analyze.

Hospitals and institutions that place an escalated concern on tuberculosis work to increase nursing awareness and knowledge at the meso-level. Hospital sponsored programs, would include tuberculosis centered CNE offerings and promoting a free program offered through the CDC that allows fellowship opportunities to those wishing to gain better understanding of tuberculosis. This level should include experts, lay persons, that can extend further education to patients and staff at the remembering and understanding level.

The micro level includes the public health nurses that encounter individuals who may be seeking other services. This level is critical to surveillance and notifying proper officials and providers. Therefore, this level may have more staff that have peaked at the applying level, yet they are aware of where to seek greater expertise. A greater number of advanced practice public health nurses are needed to improve the impact on our society and to end TB.

The importance of educating all levels of nursing can not be over emphasized. Our profession is the largest career group in the world. If we would embrace the power that a show of unity would wield our profession could have a greater impact on shaping our world.

References

Lewis, B. (2019). Using Bloom’s Taxonomy for Effective Learning. ThoughtCo.

https://www.thoughtco.com/blooms-taxonomy-the-incredible-teaching-tool-2081869

National Academies of Sciences, Engineering, and Medicine (NASEM). (2016). A Framework for Educating Health Professionals to Address the Social Determinants of Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/21923.

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Solution

Topic 6 DQ 1

Response to Diane

In your response to the two conceptual frameworks to be compared, you chose the Bloom’s Taxonomy of learning framework and the Interactive Systems Framework for Dissemination and Implementation framework. According to Nascimento et al. (2021), Bloom’s Taxonomy shows the levels of competence through knowledge and is mostly used by the nurses to integrate data, knowledge, and experiences in patient care and management. As you have indicated, Bloom’s Taxonomy framework can be an effective framework for educating patients. This is supported by Dolan et al. (2021) who notes that the framework is comprised of cognitive, affective, and psychomotor domains that are essential in acquiring and using knowledge. The Interactive Systems Framework for Dissemination and Implementation framework was primarily developed for the prevention and according to Moore (2021) has three parts including synthesis and translation, delivery, and support systems. These systems include synthesizing and translating the available evidence and defining the implementation team and the people supporting the delivery system. As indicated in your post, they are both effective for education and change implementation in a nursing setting.

In your selected issue of improving the level of awareness for chronic diseases such as diabetes and tuberculosis, the frameworks are essential in creating a link between the identified data and evidence with nursing practices including patient and community education. Using Bloom’s Taxonomy framework, the micro-environments will define the key concepts that can be used in synthesizing data and training professionals and patients on quality care and health improvement strategies. At the meso-level, the healthcare institutions in collaboration with the local authorities and other healthcare institutions can come up with a community education and screening program which is an adoption of Bloom’s Taxonomy. As you have indicated, the macro-level involves the national or regional politics, economics, and social circles with national and international bodies involved. Apart from bodies such as CDC, you may include other governmental and non-governmental organizations such as WHO, AANP, and ADA among others who are important in policy formulation and support community awareness against diseases such as tuberculosis and diabetes.

References

Dolan, H., Amidon, B. J., & Gephart, S. M. (2021). Evidentiary and theoretical foundations for virtual simulation in nursing education. Journal of Professional Nursing, 37(5), 810–815. https://doi.org/10.1016/j.profnurs.2021.06.001

Moore, J. (2021, September 1). Interactive Systems Framework: Defining roles in the implementation system. The Center for Implementation. https://thecenterforimplementation.com/implementation-in-action-bulletin/march-2019

Nascimento, J. D. S. G., Siqueira, T. V., Oliveira, J. L. G. D., Alves, M. G., Regino, D. D. S. G., & Dalri, M. C. B. (2021). Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy. Revista Brasileira de Enfermagem, 74(1). https://doi.org/10.1590/0034-7167-2020-0135